Survey on foot and ankle training injuries of Ⅲ personnel in a certain army during long-distance march

Xiaojun DUAN; Zhenlan FU; Peiyao JIANG; Xingyue PENG; Liu YANG

doi:10.16016/j.2097-0927.202210028

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Survey on foot and ankle training injuries of Ⅲ personnel in a certain army during long-distance march

Clinical Medicine | 更新时间：2026-01-09

- Survey on foot and ankle training injuries of Ⅲ personnel in a certain army during long-distance march
- Journal of Army Medical University Vol. 45, Issue 1, Pages: 81-85(2023)
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院关节外科
- 作者简介：
- 基金信息：
  
  the Special Project of Military Logistics Research of Army Medical University(2020HQZX15);the General Program of Joint Medical Research of Chongqing Science and Health Commission and Chongqing Health Commission(2021MSXM183)
- DOI：10.16016/j.2097-0927.202210028
  CLC： R821.34;R821.52;R873
- Received：07 October 2022，
  
  Revised：2022-11-28，
  
  Published：15 January 2023
- 稿件说明：
移动端阅览
Xiaojun DUAN, Zhenlan FU, Peiyao JIANG, et al. Survey on foot and ankle training injuries of Ⅲ personnel in a certain army during long-distance march[J]. Journal of Army Medical University, 2023, 45(1): 81-85.
DOI：

Xiaojun DUAN, Zhenlan FU, Peiyao JIANG, et al. Survey on foot and ankle training injuries of Ⅲ personnel in a certain army during long-distance march[J]. Journal of Army Medical University, 2023, 45(1): 81-85. DOI： 10.16016/j.2097-0927.202210028.

摘要

目的

调查了解Ⅲ类人员在长途行军中的足踝军事训练伤发生情况，为科学施训提供依据。

方法

2021年5月在某次军事拉练活动中，采用自制调查表对某部Ⅲ类人员进行全员调查，根据性别、年龄、平常步行锻炼强度、作战靴类型、袜子类型对人员进行分组，由课题组人员进行数据分析。

结果

325人中返回有效问卷285份，回收率88%，其中疼痛163人(57.2%)，水疱104人(36.5%)。各组间水疱发生率无统计学差异。80.1%的水疱和77.3%的疼痛发生在前足区，采用VAS视觉评分法，≥50岁人员的疼痛评分显著降低(

=0.032)，穿制式袜子可显著降低疼痛评分(

=0.033)，期间无骨折、手术等病例发生，无1人因伤病退出拉练活动。

结论

部队Ⅲ类人员进行远距离拉练，容易出现发生在前足区部位的疼痛和水疱等症状，年龄及袜子类型是影响疼痛感的重要因素。

Abstract

Objective

To investigate the occurrence of foot and ankle injuries in military training of Ⅲ personnel (professional technicians) during long-distance march so as to provide basis for scientific training.

Methods

During a certain military training activity in May 2021

a self-made questionnaire was used to investigate all the Ⅲ personnel in a certain unit. The personnel were divided into groups according to sex

age

intensity of walking exercise

and types of combat boots and socks

respectively

and the data were analyzed by the staff of the research group.

Results

Finally

285 valid questionnaires were obtained among the 325 participants

with a validity rate of 88%

including 163 cases of pain (57.2%) and 104 cases of blisters (36.5%). There was no significant difference in the incidence of blisters among the groups. Totally 80.1% of the blisters and 77.3% of the pain occurred in the forefoot area. Based on visual analogue scale (VAS) score

the pain score of participants over 50 years old was decreased significantly (

=0.032)

and wearing uniform socks could significantly reduce the pain score (

=0.033). During the period

there were no cases of fracture

operation or other cases

and no one withdrew from training activities due to injuries.

Conclusion

Ⅲ personnel in the army are prone to pain and blisters in the forefoot area when they carry out long-distance training. Age and the type of socks are important factors affecting pain.

关键词

Keywords

references

陈欣, 杨柳, 段小军. 某部特种兵军事训练伤流行病学调查与分析[J]. 人民军医, 2019, 62(4): 305-306, 310.

CHEN X, YANG L, DUAN X J. Epidemiological investigation and analysis of military training injuries in some special forces[J]. People Mil Surg, 2019, 62(4): 305-306, 310.

黄昌林, 张莉, 薛刚. 制定《军事训练伤诊断标准及防治原则》的说明[J]. 人民军医, 2002, 45(10): 559-560. DOI: 10.3969/j.issn.1000-9736.2002.10.001.

