Ability of fitness testing to predict injury risk during initial tactical training: a systematic review and meta-analysis

Colin D Tomes, Sally Sawyer, Robin Orr, Ben Schram

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Abstract

OBJECTIVE: Tactical personnel (Military, Law Enforcement, Emergency Responders) require physical fitness levels sufficient for training and occupational duty. Physical conditioning aimed at increasing fitness levels during training presents an injury risk, but unfit trainees may struggle to meet occupational performance standards, further increasing injury risk to themselvesor others. Therefore, the aim of this review was to determine if fitness, asquantified by tactical fitness tests, effectively predicts injury risk during training.

METHODS: Literature databases were search and relevant articles extracted. 27 Publications were included for qualitative review and seven studies reporting a timed run were included in meta-analysis.

RESULTS: The combined risk ratio was 2.34 (95% CI 2.02 to2.70). Muscular endurance tests were less conclusive in their predictive abilities. Functional strength or power tests were effective predictors, but few studies reported on strength or power, indicating a need for further study inthis area.

CONCLUSIONS: The meta-analysis results are supported by the occupational relevance of run tests; tactical trainees are required to perform frequent bouts of distance weight bearing activity. However, given the diverse physical requirements of tactical personnel, measures of strength and power should alsobe evaluated, especially given their effectiveness in the studies that included these measures.

Original languageEnglish
JournalInjury Prevention
DOIs
Publication statusE-pub ahead of print - 1 Aug 2019

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Exercise Test
Meta-Analysis
Emergency Responders
Wounds and Injuries
Law Enforcement
Physical Fitness
Military Personnel
Weight-Bearing
Publications
Odds Ratio
Databases

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title = "Ability of fitness testing to predict injury risk during initial tactical training: a systematic review and meta-analysis",
abstract = "OBJECTIVE: Tactical personnel (Military, Law Enforcement, Emergency Responders) require physical fitness levels sufficient for training and occupational duty. Physical conditioning aimed at increasing fitness levels during training presents an injury risk, but unfit trainees may struggle to meet occupational performance standards, further increasing injury risk to themselvesor others. Therefore, the aim of this review was to determine if fitness, asquantified by tactical fitness tests, effectively predicts injury risk during training.METHODS: Literature databases were search and relevant articles extracted. 27 Publications were included for qualitative review and seven studies reporting a timed run were included in meta-analysis.RESULTS: The combined risk ratio was 2.34 (95{\%} CI 2.02 to2.70). Muscular endurance tests were less conclusive in their predictive abilities. Functional strength or power tests were effective predictors, but few studies reported on strength or power, indicating a need for further study inthis area.CONCLUSIONS: The meta-analysis results are supported by the occupational relevance of run tests; tactical trainees are required to perform frequent bouts of distance weight bearing activity. However, given the diverse physical requirements of tactical personnel, measures of strength and power should alsobe evaluated, especially given their effectiveness in the studies that included these measures.",
author = "Tomes, {Colin D} and Sally Sawyer and Robin Orr and Ben Schram",
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Ability of fitness testing to predict injury risk during initial tactical training: a systematic review and meta-analysis. / Tomes, Colin D; Sawyer, Sally; Orr, Robin; Schram, Ben.

In: Injury Prevention, 01.08.2019.

Research output: Contribution to journalReview articleResearchpeer-review

TY - JOUR

T1 - Ability of fitness testing to predict injury risk during initial tactical training: a systematic review and meta-analysis

AU - Tomes, Colin D

AU - Sawyer, Sally

AU - Orr, Robin

AU - Schram, Ben

N1 - © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - OBJECTIVE: Tactical personnel (Military, Law Enforcement, Emergency Responders) require physical fitness levels sufficient for training and occupational duty. Physical conditioning aimed at increasing fitness levels during training presents an injury risk, but unfit trainees may struggle to meet occupational performance standards, further increasing injury risk to themselvesor others. Therefore, the aim of this review was to determine if fitness, asquantified by tactical fitness tests, effectively predicts injury risk during training.METHODS: Literature databases were search and relevant articles extracted. 27 Publications were included for qualitative review and seven studies reporting a timed run were included in meta-analysis.RESULTS: The combined risk ratio was 2.34 (95% CI 2.02 to2.70). Muscular endurance tests were less conclusive in their predictive abilities. Functional strength or power tests were effective predictors, but few studies reported on strength or power, indicating a need for further study inthis area.CONCLUSIONS: The meta-analysis results are supported by the occupational relevance of run tests; tactical trainees are required to perform frequent bouts of distance weight bearing activity. However, given the diverse physical requirements of tactical personnel, measures of strength and power should alsobe evaluated, especially given their effectiveness in the studies that included these measures.

AB - OBJECTIVE: Tactical personnel (Military, Law Enforcement, Emergency Responders) require physical fitness levels sufficient for training and occupational duty. Physical conditioning aimed at increasing fitness levels during training presents an injury risk, but unfit trainees may struggle to meet occupational performance standards, further increasing injury risk to themselvesor others. Therefore, the aim of this review was to determine if fitness, asquantified by tactical fitness tests, effectively predicts injury risk during training.METHODS: Literature databases were search and relevant articles extracted. 27 Publications were included for qualitative review and seven studies reporting a timed run were included in meta-analysis.RESULTS: The combined risk ratio was 2.34 (95% CI 2.02 to2.70). Muscular endurance tests were less conclusive in their predictive abilities. Functional strength or power tests were effective predictors, but few studies reported on strength or power, indicating a need for further study inthis area.CONCLUSIONS: The meta-analysis results are supported by the occupational relevance of run tests; tactical trainees are required to perform frequent bouts of distance weight bearing activity. However, given the diverse physical requirements of tactical personnel, measures of strength and power should alsobe evaluated, especially given their effectiveness in the studies that included these measures.

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