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Functional Movement Screen and Aerobic Fitness Predict Injuries in Military Training.
MedLine Citation:
PMID:  23190584     Owner:  NLM     Status:  Publisher    
PURPOSE: This study investigated associations between injuries and individual components of the Marine Corps Physical Fitness Test (PFT), self-reported exercise and previous injury history, and Functional Movement Screen (FMS) scores. METHODS: A cohort of 874 men enrolled in either six (n = 447) or 10 (n = 427) weeks of Marine Corps Officer Candidate training were recruited. They completed an exercise history questionnaire, underwent a FMS during medical inprocessing, and completed the standardized PFT (pull-ups, abdominal crunch, 3-mile run) within one week of training. Injury data were gathered throughout training from medical records and classified into overuse, traumatic and any injury. RESULTS: 3 mile run-time (RT) was the only PFT component predictive of injury: candidates with RT ≥ 20.5 min were 1.7 times (95% CI = 1.29-2.31; p < 0.001) more likely to experience an injury compared to those with RT < 20.5 min. Prior injury, frequency of general exercise and sport participation, and length of running history were predictive of any, overuse, and traumatic injuries, respectively. Combining slow RT and low FMS scores (≤ 14) increased the predictive value across all injury classifications: candidates scoring poorly on both tests were 4.2 times more likely to suffer an injury. The pull-up to exhaustion test was related to four of the seven FMS tests and the only PFT test positively related to total FMS score, although correlations were generally low (r ≤ 0.11). CONCLUSIONS: Slow RT was associated with increased injury risk and combining poor RT and low FMS scores significantly increased the injury predictive value. Additional research is warranted to further clarify what combination of PFT and FMS tests are most suitable for predicting injuries.
Peter Lisman; Francis G O'Connor; Patricia A Deuster; Joseph J Knapik
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-27
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  -     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 2Uniformed Services University of the Health Sciences, Bethesda, MD.
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