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1.陆军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
孟 涛,E-mail:853719@qq.com
收稿日期:2025-07-08,
修回日期:2025-09-03,
录用日期:2025-09-04,
纸质出版日期:2025-09-30
移动端阅览
王泽军,唐足界,王刚,等.运动功能障碍纠正对新兵新训期间军事训练伤预防效果的随机对照研究[J].陆军军医大学学报,2025,47(18):2145-2153.DOI:10.16016/j.2097-0927.202507029.
WANG ZEJUN,TANG ZUJIE,WANG GANG,et al.Prevention effectiveness of motor dysfunction correction against training injuries in new recruits during recruit basic training: a randomized control study[J].J Army Med Univ,2025,47(18):2145-2153.DOI:10.16016/j.2097-0927.202507029.
王泽军,唐足界,王刚,等.运动功能障碍纠正对新兵新训期间军事训练伤预防效果的随机对照研究[J].陆军军医大学学报,2025,47(18):2145-2153.DOI:10.16016/j.2097-0927.202507029. DOI:
WANG ZEJUN,TANG ZUJIE,WANG GANG,et al.Prevention effectiveness of motor dysfunction correction against training injuries in new recruits during recruit basic training: a randomized control study[J].J Army Med Univ,2025,47(18):2145-2153.DOI:10.16016/j.2097-0927.202507029. DOI:
目的
2
为应对新兵军事训练伤高发现状,依据军人身体关节功能筛查技术发现的运动功能障碍,进行针对性纠正训练,探索该模式对新兵入伍训练期间军事训练伤的预防效果。
方法
2
在联勤保障部队某新兵训练基地开展军人身体关节功能筛查,依据筛查得分将单个动作为1分且总分
<
10分的新兵作为纠正训练对象,通过整群抽样的方法,随机将新兵分为试验组(
n
=223)和对照组(
n
=223)。对照组新兵按照常规训练计划实施;试验组新兵在完成其既定训练任务同时,辅助开展为期2个月的运动功能障碍纠正训练,纠正训练全程由经过相关业务培训的组训骨干负责实施,同时记录整个新训期间的受伤情况,受伤情况来源于试验单位医疗保障部门的就诊记录。关节功能筛查得分采用独立样本
t
检验分析;训练伤发生率采用
χ
2
检验或Fisher精确检验法分析。
结果
2
纠正训练后试验组关节功能筛查得分高于训练前(15.12±2.13
vs
10.58±2.83);纠正训练后试验组关节
功能筛查得分显著高于对照组(15.12±2.13
vs
14.19±1.97,
P
<
0.05)。新训期间试验组发生训练伤的人数比例为12.5%,显著低于对照组的34.5%(
χ
2
=5.469,
P
=0.001)。仅针对在新训期间受伤的人群,试验组测试得分
<
10分者11人(39.2%),显著低于对照组的49人(63.6%)(
χ
2
=4.972,
P
=0.026)。
结论
2
基于军人身体关节功能筛查结果制定的纠正训练能够有效降低新兵军事训练伤发生率,该模式能够起到良好的预防效果。
Objective
2
To explore the prevention effectiveness of a mode
conducting targeted corrective training based on motor dysfunction detected by military joint function screening
on military training injuries in new recruits during recruit basic training in order to cope with the high incidence of military training injuries among them.
Method
2
A military personnel joint function screening was conducted on the new recruits in a training base of Joint Logistics Support Force. Based on the results of screening
the new recruits with a single action score of 1 and a total score of
<
10 were subjected and served as corrective training participants. Through cluster sampling
the new recruits were randomly divided into an experimental group (
n
=223) and a control group (
n
=223). The control group were trained according to the regular training plan
while the experimental group completed their designated training tasks and a 2-month corrective training for motor dysfunction at the same time. The entire corrective training process was carried out by our key personnel who had received relevant training. Medical records of the medical security department of the experimental unit were collected and evaluated for the injury situation. The score of joint function screening was analyzed using independent sample
t
test. The incidence of training injuries was analyzed using
Chi
-square test or Fisher’s exact test.
