Leggat, Peter A., and Smith, Derek R. (2007) Military training and musculoskeletal disorders. Journal of Musculoskeletal Pain, 15 (2). pp. 25-32.

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Abstract

Objectives: This study examined the extent to which musculoskeletal disorders [MSD] affect military populations, as well as intrinsic and extrinsic factors associated with MSD and the relative contribution of training, sports, and manual handling. A search of published literature was conducted using PubMed-listed articles published up to February 2006.

Findings: Although physical conditioning represents an important facet of military preparedness, up to half of all recruits may suffer an injury during their basic military training. Musculoskeletal disorders are a common occurrence for soldiers and represent an important source of morbidity for the military as a whole. Intrinsic risk factors linked to military training injuries include a diverse range of inherent variables such as the level of prior physical conditioning, psychological make up, age, height, weight, and gender. Extrinsic risk factors for military MSD include training surface, exercise when fatigued, progressive training in place of cyclical training, and the type of footwear usually worn. Other military-specific variables may also include drill methods, the arrangement of platoons, training technique, and the actual training distance.

Conclusions: Overall, this review suggests that MSD are a common occurrence for military personnel and represent an important source of morbidity for the military as a whole. In meeting this problem, there is clearly an urgent need to target effective preventive measures, especially those involving military-specific training and sports activities.

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