Joint function screening and corrective training reduce incidence of training injuries among new recruits: a randomized controlled trial based on the knowledge-attitude-belief-practice pathway

TANG Zujie; WANG Zejun; WANG Gang; SONG Yongfei; ZHU Zhaokang; MENG Tao

doi:10.16016/j.2097-0927.202509054

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Joint function screening and corrective training reduce incidence of training injuries among new recruits: a randomized controlled trial based on the knowledge-attitude-belief-practice pathway

Military Medicine | 更新时间：2025-11-13

- Joint function screening and corrective training reduce incidence of training injuries among new recruits: a randomized controlled trial based on the knowledge-attitude-belief-practice pathway
- Journal of Army Medical University Vol. 47, Issue 21, Pages: 2602-2610(2025)
- 作者机构：
  
  1.陆军军医大学（第三军医大学）陆军卫勤训练基地军事共同与部队管理教研室，重庆
  2.中国人民解放军32739部队，河南郑州
- 作者简介：
  
  MENG Tao，E-mail：853719@qq.com
- 基金信息：
  
  Founder：Supported by the Tackling Project of High Altitude Medicine Research(2023)
- DOI：10.16016/j.2097-0927.202509054
  CLC： R821.14;R821.3;R873
- Received：15 September 2025，
  
  Revised：2025-10-23，
  
  Accepted：24 October 2025，
  
  Published：15 November 2025
- 稿件说明：
移动端阅览
唐足界，王泽军，王刚，等.关节功能筛查与纠正训练降低新兵训练伤发生率：一项基于知信行路径的随机对照试验［J］.陆军军医大学学报，2025，47（21）：2602-2610.DOI：10.16016/j.2097-0927.202509054.

TANG Z J，WANG Z J，WANG G，et al.Joint function screening and corrective training reduce incidence of training injuries among new recruits： a randomized controlled trial based on the knowledge-attitude-belief-practice pathway［J］.J Army Med Univ，2025，47（21）：2602-2610.DOI：10.16016/j.2097-0927.202509054.
唐足界，王泽军，王刚，等.关节功能筛查与纠正训练降低新兵训练伤发生率：一项基于知信行路径的随机对照试验［J］.陆军军医大学学报，2025，47（21）：2602-2610.DOI：10.16016/j.2097-0927.202509054. DOI：

TANG Z J，WANG Z J，WANG G，et al.Joint function screening and corrective training reduce incidence of training injuries among new recruits： a randomized controlled trial based on the knowledge-attitude-belief-practice pathway［J］.J Army Med Univ，2025，47（21）：2602-2610.DOI：10.16016/j.2097-0927.202509054. DOI：

摘要

目的

基于军人身体关节功能筛查评估识别新兵运动功能障碍并实施针对性纠正训练，探究该评估纠正体系对知信行相关因素的影响，并基于知信行理论框架，评估其在预防新兵军事训练伤方面的效能。

方法

2025年3—5月在联勤保障部队某新兵训练基地开展整群随机对照试验，纳入446名新兵，采用随机数字表法分为实验组（

=223）和对照组（

=223）。对照组按常规训练计划执行，实验组在完成既定训练任务的同时，额外进行为期2个月的针对性运动功能障碍纠正训练。在纠正训练的初、中、高级3个阶段发放知信行问卷对2组新兵进行调查。采用单因素Logisti

c回归初步筛选知信行相关因素，并进一步构建多因素Logistic回归模型，分析知信行因素在纠正训练中发挥的作用。

结果

实验组在2个月训练周期内累计发生训练伤40例（17.9%），发生率显著低于对照组（83例，37.2%；χ²=20.757，

0.001）。实验组知识、态度和信念、行为维度上均呈现不同程度的改善（

0.05），而对照组在三轮调查中知信行3个维度均未呈现显著变化。Logistic回归分析显示，第一轮：行为总分与训练伤发生率呈显著负相关（

=0.863， 95%

：0.822~0.906，

0.001），而知识、态度和信念维度与军事训练伤无显著关联；第二轮：知识总分（

=0.925， 95%

： 0.903~0.946，

0.001）与行为总分（

=0.906， 95%

： 0.874~0.940，

0.001）均显著降低军事训练伤风险，态度和信念维度仍无显著作用；第三轮：知信行3个维度均与军事训练伤发生率存在显著负相关（知识

=0.905， 95%

： 0.884~0.926，

0.001；态度和信念

=0.942， 95%

： 0.899~0.988，

=0.013；行为

=0.882， 95%

： 0.841~0.924，

0.001）。

结论

关节功能筛查与纠正训练能显著降低新兵训练伤发生率，主要通过优化知识掌握和动作行为实现；而信念培养需长期实践积累。

Abstract

Objective

To identify recruit movement dysfunction based on military joint function screening and assessment

implement targeted corrective training

explore the impact of this assessment-correction system on knowledge-attitude-belief-practice (KABP) related factors

and scientifically evaluate its efficacy in preventing recruit military training injuries within the knowledge-attitude-belief-practice theoretical framework.

Methods

A cluster randomized controlled trial was conducted at a recruit training base of the Joint Logistics Support Force from March to May 2025

enrolling 446 recruits. Participants were randomly assigned to an experimental group (

=223) or control group (

=223) using a random number table. The control group followed the routine training program

while the experimental group additionally received a 2-month

targeted corrective training for movement dysfunction alongside the established training tasks. Knowledge-attitude-belief-practice questionnaires were administered to both groups at the initial

intermediate

and advanced stages of the corrective training. Univariate logistic regression was used to preliminarily screen KABP-related factors

and a multivariate logistic regression model was further constructed to analyze the role of KABP factors in the corrective training.

Results

The experimental group had a cumulative training injury incidence of 40 cases (17.9%)

which was significantly lower than that of the control group (83 cases

37.2%; χ²=20.757

0.001). The experimental group showed varying degrees of improvement in knowledge

attitude and belief

and practice dimensions (

0.05)

while the control group exhibited no significant changes in the three KABP dimensions across the three surveys. Logistic regression analysis revealed: In the first round

total practice score was significantly negatively associated with training injury incidence rate (

=0.863

95%

: 0.822~0.906

0.001)

whereas knowledge and attitude-belief dimensions showed no significant association; In the second round

both total knowledge score (

=0.925

95%

: 0.903~0.946

0.001) and total practice score (

=0.906

95%

: 0.874~0.940

0.001) significantly reduced the risk of military training injuries

with attitude-belief dimension still showing no significant effect; In the third round

all three KABP dimensions were significantly negatively associated with military training injury incidence rate (knowledge:

=0.905

95%

: 0.884~0.926

0.001; attitude and belief:

=0.942

95%

: 0.899~0.988

=0.013; behavior:

=0.882

95%

: 0.841~0.924

0.001).

Conclusion

Joint function screening and corrective training can significantly reduce the incidence of recruit training injuries

primarily by optimizing knowledge mastery and movement behavior; belief cultivation

however

requires long-term practical accumulation.

关键词

Keywords

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