Functional Movement Quality of Firefighter Recruits: Longitudinal Changes from the Academy to Active-Duty Status
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Study Design
Firefighter Academy Training Program
2.3. Procedures
2.3.1. Body Composition Data
2.3.2. Functional Movement Quality Data
2.4. Statistical Analyses
3. Results
4. Discussion
Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Campbell, R.; Evarts, B. United States Firefighter Injuries in 2019; National Fire Protection Association (NFPA): Quincy, MA, USA, 2020. [Google Scholar]
- Scofield, D.E.; Kardouni, J.R. The Tactical Athlete. Strength Cond. J. 2015, 37, 2–7. [Google Scholar] [CrossRef]
- Orr, R.; Simas, V.; Canetti, E.; Schram, B. A Profile of Injuries Sustained by Firefighters: A Critical Review. Int. J. Environ. Res. Public Health 2019, 16, 3931. [Google Scholar] [CrossRef] [Green Version]
- Leffer, M.; Grizzell, T. Implementation of a Physician-Organized Wellness Regime (POWR) Enforcing the 2007 NFPA Standard 1582: Injury Rate Reduction and Associated Cost Savings. J. Occup. Environ. Med. 2010, 52, 336–339. [Google Scholar] [CrossRef] [PubMed]
- Kurlick, G.M. Stop, Drop, and Roll: Workplace Hazards of Local Government Firefighters, 2009. Mon. Lab. Rev. 2012, 135, 18–25. [Google Scholar]
- Campbell, R.; Molis, J.L. Firefighter Injuries on the Fireground; National Fire Protection Association (NFPA): Quincy, MA, USA, 2020. [Google Scholar]
- Hong, O.; Phelps, S.; Feld, J.; Vogel, S. Occupational Injuries, Duty Status, and Factors Associated with Injuries among Firefighters. Work. Health Saf. 2012, 60, 517–523. [Google Scholar] [CrossRef]
- Jahnke, S.A.; Poston, W.S.C.; Haddock, C.K.; Jitnarin, N. Injury Among a Population Based Sample of Career Firefighters in the Central USA. Inj. Prev. 2013, 19, 393–398. [Google Scholar] [CrossRef] [PubMed]
- Poplin, G.S.; Harris, R.B.; Pollack, K.M.; Peate, W.F.; Burgess, J.L. Beyond the Fireground: Injuries in the Fire Service. Inj. Prev. 2011, 18, 228–233. [Google Scholar] [CrossRef]
- Phelps, S.M.; Drew-Nord, D.C.; Neitzel, R.L.; Wallhagen, M.I.; Bates, M.N.; Hong, O.S. Characteristics and Predictors of Occupational Injury Among Career Firefighters. Work. Health Saf. 2018, 66, 291–301. [Google Scholar] [CrossRef]
- Szubert, Z.; Sobala, W. Work-Related Injuries among Firefighters: Sites and Circumstances of their Occurrence. Int. J. Occup. Med. Environ. Health 2002, 15, 49–55. [Google Scholar]
- Walton, S.M.; Conrad, K.M.; Furner, S.E.; Samo, D.G. Cause, Type, and Workers’ Compensation Costs of Injury to Fire Fighters. Am. J. Ind. Med. 2003, 43, 454–458. [Google Scholar] [CrossRef]
- Frost, D.; Beach, T.; Crosby, I.; McGill, S. The Cost and Distribution of Firefighter Injuries in a Large Canadian Fire Department. Work 2016, 55, 497–504. [Google Scholar] [CrossRef]
- Nazari, G.; MacDermid, J.C.; Sinden, K.; D’Amico, R. Prevalence of Musculoskeletal Symptoms among Canadian Firefighters. Work 2020, 67, 185–191. [Google Scholar] [CrossRef] [PubMed]
- Taylor, N.A.S.; Dodd, M.J.; Taylor, E.A.; Donohoe, A.M. A Retrospective Evaluation of Injuries to Australian Urban Firefighters (2003 to 2012). J. Occup. Environ. Med. 2015, 57, 757–764. [Google Scholar] [CrossRef] [PubMed]
- Frost, D.; Beach, T.; Crosby, I.; McGill, S. Firefighter Injuries are not Just a Fireground Problem. Work 2015, 52, 835–842. [Google Scholar] [CrossRef] [PubMed]
- Le, A.B.; McNulty, L.A.; Dyal, M.-A.; DeJoy, D.M.; Smith, T.D. Firefighter Overexertion: A Continuing Problem Found in an Analysis of Non-Fatal Injury Among Career Firefighters. Int. J. Environ. Res. Public Health 2020, 17, 7906. [Google Scholar] [CrossRef] [PubMed]
