Recommendations for Prevention of Physical Training (PT)-Related Injuries: Results of a Systematic Evidence-Based Review by the Joint Services Physical Training Injury Prevention Work Group (JSPTIPWG); Final rept

摘要

The Military Training Task Force (MTTF) of the Defense Safety Oversight Council chartered a Joint Services Physical Training Injury Prevention Work Group (JSPTIPWG) to (1) establish the evidence base for making recommendations to prevent injuries, (2) prioritize the recommendations for prevention programs and policies, and (3) substantiate the need for further research and evaluation on interventions and programs likely to reduce PT- related injuries. Of the 40 PT-related injury prevention strategies reviewed in the scientific literature, 3 were determined to be essential elements of a successful injury prevention program and not interventions in and of themselves. As a result of the work group process, one more essential element was added for a total of four. The remaining 37 interventions were categorized into 3 levels representing the strength of recommendation: recommended, not recommended, and insufficient evidence to recommend or not recommend. Six interventions had strong enough evidence to become JSPTIPWG recommendations for implementation in all four military Services immediately. Two interventions were not recommended due to evidence of ineffectiveness or harm and should be discouraged by leaders at all levels. This technical report identifies 29 injury prevention strategies that have yet to be evaluated (n=6) or that lack sufficient scientific evidence (n=23) to support Quad-Service recommendations at this time. Injury researchers interested in studying the prevention of PT- related injuries in the military should start with this list. The systematic process of evaluating interventions enabled the JSPTIPWG to build Quad-Service consensus around those injury prevention strategies that had enough scientific evidence to support a recommendation.