Vehicle exposure and spinal musculature fatigue in military warfighters : a meta-analysis
Deutscher übersetzter Titel: | Fahrzeugnutzung und spinalmuskuläre Ermüdung bei militärischen Kämpfern : eine Metaanalyse |
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Autor: | Kollock, Roger O.; Games, Kenneth E.; Wilson, Alan E.; Sefton, JoEllen M. |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 51 (2016), 11, S. 981-990, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
DOI: | 10.4085/1062-6050-51.9.13 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201701000358 |
Quelle: | BISp |
Abstract des Autors
Context: Spinal musculature fatigue from vehicle exposure may place warfighters at risk for spinal injuries and pain. Research on the relationship between vehicle exposure and spinal musculature fatigue is conflicting. A better understanding of the effect of military duty on musculoskeletal function is needed before sports medicine teams can develop injury-prevention programs.
Objective: To determine if the literature supports a definite effect of vehicle exposure on spinal musculature fatigue.
Data Sources: We searched the MEDLINE, Military & Government Collection (EBSCO), National Institute for Occupational Safety and Health Technical Information Center, PubMed, and Web of Science databases for articles published between January 1990 and September 2015.
Study Selection: To be included, a study required a clear sampling method, preexposure and postexposure assessments of fatigue, a defined objective measurement of fatigue, a defined exposure time, and a study goal of exposing participants to forces related to vehicle exposure.
Data Extraction: Sample size, mean preexposure and postexposure measures of fatigue, vehicle type, and exposure time.
Data Synthesis: Six studies met the inclusion criteria. We used the Scottish Intercollegiate Guidelines Network algorithm to determine the appropriate tool for quality appraisal of each article. Unweighted random-effects model meta-analyses were conducted, and a natural log response ratio was used as the effect metric. The overall meta-analysis demonstrated that vehicle exposure increased fatigue of the spinal musculature (P = .03; natural log response ratio = −0.22, 95% confidence interval = −0.42, −0.02). Using the spinal region as a moderator, we observed that vehicle ride exposure significantly increased fatigue at the lumbar musculature (P = .02; natural log response ratio = −0.27, 95% confidence interval = −0.50, −0.04) but not at the cervical or thoracic region.
Conclusions: Vehicle exposure increased fatigue at the lumbar region.