Please cite this article as: Psaila, M., Ranson, C., Risk factors for lower leg, ankle and foot injuries during basic military training in the Maltese Armed Forces, Physical Therapy in Sports (2016Sports ( ), doi: 10.1016Sports ( /j.ptsp.2016 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Design: This was a prospective cohort study.
Setting: An armed forces barracks.Participants: 127 recruits commencing one basic military training course agreed to participate in the study. The cohort comprised 114 males and 13 females with a mean age of 21.7 ± 2.4 years.
Main Outcome Measures:All injuries to the lower leg, ankle and foot were recorded using the Orchard Sports Injury Classification System. Injuries were analysed for associations with fitness scores, smoking status, body mass index and foot type.Results: A total of 34 (26.2%) recruits sustained at least one injury, with 10 recruits (7.9%) terminating their training prematurely (three due to musculoskeletal injury). Smoking history, body mass index and foot type were not associated with injury risk. Lower fitness levels at the commencement of basic military training compared with fitness levels measured six months prior, were associated with higher injury risk.Conclusions: Lower fitness at the commencement of basic training was associated with higher injury risk in army recruits. Thus, conditioning