Document Detail


The effect of a modified physical training program in reducing injury and medical discharge rates in Australian Army recruits.
MedLine Citation:
PMID:  10495636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This uncontrolled observational study examined the injury and medical discharge outcomes in 318 female and 1,634 male recruits as a result of changes to the Australian Army recruit physical training program. Changes included cessation of road runs, introduction of 400- to 800-m interval training, reduction in test run distance from 5 to 2.4 km, standardization of route marches, and the introduction of deep-water running. There was a 46.6% reduction in the rate of total injury presentation (chi 2 = 14.31, p = 0.0002) after the change. The annual rate of male medical discharges decreased 40.8% from 81.1/1,000 recruits in 1994/1995 to 47.0/1,000 recruits in 1995/1996 (chi 2 = 26.33, p = 0.0001). Female rates increased 58.3% from 104/1,000 recruits to 164.2/1,000 recruits (chi 2 = 6.09, p = 0.014). The decrease in the male medical discharge rate resulted in an estimated saving of $1,267,805 Australian. Bone scans were reduced by 50%, resulting in an estimated annual saving of $61,539 Australian. The disparity between male and female injury rates is a concern. The merits of mixed-gender physical training should be reviewed in the light of these observations, and the establishment of initial entry fitness standards for recruit training may need to be considered.
Authors:
S J Rudzki; M J Cunningham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  164     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-10-07     Completed Date:  1999-10-07     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  648-52     Citation Subset:  IM    
Affiliation:
Canberra Area Medical Unit, Duntroon, Australian Capital Territory, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Australia
Cost Savings
Exercise Therapy / organization & administration*
Female
Humans
Male
Military Personnel* / education
Physical Education and Training / organization & administration*
Physical Fitness
Physical Therapy Modalities / economics,  utilization
Program Evaluation
Retrospective Studies
Risk Factors
Sex Distribution
Sick Leave / statistics & numerical data*
Wounds and Injuries / economics,  prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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