HUANG C L, ZHANG L, XUE G. Explanation on the formulation of "Diagnostic Criteria and Prevention Principles of Military Training Injuries"[J]. People Mil Surg, 2002, 45(10): 559-560. DOI: 10.3969/j.issn.1000-9736.2002.10.001.

王新华, 周荣斌, 王丽敏. 装甲车辆乘员军事训练伤研究进展[J]. 人民军医, 2013, 56(1): 5-7.

WANG X H, ZHOU R B, WANG L M. Research progress on military training injuries of armored vehicle occupants[J]. People Mil Surg, 2013, 56(1): 5-7.

魏成, 帕丽旦, 高万泉. 不同兵种军事训练伤发生情况调查与分析[J]. 人民军医, 2012, 55(4): 294-295.

WEI C, PA L D, GAO W Q. Investigation and analysis on the occurrence of military training injuries in different arms[J]. People Mil Surg, 2012, 55(4): 294-295.

黄昌林, 张莉, 薛刚. 《军事训练伤诊断标准及防治原则》的编制应用研究及其意义[J]. 解放军医学杂志, 2004, 29(4): 286-288. DOI: 10.3321/j.issn:0577-7402.2004.04.003.

HUANG C L, ZHANG L, XUE G. The compilation of "Diagnostic Criteria, Principles of Prophylaxis and Treatment of Military Training Injuries"[J]. Med J Chin PLA, 2004, 29(4): 286-288. DOI: 10.3321/j.issn:0577-7402.2004.04.003.

罗益滨, 许雅, 王新伟. 军队医院设立军事训练伤联合门诊的构想[J]. 人民军医, 2018, 61(11): 993-995, 1003.

LUO Y B, XU Y, WANG X W. The Conception of setting up joint outpatient service for military training injuries in military hospital[J]. People Mil Surg, 2018, 61(11): 993-995, 1003.

SMITH L, WESTRICK R, SAUERS S, et al . Underreporting of musculoskeletal injuries in the US army: findings from an infantry brigade combat team survey study[J ] . Sports Health, 2016, 8(6): 507-513. DOI: 10.1177/1941738116670873.

孟涛, 温钰祥, 刘文涛, 等. 功能动作训练对新兵军事训练伤的预防效果研究[J]. 第三军医大学学报, 2016, 38(15): 1804-1808. DOI: 10.16016/j.1000-5404.201603197.

MENG T, WEN Y X, LIU W T, et al . Effect of functional movement training in preventing recruits military training injury[J ] . J Third Mil Med Univ, 2016, 38(15): 1804-1808. DOI: 10.16016/j.1000-5404.201603197.

贾伟东, 董宏彬, 孟祥飞, 等. 某部2012年度入伍新兵军事训练伤流行病学特征[J]. 解放军医药杂志, 2015, 27(7): 92-94. DOI: 10.3969/j.issn.2095-140X.2015.07.024.

JIA W D, DONG H B, MENG X F, et al . Epidemiologic features of military training-related injuries in recruits during basic training period in 2012[J ] . Med Pharm J Chin PLA, 2015, 27(7): 92-94. DOI: 10.3969/j.issn.2095-140X.2015.07.024.

杨杰, 杨飞, 杜江, 等. 功能性身心干预训练对预防军事训练伤的影响[J]. 解放军医药杂志, 2015, 27(6): 90-93. DOI: 10.3969/j.issn.2095-140X.2015.06.024.

YANG J, YANG F, DU J, et al . Effect of physical and mental functionality training on preventing injuries during military training[J ] . Med Pharm J Chin PLA, 2015, 27(6): 90-93. DOI: 10.3969/j.issn.2095-140X.2015.06.024.

李春伶, 高永艳, 孙鲲, 等. 武警部队新兵军事训练伤的种类及特征[J]. 解放军预防医学杂志, 2015, 33(1): 45-46. DOI: 10.13704/j.cnki.jyyx.2015.01.018.

LI C L, GAO Y Y, SUN K, et al . Types and characteristics of military training injuries of recruits in the Armed Police Force[J ] . J Prev Med Chin PLA, 2015, 33(1): 45-46. DOI: 10.13704/j.cnki.jyyx.2015.01.018.

王新伟, 孙金海, 任大扬, 等. 海军水面舰艇部队军事训练伤现况调查分析[J]. 人民军医, 2017, 60(2): 111-113, 120.

WANG X W, SUN J H, REN D Y, et al . Investigation and analysis on the current situation of military training injuries in naval surface warship troops[J ] . People Mil Surg, 2017, 60(2): 111-113, 120.