- Griffin, S.C.; Regan, T.L.; Harber, P.; Lutz, E.A.; Hu, C.; Peate, W.F.; Burgess, J.L. Evaluation of a Fitness Intervention for New Firefighters: Injury Reduction and Economic Benefits. Inj. Prev. 2016, 22, 181–188. [Google Scholar] [CrossRef] [Green Version]
- Reichelt, P.A.; Conrad, K.M. Musculoskeletal Injury: Ergonomics and Physical Fitness in Firefighters. Occup. Med. 1995, 10, 735–746. [Google Scholar]
- Smith, D.L. Firefighter Fitness. Curr. Sports Med. Rep. 2011, 10, 167–172. [Google Scholar] [CrossRef] [Green Version]
- National Fire Protection Association. NFPA 1582: Standard on Comprehensive Occupational Medical Program for Fire Departments, 2018 ed.; National Fire Protection Association (NFPA): Quincy, MA, USA, 2017. [Google Scholar]
- Kollock, R.O.; Lyons, M.; Sanders, G.; Hale, D. The Effectiveness of the Functional Movement Screen in Determining Injury Risk in Tactical Occupations. Ind. Health 2019, 57, 406–418. [Google Scholar] [CrossRef] [Green Version]
- Bock, C.; Orr, R.M. Use of the Functional Movement Screen in a Tactical Population: A review. J. Mil. Veterans Health 2015, 23, 33–42. [Google Scholar]
- Butler, R.J.; Contreras, M.; Burton, L.C.; Plisky, P.J.; Goode, A.; Kiesel, K. Modifiable Risk Factors Predict Injuries in Firefighters during Training Academies. Work 2013, 46, 11–17. [Google Scholar] [PubMed]
- Manton, C.; Garibaldi, S.; Harrell, K. The Association of the Functional Movement Screen and Physical Fitness Measures with Musculoskeletal Injury in Firefighter Recruits. J. Orthop. Sports Phys. Ther. 2016, 46, A188. [Google Scholar]
- Peate, W.; Bates, G.; Lunda, K.; Francis, S.; Bellamy, K. Core Strength: A new Model for Injury Prediction and Prevention. J. Occup. Med. Toxicol. 2007, 2, 3–9. [Google Scholar] [CrossRef] [Green Version]
- Cook, G.; Burton, L.; Hoogenboom, B.J.; Voight, M. Functional Movement Screening: The Use of Fundamental Movements as an Assessment of Function-Part 1. Int. J. Sports Phys. Ther. 2014, 9, 396–409. [Google Scholar] [PubMed]
- Cook, G.; Burton, L.; Hoogenboom, B.J.; Voight, M. Functional Movement Screening: The Use of Fundamental Movements as an Assessment of Function-Part 2. Int. J. Sports Phys. Ther. 2014, 9, 549–563. [Google Scholar] [PubMed]
- Teyhen, D.; Bergeron, M.F.; Deuster, P.; Baumgartner, N.; Beutler, A.I.; De La Motte, S.J.; Jones, B.H.; Lisman, P.; Padua, D.A.; Pendergrass, T.L.; et al. Consortium for Health and Military Performance and American College of Sports Medicine Summit. Curr. Sports Med. Rep. 2014, 13, 52–63. [Google Scholar] [CrossRef]
- Jahnke, S.; Poston, W.; Haddock, C.; Jitnarin, N. Obesity and Incident Injury among Career Firefighters in the Central United States. Obesity 2013, 21, 1505–1508. [Google Scholar] [CrossRef]
- Poston, W.S.; Jitnarin, N.; Haddock, C.K.; Jahnke, S.A.; Tuley, B.C. Obesity and Injury-Related Absenteeism in a Population-Based Firefighter Cohort. Obesity 2011, 19, 2076–2081. [Google Scholar] [CrossRef]
- Cornell, D.J.; Gnacinski, S.L.; Zamzow, A.; Mims, J.; Ebersole, K.T. Influence of Body Mass Index on Movement Efficiency among Firefighter Recruits. Work 2016, 54, 679–687. [Google Scholar] [CrossRef]
- Lan, F.-Y.; Yiannakou, I.; Scheibler, C.; Hershey, M.S.; Cabrera, J.L.R.; Gaviola, G.C.; Fernandez-Montero, A.; Christophi, C.A.; Christiani, D.C.; Sotos-Prieto, M.; et al. The Effects of Fire Academy Training and Probationary Firefighter Status on Select Basic Health and Fitness Measurements. Med. Sci. Sports Exerc. 2021, 53, 740–748. [Google Scholar] [CrossRef]
