Effects of traditional sit-up training versus core stabilization exercises on short-term musculoskeletal injuries in US Army soldiers: a cluster randomized trial

Physical Therapy
John D ChildsSteven Z George

Abstract

The US Army has traditionally utilized bent-knee sit-ups as part of physical training and testing. It is unknown whether the short-term effects of a core stabilization exercise program without sit-up training may result in decreased musculoskeletal injury incidence and work restriction compared with traditional training. The objective of this study was to explore the short-term effects of a core stabilization exercise program (CSEP) without sit-up training and a traditional exercise program (TEP) on musculoskeletal injury incidence and work restriction. The study was designed as a cluster randomized trial. The setting was a 16-week training program at Fort Sam Houston (San Antonio, Texas). The study participants were soldiers with a mean age of 22.9 years (SD=4,7, range=18-35) for whom complete injury data were available for analysis (n=1,141). Twenty companies of soldiers were cluster randomized to complete the CSEP (10 companies of 542 soldiers) or the TEP (10 companies of 599 soldiers). The CSEP included exercises targeting the transversus abdominus and multifidus musculature. The TEP comprised exercises targeting the rectus abdominus, oblique abdominal, and hip flexor musculature. Research staff recorded all injuries result...Continue Reading

Associated Clinical Trials

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Citations

Jun 15, 2011·BMC Musculoskeletal Disorders·John D ChildsSteven Z George
Nov 4, 2011·The Journal of Orthopaedic and Sports Physical Therapy·James M ElliottJ Timothy Noteboom
Apr 24, 2013·The Spine Journal : Official Journal of the North American Spine Society·John D ChildsSteven Z George
Jun 15, 2011·Best Practice & Research. Clinical Rheumatology·Tim Driscoll
Feb 11, 2016·The Cochrane Database of Systematic Reviews·Luciana G MacedoChristopher G Maher
Jan 9, 2016·The Cochrane Database of Systematic Reviews·Bruno T SaragiottoLuciana G Macedo
Mar 13, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Iris DijksmaMartijn M Stuiver
Aug 28, 2021·International Journal of Environmental Research and Public Health·Dawid Koźlenia, Jarosław Domaradzki

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