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Incidence and Time to Return to Training for Stress Fractures during Military Basic Training.

Wood AM, Hales R, Keenan A, Moss A, Chapman M, Davey T, Nelstrop A - J Sports Med (Hindawi Publ Corp) (2014)

Bottom Line: Previous studies have looked at the return to sport in athletes, in a general population, where rehabilitation is not as controlled as within a captive military population.Findings demonstrated a background prevalence of 5% stress fractures in Royal Marine training; femoral and tibial stress fractures take 21.1 weeks to return to training with metatarsal stress fractures being the most common injury taking 12.2 weeks.It takes on average 5 weeks after exercise specific training has restarted to reenter training at a preinjury level, regardless of which bone has a stress fracture.

View Article: PubMed Central - PubMed

Affiliation: Institute of Naval Medicine, Alverstoke, Hants PO12 2DL, UK.

ABSTRACT
Currently, little is known about the length of time required to rehabilitate patients from stress fractures and their return to preinjury level of physical activity. Previous studies have looked at the return to sport in athletes, in a general population, where rehabilitation is not as controlled as within a captive military population. In this study, a longitudinal prospective epidemiological database was assessed to determine the incidence of stress fractures and the time taken to rehabilitate recruits to preinjury stage of training. Findings demonstrated a background prevalence of 5% stress fractures in Royal Marine training; femoral and tibial stress fractures take 21.1 weeks to return to training with metatarsal stress fractures being the most common injury taking 12.2 weeks. Rehabilitation from stress fractures accounts for 814 weeks of recruit rehabilitation time per annum. Stress fracture incidence is still common in military training; despite this stress fracture recovery times remain constant and represent a significant interruption in training. It takes on average 5 weeks after exercise specific training has restarted to reenter training at a preinjury level, regardless of which bone has a stress fracture. Further research into their prevention, treatment, and rehabilitation is required to help reduce these burdens.

No MeSH data available.


Related in: MedlinePlus

(Group A) Rehabilitation period from injury (Group B). Time in program for regaining fitness and military skills up to allow return to training at their preinjury stage.
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fig2: (Group A) Rehabilitation period from injury (Group B). Time in program for regaining fitness and military skills up to allow return to training at their preinjury stage.

Mentions: Figure 2 demonstrates how long each fracture took to recover in the two stages of rehabilitation. The mean rehabilitation time was as follows: single metatarsal 12.2 (±1.3 95% CI) weeks (range 8–50 weeks); multiple metatarsal fractures 15.4 (±1.2 95% CI) weeks (range 12–18 weeks); tibia fractures 21.1 (±3.4 95% CI) weeks (range 10–47 weeks); fibula fractures 13.3 (±6.5 95% CI) (range 7–23 weeks); and femoral fractures 21.1 (±4.1 95% CI) weeks (range 11–43 weeks).


Incidence and Time to Return to Training for Stress Fractures during Military Basic Training.

Wood AM, Hales R, Keenan A, Moss A, Chapman M, Davey T, Nelstrop A - J Sports Med (Hindawi Publ Corp) (2014)

(Group A) Rehabilitation period from injury (Group B). Time in program for regaining fitness and military skills up to allow return to training at their preinjury stage.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4590895&req=5

fig2: (Group A) Rehabilitation period from injury (Group B). Time in program for regaining fitness and military skills up to allow return to training at their preinjury stage.
Mentions: Figure 2 demonstrates how long each fracture took to recover in the two stages of rehabilitation. The mean rehabilitation time was as follows: single metatarsal 12.2 (±1.3 95% CI) weeks (range 8–50 weeks); multiple metatarsal fractures 15.4 (±1.2 95% CI) weeks (range 12–18 weeks); tibia fractures 21.1 (±3.4 95% CI) weeks (range 10–47 weeks); fibula fractures 13.3 (±6.5 95% CI) (range 7–23 weeks); and femoral fractures 21.1 (±4.1 95% CI) weeks (range 11–43 weeks).

Bottom Line: Previous studies have looked at the return to sport in athletes, in a general population, where rehabilitation is not as controlled as within a captive military population.Findings demonstrated a background prevalence of 5% stress fractures in Royal Marine training; femoral and tibial stress fractures take 21.1 weeks to return to training with metatarsal stress fractures being the most common injury taking 12.2 weeks.It takes on average 5 weeks after exercise specific training has restarted to reenter training at a preinjury level, regardless of which bone has a stress fracture.

View Article: PubMed Central - PubMed

Affiliation: Institute of Naval Medicine, Alverstoke, Hants PO12 2DL, UK.

ABSTRACT
Currently, little is known about the length of time required to rehabilitate patients from stress fractures and their return to preinjury level of physical activity. Previous studies have looked at the return to sport in athletes, in a general population, where rehabilitation is not as controlled as within a captive military population. In this study, a longitudinal prospective epidemiological database was assessed to determine the incidence of stress fractures and the time taken to rehabilitate recruits to preinjury stage of training. Findings demonstrated a background prevalence of 5% stress fractures in Royal Marine training; femoral and tibial stress fractures take 21.1 weeks to return to training with metatarsal stress fractures being the most common injury taking 12.2 weeks. Rehabilitation from stress fractures accounts for 814 weeks of recruit rehabilitation time per annum. Stress fracture incidence is still common in military training; despite this stress fracture recovery times remain constant and represent a significant interruption in training. It takes on average 5 weeks after exercise specific training has restarted to reenter training at a preinjury level, regardless of which bone has a stress fracture. Further research into their prevention, treatment, and rehabilitation is required to help reduce these burdens.

No MeSH data available.


Related in: MedlinePlus