ANZCTR - Registration

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Trial registered on ANZCTR

Registration number

ACTRN12615000053527

Ethics application status

Approved

Date submitted

9/01/2015

Date registered

22/01/2015

Date last updated

22/01/2015

Type of registration

Retrospectively registered

Titles & IDs

Public title

Can an injury prevention program delivered during pre-week of Australian Defence Force (ADF) Infantry training lead to a decrease in preventable injuries amongst trainees: a randomized controlled trial.

Scientific title

Can a 2 hour presentation on intrinsic and extrinsic injury risks, injury risk management and biomechanical awareness given to Infantry trainees in their pre-week of training decrease the number of trainees sustaining preventable injuries ie, those that are caused through over-use, overloading or poor biomechanics.

Secondary ID [1]

Nil known

Universal Trial Number (UTN)

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Musculoskeletal Injuries sustained within the Infantry trainee population

Condition category

Condition code

Injuries and Accidents

Other injuries and accidents

Physical Medicine / Rehabilitation

Physiotherapy

Musculoskeletal

Other muscular and skeletal disorders

Intervention/exposure

Study type

Interventional

Description of intervention(s) / exposure

On the Tuesday of pre-week (that is the week before IET training commences)
1. All members in the intervention groups will be given a questionnaire to fill in regarding intrinsic risk factors to injury. BMI will be assessed.
2. The intervention group will receive a one hour theoretical session, delivered by the researchers, on intrinsic risk factors for injuries and how to take active steps to avoid injury (ten tips for injury prevention).
3. The intervention group will then receive a one hour small group practical session, delivered by the researchers, looking at biomechanics, posture and body awareness and the impact of these on minimising overuse/preventable injuries.
4. Trainees identified as having significant risk factor (for example pronating feet), or those who wish to have raise an issue with the physiotherapist will be given an individual assessment and intervention if required.
5. Details of trainees presentation to physiotherapy, treatment and injuries sustained will be recorded throughout their time in training

Intervention code [1]

Prevention

Comparator / control treatment

1. All members in the control groups will be given a questionnaire to fill in regarding intrinsic risk factors to injury. BMI will be assessed.
2. Details of trainees presentation to physiotherapy, treatment and injuries sustained will be recorded throughout their time in training

Control group

Active

Outcomes

Primary outcome [1]

Number of trainees sustaining preventable injuries during their Infantry training.

For the purposes of this study a preventable injury is defined as a non-traumatic injury occurring from overuse that can be linked to one or more intrinsic risk factors (such as poor biomechanics, history of a recurrent injury and so on). Assessment of an injury as preventable is made by the clinical judgement of the referring doctor and treating physiotherapist in consultation with the participants risk factor questionnaire completed at the beginning of the trial.

Timepoint [1]

Injuries sustained during the 13 week IET training program

Secondary outcome [1]

Correlation between injuries sustained and risk factors for injury highlighted in the questionnaire given to participants at the beginning of the trial, thus enabling validation of the IET Injury Prevention Program Questionnaire (IIPPQ).

This questionnaire has been developed specifically for this study after review of the literature to find, in general and in terms of the military, which intrinsic risk factors are the highest predictors for injury.

Timepoint [1]

Injuries must be sustained during the 13 week IET training program

Eligibility

Key inclusion criteria

Any IET trainees that are to commence and complete their 13 week training course between the 30th January 2012 and the 31st December 2012.

Minimum age

17 Years

Maximum age

No limit

Sex

Males

Can healthy volunteers participate?

Yes

Key exclusion criteria

No exclusion criteria

Study design

Purpose of the study

Prevention

Allocation to intervention

Randomised controlled trial

Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)

Methods used to generate the sequence in which subjects will be randomised (sequence generation)

Masking / blinding

Who is / are masked / blinded?

