Using Wearable Sensor Technology to Analyze Running Technique and Prospective Running-Related Injuries During United States Military Cadet Basic Training.

IF 2.4 3区 医学 Q2 ORTHOPEDICS
Orthopaedic Journal of Sports Medicine Pub Date : 2025-02-06 eCollection Date: 2025-02-01 DOI:10.1177/23259671241309273
Amy N Weart, Lauren C Brown, Erin M Florkiewicz, Gregory M Freisinger, Kyle H East, Nicholas Reilly, Jinsup Song, Donald L Goss
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引用次数: 0

Abstract

Background: Running biomechanics have been linked to the development of running-related injuries in recreational and military runners.

Purpose/hypothesis: The purpose of this study was to determine if personal characteristics or running biomechanical variables are associated with running-related injury incidence or time to injury in military cadets undergoing training. It was hypothesized that a rearfoot strike pattern, greater rate of impact, or a lower step rate would be related to a greater running-related injury incidence and a decreased time to injury.

Study design: Cohort study; Level of evidence, 2.

Methods: Military cadets wore an on-shoe wearable sensor that analyzed biomechanical variables of foot strike pattern, rate of impact, running pace, step rate, step length, and contact time during cadet basic training (60 days). Running-related injuries during cadet basic training were determined by medical record review. Personal and running variables between the injured and uninjured cadets were compared using independent t tests and chi-square analyses. Time to injury and hazard ratios (HRs) were estimated using Kaplan-Meier survival curves and Cox proportional hazard regression models, respectively.

Results: Of the 674 cadets who completed the study, 11% sustained a running-related injury. A significantly greater proportion of the injured participants were female (χ2 = 7.95; P = .005) and had a prior history of injury (χ2 = 7.36; P = .007). Univariate Cox proportional hazard regression models revealed greater injury risk in females (HR, 1.96; 95% CI, 1.22-3.16; P = .005) and cadets with a prior injury history (HR, 1.86; 95% CI, 1.18-2.93; P = .008). After adjusting Cox models for prior injury, females were found to be at a 1.89 times (95% CI, 1.17-3.04; P = .009) greater risk of injury. Running biomechanical variables were not associated with injury risk.

Conclusion: Study results indicated that non-modifiable risk factors such as female sex and prior injury history increased the risk of running-related injury in cadets undergoing military training. Running biomechanical variables measured by the wearable sensor were not associated with injury in this study.

使用可穿戴传感器技术分析美国军事学员基础训练中跑步技术和预期的跑步相关伤害。
背景:跑步生物力学与休闲和军事跑步者中跑步相关损伤的发展有关。目的/假设:本研究的目的是确定个人特征或跑步生物力学变量是否与正在接受训练的军事学员的跑步相关伤害发生率或受伤时间相关。假设后脚击球模式,更大的冲击率,或更低的步速将与更大的跑步相关伤害发生率和更短的受伤时间有关。研究设计:队列研究;证据等级2。方法:军校学员在60天的基础训练中,穿戴鞋上可穿戴传感器,分析足部打击方式、冲击率、跑速、步速、步长、接触时间等生物力学变量。学员基础训练期间的跑步相关损伤是通过医疗记录审查确定的。使用独立t检验和卡方分析比较受伤和未受伤学员的个人变量和跑步变量。分别使用Kaplan-Meier生存曲线和Cox比例风险回归模型估计损伤时间和风险比(hr)。结果:在完成研究的674名学员中,11%的人遭受了与跑步有关的伤害。受伤参与者中女性的比例显著高于其他参与者(χ2 = 7.95;P = 0.005),既往有损伤史(χ2 = 7.36;P = .007)。单因素Cox比例风险回归模型显示,女性损伤风险更高(HR, 1.96;95% ci, 1.22-3.16;P = .005)和有伤害史的学员(HR, 1.86;95% ci, 1.18-2.93;P = .008)。对Cox模型进行既往损伤校正后,发现女性为1.89倍(95% CI, 1.17-3.04;P = 0.009)更大的受伤风险。跑步的生物力学变量与受伤风险无关。结论:研究结果表明,女性性别、既往伤害史等不可改变的危险因素增加了军校学员跑步相关伤害的发生风险。在本研究中,可穿戴传感器测量的跑步生物力学变量与损伤无关。
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来源期刊
Orthopaedic Journal of Sports Medicine
Orthopaedic Journal of Sports Medicine Medicine-Orthopedics and Sports Medicine
CiteScore
4.30
自引率
7.70%
发文量
876
审稿时长
12 weeks
期刊介绍: The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty. Topics include original research in the areas of: -Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries -Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot) -Relevant translational research -Sports traumatology/epidemiology -Knee and shoulder arthroplasty The OJSM also publishes relevant systematic reviews and meta-analyses. This journal is a member of the Committee on Publication Ethics (COPE).
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