Introduction The authors examined how body mass index (BMI) across life is linked to the risk of midlife knee osteoarthritis (OA), testing whether prolonged exposure high BMI or at a particular period has greatest influence on OA. Methods A population-based British birth cohort 3035 men and women underwent clinical examination for OA age 53 years.Heights weights were measured 10 times from 2 years. Analyses stratified by gender adjusted occupation activity levels. Results prevalence was...

Background: There is growing evidence to support the use of low-load blood flow restriction (LL-BFR) exercise in musculoskeletal rehabilitation. Purpose: The purpose this study was evaluate efficacy and feasibility restricted training versus conventional high mechanical load resistance (RT) on clinical outcomes patient's undergoing inpatient multidisciplinary team (MDT) Study design: A single-blind randomized controlled study. Methods: Twenty-eight lower-limb injured adults completed a...

Background: Anterior knee pain (AKP) is the most common activity-related injury of knee. The authors investigated effect an exercise intervention on incidence AKP in UK army recruits undergoing a 14-week physically arduous training program. Hypothesis: Modifying military to include targeted preventative exercises may reduce young recruit population. Study Design: Randomized controlled trial; Level evidence, 1. Methods: A single-blind cluster randomized trial was performed 39 male and 11...

Objective: To examine the effects of a goal setting intervention on self-efficacy, treatment efficacy, adherence and outcome in patients undergoing low back pain rehabilitation. Design: A mixed-model 2 (time) × 3 (group) randomized controlled trial. Setting: residential rehabilitation centre for military personnel. Subjects: UK personnel volunteers ( N = 48); mean age was 32.9 (SD 7.9) with diagnosis non-specific pain. Interventions: Subjects were randomly assigned to either experimental...

Background: Medical practitioners face difficult decisions over whether to amputate or salvage a lower limb that has undergone trauma. To our knowledge, there been little evidence reporting the impact of different surgical on functional and mental health outcomes following intensive rehabilitation might inform decision-making. Methods: This study is retrospective, independent-group comparison from U.K. military complex trauma center. There were 100 procedures examined: 36 unilateral...

Background Despite the acceptance of residential MDT rehabilitation in UK military, there is no evidence supporting its use management non-arthritic hip pain (NAHP). This study compared effects a care programme with physiotherapy led outpatient treatment on clinical outcomes military personnel NAHP. Methods was single-blind, parallel group RCT. (N=87, 11 female), mean age 31 yrs (SD 7.1) were randomly allocated to receive: (1) 7-day course or, (2) conventional care. The primary (visual...

Non-arthritic hip disorders are defined as abnormalities of the articulating surfaces acetabulum and femur before onset osteoarthritis, including intra-articular structures such acetabular labrum chondral surfaces. Abnormal femoroacetabular morphology is commonly seen in young men who constitute much UK military population. Residential multidisciplinary team (MDT) rehabilitation for patients with musculoskeletal injuries has a long tradition military, however, there no studies presenting...

The purpose of this study was to examine the effects a 6-week isokinetic training program on quadriceps and hamstrings peak torque (PT) standing long-jump (SLJ) performance. Twelve untrained men (age 31.4 +/- 4.2 years, mean SD) were tested at velocity 1.75 rad.s(-1) (100 degrees.s(-1)), before after control period completion program. Training consisted 3 sets 10 repetitions, days per week, for 6 weeks. Repeated-measures analysis-of-variance analyses revealed that PT increased, average, by...

Muscle atrophy, muscle weakness and localised pain are commonly reported following musculoskeletal injury (MSKI). To mitigate this risk prepare individuals to return sport or physically demanding occupations, resistance training (RT) is considered a vital component of rehabilitation. However, elicit adaptations in strength, exercise guidelines recommend lifting loads ≥ 70% an individual's one repetition maximum (1-RM). Unfortunately, with persistent knee often unable tolerate such high may...

A challenge for rehabilitation practitioners lies in designing optimal exercise programmes that facilitate musculoskeletal (MSK) adaptations whilst simultaneously accommodating biological healing and the safe loading of an injured limb. growing body evidence supports use resistance training at a reduced load combination with blood flow restriction (BFR) to enhance hypertrophic strength responses skeletal muscle. In-patient has long tradition UK Military, however, efficacy low intensity (LI)...

There are no studies describing the clinical outcomes of a residential, multidisciplinary team (MDT) rehabilitation intervention for patients with prearthritic hip pain. The aim this cohort study was to describe functional and physical residential UK military personnel pain.Participants (N=40) mean age 33 years referred specialist centre completed comprehensive intervention. main outcome measures were pain, function (modified shuttle test (MST) Y-balance test), range motion (HROM)...

Establishing research priorities help to address knowledge gaps and exploit emerging opportunities develop a clinical evidence base. The previous engagement exercise determine UK Defence Rehabilitation practitioner-based was conducted in 2014. aim of this article is (1) describe how are established for Rehabilitation; (2) review, reassess rate the highlighted set by rehabilitation practitioners following 2014 survey (3) identify new themes topics reflecting 2020 priorities.Stage 1: delegates...

Objective outcome measures that can quantify the force generating capacity of lower limb are required to allow clinicians accurately measure functional status and treatment adaptations over time. The aim this prospective observational cohort study is to: (1) evaluate acceptability isometric mid-thigh pull (IMTP) test as a strength with military personnel undergoing residential hip pain rehabilitation; (2) compare peak values recorded against updated Army physical employment standards (PES)...

The purpose of this study was to examine the effects a 6-week isokinetic training program on quadriceps and hamstrings peak torque (PT) standing long-jump (SLJ) performance. Twelve untrained men (age 31.4 ± 4.2 years, mean SD) were tested at velocity 1.75 rads−1 (100°s−1), before after control period completion program. Training consisted 3 sets 10 repetitions, days per week, for 6 weeks. Repeated-measures analysis-of-variance analyses revealed that PT increased, average, by 10.5% as result...

Introduction Despite the high prevalence of musculoskeletal injuries, there is a shortage data quantifying risk factors attributable to cumulative occupational demands among UK Military personnel. We developed new comprehensive questionnaire that examines and operational physical loading during military service. The aim this study was examine test–retest reliability Physical Loading Questionnaire (MPLQ). Methods Intraclass correlation coefficients (ICC) were used evaluate (4-week interval)...

Lower-limb musculoskeletal injury (MSKI) is associated with a considerable economic and operational cost to the UK Ministry of Defence. To ensure force readiness British Armed Forces, strategies that increase potential for adaptations in muscle strength following MSKI are crucial