Intervention assignment

Other design features

Phase

Not Applicable

Type of endpoint/s

Statistical methods / analysis

Recruitment

Recruitment status

Completed

Date of first participant enrolment

Anticipated

30/01/2012

Actual

31/01/2012

Date of last participant enrolment

Anticipated

Actual

29/10/2012

Date of last data collection

Anticipated

Actual

Sample size

Target

403

Accrual to date

Final

Recruitment in Australia

Recruitment state(s)

NSW

Funding & Sponsors

Funding source category [1]

Government body

Name [1]

Australian Defence Force

Address [1]

Lone Pine Barracks
Singleton Military Area
Range Road Singleton
NSW 2331

Country [1]

Australia

Primary sponsor type

Individual

Name

Rebecca Sellwood

Address

Physiotherapy Department
SMAHC
Lone Pine Barracks
Range Road
Singleton
NSW 2331

Country

Australia

Secondary sponsor category [1]

Individual

Name [1]

Carney Garland

Address [1]

Physiotherapy Department
SMAHC
Lone Pine Barracks
Range Road
Singleton
NSW 2331

Country [1]

Australia

Ethics approval

Ethics application status

Approved

Ethics committee name [1]

ADHREC

Ethics committee address [1]

PO Box 7911 CANBERRA BC ACT 2600

Ethics committee country [1]

Australia

Date submitted for ethics approval [1]

Approval date [1]

18/01/2012

Ethics approval number [1]

641-11

Summary

Brief summary

The aim of this project is to decrease the number of infantry trainees being removed from training and placed into SSW due to preventable injuries. These injuries can be partially attributed to intrinsic risk factors such as poor biomechanics, poor footwear/fitness/body awareness, over training, history of prior injury and BMI <20 or >27.

Data collection from six training platoons between 7th February 2011 and 12th August 2011 revealed a mean of 26% of trainees per platoon being injured during the course of training. Of these 53% were classified as preventable injuries and 46% of those trainees were removed from training. This represents a significant number of members incurring injuries that may otherwise have been avoided. 

From this the concept for implementing some injury prevention training and education evolved and a collective decision was made to examine the implementation and effectiveness of such a program.

This will be a randomly controlled trial conducted at the Physiotherapy Department, School Of Infantry, Singleton. It will consist of several components:
1.	All members in both the control and intervention groups will be given a questionnaire to fill in regarding intrinsic risk factors to injury. BMI will be assessed.
2.	The intervention group will receive a one hour theoretical session on intrinsic risk factors for injuries and how to take active steps to avoid injury (ten tips for injury prevention). 
3.	The intervention group will then receive a one hour small group practical session looking at biomechanics, posture and body awareness.
4.	 Trainees identified as having significant risk factor (for example pronating feet) will be given an individual assessment and intervention if required.

Potential outcomes of the trial include:
-	Decrease the number of trainees removed from training and placed in SSW due to preventable injuries 
-	Provide the SOI with an injury prevention strategy that is simple and cost effective
-	Increase throughput of Infantry members
-	Reduce number of staff required to manage soldier support wing
-	Decrease costs associated with trainees moved into soldier support wing (medical, physiotherapy, psychology support, staffing for SSW)
-	If the program is successful it could be utilised within other areas of the ADF 
-	Increasing retention rates
-	Decreasing rehabilitation costs and TRW burden
-	Improve morale amongst trainees by improving health outcomes
-	Data collection may reveal secondary trends.

Trial website

Trial related presentations / publications

Public notes

Contacts

Principal investigator

Name

Mrs Carney Garland

Address

Physiotherapy Department
SMAHC
Lone Pine Barracks
Range Rd
Singleton
NSW 2331

Country

Australia

Phone

+61265750039

Fax

c.garland@defence.gov.au

Contact person for public queries

Name

Rebecca Sellwood

Address

Physiotherapy Department
SMAHC
Lone Pine Barracks
Range Rd
Singleton
NSW 2331

Country

Australia

Phone

+61429025918

Fax

c3195737@uon.edu.au

Contact person for scientific queries

Name

Rebecca Sellwood

Address

Physiotherapy Department
SMAHC
Lone Pine Barracks
Range Rd
Singleton
NSW 2331

Country

Australia

Phone

+61429025918

Fax

c3195737@uon.edu.au

No information has been provided regarding IPD availability

What supporting documents are/will be available?

No Supporting Document Provided

Results publications and other study-related documents

Documents added manually

No documents have been uploaded by study researchers.

Documents added automatically

No additional documents have been identified.

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