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1
*
2
IntroductionI
Literature ReviewII
Objectives & PurposeIII
IV
MethodologyV
Research Questions
3
Background
Work at MNDF is mainly based on exercise and
physical activities;
Drills
physical training
Swimming
combat trainings etcetera.
4
Background
Result, the incidence of training-related injuries and
illness is high in the military than athletes who are
involved in other exercises (Jones et. al., 1993).
stress fractures,
tendinitis,
muscle strain
5
Background
MNDF does not fully appreciate the extent of the
impact injuries utilize on health and readiness of
military personnel .
6
Litrature review
Physical training, exercise injuries, are the major risk
confronting military soldiers than any other health problems
and result in significant loss of manpower in the armed
forces (Jones & Hansen, 1996).
7
soldiers with primarily repetitive training or
work related tasks,
or soldiers those maintaining fixed postures for
quite long periods,
have an increased risk of developing
musculoskeletal injuries (Westgaard & Jansen,
1992).
8
The most common risk for musculoskeletal injuries;
(Maughan, 2009)
ligament sprains;
muscle strains,
stress fractures
overuse injuries
9
Injury risk is higher in soldiers who have history
of previous musculoskeletal injury (Hootman,
et. al., 2001
Stress fractures are more common in female’s
soldiers than males (Jones, Bovee, Harris&
Cowan, 1993).
10
Trainees or soldiers - engaged in swimming,
shoulder pain
usually due to biceps tendinitis or
supraspinatus (Johnson, Sim, & Scott, 1987).
11
No prior studies have been conducted in Maldives
concerning musculoskeletal injuries and complaints
in Maldives military soldiers and trainees
12
Goal of the Study
To document the injury profile and
the amount of complaints in military
soldiers of different ranks from
different components of MNDF
13
Specific objectives
to dominance of musculoskeletal complaints
to determine the location and type of
musculoskeletal complaints and injuries
to estimate the occurrence and the rate of
musculoskeletal injuries
14
Research Questions
Based on the occurrence and the rate of musculoskeletal injuries,
dominance of musculoskeletal complaints, location the type of
musculoskeletal complaints and injuries,
:Are there any differences between:
Male and female military soldiers?
Soldiers at different levels of training?
15
:Are there any differences between:
Military Soldiers and Trainees?
Marine Corps and Service Corps Soldiers?
Ground components and maritime
component of MNDF?
16
Based on the findings of this study, considering the
physiological demands and the length of soldier’s
career, injury prevention and awareness programs
can be developed and implemented in the training
routine and physical activities of military soldiers in
MNDF.
17
18
# Section % App. Words
Duration
(month)
1 Introduction 5 3500 2
2 Literature Review 30 21000 5
3 Methodology 20 14000 3
4 Data Analysis 25 17500 4
5 Conclusion & Implication 20 14000 3
TOTAL 100% 70000 17
19
Type of study: cross sectional
Duration of sudy: novemeber 2013 – november
2015
Place of study: MNDF, Male’, Maldives
20
Study:
quantitative and qualitative research
Injury Profile & Complaints
21
Quantitative research
a structured questionnaire (related to injury history
and complaints) - soldiers of the components and
supported area of MNDF
online survey and a phone interview (based on the
same questionnaire) will also conducted among the
soldiers of all ranks.
22
Qualitative:
interview
Target: trainees who have sustained injuries during
the trainings
23
Questions:
extent of the injuries,
duration of rest period prescribed
how long the injured trainees took to effectively
get back to the trainings.
24
These interview also will be targeted at the active trainees
who complaints about musculoskeletal pains without any
acute or chronic injuries.
Data will also be collected during the military basic
fitness tests carried out by MNDF.
25
Participants
Soldiers of All
RANKS of MNDF
Photo: www.mndf.gov.mv
26
Participants
Coast Guard
(Maritime Component)
Support Service
Marines
(Ground Component)
Photo: www.mndf.gov.mv
27
Participants
MALE SOLDIERS FEMALE SOLDIERS
Injury profile
Complaints
28
Participants
SOLDIERS TRAINEES
Injury profile
Complaints
Questionnaire
Interview
Questionnaire
29
Basic Fitness Test Interview
Injury Profile
Pains and
Complaints
situps Pushups
Chinups
Swim
30
Data Analysis
IBM© SPSS® Statistics Version 20
31
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Pre proporsal presentation

  • 1. 1 *
  • 2. 2 IntroductionI Literature ReviewII Objectives & PurposeIII IV MethodologyV Research Questions
  • 3. 3 Background Work at MNDF is mainly based on exercise and physical activities; Drills physical training Swimming combat trainings etcetera.
