军人身体关节功能筛查对新兵军事训练伤的预测效度研究

王刚; 宋永飞; 胡绪; 陈振; 雷恩宇; 孟涛

doi:10.16016/j.2097-0927.202302075

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军人身体关节功能筛查对新兵军事训练伤的预测效度研究

军事医学 | 更新时间：2026-01-09

- 军人身体关节功能筛查对新兵军事训练伤的预测效度研究
- Predictive validity of joint function screening for military training injuries in new recruits
- 陆军军医大学学报 2023年45卷第20期页码：2189-2194
- 作者机构：
  
  1.450100 郑州，中国人民解放军32739部队
  2.400037 重庆，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
- 作者简介：
  
  [孟涛，E-mail: tao_meng@163.com MENG Tao, E-mail: tao_meng@163.com
- 基金信息：
  
  军队卫勤保障能力创新与生成专项项目(21WQ002);军队训练伤防护专项课题(21XLS04)
- DOI：10.16016/j.2097-0927.202302075
  中图分类号： R322.72;R821.3;R873.01
- 收稿：2023-02-14，
  
  修回：2023-05-23，
  
  纸质出版：2023-10-30
- 稿件说明：
移动端阅览
王刚, 宋永飞, 胡绪, 等. 军人身体关节功能筛查对新兵军事训练伤的预测效度研究[J]. 陆军军医大学学报, 2023,45(20):2189-2194.

Gang WANG, Yongfei SONG, Xu HU, et al. Predictive validity of joint function screening for military training injuries in new recruits[J]. Journal of Army Medical University, 2023, 45(20): 2189-2194.
王刚, 宋永飞, 胡绪, 等. 军人身体关节功能筛查对新兵军事训练伤的预测效度研究[J]. 陆军军医大学学报, 2023,45(20):2189-2194. DOI： 10.16016/j.2097-0927.202302075.

Gang WANG, Yongfei SONG, Xu HU, et al. Predictive validity of joint function screening for military training injuries in new recruits[J]. Journal of Army Medical University, 2023, 45(20): 2189-2194. DOI： 10.16016/j.2097-0927.202302075.

摘要

目的

探讨军人身体关节功能筛查对新兵军事训练伤的预测效度。

方法

于2022年3-5月对联勤保障部队某训练机构113名新兵进行身体关节功能筛查测试，记录新训期间军事训练伤情况。采用JB(Jarque-Bera)正态性检验、二元Logistic回归、ROC曲线和

值计算分析，综合判定身体关节功能筛查在预测军事训练伤中的效度。

结果

新兵关节功能筛查平均得分为9.46分，受伤新兵与未受伤新兵筛查得分差异有统计学意义[(7.30±1.45)分

(9.92±1.74)分，

0.01

]

；二元Logistic回归分析显示，筛查评估得分是军事训练伤的重要影响因素(

=-1.098，

0.01)；ROC曲线分析显示，AUC=0.875(95%

：0.789~0.952，

0.01)、敏感度为75%、特异性为80.6%、损伤风险阈值为8.5分；筛查评估＜8.5分的新兵潜在损伤风险概率是≥8.5分新兵的12.5倍(

=12.5)。

结论

军人身体关节功能筛查评估得分与军事训练伤关联强度高、预测效度好，可作为各军兵种新兵军事训练伤的预测工具。

Abstract

Objective

To explore the predictive validity of joint function screening for military training injuries in new recruits.

Methods

A total of 113 new recruits were subjected from a training institution of the Joint Logistic Support Force of PLA from March to May 2022. Their joint function was evaluated

and the military training injuries were recorded during the training. Jarque-Brea (JB) normality test

binary logistic regression

receiver operating characteristic (ROC) curve and OR value calculation were used to comprehensively evaluate the validity of joint function screening in predicting military training injuries.

Results

The average score of joint function was 9.46 in the participants

and statistical difference was observed in the score between the injured recruits and uninjured recruits (7.30±1.45

9.92±1.74

0.01). Binary logistic regression analysis showed that the screening score of joint function was an important influencing factor of military training injuries (

=-1.098

0.01). ROC curve analysis showed that the AUC value was 0.875 (95%

: 0.789~0.952

0.01) in the prediction of training injuries

with a sensitivity of 75% and a specificity of 80.6%

and the injury risk threshold was 8.5 points. The potential injury risk probability in the new recruits with

8.5 points in screening was 12.5 times higher than those with the score ≥8.5 points (

=12.5).

Conclusion

The screening score of joint function has good correlation with military training injury

and shows good predictive performance for the injuries. Therefore

it can be used as a prediction tool of military training injuries for new recruits in all branches of the military.

关键词

Keywords

references

吴林波, 葛春礼, 张刚, 等. 我军新兵军事训练伤预防研究进展[J]. 华南国防医学杂志, 2018, 32(1): 67-69, 封3. DOI: 10.13730/j.issn.1009-2595.2018.01.019.

