Prevention of Injury in Military Settings Through the Use of Body Awareness.

Study Overview
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Brief Summary
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The POSITION project aims to investigate the cognitive mechanism of postural body awareness as a risk factor for injury and as a target for a primary prevention strategy based on the Resource Optimization of Armed Forces (ROAF) method.

Detailed Description
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Physical activity and sport play an important role in the military environment to develop and optimize the operational capability of warfighters. Nevertheless, the prevalence of injuries is high and the identification of risk factors accessible to primary prevention measures is a major challenge for the protection of warfighter health. Military epidemiologic data show that the majority of injuries are acute fall-type injuries following a loss of balance. These data suggest that the quality of postural balance may influence the occurrence of injuries encountered during military physical activities. The high level of stress to which individuals are exposed during military physical activities could contribute to the degradation of postural balance quality. The POSITION project aims to study the cognitive mechanism of postural body awareness as a risk factor for injury and as a target for a primary prevention strategy based on the Resource Optimization of Armed Forces (ROAF) method. ROAF could improve postural control and decrease the intensity of the psychobiological stress response, and thus reduce the incidence rate of fall injuries occurring during military physical activities.

Official Title
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Prevention of Fall Injury in Military Settings Through the Use of Body Awareness.

Conditions
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Traumatic Injury

Intervention / Treatment
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* Other: ROAF
* Other: Active Comparator


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Signing an informed consent to participate in the study enrolled in the selection camp Be affiliated to a Social Security system Exclusion Criteria: advanced ROAF formation (over 10 hours) Refusal to participate Person covered by articles L1121-5 to L1121-8 of the public health code, namely Pregnant women, women in labour or nursing mothers, person deprived of liberty by judicial or administrative decision, persons subject to psychiatric monitoring under Articles L3112-1 and L3113-1 who are not covered by the provisions of Article L1121-8, adult persons who are subject to a legal protection measure or who are unable to express their consent.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: The preventive program will be deployed in the first unit selection camp, then in the second the active control program will be deployed.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ROAF Arm<br>6 one-hour workshops working on enhancing postural awareness through the use of ROAF | Other: ROAF<br>* Use of the method Ressource Optimisation of Armed Forces (ROAF). 6 one-hour workshops<br>|
| Active Comparator: Active control<br>6 one-hour workshops on higher cognitive processes (memory, attention...) | Other: Active Comparator<br>* 6 one-hour workshops on cognitive process<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence rate of imbalance injuries in each of the two groups (ROAF vs active control). | The primary endpoint will be the incidence rate of imbalance injuries in each of the two groups (ROAF vs active control). | 3 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evolution of postural awareness measured by the postural awareness scale. | Evolution of the self-questionnaire measuring postural awareness completed at inclusion, at the final visit and at the beginning of each workshop; 8 times in total. | 3 weeks | 
| Evolution of postural balance | Difference between postural balance assessed during the inclusion visit and the final visit, using a posturography tool. | 3 weeks | 
| Evolution of the stress level measured by the perceived stress scale | Evolution of the self-questionnaire measuring perceived stress completed at inclusion, at the final visit, and at the beginning of each workshop; 8 times in total. | 3 weeks | 
| Evolution of the hormonal stress level. | Difference of levels of hormonal stress in a saliva sample (at the inclusion and final visit). | 3 weeks |