J Korean Acad Nurs.  2016 Aug;46(4):523-533. 10.4040/jkan.2016.46.4.523.

Factors Influencing Musculoskeletal Symptoms in Military Personnel during Basic Combat Training

• Yi JM
• Kim GS

• KMID: 2424549
• DOI: http://doi.org/10.4040/jkan.2016.46.4.523

Abstract

PURPOSE
This study was done to examine physical, psycho-social, and individual factors influencing musculoskeletal symptoms among Korean military trainees.
METHODS
Using a correlation study design, military trainees who had completed almost of all the basic combat training (BCT) days were recruited from two military training units selected by convenience sampling. Data from 415 participants were analyzed.
RESULTS
Prevalence of musculoskeletal symptoms was 29.6% defined as a participant having pain or discomfort in one or more body parts during training hours for more than seven consecutive days. Back/pelvic (10.8%), knees (10.1%), shoulders (7.7%), feet/toes (5.6%), ankles (4.8%) were prone to musculoskeletal symptoms. Musculoskeletal symptoms appeared to be related to physical exertion during BCT, stress during BCT, social support from fellow trainees, or previous musculoskeletal injuries. In the logistic regression model, physical exertion during BCT (OR=2.27, 95% CI: 1.42~3.65), stress during BCT (OR=1.79, 95% CI: 1.15~2.78), and previous musculoskeletal injuries (OR=1.58, 95% CI: 1.01~2.47) were the significant factors affecting prevalence of musculoskeletal symptoms.
CONCLUSION
Findings indicate that physical exertion and psycho-social stress should be managed to prevent musculoskeletal symptoms in military trainees with more attention being given to trainees having a history of musculoskeletal injuries.

Keyword

Musculoskeletal system; Signs and symptoms; Physical exertion; Psychological stress; Military personnel

MeSH Terms

Adult
Humans
Logistic Models
Male
Military Personnel
Musculoskeletal Diseases/epidemiology/*etiology
Physical Exertion
Prevalence
Self Report
Social Support
Stress, Psychological
Surveys and Questionnaires

Reference

1. Swedler DI, Knapik JJ, Williams KW, Grier TL, Jones BH. Risk factors for medical discharge from United States army basic combat training. Mil Med. 2011; 176(10):1104–1110. DOI: 10.7205/MILMED-D-10-00451.

2. Choi SW, Park JS, Jung SO. Risk factors of musculoskeletal injuries among the marine corps enlisted trainees. Korean J Occup Environ Med. 2010; 22(2):146–153.

3. Taanila H, Suni J, Pihlajamaki H, Mattila VM, Ohrankammen O, Vuorinen P, et al. Musculoskeletal disorders in physically active conscripts: A one-year follow-up study in the Finnish defence forces. BMC Musculoskelet Disord. 2009; 10:89. DOI: 10.1186/1471-2474-10-89.

4. Finestone A, Milgrom C, Evans R, Yanovich R, Constantini N, Moran DS. Overuse injuries in female infantry recruits during low-intensity basic training. Med Sci Sports Exerc. 2008; 40:11 Suppl. S630–S635. DOI: 10.1249/MSS.0b013e3181892ff9.

5. Havenetidis K, Paxinos T. Risk factors for musculoskeletal injuries among Greek army officer cadets undergoing basic combat training. Mil Med. 2011; 176(10):1111–1116. DOI: 10.7205/MILMED-D-10-00448.

6. Jones BH, Cowan DN, Tomlinson JP, Robinson JR, Polly DW, Frykman PN. Epidemiology of injuries associated with physical training among young men in the army. Med Sci Sports Exerc. 1993; 25(2):197–203.

7. Havenetidis K, Kardaris D, Paxinos T. Profiles of musculoskeletal injuries among Greek army officer cadets during basic combat training. Mil Med. 2011; 176(3):297–303. DOI: 10.7205/MILMED-D-10-00196.

8. Davidson PL, Chalmers DJ, Wilson BD, McBride D. Lower limb injuries in New Zealand defence force personnel: Descriptive epidemiology. Aust N Z J Public Health. 2008; 32(2):167–173. DOI: 10.1111/j.1753-6405.2008.00195.x.

9. Brushøj C, Larsen K, Albrecht-Beste E, Nielsen MB, Løye F, Hölmich P. Prevention of overuse injuries by a concurrent exercise program in subjects exposed to an increase in training load: A randomized controlled trial of 1020 army recruits. Am J Sports Med. 2008; 36(4):663–670. DOI: 10.1177/0363546508315469.

10. Knapik JJ, Trone DW, Swedler DI, Villasenor A, Bullock SH, Schmied E, et al. Injury reduction effectiveness of assigning running shoes based on plantar shape in Marine Corps basic training. Am J Sports Med. 2010; 38(9):1759–1759. DOI: 10.1177/0363546510369548.

