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Balance and agility training does not always decrease lower limb injury risks: a cluster-randomised controlled trial.

Rodney L Goodall1, Rodney P Pope, Julia A Coyle

  • 1a The Australian Army , Queensland , Australia.

International Journal of Injury Control and Safety Promotion
|August 29, 2012
PubMed
Summary
This summary is machine-generated.

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Adding balance and agility exercises to army recruit training did not reduce lower limb injuries. In fact, the intervention may potentially increase injury risk, highlighting the need for caution in program modifications.

Area of Science:

  • Military medicine
  • Sports science
  • Injury prevention

Background:

  • Military basic training programs often involve high physical demands.
  • Lower limb injuries are a common concern in physically active populations, including army recruits.
  • The effectiveness of supplementary balance and agility training for injury reduction in military settings requires investigation.

Purpose of the Study:

  • To evaluate the impact of incorporating structured balance and agility exercises into the standard Australian Army recruit basic training program.
  • To determine if this intervention influences the incidence of lower limb injuries, specifically knee and ankle injuries, and ligament injuries.

Main Methods:

  • A blocked (stratified), cluster-randomised controlled trial was conducted with army recruits.

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  • The intervention group (IG) performed additional balance and agility exercises alongside regular physical training.
  • The control group (CG) followed the standard physical training program. Injury incidence was the primary outcome measure.

    • Main Results:

    • The addition of balance and agility exercises did not result in a statistically significant reduction in lower limb injury rates (RR = 1.25).
    • No significant effect was observed on the incidence of knee and ankle injuries (RR = 1.08) or knee and ankle ligament injuries (RR = 0.98).
    • The study's best estimate indicated a potential 25% increase in lower limb injury incidence, suggesting a possible harmful effect.

    Conclusions:

    • Structured balance and agility training, when added to standard military recruit physical training, did not effectively reduce lower limb injury rates.
    • The findings suggest that such interventions may potentially increase injury risk, possibly due to added fatigue.
    • Caution is advised when modifying training programs; the addition of exercises may inadvertently elevate injury risk rather than mitigate it.