{"title":"战斗机飞行员颈部疼痛及其对作战飞行影响的调查研究","authors":"Sheng Zhang, Ke-liang Zhou, Yan Dong, Jinpeng Ma","doi":"10.3760/CMA.J.ISSN.1007-6239.2015.01.007","DOIUrl":null,"url":null,"abstract":"Objective \nTo investigate the prevalence of daily neck pain (DNP) and fly-related neck pain(FNP) in fighter pilots and to estimate how neck symptoms influenced operational flying in fighter pilots, so as to provide elementary data for further investigation of risk factors and preventive measure. \n \n \nMethods \nTwo hundred and thirty-three fighter pilots, including 94 high-performance fighter pilots and 139 conventional fighter pilots, were surveyed on self-reported prevalence of DNP and FNP in past 1-yr. The pilots were grouped into with DNP and healthy groups by prevalence of DNP, and the FNP prevalence was compared between these two groups. The prevalences of DNP and FNP were compared between high-performance fighter pilots and conventional fighter pilots. Pilots also described how FNP influenced operational flying. \n \n \nResults \nAmong all pilots, 32.6% had experienced DNP, 59.7% had experienced FNP and 17.2% had experienced frequent FNP. DNP pilots had statistically higher FNP and frequent FNP prevalence than healthy pilots (χ2=41.665, 54.669, P<0.01). Comparing with conventional fighter pilots, high performance fighter pilots had no statistically different DNP and FNP prevalence, but had statistically different frequent FNP prevalence(χ2=7.753, P<0.01). Among the pilots with FNP, 18.7% reported neck pain impacted flying endurance, 20.1% reported impacted ability of concentration or stamina, 37.4% reported impacted ability of observation or target searching, 59.7% reported impacted agile operation or high G maneuvers. Among high performance fighter pilots with FNP, 67.8% reported restricted air combat maneuvers resulted from FNP. \n \n \nConclusions \nPrevalence of daily neck pain and fly-related neck pain are considerably high in fighter pilots. Pilots with daily neck pain are more easily to experience fly-related neck pain, indicating that their neck functions are steadily weakened and require prompt and effective intervention. High performance fighter pilots are more easily to experience frequent fly-related neck pain. The fly-related neck pain affects operational flying in many ways. Those findings highlight the stricter demand of neck function for high performance fighter pilots and the necessary support to air service. \n \n \nKey words: \nNeck pain; Prevalence; Epidemiologic studies; Aviation; Pilots","PeriodicalId":9904,"journal":{"name":"中华航空航天医学杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Survey study on the neck pain in fighter pilots and its influences to operational flying\",\"authors\":\"Sheng Zhang, Ke-liang Zhou, Yan Dong, Jinpeng Ma\",\"doi\":\"10.3760/CMA.J.ISSN.1007-6239.2015.01.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo investigate the prevalence of daily neck pain (DNP) and fly-related neck pain(FNP) in fighter pilots and to estimate how neck symptoms influenced operational flying in fighter pilots, so as to provide elementary data for further investigation of risk factors and preventive measure. \\n \\n \\nMethods \\nTwo hundred and thirty-three fighter pilots, including 94 high-performance fighter pilots and 139 conventional fighter pilots, were surveyed on self-reported prevalence of DNP and FNP in past 1-yr. The pilots were grouped into with DNP and healthy groups by prevalence of DNP, and the FNP prevalence was compared between these two groups. The prevalences of DNP and FNP were compared between high-performance fighter pilots and conventional fighter pilots. Pilots also described how FNP influenced operational flying. \\n \\n \\nResults \\nAmong all pilots, 32.6% had experienced DNP, 59.7% had experienced FNP and 17.2% had experienced frequent FNP. DNP pilots had statistically higher FNP and frequent FNP prevalence than healthy pilots (χ2=41.665, 54.669, P<0.01). Comparing with conventional fighter pilots, high performance fighter pilots had no statistically different DNP and FNP prevalence, but had statistically different frequent FNP prevalence(χ2=7.753, P<0.01). Among the pilots with FNP, 18.7% reported neck pain impacted flying endurance, 20.1% reported impacted ability of concentration or stamina, 37.4% reported impacted ability of observation or target searching, 59.7% reported impacted agile operation or high G maneuvers. Among high performance fighter pilots with FNP, 67.8% reported restricted air combat maneuvers resulted from FNP. \\n \\n \\nConclusions \\nPrevalence of daily neck pain and fly-related neck pain are considerably high in fighter pilots. Pilots with daily neck pain are more easily to experience fly-related neck pain, indicating that their neck functions are steadily weakened and require prompt and effective intervention. High performance fighter pilots are more easily to experience frequent fly-related neck pain. The fly-related neck pain affects operational flying in many ways. Those findings highlight the stricter demand of neck function for high performance fighter pilots and the necessary support to air service. \\n \\n \\nKey words: \\nNeck pain; Prevalence; Epidemiologic studies; Aviation; Pilots\",\"PeriodicalId\":9904,\"journal\":{\"name\":\"中华航空航天医学杂志\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-03-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华航空航天医学杂志\",\"FirstCategoryId\":\"1087\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2015.01.007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华航空航天医学杂志","FirstCategoryId":"1087","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2015.01.007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Survey study on the neck pain in fighter pilots and its influences to operational flying
Objective
To investigate the prevalence of daily neck pain (DNP) and fly-related neck pain(FNP) in fighter pilots and to estimate how neck symptoms influenced operational flying in fighter pilots, so as to provide elementary data for further investigation of risk factors and preventive measure.
Methods
Two hundred and thirty-three fighter pilots, including 94 high-performance fighter pilots and 139 conventional fighter pilots, were surveyed on self-reported prevalence of DNP and FNP in past 1-yr. The pilots were grouped into with DNP and healthy groups by prevalence of DNP, and the FNP prevalence was compared between these two groups. The prevalences of DNP and FNP were compared between high-performance fighter pilots and conventional fighter pilots. Pilots also described how FNP influenced operational flying.
Results
Among all pilots, 32.6% had experienced DNP, 59.7% had experienced FNP and 17.2% had experienced frequent FNP. DNP pilots had statistically higher FNP and frequent FNP prevalence than healthy pilots (χ2=41.665, 54.669, P<0.01). Comparing with conventional fighter pilots, high performance fighter pilots had no statistically different DNP and FNP prevalence, but had statistically different frequent FNP prevalence(χ2=7.753, P<0.01). Among the pilots with FNP, 18.7% reported neck pain impacted flying endurance, 20.1% reported impacted ability of concentration or stamina, 37.4% reported impacted ability of observation or target searching, 59.7% reported impacted agile operation or high G maneuvers. Among high performance fighter pilots with FNP, 67.8% reported restricted air combat maneuvers resulted from FNP.
Conclusions
Prevalence of daily neck pain and fly-related neck pain are considerably high in fighter pilots. Pilots with daily neck pain are more easily to experience fly-related neck pain, indicating that their neck functions are steadily weakened and require prompt and effective intervention. High performance fighter pilots are more easily to experience frequent fly-related neck pain. The fly-related neck pain affects operational flying in many ways. Those findings highlight the stricter demand of neck function for high performance fighter pilots and the necessary support to air service.
Key words:
Neck pain; Prevalence; Epidemiologic studies; Aviation; Pilots
期刊介绍:
The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties.
Topics of interest for Chinese Journal of Aerospace Medicine include:
-The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc.
-Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal.
-The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote.
-The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.