Frostbite: Pathophysiology, Epidemiology, Diagnosis, Treatment, and Prevention.

Frostbite can occur during cold-weather operations when the temperature is <0°C (<32°F). When skin temperature is =-4°C (=25°F), ice crystals form in the blood, causing mechanical damage, inflammation, thrombosis, and cellular death. Lower temperatures, higher wind speeds, and moisture exacerbate the process.

Functional physical training improves women's military occupational performance.

Unlabelled: The U.S. Armed Forces have recently approved full integration of women into combat roles.

Stress Fractures: Etiology, Epidemiology, Diagnosis, Treatment, and Prevention.

Stress fractures are part of a continuum of changes in healthy bones in response to repeated mechanical deformation from physical activity. If the activity produces excessive repetitive stress, osteoclastic processes in the bone may proceed at a faster pace than osteoblastic processes, thus weakening the bone and augmenting susceptibility to stress fractures. Overall stress fracture incidence is about three cases per 1,000 in active duty Servicemembers, but it is much higher among Army basic trainees: 19 per 1,000 for men and 80 per 1,000 for women.

Load Carriage-Related Paresthesias (Part 2): Meralgia Paresthetica.

This is the second of a two-part series addressing symptoms, evaluation, and treatment of load carriage- related paresthesias. Part 1 addressed rucksack palsy and digitalgia paresthetica; here, meralgia paresthetica (MP) is discussed. MP is a mononeuropathy involving the lateral femoral cutaneous nerve (LFCN).

Load Carriage-Related Paresthesias: Part 1: Rucksack Palsy and Digitalgia Paresthetica.

This is the first of a two-part article discussing loadcarriage- related paresthesias, including brachial plexus lesions (rucksack palsy), digitalgia paresthetica, and meralgia paresthetica. Paresthesias are sensations of numbness, burning, and/or tingling, usually experienced as a result of nerve injury, compression, traction, or irritation. Rucksack palsy is a traction or compression injury to the brachial plexus, caused by the shoulder straps of the rucksack.

Associations Between Functional Movement Screening, the Y Balance Test, and Injuries in Coast Guard Training.

Tests that have the ability to predict injuries in various military and athletic populations are important because of the role they could play in primary prevention. Functional Movement Screen (FMS) and Y Balance Tests (YBT) may provide this prognostic ability. This study examined the association between injuries and age, physical characteristics, FMS, and upper and lower body YBTs among Coast Guard Maritime Security Response Team (MSRT) candidates.

Efficacy of functional movement screening for predicting injuries in coast guard cadets.

Functional movement screening (FMS) examines the ability of individuals to perform highly specific movements with the aim of identifying individuals who have functional limitations or asymmetries. It is assumed that individuals who can more effectively accomplish the required movements have a lower injury risk. This study determined the ability of FMS to predict injuries in the United States Coast Guard (USCG) cadets.

Injury and illness incidence in a Sergeants Major Academy class.

Purpose: This study examined the incidence and risk factors for training injuries and illnesses for 149 male and 6 female U.S. Army Sergeants Major Academy students.

A comparison of injuries, limited-duty days, and injury risk factors in infantry, artillery, construction engineers, and special forces soldiers.

Objectives: We compared injuries/risk factors in infantry soldiers (I), construction engineers (CE), combat artillery (CA), and Special Forces (SF) during their operational and fitness activities.

Methods: Anthropometrics, ethnicity, and fitness data were collected before review of medical records.

Results: Injury rates for I, CE, and CA were 4.

The acute effect of aerobic exercise on brachial artery endothelial function in renal transplant recipients.

This study compared the effect of a 30-minute walk on brachial artery endothelial vasodilatation in kidney transplant (KT) recipients and healthy controls (HCs). Endothelial-dependent vasodilatation was measured by ultrasound before and after exercise. The HCs experienced a significant increase in vasodilatation after exercise 1 minute postocclusion when compared with the KT recipients (22%+/-13% vs 3%+/-4%; P<.

Incidence of acute injury related to fitness testing of U.S. Army personnel.

Objective: This study documented the incidence of acute injuries related to the Army Physical Fitness Test (APFT).

Methods: A questionnaire was administered to 1,532 soldiers after they completed a biannual APFT. Self-reported injury responses determined the rates of injuries resulting from the push-up, sit-up, and 2-mile run events and were classified into three categories, i.

Soldier load carriage: historical, physiological, biomechanical, and medical aspects.

This study reviews historical and biomedical aspects of soldier load carriage. Before the 18th century, foot soldiers seldom carried more than 15 kg while on the march, but loads have progressively risen since then. This load increase is presumably due to the weight of weapons and equipment that incorporate new technologies to increase protection, firepower, communications, and mobility.

Effects of physioball and conventional floor exercises on early phase adaptations in back and abdominal core stability and balance in women.

The purpose of this study was to compare the effects of 5 weeks of physioball core stability and balance exercises with conventional floor exercises in women. The experimental group (n = 15) performed curl-ups and back extensions on the physioball while the control group (n = 15) performed the same exercises on the floor. Baseline and post-training tests included electromyography (EMG) recordings of the rectus abdominus and erector spinae muscles; abdominal, back, and knee strength measurements with the Cybex Norm System; and 2 unilateral stance balance tests.

The response of a bone resorption marker to marine recruit training.

Objectives: This study measured the response of deoxypyridinoline, a biomarker of bone resorption, during 11 weeks of Marine recruit training.

Methods: Urine samples were obtained from 155 female and 58 male Marine recruits from the first morning void every 3 days during training. Training miles of weight-bearing exercise were recorded daily, and injury data were obtained from the medical clinic staff.

Injury occurrence and risk factors in construction engineers and combat artillery soldiers.

Objectives: This 1-year prospective study compared 125 construction engineers and 188 combat artillery soldiers to determine whether there were differences in injury occurrences/ types because of their diverse occupational tasks and training requirements. Also, intrinsic factors were studied to establish any associations with a soldier's risk for injury.

Methods: Prestudy height, weight, and body mass index and fitness (3.