Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. AGENCY USE ONLY (Leave blank)2. REPORT DATE February 2002 REPORT TYPE AND DATES COVERED Technical Report TITLE AND SUBTITLE Evaluation of a Progressive Unit-Based Running Program During Advanced Individual Training AUTHOR(S)Rice, V.J., Connolly, V.L,, Bergeron, A., Mays, M.Z., Evans-Christopher, G.M., Allgood, B.D., and Mickelson, S. Over fifty percent of outpatient clinic visits at Fort Sam Houston are for musculoskeletal injuries. The purpose of this project was to examine high injury cause data, implement interventions, and evaluate their effectiveness in reducing musculoskeletal clinic visits and profiles. Two consecutive, ten-week 91B10 classes (n = 175 and 344 respectively) were tracked for unit reports of new and accumulated profiles, APFT scores, and Troop Medical Clinic reports of clinic visits and profiles. The first class conducted physical training using traditional methods (pre-RT). The second class used a running template (RT) emphasizing state-of-the-art knowledge on progressive training with a shorter initial running distance, a gradual buildup of distance, increased use of interval training, decreased use of distance runs, and strict adherence to the template. Results revealed fewer new profiles for the RT group (pre-RT = 43.11 %, RT = 25.66%, c2 = 15.01, p < 0.01) and fewer accumulated profiles. There was no difference between the two groups in terms of diagnostic and final APFT pass rates or scores (p > 0.05). Musculoskeletal clinic visits decreased by 36.5% (3.5 to 2.2 per 100 soldiers) representing a cost savings of $1679 per week for one battalion. New musculoskeletal profiles were reduced by 48.6% (3.9 to 2.0 per 100 soldiers) representing a savings of 612 limited duty days per week for one battalion. The running template was successful in reducing musculoskeletal clinic visits and profiles while maintaining physical readiness. Similar programs are recommended for AIT sites across the Army. C. Kileys' support, as we know inheriting an on-going project is never easy. Thanks to LTG James B. Peake for having the fortitude to systematically study these issues and bring together teams of subject matter experts. His backing allowed us to review the scientific literature and best practices, apply pertinent portions to our AIT population, and to measure whether changes improved the health, fitness, and readines...
Résumé Au travers du témoignage d’un riverain, témoin d’un accident de car ayant causé la mort de 26 personnes, nous abordons les origines et les conséquences du syndrome psycho-traumatique. Son récit nous amène également à le suivre dans son travail de symbolisation et de mise en sens, devenu possible par les liens tissés avec les proches des victimes.
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