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Updated: Oct 17, 2025

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
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Exercise Effects on Neck Function Among F-15E Aircrew.

Maximilian S Lee, Robert Briggs, Vanessa Scheirer

    Aerospace Medicine and Human Performance
    |October 13, 2021
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    Neck pain is prevalent in F-15E aircrew, often linked to flight hours. Exercise interventions showed small improvements in neck function, suggesting a need for integrated prevention strategies.

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    Area of Science:

    • Aerospace Medicine
    • Musculoskeletal Health
    • Occupational Health

    Background:

    • Neck pain (NP) is a significant issue for high-performance aircrew.
    • Current evidence is insufficient for guiding NP examination, treatment, and prevention in this population.

    Purpose of the Study:

    • To collect baseline neck function data for F-15E aircrew.
    • To determine the efficacy and feasibility of two exercise protocols (progressive and general) for measuring short-term neck function outcomes.
    • To inform future study designs for NP prevention and treatment in aircrew.

    Main Methods:

    • A randomized pilot study involving 41 F-15E aircrew assigned to either progressive (PRO) or general (GEN) exercise groups.
    • Data collection at baseline, 3 weeks, and 3 months.
    • Assessment of subjective and objective neck function.

    Main Results:

    • At baseline, 39% reported current NP, 79.5% a history of NP related to flying, and 12.8% removed from flying due to NP.
    • Both PRO and GEN groups showed statistically significant, though small, increases in neck range of motion.
    • Aircrew with current NP had significantly higher F-15E flight hours.

    Conclusions:

    • Neck pain is highly prevalent among aircrew, but seeking medical care for it is infrequent.
    • Future research should adopt an integrated approach, including operational exercise policy and long-term data collection.
    • Dedicated resources are needed for NP assessment and analysis within flying units.