WU L B, GE C L, ZHANG G, et al . Research progress on prevention of military training injuries of recruits in our army[J ] . Mil Med J South China, 2018, 32(1): 67-69, 封3. DOI: 10.13730/j.issn.1009-2595.2018.01.019.

LISMAN P, O'CONNOR F G, DEUSTER P A, et al . Functional movement screen and aerobic fitness predict injuries in military training[J ] . Med Sci Sp orts Exerc, 2013, 45(4): 636-643. DOI: 10.1249/MSS.0b013e31827a1c4c.

刘文涛, 徐宇新, 孟涛. 功能性动作筛查对军校新生基础体能训练的指导作用[J]. 解放军预防医学杂志, 2017, 35(12): 1547-1550. DOI: 10.3969/j.issn.1671-1300.2013.03.023

LIU W T, XU Y X, MENG T. Guidance of functional movement screening (FMS) for Cadets' Physical training[J]. J Prev Med Chin PLA, 2017, 35(12): 1547-1550. DOI: 10.3969/j.issn.1671-1300.2013.03.023

闫琪, 刘妍, 杜宝宇. 应用现代体能训练方法提高陆军士兵军事体能的研究[J]. 中国体育科技, 2019, 55(8): 20-25. DOI: 10.16470/j.csst.2019125

YAN Q, LIU Y, DU B Y. Research on the application of modern physical training methods to improve military physical fitness of army soldiers[J]. China Sport Sci Technol, 2019, 55(8): 20-25. DOI: 10.16470/j.csst.2019125

牛森, 赵焕彬. 功能性训练促进我国新兵军事体能发展的研究[J]. 中国体育科技, 2019, 55(8): 46-50. DOI: 10.16470/j.csst.2019116

NIU S, ZHAO H B. Study on functional training promoting the development of military physical fitness of recruits in China[J]. China Sport Sci Technol, 2019, 55(8): 46-50. DOI: 10.16470/j.csst.2019116

黄孝齐, 田畅. 提高部队体能训练科学性的思考与探究[J]. 军事体育学报, 2019, 38(1): 21-24, 27.

HUANG X Q, TIAN C. Thinking and research on improving scientificalness of physical training of troops[J]. J Mil Phys Educ Sports, 2019, 38(1): 21-24, 27.

HO K S, SO W, KIM J. Effect of 8-week core stabilization training on skill-related physical fitness and functional movement screen (FMS) test scores in college soccer players[J]. Korean Soc Sports Sci, 2016, 25: 1473-1483.

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 Thir Mil Med Univ, 2016, 38(15): 1804-1808. DOI: 10.16016/j.1000-5404.201603197.

韩康, 冯敏敏, 张红侠, 等. 两种功能性动作筛查测试对新兵军事训练伤的评估分析与预防研究[J]. 解放军医药杂志, 2019, 31(10): 97-102. DOI: 10.3969/j.issn.2095-140X.2019.10.023

HAN K, FENG M M, ZHANG H X, et al . Evaluation analysis and prevention study of two kinds of functional movement test for military training In-jury in recruits[J ] . Med Pharm J Chin PLA, 2019, 31(10): 97-102. DOI: 10.3969/j.issn.2095-140X.2019.10.023

高澍, 吴立红, 陈志刚, 等. 功能性动作筛查与特勤人员军事训练伤的风险相关[J]. 东南国防医药, 2021, 23(1): 96-98. . DOI: 10.3969/j.issn.1672-271X.2021.01.024

GAO S, WU L H, CHEN Z G, et al . Functional action screening is related to the risk of military training injury of secret service personnel[J ] . Mil Med J Southeast China, 2021, 23(1): 96-98. . DOI: 10.3969/j.issn.1672-271X.2021.01.024

ZHOU K K. The association between the injury risks and the FMS among the Chinese high-level table tennis athletes[J]. Front Sport Res, 2021, 3(5): 5-11. DOI: 10.25236/fsr.2021.030502.

MCCUNN R, BLACKBURNE C, NEWTON F, et al . Accounting for multiple injuries does not improve the Functional Movement Screen (FMS TM ) as a tool to identify injury risk among English Premier League academy football players: a 3-season prospective cohort study[J ] . Sci Med Footb, 2019, 3(3): 251-254. DOI: 10.1080/24733938.2019.1595114..

COLE C L. Use of PROMIS and functional movement system (FMS) testing to evaluate the effects of athletic performance and injury prevention training in female high school athletes[J]. Orthop Sports Med Open Access J, 2019, 3(2): 251-254. DOI: 10.32474/osmoaj.2019.03.000160.

DORREL B S, LONG T, SHAFFER S, et al . Evaluation of the functional movement screen as an injury prediction tool among active adult populations: a systematic review and meta-analysis[J ] . Sports Health, 2015, 7(6): 532-537. DOI: 10.1177/1941738115607445.