  • 4. 4 Background Result, the incidence of training-related injuries and illness is high in the military than athletes who are involved in other exercises (Jones et. al., 1993). stress fractures, tendinitis, muscle strain
  • 5. 5 Background MNDF does not fully appreciate the extent of the impact injuries utilize on health and readiness of military personnel .
  • 6. 6 Litrature review Physical training, exercise injuries, are the major risk confronting military soldiers than any other health problems and result in significant loss of manpower in the armed forces (Jones & Hansen, 1996).
  • 7. 7 soldiers with primarily repetitive training or work related tasks, or soldiers those maintaining fixed postures for quite long periods, have an increased risk of developing musculoskeletal injuries (Westgaard & Jansen, 1992).
  • 8. 8 The most common risk for musculoskeletal injuries; (Maughan, 2009) ligament sprains; muscle strains, stress fractures overuse injuries
  • 9. 9 Injury risk is higher in soldiers who have history of previous musculoskeletal injury (Hootman, et. al., 2001 Stress fractures are more common in female’s soldiers than males (Jones, Bovee, Harris& Cowan, 1993).
  • 10. 10 Trainees or soldiers - engaged in swimming, shoulder pain usually due to biceps tendinitis or supraspinatus (Johnson, Sim, & Scott, 1987).
  • 11. 11 No prior studies have been conducted in Maldives concerning musculoskeletal injuries and complaints in Maldives military soldiers and trainees
  • 12. 12 Goal of the Study To document the injury profile and the amount of complaints in military soldiers of different ranks from different components of MNDF
  • 13. 13 Specific objectives to dominance of musculoskeletal complaints to determine the location and type of musculoskeletal complaints and injuries to estimate the occurrence and the rate of musculoskeletal injuries
  • 14. 14 Research Questions Based on the occurrence and the rate of musculoskeletal injuries, dominance of musculoskeletal complaints, location the type of musculoskeletal complaints and injuries, :Are there any differences between: Male and female military soldiers? Soldiers at different levels of training?
  • 15. 15 :Are there any differences between: Military Soldiers and Trainees? Marine Corps and Service Corps Soldiers? Ground components and maritime component of MNDF?
  • 16. 16 Based on the findings of this study, considering the physiological demands and the length of soldier’s career, injury prevention and awareness programs can be developed and implemented in the training routine and physical activities of military soldiers in MNDF.
  • 17. 17
  • 18. 18 # Section % App. Words Duration (month) 1 Introduction 5 3500 2 2 Literature Review 30 21000 5 3 Methodology 20 14000 3 4 Data Analysis 25 17500 4 5 Conclusion & Implication 20 14000 3 TOTAL 100% 70000 17
  • 19. 19 Type of study: cross sectional Duration of sudy: novemeber 2013 – november 2015 Place of study: MNDF, Male’, Maldives
  • 20. 20 Study: quantitative and qualitative research Injury Profile & Complaints
  • 21. 21 Quantitative research a structured questionnaire (related to injury history and complaints) - soldiers of the components and supported area of MNDF online survey and a phone interview (based on the same questionnaire) will also conducted among the soldiers of all ranks.
  • 22. 22 Qualitative: interview Target: trainees who have sustained injuries during the trainings
  • 23. 23 Questions: extent of the injuries, duration of rest period prescribed how long the injured trainees took to effectively get back to the trainings.
  • 24. 24 These interview also will be targeted at the active trainees who complaints about musculoskeletal pains without any acute or chronic injuries. Data will also be collected during the military basic fitness tests carried out by MNDF.
