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Physical Fitness

Physical Fitness. COL Barbara Springer, PhD, PT Director, Proponency Office for Rehabilitation and Reintegration Office of The Surgeon General. Outline. Definitions. Metrics. Definitions. Physical fitness -The US Dept of Health and Human Services separates it into 2 categories:

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Physical Fitness

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  1. Physical Fitness COL Barbara Springer, PhD, PT Director, Proponency Office for Rehabilitation and Reintegration Office of The Surgeon General

  2. Outline • Definitions • Metrics

  3. Definitions • Physical fitness-The US Dept of Health and Human Services separates it into 2 categories: • Health-related fitness-The amount of physical activity required to reduce the risk of disease or injury • Performance-related fitness-The amount of physical activity required to achieve a physical goal • Military physical fitness-The ability to physically accomplish all aspects of the mission while remaining healthy/uninjured

  4. Definitions (con’t) • Physical Fitness Training-Consists of 4 major components: endurance, mobility, strength, and flexibility • Endurance-The body’s ability to continue to accomplish a task over and over again • Mobility-The ability to move the body in space with the precision necessary to negotiate an obstacle • Strength-The ability to move an object in space • Flexibility-Having the joint range of motion and muscle length required to move the body through space

  5. Battle Focused Training

  6. Basics of Physical Fitness Training • PROVRBS • Progression • Regularity • Overload • Variety • Recovery • Balance • Specificity

  7. Building the Soldier Athlete

  8. Leading Causes of Deployment Non-Battle InjuriesArmy OIF Medical Evacuations,2003-2008 Source: USACHPPM Deployment Injury Surveillance System

  9. 76% Associated Activities Running PT (other) Sports Road Marching 12% 3% 9% Garrison Injuries

  10. USACHPPM Top 10 Injury Prevention Priorities Results of a prioritization process conducted by Army members of the DoD Health Affairs Military Injury Prevention Priorities Working Group, 2006

  11. What We Look Like Now Endurance Strength Mobility

  12. Battle Focused Training • Injury rates: What the research tells us • Fewer miles run per week = fewer injuries

  13. Where We Need To Go Strength Mobility Endurance Overcome resistance Sustain activity Movement proficiency

  14. The Physical Training Program • Endurance • Mobility • Strength • Flexibility

  15. Reconditioning (Profile) PT

  16. Group Approach

  17. MetricsIncluded in Physical Therapists in the BCT Manual • Screening • Functional Movement Screen (FMS) • Y Balance • Performance (in addition to the APFT) • Illinois Agility Test • Medicine Ball Put • Vertical Leap • 40 Yard Dash • Pull ups/Flexed Arm Hang • Injury Surveillance

  18. Functional Movement Screen http://www.functionalmovementsolutions.com/

  19. Y Balance Assess physical performance Identify chronic ankle instability Identify risk for LE injury Screen for sports/activities Those with asymmetrical movement 2.7x more likely to sustain LE injury Those with decreased forward reach 2.6x more likely to sustain LE injury Improves with training Good reliability http://www.kieselplisky.com/ybt

  20. Illinois Agility Test

  21. Medicine Ball Put This is a 2- handed upper body explosive power measure Sit in a chair placed against the wall with back firmly against the chair and feet flat on the floor Hold 2-kg medicine ball on chest and push ball forward with as much power as possible Final score: furthest distance of 3, measured from the front leg of the chair to where the middle of ball lands Best to put measuring tape on ground before the throws

  22. Vertical Leap Lower body mobility measure Stands side on a wall and reaches up with the hand closest to wall Keeping the feet flat on the ground, the point of the fingertips is marked with chalk Steps slightly away from wall, and jumps vertically as high as possible using both arms and legs to assist in projecting the body upwards Attempts to touch the wall at the highest point of the jump Score: The difference in distance between reach height and jump height Record best of 3 attempts

  23. 40 Yard Dash • A mobility measure • Begin at the start line in a 3 point stance • On the command “Go” explode into a straight sprint for 40 yards • Record best time of 3 trials

  24. Pull ups (Males) Upper body strength measure Hang freely from bar with palms facing away and elbows completely extended before starting Pull body upwards until chin is above bar Then lower to the start position ensuring elbows have extended completely Count reps (at top)

  25. Flexed Arm Hang (Females) Upper Body endurance measure Pull up bar: high enough to hang freely Soldier is lifted or steps up into position with elbows flexed and chin held above bar Palms should face away from her Time starts when support is removed and terminates when chin touches or falls below bar

  26. Questions??

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