Risk Factors for Musculoskeletal Injuries for Soldiers Deployed to Afghanistan
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Roy, Tanja C.; Knapik, Joseph J.; Ritland, Bradley M.; Murphy, Nicole; Sharp, Marilyn A.
Aviation, Space, and Environmental Medicine, Volume 83, Number 11, November 2012 , pp. 1060-1066(7)
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Military/ Police boots and tibial stress fractures- is there a link?
Military Footwear -
Just out of interest - I did a tour of Helmand, Afghan in 2009/10 in a non-podiatric capacity, however, my skills as a pod were called upon on more than one occasion as I worked in the Field Hospital. From a podiatric point of view the most common complaint I saw, by far, was IGTN. P,fasc was fairly common and obviously a lot of fungal skin infections. I had some real whoppers in terms of ingrowers though and always with infection. There is a physio department out there which is mixed UK and US and that was a great set-up so I'd do the odd teaching session there too.
The Operating theatre staff would let me use their bays and I do remember performing a PNA while a CAT-A patient was in the theatre having something amputated from an IED strike. All very surreal
Some experience though.-
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I am currently treating defence personel and Havent come across any fungal issues but I was wondering from your experience, do you have any specific "tricks" when advising management of chronic issues besides the usual-
-airing out feet/ drying well
-changing socks
-changing boots
-aluminum bases sprays
-antifungal gels,creams, alcohol wipes
- toe seperators
Thanks -
Changes in Dynamic Plantar Pressure During Loaded Gait
Stephen L. Goffar, Rett J. Reber, Bryan C. Christiansen, Robert B. Miller, Jacob A. Naylor, Brittany M. Rodriguez, Michael J. Walker and Deydre S. Teyhen
Physical Therapy September 2013 vol. 93 no. 9 1175-1184
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Mahalo Newsbot!
You are the greatest keep up the good work keeping us informed.
If the army wants to research stategies to generate a rigid lever during toe off perhaps they could read some of their own financed research like SBIR A11-109 "Advanced Composite Insoles for the Reduction of Stress Fractures." found at www.kingetics.com under the MAREN tab.
It seems that all the current tax payer funded army research on footwear is focused on punching more holes in boots so they they can breath better and drain water better from all the holes in the boots.
http://www.bostonglobe.com/business...etter-boots/N9Nr0Mqi3MdY9CqoJhJlEI/story.html
http://www.washingtontimes.com/news/2013/aug/26/sore-feet-spurs-army-fight-new-boots/
Happy Friday,
Steve -
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Sheean AJ, Krueger CA, Hsu JR.
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Phil
i was in Iraq: running a med unit rather than in my Pod capacity. Also got to do lots of feet! My docs were only too happy for me to do IGTNs, etc... :)
Ian -
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RISK FACTORS FOR MUSCULOSKELETAL INJURIES IN DEPLOYED FEMALE
SOLDIERS
Tanja C. Roy, PhD, DPT, SCS
PhD Thesis University of Pittsburgh, 2014
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Aloha,
Here is our best efforts to help better protect our soldiers standing ready in harm's way.
Consider our technology and act on our mission, please.
Link to BOOTS FOR TROOPS on Kickstarter.com
https://www.kickstarter.com/projects/468642006/boots-for-troops
Mahalo for your Kokua it is Pono,
Steve
Dr. Steven King
Prior Army Podiatrist and Officer
Co-Principle Investigator SBIR A11-109
"Advanced Composite Insoles for the Reduction of Stress Fractures" US Department of Defense and Army Medical Research and Materials Command
American Society of Testing Materials voting member
- F13 Footwear Safety
- E54 Homeland Security Applications and Body Armor Committees
Member Kingetics LLC -
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Aloha,
"Conclusion When setting prevention priorities consideration should be given to both the incidence of specific injury diagnoses and their associated time to recovery"
Perhaps it should read "Conclusion When setting prevention priorities consideration should focus on the type of treatment modality (type of footwear) that could decrease the incidence of specific injury diagnoses and their associated time to recovery."
We need to look for serious solutions if 20% of all rehab days $$$ are for shin splints.
If PU and EVA foam boots are not working what else will work?
Mahalo,
Steve
ASTM E54 and F13 subject matter expert -
Residual Impact of Previous Injury on Musculoskeletal Characteristics in Special Forces Soldiers
Shawn Kane, FACSM , John Abt , Julie Kresta , Jim Bakey , Jeffrey Parr , Timothy Sell , Scott Lephart, FACSM
Presented at the ACSM Meeting; San Diego May 2015
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Thanks newsbot for the great thread.
"CONCLUSION: Few physical differences existed between Soldiers with prior knee or back injury suggesting restoration of strength and flexibility."
Interesting study but if a soldier does not rehab well enough from lower back or knee injury they would not be able to stay in the special forces and thereby would not be able to be part of the study.
So does this conclusion still stand strong?
Mahalo,
Steve -
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Aloha,
When i was attending Officer Advanced Camp one of my fellow cadets had a bad blister on his little toe. He did not seek medical assistance because it would take him out of the training regimen which could reflect badly on his final rating and position in the army.
The toe got bad and infected and the cadet got in trouble for not reporting the injury.
Injury rates in military units may be under estimated for this reason.
If the two most common blisters in the army are 5th toe and posterior heel blisters why don't the boot makers adapt to overcome this problem??
A hui hou,
Steve -
Risk factors for lower leg, ankle and foot injuries during basic military training in the Maltese Armed Forces
Matthew Psaila, Craig Ranson
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Epidemiology of Lower Extremity Stress Fractures in the United States Military
MAJ Brian R. Waterman et al
Military Medicine; Volume 181, Issue 10
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