  • 25. 25 Participants Soldiers of All RANKS of MNDF Photo: www.mndf.gov.mv
  • 26. 26 Participants Coast Guard (Maritime Component) Support Service Marines (Ground Component) Photo: www.mndf.gov.mv
  • 27. 27 Participants MALE SOLDIERS FEMALE SOLDIERS Injury profile Complaints
  • 29. 29 Basic Fitness Test Interview Injury Profile Pains and Complaints situps Pushups Chinups Swim
  • 30. 30 Data Analysis IBM© SPSS® Statistics Version 20
  • 31. 31 1. Beck, T. J., Ruff, C. B., Shaffer, R. A., Betsinger, K., Trone, D. W., & Brodine, S. K. (2000). Stress fracture in military recruits: gender differences in muscle and bone susceptibility factors. Bone, 27(3), 437-444. 2. Bizzini, M., Junge, A., Bahr, R., Helsen, W., & Dvorak, J. (2009). Injuries and musculoskeletal complaints in referees and assistant referees selected for the 2006 FIFA World Cup: retrospective and prospective survey. British journal of sports medicine, 43(7), 490-497. 3. Bizzini, M., Junge, A., Bahr, R., & Dvorak, J. (2009). Injuries and musculoskeletal complaints in referees-a complete survey in the top divisions of the swiss football league. Clinical Journal of Sport Medicine, 19(2), 95-100. 4. Bizzini, M., Junge, A., Bahr, R., & Dvorak, J. (2009). Female soccer referees selected for the FIFA Women’s World Cup 2007: survey of injuries and musculoskeletal problems. British journal of sports medicine, 43(12), 936-942. 5. Brukner, P. (2012). Brukner & khan's clinical sports medicine. McGraw-Hill. 6. Carter III, R., Cheuvront, S. N., Williams, J. O., Kolka, M. A., Stephenson, L. A., Sawka, M. N., & Amoroso, P. J. (2005). Epidemiology of hospitalizations and deaths from heat illness in soldiers (No. M04-24). ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA THERMAL AND MOUNTAIN MEDICINE DIVISION. 7. Childs, J. D., Teyhen, D. S., Casey, P. R., McCoy-Singh, K. A., Feldtmann, A. W., Wright, A. C., ... & George, S. Z. (2010). Effects of traditional sit-up training versus core stabilization exercises on short-term musculoskeletal injuries in US Army soldiers: a cluster randomized trial. Physical therapy, 90(10), 1404-1412. 8. Cohen, S. P., Griffith, S., Larkin, T. M., Villena, F., & Larkin, R. (2005). Presentation, diagnoses, mechanisms of injury, and treatment of soldiers injured in Operation Iraqi Freedom: an epidemiological study conducted at two military pain management centers. Anesthesia & Analgesia, 101(4), 1098-1103.
  • 32. 32 9. Covey, D. C. (2002). Blast and fragment injuries of the musculoskeletal system.The Journal of Bone & Joint Surgery, 84(7), 1221-1234. 10. Cowan, D. N., Jones, B. H., & Shaffer, R. A. (2006). Musculoskeletal injuries in the military training environment. Military Preventive Medecine: Mobilization and Deployment, 195-210. 11. Cowan, D., Jones, B., Tomlinson, P., Robinson, J., Polly, D., Frykman, P., & Reynolds, K. (1988). The epidemiology of physical training injuries in US Army infantry trainees: methodology, population, and risk factors (No. USARIEM-T-4-89). ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA. 12. Dwyer, G. B., & Davis, S. E. (Eds.). (2008). ACSM's health related physical fitness assessment manual. Lippincott Williams & Wilkins. 13. George, S. Z., Childs, J., Teyhen, D., Wu, S., Wright, A., Dugan, J., & Robinson, M. (2011). Prevention of Low Back Pain in The Military. A Randomized Clinical Trial. FLORIDA UNIV GAINESVILLE. 14. George, S. Z., Childs, J. D., Teyhen, D. S., Wu, S. S., Wright, A. C., Dugan, J. L., & Robinson, M. E. (2007). Rationale, design, and protocol for the prevention of low back pain in the military (POLM) trial (NCT00373009). BMC musculoskeletal disorders, 8(1), 92. 15. Hartig, D. E., & Henderson, J. M. (1999). Increasing hamstring flexibility decreases lower extremity overuse injuries in military basic trainees. The American Journal of Sports Medicine, 27(2), 173-176. 16. Hauret, K. G., Jones, B. H., Bullock, S. H., & Canham-Chervak, M. (2010). Musculoskeletal injuries: Description of an under-recognized injury problem among military personnel. American journal of preventive medicine, 38(1), S61-S70. 17. Hootman, J. M., Macera, C. A., Ainsworth, B. E., Martin, M., Addy, C. L., & Blair, S. N. (2001). Association among physical activity level, cardiorespiratory fitness, and risk of musculoskeletal injury. American Journal of Epidemiology,154(3), 251-258.
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