11. Huang GD, Feuerstein M, Kop WJ, Schor K, Arroyo F. Individual and combined impacts of biomechanical and work organization factors in work-related musculoskeletal symptoms. Am J Ind Med. 2003; 43(5):495–506. DOI: 10.1002/ajim.10212.

12. National Institute for Occupational Safety and Health. Musculoskeletal disorders and workplace factors: A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back[Internet]. Cincinnati, OH: Author;1997. cited 2016 June 11. Available from: http://www.cdc.gov/niosh/docs/97-141/pdfs/97-141.pdf.

13. Bongers PM, Kremer AM, ter Laak J. Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A review of the epidemiological literature. Am J Ind Med. 2002; 41(5):315–342. DOI: 10.1002/ajim.10050.

14. Lee KH, Yoon JH, Kim SK, Cho IJ, Oh SS, Kim SH, et al. The relationship of physical and psychosocial risk factors to work-related musculoskeletal upper extremity symptoms amongst male automobile manufacturing workers. Korean J Occup Environ Med. 2012; 24(1):72–85.

15. Lee H, Wilbur J, Conrad KM, Miller AM. Risk factors associated with work-related musculoskeletal disorders among female flight attendants: Using a focus group to prepare a survey. AAOHN J. 2006; 54(4):154–164. DOI: 10.1177/216507990605400405.

Parkes KR. Social support and musculoskeletal disorders: Literature review and data analysis. Norwich, UK: Crown copyright;Health and Safety Executive;2008. Report No.: Research Report RR594.

17. Lincoln AE, Smith GS, Amoroso PJ, Bell NS. The effect of cigarette smoking on musculoskeletal-related disability. Am J Ind Med. 2003; 43(4):337–349. DOI: 10.1002/ajim.10195.

18. Knapik JJ, Hauret KG, Canada S, Marin R, Jones B. Association between ambulatory physical activity and injuries during United States army basic combat training. J Phys Act Health. 2011; 8(4):496–502.

19. Morken T, Magerøy N, Moen BE. Physical activity is associated with a low prevalence of musculoskeletal disorders in the Royal Norwegian navy: A cross sectional study. BMC Musculoskelet Disord. 2007; 8:56. DOI: 10.1186/1471-2474-8-56.

20. Sharma J, Golby J, Greeves J, Spears IR. Biomechanical and life-style risk factors for medial tibia stress syndrome in army recruits: A prospective study. Gait Posture. 2011; 33(3):361–365. DOI: 10.1016/j.gaitpost.2010.12.002.

21. Kim DS, Moon MK, Kim KS. A survey of musculoskeletal symptoms & risk factors for the 119 emergency medical services (EMS) activities. J Ergon Soc Korea. 2010; 29(2):211–216. DOI: 10.5143/JESK.2010.29.2.211.

22. Dawson AP, Steele EJ, Hodges PW, Stewart S. Development and test–retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): A screening instrument for musculoskeletal pain. J Pain. 2009; 10(5):517–526. DOI: 10.1016/j.jpain.2008.11.008.

23. Kim DY, Lee JA. Gender comparison of ratings of perceived exertion (RPE) as a predictor of exercise intensity in college students. J Life Sci. 2011; 21(1):9–14. DOI: 10.5352/JLS.2011.21.1.9.

24. Matteson MT, Ivancevich JM. Organizational stressors and heart disease: A research model. Acad Manage Rev. 1979; 4(3):347–357. DOI: 10.5465/AMR.1979.4289092.

25. Kang S, Ko J, Kim YJ. Development of the stress diagnostic scale on samples of Korean military personnel. Korean J Psychol Gen. 2012; 31(2):345–367.

26. Park HC. A study on the quality of life improvement of soldier: Focusing on the stressor, social support[master's thesis]. Seoul: Yonsei University;2001.

27. House C, Reecez A, Roiz de Sa D. Shock-absorbing insoles reduce the incidence of lower limb overuse injuries sustained during royal marine training. Mil Med. 2013; 178(6):683–689. DOI: 10.7205/milmed-d-12-00361.

28. Konitzer LN, Fargo MV, Brininger TL, Lim Reed M. Association between back, neck, and upper extremity musculoskeletal pain and the individual body armor. J Hand Ther. 2008; 21(2):143–143. DOI: 10.1197/j.jht.2007.10.017.

29. Feuerstein M, Nicholas RA, Huang GD, Dimberg L, Ali D, Rogers H. Job stress management and ergonomic intervention for work-related upper extremity symptoms. Appl Ergon. 2004; 35(6):565–565. DOI: 10.1016/j.apergo.2004.05.003.

30. Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015; 350:h444. DOI: 10.1136/bmj.h444.