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• W4387055749 abstract "PURPOSE: Musculoskeletal injuries (MSI) affect approximately 800,000 service members and 25 million days of limited duty annually. There is a need for quick screening assessments that can classify and predict the risk of lower extremity (LE) MSI prior to activity. An Injury Risk Index (IRI) could facilitate improved decision-making and reduce the negative impact associated with selected MSI. The purpose of this study is to determine the frequency and distribution of Soldiers’ risk of MSI injury after performing sensors-based objective LE tests for static and dynamic stability. METHODS: As of December 2022, 263 (92% male, 8% female) United States Army Soldiers were recruited, and provided demographic and previous joint-specific injury history information. Soldiers donned a sleeve with two inertial measurement unit sensors over each knee. They performed single limb stance (SLS) tests to obtain Region of Limb Stability (ROLS) values, which measures static LE stability. A four-meter sidestep test (FmSST) was used to obtain the Transitional Angular Displacement of Segments (TADS) values as a metric of dynamic joint stability. The ROLS and TADS symmetry values between LEs is calculated for both tests and the values are used to determine IRI category as low, moderate, or high risk for injury. [RN1] Total assessment time was <15 minutes per Soldier. Descriptive statistics and frequency distributions were used to characterize the study population. RESULTS: Of the 263 participants, 113 (43%) reported previous injuries, distributed as, 11% hip, 26% knee, 35% ankle, and 28% injuries to multiple joints. The ROLS IRI classified Soldiers with either high or moderate risk as follows: prior hip injuries 58%, prior knee injuries 62%, prior ankle injuries 66%, and multiple joints 66%. For TADS IRI classified Soldiers with high and moderate risk as follows: prior hip injuries 25%, prior knee injuries 20.5%, prior ankle injuries 37.5%, and multiple joints 50%. CONCLUSIONS: The number of Soldiers with prior lower limb MSI had lower static and dynamic stability symmetry could be a concern for reinjury and/or less than ideal physical performance while on duty. The ability to identify the risk of injury in Soldiers, athletes or people with previous injuries may promote preventative interventions or pre-habilitation to reduce re-injury." @default.
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• W4387055749 date "2023-09-01" @default.
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• W4387055749 title "Detecting Risk Of Lower Limb Musculoskeletal Injuries Using Wearable Sensors In High-activity Military Populations" @default.
• W4387055749 doi "https://doi.org/10.1249/01.mss.0000985184.96517.73" @default.
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