Result
2
After corrective training
the score of joint function was higher in the experimental group than the score before training (15.12±2.13
vs
10.58±2.83)
and the score was also higher than that of the control group (15.12±2.13
vs
14.19±1.97
P
<
0.05). During the recruit basic training period
the incidence of training injuries was notably lower in the experimental group than the control group (12.5%
vs
34.5%
Chi
-square=5.469
P
=0.001). Only for those who were injured during the training
11 people (39.2%) in the experimental group scored less than 10
which was obviously lower than the 49 people (63.6%) in the control group (
Chi
-square=4.972
P
=0.026).
Conclusion
2
Our mode
corrective training based on the results of military personnel joint function screening
can effectively reduce the incidence of military training injuries in new recruits during recruit basic training
and exerts a good preventive effect against military training injuries.
袁心仪 , 邹林汝 , 李勇 , 等 . 新兵军事训练伤发生情况及影响因素分析 [J]. 联勤军事医学 , 2025 ( 1 ): 62 - 65 . DOI: 10.13730/j.issn.2097-2148.2025.01.013 http://dx.doi.org/10.13730/j.issn.2097-2148.2025.01.013 .
YUAN X Y , ZOU L R , LI Y , et al . Analysis of the occurrence and influencing factors of military training injuries in recruit [J]. Mil Med Jt Logist , 2025 ( 1 ): 62 - 65 . DOI: 10.13730/j.issn.2097-2148.2025.01.013 http://dx.doi.org/10.13730/j.issn.2097-2148.2025.01.013 .
曾小燕 , 张利祥 , 邢鲁艳 , 等 . 新兵军事训练伤情况调查分析 [J]. 华南国防医学杂志 , 2021 , 35 ( 10 ): 742 - 746 . DOI: 10.13730/j.issn.1009-2595.2021.10.010 http://dx.doi.org/10.13730/j.issn.1009-2595.2021.10.010 .
ZENG X Y , ZHANG L X , XING L Y , et al . Investigation and analysis of military training injury among recruits [J]. Mil Med J South China , 2021 , 35 ( 10 ): 742 - 746 . DOI: 10.13730/j.issn.1009-2595.2021.10.010 http://dx.doi.org/10.13730/j.issn.1009-2595.2021.10.010 .
张巧巧 , 徐文娟 , 杨群芳 , 等 . 2 842名新兵军事训练伤流行特征及影响因素分析 [J]. 中国骨科临床与基础研究杂志 , 2024 , 16 ( 2 ): 85 - 92 . DOI: 10.3969/j.issn.1674-666X.2024.02.001 http://dx.doi.org/10.3969/j.issn.1674-666X.2024.02.001 .
ZHANG Q Q , XU W J , YANG Q F , et al . Analysis of the prevalence characteristics and influencing factors of military training injuries in 2 842 recruits [J]. Chin J Orthop Clin Basic Res , 2024 , 16 ( 2 ): 85 - 92 . DOI: 10.3969/j.issn.1674-666X.2024.02.001 http://dx.doi.org/10.3969/j.issn.1674-666X.2024.02.001 .
吴秀双 , 李彬 , 刘莉 , 等 . 武警某部2020年度新兵训练伤流行病学调查与分析 [J]. 武警医学 , 2022 , 33 ( 1 ): 8 - 11 . DOI: 10.14010/j.cnki.wjyx.2022.01.003 http://dx.doi.org/10.14010/j.cnki.wjyx.2022.01.003 .
WU X S , LI B , LIU L , et al . Epidemiological studies of military training-related injuries in recruits of the People’s Armed Police Force in 2020 [J]. Med J Chin PAPF , 2022 , 33 ( 1 ): 8 - 11 . DOI: 10.14010/j.cnki.wjyx.2022.01.003 http://dx.doi.org/10.14010/j.cnki.wjyx.2022.01.003 .
KUCERA K L , MARSHALL S W , WOLF S H , et al . Association of injury history and incident injury in cadet basic military training [J]. Med Sci Sports Exerc , 2016 , 48 ( 6 ): 1053 - 1061 . DOI: 10.1249/MSS.0000000000000872 http://dx.doi.org/10.1249/MSS.0000000000000872 .
HAND A F , HONG S Q , PFEIFER C E , et al . The functional movement screen and self-reported injury in senior military college cadets [J]. Mil Med , 2024 , 189 ( 1/2 ): e242 - e249 . DOI: 10.1093/milmed/usad285 http://dx.doi.org/10.1093/milmed/usad285 .
