Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Risk Factors of Musculoskeletal Injuries among the Marine Corps Enlisted Trainees

해병대 입영 훈련병에서 근골격계 손상의 위험인자에 관한 연구

  • 최성우 (해군본부 의무처) ;
  • 박종서 (영남대학교 의과대학 예방의학교실) ;
  • 정선옥 (해군 해양의료원)
  • Received : 2010.02.23
  • Accepted : 2010.06.14
  • Published : 2010.06.30
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Abstract

Objective: The Korean Marine Corps enlistees endure tremendous physical and mental stress during basic military training, resulting in an increased risk of musculoskeletal injuries. The aim of this study was to investigate the incidence and type of the musculoskeletal injury problems and the risk factors associated with injuries among the Marine Corps recruits and to suggest preventive measures. Methods: The study subjects were the Marine Corps recruits (n=8,231) who were enlisted from July, 2008 to March, 2009 for basic military training. We used a prospective cohort design and collected basic demographic information and subject musculoskeletal injury risk factors through a questionnaire on the first day basic training. The subjects were followed for the subsequent 6-week military training period. Results: The cumulative incidence of musculoskeletal injuries was 13.4% during the 6-week training period, and more than half of the injuries involved the lower limbs at or below the level of the knee. Based on multivariate logistic regression analysis, the following factors were related to an elevated risk for injuries: age, height, educational level, subjective health perception, injury history during the past year, and stress scale after entrance. Conclusion: Based on our study results, the application of injury prevention measures such as stress management program and gradual fitness increasing program to the Marine Corps recruit training would contribute to the reduction of musculoskeletal injuries.

목적: 기초군사훈련을 위해 입대한 훈련병은 민간에서 군으로 급격한 환경변화를 경험하면서 매우 큰 신체적, 정신적 스트레스를 받게되며 근골격계 손상의 발생위험이 높다. 본 연구는 해병대 기초군사훈련간 훈련병에서 발생하는 근골격계 손상의 유병규모와 그 유형을 파악하고 손상과 관련한 위험인자를 식별하여 그 예방대책을 제시하고자 하였다. 방법: 연구대상은 2008년 7월부터 2009년 3월까지 해병대 교육훈련단에 신병교육을 위해 입대한 훈련병 8,231명이었다. 전향적 코호트연구 디자인을 이용하여 입대 직후 기본 인적사항 및 근골격계 손상의 위험인자에 관한 정보를 설문지를 이용하여 조사하고 6주간의 훈련기간 동안 손상의 발생을 추적관찰하였다. 결과: 6주간 훈련기간 동안 근골격계 손상의 누적발생률은 13.4%였으며 무릎 이하의 하지를 침범하는 경우가 과반 수 이상이었다. 다변량 로지스틱 회귀모형 분석결과 연구대상자의 연령, 신장, 교육수준, 주관적 건강인지 상태, 지난 1년간 손상의 과거력 유무, 그리고 입대 후 스트레스 수준 등이 근골격계 손상의 발생을 예측하는 위험 인자인 것으로 나타났다. 결론: 본 연구를 통하여 해병대 입영 훈련병에서 근골격계 손상의 발생률 및 그 유형, 그리고 자주 침범하는 신체부위를 확인하였다. 식별된 손상 위험인자들에 대한 예방책을 수립하여 잘 활용한다면 훈련 중 근골격계 손상을 줄이는데 많은 도움을 주리라 기대한다.

Keywords

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