Flexibility as risk factor for stress-fracture development in South African male soldiers

Background: Stress fractures are a common military training injury. Flexibility of muscles and joints may directly influence stress-fracture risk by way of altering the forces applied to bone. Hip external rotation and ankle plantar- and dorsiflexion have been inconsistently reported to pose a risk...

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Main Authors: Paola S. Wood, P. E. Krüger
Format: Article
Language:English
Published: AOSIS 2015-07-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/4160
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author Paola S. Wood
P. E. Krüger
author_facet Paola S. Wood
P. E. Krüger
author_sort Paola S. Wood
collection DOAJ
description Background: Stress fractures are a common military training injury. Flexibility of muscles and joints may directly influence stress-fracture risk by way of altering the forces applied to bone. Hip external rotation and ankle plantar- and dorsiflexion have been inconsistently reported to pose a risk to stress fracture development in military soldiers. Thus this study aimed to present results that could help define the risk flexibility may pose in the development of stress fractures amongst military male soldiers. Methods: An experimental one-group pretest–posttest study design assessing the injury incidence, bilateral hip external rotation, ankle plantar- and dorsiflexion of South African male military soldiers ( n = 100) undergoing 12 weeks of basic military training (BMT) was undertaken. The parametric t -test for dependent samples ( α = 0.05) and effect size (ES) was used to analyse the data. Results: No stress fractures were diagnosed in the 100 operational military training injuries reported. BMT resulted in significant mean decreases of 10% (L) and 17% (R) in hip external rotation and 18% (L) and 14% (R) in ankle plantar flexion respectively, whilst a significant increase of 37% (L) and 39% (R) dorsiflexion was observed. Conclusions: Although normal ankle and limited hip external flexibility do not appear to predispose these male soldiers to stress fracture development these variables should not be excluded as possible intrinsic risk factors.
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spelling doaj-art-e0c3f9ad103f4f9d8918f57b7a0863262025-08-20T03:06:54ZengAOSISSouth African Family Practice2078-61902078-62042015-07-0157410.4102/safp.v57i4.41603518Flexibility as risk factor for stress-fracture development in South African male soldiersPaola S. Wood0P. E. Krüger1Department of Physiology, Division Sport and Exercise Science, University of Pretoria, PretoriaDepartment of Physiology, Division Sport and Exercise Science, University of Pretoria, PretoriaBackground: Stress fractures are a common military training injury. Flexibility of muscles and joints may directly influence stress-fracture risk by way of altering the forces applied to bone. Hip external rotation and ankle plantar- and dorsiflexion have been inconsistently reported to pose a risk to stress fracture development in military soldiers. Thus this study aimed to present results that could help define the risk flexibility may pose in the development of stress fractures amongst military male soldiers. Methods: An experimental one-group pretest–posttest study design assessing the injury incidence, bilateral hip external rotation, ankle plantar- and dorsiflexion of South African male military soldiers ( n = 100) undergoing 12 weeks of basic military training (BMT) was undertaken. The parametric t -test for dependent samples ( α = 0.05) and effect size (ES) was used to analyse the data. Results: No stress fractures were diagnosed in the 100 operational military training injuries reported. BMT resulted in significant mean decreases of 10% (L) and 17% (R) in hip external rotation and 18% (L) and 14% (R) in ankle plantar flexion respectively, whilst a significant increase of 37% (L) and 39% (R) dorsiflexion was observed. Conclusions: Although normal ankle and limited hip external flexibility do not appear to predispose these male soldiers to stress fracture development these variables should not be excluded as possible intrinsic risk factors.https://safpj.co.za/index.php/safpj/article/view/4160ankle dorsiflexionbasic military trainingflexibilityhip external rotationrisk factorstress fracture
spellingShingle Paola S. Wood
P. E. Krüger
Flexibility as risk factor for stress-fracture development in South African male soldiers
South African Family Practice
ankle dorsiflexion
basic military training
flexibility
hip external rotation
risk factor
stress fracture
title Flexibility as risk factor for stress-fracture development in South African male soldiers
title_full Flexibility as risk factor for stress-fracture development in South African male soldiers
title_fullStr Flexibility as risk factor for stress-fracture development in South African male soldiers
title_full_unstemmed Flexibility as risk factor for stress-fracture development in South African male soldiers
title_short Flexibility as risk factor for stress-fracture development in South African male soldiers
title_sort flexibility as risk factor for stress fracture development in south african male soldiers
topic ankle dorsiflexion
basic military training
flexibility
hip external rotation
risk factor
stress fracture
url https://safpj.co.za/index.php/safpj/article/view/4160
work_keys_str_mv AT paolaswood flexibilityasriskfactorforstressfracturedevelopmentinsouthafricanmalesoldiers
AT pekruger flexibilityasriskfactorforstressfracturedevelopmentinsouthafricanmalesoldiers