Prevention of lower extremity stress fractures: a controlled trial of a shock absorbent insole.

Gardner, Lytt I.; Dziados, J. E.; Jones, Bruce H.; Brundage, John F.; Harris, John; Sullivan, Robert T.; Gill, Peter

doi:10.2105/ajph.78.12.1563

Cited by 233 publications

(149 citation statements)

References 24 publications

(5 reference statements)

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“…15,42 There is general support for progressive forms of training-a gradual buildup in the frequency, duration, and intensity of exercise, especially early in training. 8,12,41,43 We suggest that a consistent alternateday running schedule, with 2 days of rest from both marching and running, be included each week.…”

Section: Discussionmentioning

confidence: 99%

“…Overuse injuries of the lower extremities are common in the military and have been associated with the rigors of marching, drilling, and running. 1,[11][12][13][14][15] These studies have found that 3% to 6% of male Army recruits get stress fx/rx during their 8-week basic training, and 10% to 20% have overuse injuries in general. This rate of overuse injury adversely affects military training, resulting in lost training days and increased medical costs.…”

Section: Introductionmentioning

confidence: 99%

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Effect of rest from running on overuse injuries in Army basic training

Popovich

Gardner

Potter

et al. 2000

American Journal of Preventive Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of rest from running on overuse injuries in Army basic training

Popovich

Gardner

Potter

et al. 2000

American Journal of Preventive Medicine

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“…Investigations that have examined polyurethane and sorbothane insoles worn in the boots of Marine or Amiy recmits have shown no effect on stress fractures, lower extremity musculosketal injury rates, or sick call rates during military training (16,80,170). However, a study that examined a polyurethane orthotic insole worn in the boots of Israeli basic trainees found a reduction in femoral stress fractures but no influence on tibial or metatarsal stress fractures; when the incidence of all types of stress fractures was combined, there was a significant reduction in incidence among the insole users (180).…”

Section: (2) Equipment Modification Strategiesmentioning

confidence: 99%

A Review of the Literature on Attrition from the Military Services: Risk Factors for Attrition and Strategies to Reduce Attrition

Knapik¹,

Jones²,

Hauret³

et al. 2004

PsycEXTRA Dataset

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REPORT DOCUMENTATION PAGE Public reporting burden for this collection of information is estimated to average 1 hour per response, including ttie time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. ABSTRACT (Maximum 200 words)Attrition is the failure of an enlisted service member to be retained in service v/ithin the first term of enlistment. This paper emphasizes health/fitness-related aspects of attrition but also covers demographic and psychosocial factors. Overall 3-year military attrition steadily rose fi-om 26% in 1985 to 31% in 1995. Demographic and psychosocial risk factors for attrition include lower educational attaiiunent, female gender, White ethnicity, lower Armed Forces Qualification Test scores, lower moral character (less conformance to laws, rules and regulations), moral waivers, pre-service job instability, and less time in the Delayed Entry Program. The age-attrition relationship appears to be bimodal with higher attrition when youngest, decreasing in 19-23 year olds, and rising again after that. Attrition for mental health reasons is associated with pre-service physical/sexual abuse, previous mental health counseliag, previous treatment with medication, previous psychiatric hospitalization, low motivation, pessimism toward training, depression, lack of self-reliance, and referral to a mental health facility. Attrition is also higher among those waivered for hearing problems, skin disorders, back disorders, and prior knee injuries. Other health-related risk factors include pre-service injury, injuries during basic training, a history of prior cigarette smoking, low physical activity prior to service, greater body weight, higher body mass index and lower physical fitness. Strategies to reduce attrition include prescreening by biographical questionnaires, compensatory screening, individual behavioral health counseling, and realistic job previews. Senior leadership initiatives have a powerful effect on attrition. Attrition also appears to be reduced by increasing physical fitness prior to basic training, the Physical Training and Rehabilitation Program, and the Pre-Initial Entry Training Program (for National Guard). ."""""""""""""""""""." -lnitial Entry Training Program,,,,,,,,,,,,,,,,,,,,,,,,,,..... For the purposes of this paper, attrition was defined as the failure of an enlisted service member to be retained in service during their contracted first term of enlistment. This manuscript reviews a wide range of factors influencing attrition but the primary interest is in health-related factors. SUBJECT TERMS PATTERN OF ATTRITION OVER TIME AND REASONS FOR ATTRITION.Overall 3-year military attrition steadily rose from 26% in 1985 to 31% in 1995. About 1/3 of attrition occurred in the first 6 months of service, about V2 within the first year, and the remainder in the subsequent 2 year period. Separations within the first 6 months of service were associated with performance proble...

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“…High plantar pressures have been linked to foot pain and discomfort (Gardner et al, 1988;Godfrey et al, 1967;Hodge et al, 1999;Silvino et al, 1980). Many researchers have performed studies to compare the effectiveness of reducing plantar pressure with different materials (Leber and Evanski, 1986) and shoe inserts (Chiu and Wang, 2007;Lee and Hong, 2005;Tsung et al, 2004).…”

mentioning

confidence: 99%

Effects of surface characteristics on the plantar shape of feet and subjects’ perceived sensations

et al. 2009

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Orthotics and other types of shoe inserts are primarily designed to reduce injury and improve comfort. The interaction between the plantar surface of the foot and the load bearing surface contributes to foot and surface deformations and hence to perceived comfort, discomfort or pain. The plantar shapes of 16 participants' feet were captured when standing on three support surfaces that had different cushioning properties in the mid-foot region. Foot shape deformations were quantified using 3D laser scans. A questionnaire was used to evaluate the participant's perceptions of perceived shape and perceived feeling. The results showed that the structure in the mid-foot can change shape, independent of the rear-foot and forefoot regions. Participants were capable of identifying the shape changes with distinct preferences towards certain shapes. The cushioning properties of the mid-foot materials also have a direct influence on perceived feelings. This research has strong implications for the design and material selection of orthotics, insoles and footwear.

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Prevention of lower extremity stress fractures: a controlled trial of a shock absorbent insole.

Cited by 233 publications

References 24 publications

Effect of rest from running on overuse injuries in Army basic training

Effect of rest from running on overuse injuries in Army basic training

A Review of the Literature on Attrition from the Military Services: Risk Factors for Attrition and Strategies to Reduce Attrition

Effects of surface characteristics on the plantar shape of feet and subjects’ perceived sensations

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