ZAMBRASKI E J , YANCOSEK K E . Prevention and rehabilitation of musculoskeletal injuries during military operations and training [J]. J Strength Cond Res , 2012 , 26 ( Suppl 2 ): S101 - S106 . DOI: 10.1097/JSC.0b013e31825cf03b http://dx.doi.org/10.1097/JSC.0b013e31825cf03b .
HUA W , CHEN Q , WAN M , et al . The incidence of military training-related injuries in Chinese new recruits: a systematic review and meta-analysis [J]. J R Army Med Corps , 2018 , 164 ( 4 ): 309 - 313 . DOI: 10.1136/jramc-2016-000710 http://dx.doi.org/10.1136/jramc-2016-000710 .
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 ( 20 ): 2189 - 2194 . DOI: 10.16016/j.2097-0927.202302075 http://dx.doi.org/10.16016/j.2097-0927.202302075 .
WANG G , SONG Y F , HU X , et al . Predictive validity of joint function screening for military training injuries in new recruits [J]. J Army Med Univ , 2023 ( 20 ): 2189 - 2194 . DOI: 10.16016/j.2097-0927.202302075 http://dx.doi.org/10.16016/j.2097-0927.202302075 .
雷恩宇 , 陈振 , 李冰 , 等 . 关节功能筛查及纠正在预防新训训练伤中的作用: 一项随机对照试验 [J]. 陆军军医大学学报 , 2025 ( 9 ): 1003 - 1009 . DOI: 10.16016/j.2097-0927.202412067 http://dx.doi.org/10.16016/j.2097-0927.202412067 .
LEI E Y , CHEN Z , LI B , et al . Role of joint function screening and correction in preventing training injuries for new recruits: a randomized controlled trial [J]. J Army Med Univ , 2025 ( 9 ): 1003 - 1009 . DOI: 10.16016/j.2097-0927.202412067 http://dx.doi.org/10.16016/j.2097-0927.202412067 .
SCHLEIP R , KLINGLER W , LEHMANN-HORN F . Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics [J]. Med Hypotheses , 2005 , 65 ( 2 ): 273 - 277 . DOI: 10.1016/j.mehy.2005.03.005 http://dx.doi.org/10.1016/j.mehy.2005.03.005 .
SHORE E , DALLY M , BROOKS S , et al . Functional movement screen as a predictor of occupational injury among Denver firefighters [J]. Saf Health Work , 2020 , 11 ( 3 ): 301 - 306 . DOI: 10.1016/j.shaw.2020.04.006 http://dx.doi.org/10.1016/j.shaw.2020.04.006 .
COOK G . Data-driven prognosis and improved outcomes part 1: the demands of practice-based evidence [J]. Int J Sports Phys Ther , 2024 , 19 ( 4 ): 507 - 509 . DOI: 10.26603/001c.115492 http://dx.doi.org/10.26603/001c.115492 .
COOK G . Data-driven prognosis and improved outcomes part 2: the opportunity of grading risk [J]. Int J Sports Phys Ther , 2024 , 19 ( 5 ): 646 - 648 . DOI: 10.26603/001c.116860 http://dx.doi.org/10.26603/001c.116860 .
COOK G . Data-driven prognosis and improved outcomes part 3: clinical intelligence vs. clinical wisdom [J]. Int J Sports Phys Ther , 2024 , 19 ( 6 ): 773 - 775 . DOI: 10.26603/001c.117949 http://dx.doi.org/10.26603/001c.117949 .
扆铮 , 尹军 . 功能动作筛查的应用研究 [J]. 山东体育科技 , 2015 , 37 ( 6 ): 75 - 79 . DOI: 10.14105/j.cnki.1009-9840.2015.06.017 http://dx.doi.org/10.14105/j.cnki.1009-9840.2015.06.017 .
YI Z , YIN J . Research on the functional movement screen system: screening process, sort criteria, corrective strategies [J]. Shandong Phys Sci Technol , 2015 , 37 ( 6 ): 75 - 79 . DOI: 10.14105/j.cnki.1009-9840.2015.06.017 http://dx.doi.org/10.14105/j.cnki.1009-9840.2015.06.017 .
