Reduction of Risk for Low Back Injury in Theater of Operations

Abstract

Specific aim: The specific aim of this project is to assess the effectiveness of a high intensity progressive resistance exercise training program targeting the lumbar extensors to improve lumbar extensor muscular strength and endurance (the desired physiological responses) in US Army Soldiers. Hypothesis: A high intensity progressive resistance exercise for the lumbar extensors will result in a 25% increase in lumbar extensor muscular strength and endurance compared with control following the 12-week intervention. Design: A mixed methods, two-arm, controlled clinical trial with cluster randomization will be conducted. The sampling frame will be soldiers training to become combat medics from 12 platoons, within 3 companies of one domestic US Army base (Fort Sam Houston, TX). Soldiers (n = 592 from 12 platoons) will be randomly assigned (by platoon) to one of two interventions - experimental (n = 296 soldiers from 6 platoons) or control (n = 296 soldiers from 6 platoons). All participants at a given platoon will receive the same intervention and all interventions will be carried out at the US Army base, in addition to the soldiers usual physical fitness training program. Participants randomized to the experimental group will perform lumbar extensor muscle progressive resistance exercise using standardized protocols. Exercise training will consist of 1 set of high intensity, progressive resistance exercise for lumbar extensors on specialized equipment. Participants in the control group will perform 5 minutes of low intensity core stabilization exercises on the floor. Interventions will be carried out 1X/week for 12 weeks. Outcome measures that will be utilized to test the hypothesis include validated physical fitness tests for lumbar extension muscular strength and endurance. Fitness tests will be conducted at baseline and following the 12-week intervention period.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2013
Accession Number
ADA599225

Entities

People

  • John Mayer
  • William S. Quillen

Organizations

  • University of South Florida

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Active Duty
  • Back Injuries
  • Biomedical Research
  • Clinical Trials
  • Data Analysis
  • Data Management
  • Department Of Defense
  • Domestic
  • Institutional Review Board
  • Intensity
  • Intervention
  • Musculoskeletal Physiology
  • Physical Fitness
  • Resistance
  • Sampling
  • Targeting
  • Training

Readers

  • Exercise and Sports Science.
  • Military Training and Readiness Simulation
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.