Efficacy of neuromuscular exercises to promote movement quality and reduce musculoskeletal injury during initial military training in Royal Navy recruits.
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| Titel: | Efficacy of neuromuscular exercises to promote movement quality and reduce musculoskeletal injury during initial military training in Royal Navy recruits. |
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| Autoren: | Muckelt PE; School of Health Sciences, University of Southampton-Highfield Campus, Southampton, UK p.muckelt@soton.ac.uk.; Centre for Sports, Exercise and Osteoarthritis Research Versus Arthritis, University of Southampton, Southampton, UK., Power CNT Powe; School of Health Sciences, University of Southampton-Highfield Campus, Southampton, UK., Patterson J; HMS Drake, Plymouth, UK., Stevens L; Headquarters Defence Medical Services Group, Lichfield, UK., Powell C; Primary Care Rehabilitation Facility, Defence Primary Healthcare, Britannia Royal Naval College, Dartmouth, UK., Warner MB; School of Health Sciences, University of Southampton-Highfield Campus, Southampton, UK.; Centre for Sports, Exercise and Osteoarthritis Research Versus Arthritis, University of Southampton, Southampton, UK., Stokes MJ; School of Health Sciences, University of Southampton-Highfield Campus, Southampton, UK.; NIHR Southampton Biomedical Research Centre, Southampton, UK., Fallowfield JL; Institute of Naval Medicine, Gosport, UK. |
| Quelle: | BMJ military health [BMJ Mil Health] 2025 Nov 20; Vol. 171 (6), pp. 542-548. Date of Electronic Publication: 2025 Nov 20. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101761581 Publication Model: Electronic Cited Medium: Internet ISSN: 2633-3775 (Electronic) Linking ISSN: 26333767 NLM ISO Abbreviation: BMJ Mil Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group Ltd., [2020]- |
| MeSH-Schlagworte: | Military Personnel*/statistics & numerical data , Military Personnel*/education , Exercise Therapy*/methods , Exercise Therapy*/standards , Exercise Therapy*/statistics & numerical data, Humans ; Male ; Adult ; Retrospective Studies ; Movement/physiology ; Female ; Physical Conditioning, Human/methods ; Physical Conditioning, Human/standards ; United Kingdom |
| Abstract: | Competing Interests: Competing interests: None declared. Introduction: Musculoskeletal injuries (MSKIs) are a significant problem in the Royal Navy, contributing to 48% of all medical discharges from service between 2019 and 2020. The objective of the study was to assess efficacy of implementing a neuromuscular training intervention to improve movement quality and reduce MSKIs in Royal Navy recruits undertaking initial military training. Methods: Neuromuscular training (pre-activation exercises, focusing on hip control) was integrated into the warm-up exercise regimen preceding physical training during the 10-week initial naval training (recruits) programme (January-March 2020) at HMS Raleigh (intervention group; n=162). A control group comprised (n=90) of recruits entering training from January 2019, who completed the standard warm-up programme prior to physical training. Movement control of the intervention group (intervention) was assessed before and after the 10-week programme using the Hip and Lower-Limb Movement Screen (HLLMS). Injury incidence proportion for both groups was determined retrospectively by review of medical notes. Results: The control group's MSKI incidence proportion was 31%, which was higher (p<0.05) than the 8% reported in the intervention group. The majority of MSKIs were of the lower limb, and were reported in weeks 1, 2 and 5 of the 10-week training programme. Movement control, as assessed by the HLLMS score, improved (pretraining (week 1) and post-training (week 10) HLLMS score (mean (SD) pre: 11.2 (5.6); post: 8.4 (3.9); t=5.829, p<0.001) following the neuromuscular training in the intervention group but was not assessed in the control group. Conclusion: A neuromuscular control intervention was successfully implemented during the initial military training in the Royal Navy. The cohort undertaking the intervention demonstrated lower injury incidence compared with an equivalent cohort of recruits who undertook standard training. Movement control improved following the intervention, indicating better movement quality. Continued use of the programme may reduce military training attrition in the Royal Navy. (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| Contributed Indexing: | Keywords: Musculoskeletal disorders; OCCUPATIONAL & INDUSTRIAL MEDICINE; PREVENTIVE MEDICINE; Rehabilitation medicine; SPORTS MEDICINE |
| Entry Date(s): | Date Created: 20240523 Date Completed: 20251120 Latest Revision: 20251120 |
| Update Code: | 20251121 |
| DOI: | 10.1136/military-2024-002674 |
| PMID: | 38782491 |
| Datenbank: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Competing interests: None declared.<br />Introduction: Musculoskeletal injuries (MSKIs) are a significant problem in the Royal Navy, contributing to 48% of all medical discharges from service between 2019 and 2020. The objective of the study was to assess efficacy of implementing a neuromuscular training intervention to improve movement quality and reduce MSKIs in Royal Navy recruits undertaking initial military training.<br />Methods: Neuromuscular training (pre-activation exercises, focusing on hip control) was integrated into the warm-up exercise regimen preceding physical training during the 10-week initial naval training (recruits) programme (January-March 2020) at HMS Raleigh (intervention group; n=162). A control group comprised (n=90) of recruits entering training from January 2019, who completed the standard warm-up programme prior to physical training. Movement control of the intervention group (intervention) was assessed before and after the 10-week programme using the Hip and Lower-Limb Movement Screen (HLLMS). Injury incidence proportion for both groups was determined retrospectively by review of medical notes.<br />Results: The control group's MSKI incidence proportion was 31%, which was higher (p<0.05) than the 8% reported in the intervention group. The majority of MSKIs were of the lower limb, and were reported in weeks 1, 2 and 5 of the 10-week training programme. Movement control, as assessed by the HLLMS score, improved (pretraining (week 1) and post-training (week 10) HLLMS score (mean (SD) pre: 11.2 (5.6); post: 8.4 (3.9); t=5.829, p<0.001) following the neuromuscular training in the intervention group but was not assessed in the control group.<br />Conclusion: A neuromuscular control intervention was successfully implemented during the initial military training in the Royal Navy. The cohort undertaking the intervention demonstrated lower injury incidence compared with an equivalent cohort of recruits who undertook standard training. Movement control improved following the intervention, indicating better movement quality. Continued use of the programme may reduce military training attrition in the Royal Navy.<br /> (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
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| ISSN: | 2633-3775 |
| DOI: | 10.1136/military-2024-002674 |