朱佳华 , 王攀 , 邓运龙 . 对特种兵功能性动作筛查与军事训练伤的调查分析 [J]. 军事体育学报 , 2016 , 35 ( 2 ): 99 - 102 . DOI: 10.3969/j.issn.1671-1300.2016.02.028 http://dx.doi.org/10.3969/j.issn.1671-1300.2016.02.028 .
ZHU J H , WANG P , DENG Y L . Functional movement screening and military training injury investigation and analysis for special forces [J]. J Mil Phys Educ Phys , 2016 , 35 ( 2 ): 99 - 102 .
张鹏 , 李春雷 , 刘杰 . 国家艺术体操队运动员功能动作筛查结果分析与纠正性训练 [J]. 体育科研 , 2018 , 39 ( 4 ): 94 - 101 . DOI: 10.12064/ssr.20180416 http://dx.doi.org/10.12064/ssr.20180416 .
ZHANG P , LI C L , LIU J . Analysis of the functional movement screen and corrective training for national rhythmic gymnastics athletes [J]. Sport Sci Res , 2018 , 39 ( 4 ): 94 - 101 . DOI: 10.12064/ssr.20180416 http://dx.doi.org/10.12064/ssr.20180416 .
WILLARD F H , VLEEMING A , SCHUENKE M D , et al . The thoracolumbar fascia: anatomy, function and clinical considerations [J]. J Anat , 2012 , 221 ( 6 ): 507 - 536 . DOI: 10.1111/j.1469-7580.2012.01511.x http://dx.doi.org/10.1111/j.1469-7580.2012.01511.x .
NEUMANN D A . Kinesiology of the hip: a focus on muscular actions [J]. J Orthop Sports Phys Ther , 2010 , 40 ( 2 ): 82 - 94 . DOI: 10.2519/jospt.2010.3025 http://dx.doi.org/10.2519/jospt.2010.3025 .
BERGMARK A . Stability of the lumbar spine: a study in mechanical engineering [J]. Acta Orthop Scand , 1989 , 60 ( sup230 ): 1 - 54 . DOI: 10.3109/17453678909154177 http://dx.doi.org/10.3109/17453678909154177 .
CULHAM E , PEAT M . Functional anatomy of the shoulder complex [J]. J Orthop Sports Phys Ther , 1993 , 18 ( 1 ): 342 - 350 . DOI: 10.2519/jospt.1993.18.1.342 http://dx.doi.org/10.2519/jospt.1993.18.1.342 .
COOK G , BURTON L , HOOGENBOOM B J , et al . Functional movement screening: the use of fundamental movements as an assessment of function-part 2 [J]. Int J Sports Phys Ther , 2014 , 9 ( 4 ): 549 - 563 .
王雪 , 吴鸿莉 , 金壮 , 等 . 高频肌骨超声评估患者踝关节外侧副韧带损伤程度的研究 [J]. 空军军医大学学报 , 2025 , 46 ( 8 ): 999 - 1003 . DOI: 10.13276/j.issn.2097-1656.2025.08.004 http://dx.doi.org/10.13276/j.issn.2097-1656.2025.08.004 .
WANG X , WU H L , JIN Z , et al . High-frequency musculoskeletal ultrasound to evaluate the degree of lateral collateral ligament injuries of the ankle joint in patients [J]. J Air Force Med Univ , 2025 , 46 ( 8 ): 999 - 1003 . DOI: 10.13276/j.issn.2097-1656.2025.08.004 http://dx.doi.org/10.13276/j.issn.2097-1656.2025.08.004 .
DHAHBI W , CHAABENE H , CHAOUACHI A , et al . Kinetic analysis of push-up exercises: a systematic review with practical recommendations [J]. Sports Biomech , 2022 , 21 ( 1 ): 1 - 40 . DOI: 10.1080/14763141.2018.1512149 http://dx.doi.org/10.1080/14763141.2018.1512149 .
LUGO R , KUNG P , MA C B . Shoulder biomechanics [J]. Eur J Radiol , 2008 , 68 ( 1 ): 16 - 24 . DOI: 10.1016/j.ejrad.2008.02.051 http://dx.doi.org/10.1016/j.ejrad.2008.02.051 .
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