MORAN R W, SCHNEIDERS A G, MASON J, et al . Do Functional Movement Screen (FMS) composite scores predict subsequent injury? A systematic review with meta-analysis[J ] . Br J Sports Med, 2017, 51(23): 1661-1669. DOI: 10.1136/bjsports-2016-096938.

束拉, 陈国壮. 功能性动作筛查预测运动损伤的可行性: 一项前瞻性队列研究的meta分析[J]. 上海体育学院学报, 2021, 45(7): 84-94. DOI: 10.16099/j.sus.2021.07.009

SHU L, CHEN G Z. Feasibility of functional movement screen in predicting sports injury: a meta analysis of prospective cohort study[J]. J Shanghai Univ Sport, 2021, 45(7): 84-94. DOI: 10.16099/j.sus.2021.07.009

万萌, 杨会锁, 陈旭, 等. 纠正性动作训练对动作模式受限新兵的干预效果评价[J]. 解放军预防医学杂志, 2018, 36(1): 34-37.

WAN M, YANG H S, CHEN X, et al . Evaluation of intervention effects of corrective movement training on recruits with limited movement patterns[J ] . J Prev Med Chin PLA, 2018, 36(1): 34-37.

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

马兴华, 张晋昕. 数值变量正态性检验常用方法的对比[J]. 循证医学,2014, 14(2): 123-128. DOI: 10.3969/j.issn.1671-5144.2014.02.020

MA X H, ZHANG J X. The comparison among the common normality tests for numerical variables[J]. J Evid Based Med, 2014, 14(2): 123-128. DOI: 10.3969/j.issn.1671-5144.2014.02.020

周亢亢, 黄竹杭, 张璐, 等. 对中国高水平乒乓球运动员功能性动作筛查测试损伤风险阈值的应用研究[J]. 北京体育大学学报, 2017, 40(7): 112-119. DOI: 10.19582/j.cnki.11-3785/g8.2017.07.018.

ZHOU K K, HUANG Z H, ZHANG L, et al . An applied research on the functional movement screen threshold of injury risk of Chinese high-level table tennis athletes[J ] . J Beijing Sport Univ, 2017, 40(7): 112-119. DOI: 10.19582/j.cnki.11-3785/g8.2017.07.018.

田忠明, 董宏彬, 陈旭, 等. 某炮兵部队新兵功能性动作筛查与分析[J]. 军事体育学报, 2017, 36(4): 51-55. DOI: 10.3969/j.issn.1671-1300.2017.04.016.

TIAN Z M, DONG H B, CHEN X, et al . Functional screening and analysis of recruits in an artillery unit[J ] . J Mil Phys Educ Sports, 2017, 36(4): 51-55. DOI: 10.3969/j.issn.1671-1300.2017.04.016.

牛森, 赵焕彬. 功能性训练促进我国新兵军事体能发展的研究[J]. 中国体育科技, 2019, 55(8): 46-50. DOI: 10.16470/j.csst.2019116

NIU S, ZHAO H B. Study on functional training promoting the development of military physical fitness of recruits in China[J]. China Sport Sci Technol, 2019, 55(8): 46-50. DOI: 10.16470/j.csst.2019116

张军, 朱云杰, 杨晓萍, 等. 基于FMS对某特战旅新兵训练伤预防效果分析[J]. 中国矫形外科杂志, 2018, 26(12): 1143-1145. DOI: 10.3977/j.issn.1005-8478.2018.12.19.

ZHANG J, ZHU Y J, YANG X P, et al . Analysis on the prevention effect of training injury of recruits in a special operations brigade based on FMS[J ] . Orthop J China, 2018, 26(12): 1143-1145. DOI: 10.3977/j.issn.1005-8478.2018.12.19.

KIESEL K, PLISKY P J, VOIGHT M L. Can serious injury in professional football be predicted by a preseason functional movement screen?[J]. N Am J Sports Phys Ther, 2007, 2(3): 147-158.

张云, 马聪敏, 任金武, 等. Logistic回归联合ROC曲线评价MRI定量参数在预测子内膜癌术前分级中的诊断价值[J]. 临床放射学杂志, 2021, 40(3): 551-555.

ZHANG Y, MA C M, REN J W, et al . Value of quantitative MRI parameters by ROC curve and logistic regression in predicting the pathological grade of endometrial carcinoma[J ] . J Clin Radiol, 2021, 40(3): 551-555.

王彦光, 朱鸿斌, 徐维超. ROC曲线及其分析方法综述[J]. 广东工业大学学报, 2021, 38(1): 46-53. DOI: 10.12052/gdutxb.200082

WANG Y G, ZHU H B, XU W C. A review on ROC curve and analysis[J]. J Guangdong Univ Technol, 2021, 38(1): 46-53. DOI: 10.12052/gdutxb.200082

KNAPIK J J, COSIO-LIMA L M, REYNOLDS K L, et al . Efficacy of functional movement screening for predicting injuries in coast guard cadets[J ] . J Strength Cond Res, 2015, 29(5): 1157-1162. DOI: 10.1519/JSC.0000000000000704.

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