ArticleMedicine and science in sports and exercise2016
Association of Injury History and Incident Injury in Cadet Basic Military Training.
Article in Medicine and science in sports and exercise, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 5 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Incidence and Risk Factors for the Development of Stress Fractures in Military Recruits and Qualified Personnel: A Systematic Review.International journal of environmental research and public health · 2025Pooled it
- Non-Modifiable Risk Factors for Stress Fractures in Military Personnel Undergoing Training: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model.Military Medical Research · 2021Pooled it
- Lateral Ankle Sprain and Subsequent Ankle Sprain Risk: A Systematic Review.Journal of athletic training · 2021Pooled it
- The Relationship Between Training Load and Injury in Athletes: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2018Pooled it
- Immediate Effects of Calf Tissue Flossing on Ankle Joint Torque and Dorsiflexion Range of Motion in Healthy Individuals: A Randomized Controlled Crossover Trial.Journal of sports science & medicine · 2024Trial
- Importance of strength training to prevent secondary lower limb musculoskeletal injury in military personnel.BMJ military health · 2026Review
- Predicting Subsequent Overuse Knee Injury Among Military Cadets and Midshipmen.Military medicine · 2026Article
- The Incidence and Risk Factors for the Development of Fractures in Military Populations: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- The Impact of Chronic Ankle Instability on Functional and Perceived Single-leg Balance Control.International journal of exercise science · 2026Article
- Identification of modifiable gait parameters predictive of simulated tibial stress-fracture risk in men and women.Frontiers in physiology · 2026Article
- Time to First Injury After Knee Surgery in U.S. Army Soldiers: A Survival Analysis.Sports medicine - open · 2025Article
- Rehabilitating Soldiers for Load Carriage Tasks: An International Perspective.International journal of environmental research and public health · 2025Review
- Pre-academy knee pain as a predictor of overuse knee injuries in first-year military cadets.BMJ military health · 2025Article
- The Relationship Between Self-Efficacy, Aerobic Fitness, and Traditional Risk Factors for Musculoskeletal Injuries in Military Training: A Prospective Cohort Study.International journal of sports physical therapy · 2025Article
- The Effect of Ankle Bracing on Athletic Performance Variables in Healthy Young Adult Athletes.International journal of exercise science · 2025Article
- Chronic Ankle Instability and Neuromuscular Performance in Prerecruitment Infantry Soldiers.Journal of athletic training · 2024Article
- Validity and Responsiveness of a Modified Balance Error Scoring System Assessment Using a Mobile Device Application in Patients Recovering from Ankle Sprain.International journal of sports physical therapy · 2024Article
- Is There an Association Between Injury History and Lower Extremity Joint Injury During Canada Games Competition?International journal of sports physical therapy · 2023Article
- Differences in running biomechanics between young, healthy men and women carrying external loads.Frontiers in bioengineering and biotechnology · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeThis study aimed to determine the association between injury history at enrollment and incident lower extremity (LE) injury during cadet basic training among first-year military cadets.
methodsMedically treated LE injuries during cadet basic training documented in the Defense Medical Surveillance System were ascertained in a prospective cohort study of three large US military academies from 2005 to 2008. Both acute injuries (International Classification of Disease, Ninth Revision, codes in the 800-900s, including fracture, dislocations, and sprains/strains) and injury-related musculoskeletal injuries (International Classification of Disease, Ninth Revision, codes in the 700s, including inflammation and pain, joint derangement, stress fracture, sprain/strain/rupture, and dislocation) were included. Risk ratio (RR) and 95% confidence interval (CI) were computed using multivariate log-binomial models stratified by gender.
resultsDuring basic training, there were 1438 medically treated acute and 1719 musculoskeletal-related LE injuries in the 9811 cadets. The most frequent LE injuries were sprains/strains (73.6% of acute injuries) and inflammation and pain (89.6% of musculoskeletal-related injuries). The overall risk of incident LE injury was 23.2% (95% CI = 22.3%-24.0%). Cadets with a history of LE injury were at increased risk for incident LE injury. This association was identical in males (RR = 1.74, 95% CI = 1.55-1.94) and females (RR = 1.74, 95% CI = 1.52-1.99). In site-specific analyses, strong associations between injury history and incident injury were observed for hip, knee ligament, stress fracture, and ankle sprain. Injury risk was greater (P < 0.01) for females (39.1%) compared with males (18.0%). The elevated injury risk in females (RR = 2.19, 95% CI = 2.04-2.36) was independent of injury history (adjusted RR = 2.09, 95% CI = 1.95-2.24).
conclusionInjury history upon entry to the military is associated with the incidence of LE injuries sustained during cadet basic training. Prevention programs targeted at modifiable factors in cadets with a history of LE injury should be considered.
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