肖青川, 赵志勇, 周童辉, 等. 藏区医院住院武警官兵军事训练伤分析[J]. 武警医学, 2017, 28(1): 32-35. DOI: 10.14010/j.cnki.wjyx.2017.01.010.

XIAO Q C, ZHAO Z Y, ZHOU T H, et al . Military training-related injuries of inpatient soldiers in Tibetan plateau mountain armed police hospital[J ] . Med J Chin People Armed Police Force, 2017, 28(1): 32-35. DOI: 10.14010/j.cnki.wjyx.2017.01 .010.

王海洲, 李宏伟, 王爽, 等. 军事训练伤调查问卷设计及应用研究[J]. 创伤与急危重病医学, 2017, 5(1): 4-7. DOI: 10.16048/j.issn.2095-5561.2017.01.02.

WANG H Z, LI H W, WANG S, et al . Military training injury questionnaire design and applied research[J ] . Trauma Crit Care Med, 2017, 5(1): 4-7. DOI: 10.16048/j.issn.2095-5561.2017.01.02.

刘超. 某机械化部队534例军事训练伤分析及预防策略[J]. 解放军预防医学杂志, 2016, 34(5): 778. DOI: 10.13704/j.cnki.jyyx.2016.05.054.

LIU C. Analysis and preventive strategy of 534 cases of military training injuries in a mechanized army[J]. J Prev Med Chin PLA, 2016, 34(5): 778. DOI: 10.13704/j.cnki.jyyx.2016.05.054.

杨筱筠, 付留杰, 刘勇, 等. 312例军事训练伤描述性分析[J]. 中国矫形外科杂志, 2017, 25(14): 1332-1334. DOI: 10.3977/j.issn.1005-8478.2017.14.19.

YANG X J, FU L J, LIU Y, et al . Descriptive analysis of 312 cases of military training injuries[J ] . Orthop J China, 2017, 25(14): 1332-1334. DOI: 10.3977/j.issn.1005-8478.2017.14.19.

GRIER T L, KNAPIK J J, CANADA S, et al . Risk factors associated with self-reported training-related injury before arrival at the US army ordnance school[J ] . Public Health, 2010, 124(7): 417-423. DOI: 10.1016/j.puhe.2010.03.016.

KNAPIK J J, SHARP M A, CANHAM-CHERVAK M, et al . Risk factors for training-related injuries among men and women in basic combat training[J ] . Med Sci Sports Exerc, 2001, 33(6): 946-954. DOI: 10.1097/00005768-200106000-00014.

BULZACCHELLI M T, SULSKY S I, RODRIGUEZ-MONGUIO R, et al . Injury during US Army basic combat training: a systematic review of risk factor studies[J ] . Am J Prev Med, 2014, 47(6): 813-822. DOI: 10.1016/j.amepre.2014.08.008.

段小军, 杨柳. 规范化诊治外踝韧带损伤[J]. 第三军医大学学报, 2014, 36(19): 1971-1975. DOI: 10.16016/j.1000-5404.2014.19.013.

DUAN X J, YANG L. Standard for diagnosis and management of lateral ankle ligament injury[J]. J Third Mil Med Univ, 2014, 36(19): 1971-1975. DOI: 10.16016/j.1000-5404.2014.19.013.

TEYHEN D S, GOFFAR S L, SHAFFER S W, et al . Incidence of musculoskeletal injury in US army unit types: a prospective cohort study[J ] . J Orthop Sports Phys Ther, 2018, 48(10): 749-757. DOI: 10.2519/jospt.2018.7979.

杨建新, 李星星, 杨红霞. 军事训练伤的现状及防治研究进展[J]. 解放军医药杂志, 2016, 28(11): 110-113. DOI: 10.3969/j.issn.2095-140X.2016.11.029.

YANG J X, LI X X, YANG H X. Current situation and research progress of prevention and treatment of military training injuries[J]. Med Pharm J Chin PLA, 2016, 28(11): 110-113. DOI: 10.3969/j.issn.2095-140X.2016.11.029.

KAUFMAN K R, BRODINE S, SHAFFER R. Military training-related injuries: surveillance, research, and prevention[J]. Am J Prev Med, 2000, 18(3 Suppl): 54-63. DOI: 10.1016/s0749-3797(00)00114-8.

BULATHSINHALA L, HILL O T, SCOFIELD D E, et al . Epidemiology of ankle sprains and the risk of separation from service in US army soldiers[J ] . J Orthop Sports Phys Ther, 2015, 45(6): 477-484. DOI:10.2519/jospt.2015.5733.

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