ArticleJournal of athletic training2016
Risk of Lower Extremity Injury in a Military Cadet Population After a Supervised Injury-Prevention Program.
Article in Journal of athletic training, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Do Exercise-Based Prevention Programs Reduce Injury in Endurance Runners? A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2024Pooled it
- Risk factors for musculoskeletal injuries in military personnel: a systematic review with meta-analysis.International archives of occupational and environmental health · 2021Pooled it
- Exercise Programs to Reduce the Risk of Musculoskeletal Injuries in Military Personnel: A Systematic Review and Meta-Analysis.PM & R : the journal of injury, function, and rehabilitation · 2020Pooled it
- Osteoarthritis and the Tactical Athlete: A Systematic Review.Journal of athletic training · 2016Pooled it
- Musculoskeletal Injury Risk in a Military Cadet Population Participating in an Injury-Prevention Program.Medicina (Kaunas, Lithuania) · 2023Trial
- Predicting Subsequent Overuse Knee Injury Among Military Cadets and Midshipmen.Military medicine · 2026Article
- Pre-academy knee pain as a predictor of overuse knee injuries in first-year military cadets.BMJ military health · 2025Article
- Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023Article
- The mechanism and cause of anterior cruciate ligament tear in the Korean military environment.Knee surgery & related research · 2019Article
- Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen.Military Medical Research · 2019Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextSpecific movement patterns have been identified as possible risk factors for noncontact lower extremity injuries. The Dynamic Integrated Movement Enhancement (DIME) was developed to modify these movement patterns to decrease injury risk.
objectiveTo determine if the DIME is effective for preventing lower extremity injuries in US Military Academy (USMA) cadets.
designCluster-randomized controlled trial.
settingCadet Basic Training at USMA. PATIENTS OR OTHER
participantsParticipants were 1313 cadets (1070 men, 243 women). INTERVENTION(S): Participants were cluster randomized to 3 groups. The active warm-up (AWU) group performed standard Army warm-up exercises. The DIME groups were assigned to a DIME cadre-supervised (DCS) group or a DIME expert-supervised (DES) group; the former consisted of cadet supervision and the latter combined cadet and health professional supervision. Groups performed exercises 3 times weekly for 6 weeks. MAIN OUTCOME MEASURE(S): Cumulative risk of lower extremity injury was the primary outcome. We gathered data during Cadet Basic Training and for 9 months during the subsequent academic year. Risk ratios and 95% confidence intervals (CIs) were calculated to compare groups.
resultsNo differences were seen between the AWU and the combined DIME (DCS and DES) groups during Cadet Basic Training or the academic year. During the academic year, lower extremity injury risk in the DES group decreased 41% (relative risk [RR] = 0.59; 95% CI = 0.38, 0.93; P = .02) compared with the DCS group; a nonsignificant 25% (RR = 0.75; 95% CI = 0.49, 1.14; P = .18) decrease occurred in the DES group compared with the AWU group. Finally, there was a nonsignificant 27% (RR = 1.27; 95% CI = 0.90, 1.78; P = .17) increase in injury risk during the academic year in the DCS group compared with the AWU group.
conclusionsWe observed no differences in lower extremity injury risk between the AWU and combined DIME groups. However, the magnitude and direction of the risk ratios in the DES group compared with the AWU group, although not statistically significant, indicate that professional supervision may be a factor in the success of injury-prevention programs.
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