- Cornell, D.J.; Gnacinski, S.L.; Meyer, B.B.; Ebersole, K.T. Changes in Health and Fitness in Firefighter Recruits. Med. Sci. Sports Exerc. 2017, 49, 2223–2233. [Google Scholar] [CrossRef]
- Davis, S.C.; Jankovitz, K.Z.; Rein, S. Physical Fitness and Cardiac Risk Factors of Professional Firefighters across the Career Span. Res. Q. Exerc. Sport 2002, 73, 363–370. [Google Scholar] [CrossRef] [PubMed]
- Cornell, D.J.; Gnacinski, S.L.; Ebersole, K.T. Longitudinal changes in functional movement quality among firefighter recruits: An observational cohort study [abstract]. J Orthop Sports Phys Ther 2019, 49, CSM163–CSM164. [Google Scholar] [CrossRef]
- Boyko, E.J. Observational Research—Opportunities and Limitations. J. Diabetes Complicat. 2013, 27, 642–648. [Google Scholar] [CrossRef] [Green Version]
- International Association of Fire Fighters/International Association of Fire Chiefs. The Fire Service Joint Labor Management Wellness-Fitness Initiative, 4th ed.; International Association of Fire Fighters/International Association of Fire Chiefs (IAFF/IAFC): Washington, DC, USA, 2018. [Google Scholar]
- Gnacinski, S.L.; Ebersole, K.T.; Cornell, D.J.; Mims, J.; Zamzow, A.; Meyer, B.B. Firefighters’ Cardiovascular Health and Fitness: An Observation of Adaptations that Occur during Firefighter Training Academies. Work 2016, 54, 43–50. [Google Scholar] [CrossRef] [PubMed]
- Cornell, D.J.; Noel, S.E.; Zhang, X.; Ebersole, K.T. Influence of a Training Academy on the Parasympathetic Nervous System Reactivation of Firefighter Recruits—An Observational Cohort Study. Int. J. Environ. Res. Public Health 2020, 18, 109. [Google Scholar] [CrossRef] [PubMed]
- Cornell, D.; Noel, S.; Zhang, X.; Ebersole, K. Influence of Body Composition on Post-Exercise Parasympathetic Reactivation of Firefighter Recruits. Int. J. Environ. Res. Public Health 2021, 18, 339. [Google Scholar] [CrossRef]
- Riebe, D.C.; Ehrman, J.K.; Liguori, G.; Magal, M. Health-Related Physical Fitness Testing and Interpretation. In ACSM’s Guide-lines for Exercise Testing and Prescription, 10th ed.; Lippincott Williams & Wilkins: Philadelphia, PA, USA, 2018. [Google Scholar]
- National Heart, Lung, and Blood Institute (NHLBI). Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report; National Institute of Health: Bethesda, MD, USA, 1998.
- Jackson, A.S.; Pollock, M.L. Practical Assessment of Body Composition. Physician Sportsmed. 1985, 13, 76–90. [Google Scholar] [CrossRef]
- Siri, W.E. The Gross Composition of the Body. Adv. Biol. Med. Phys. 1956, 4, 239–280. [Google Scholar] [CrossRef]
- Mueller, W.H.; Malina, R.M. Relative Reliability of Circumferences and Skinfolds as Measures of Body Fat Distribution. Am. J. Phys. Anthr. 1987, 72, 437–439. [Google Scholar] [CrossRef]
- Cornell, D.J.; Gnacinski, S.L.; Zamzow, A.; Mims, J.; Ebersole, K.T. Measures of Health, Fitness, and Functional Movement among Firefighter Recruits. Int. J. Occup. Saf. Ergon. 2017, 23, 198–204. [Google Scholar] [CrossRef] [PubMed]
- Cornell, D.J.; Ebersole, K.T.; Azen, R.; Zalewski, K.R.; Earl-Boehm, J.E.; Alt, C.A. Measures of Functional Movement Quality Among Firefighters. Athl. Train. Sports Health Care 2021. [Google Scholar] [CrossRef]
- Cook, G. Movement: Functional Movement Systems: Screening, Assessment and Corrective Strategies; On Target Publications: Santa Cruz, CA, USA, 2010. [Google Scholar]
- Bonazza, N.A.; Smuin, D.; Onks, C.A.; Silvis, M.L.; Dhawan, A. Reliability, Validity, and Injury Predictive Value of the Functional Movement Screen: A Systematic Review and Meta-analysis. Am. J. Sports Med. 2017, 45, 725–732. [Google Scholar] [CrossRef] [PubMed]
- Teyhen, D.S.; Shaffer, S.W.; Lorenson, C.L.; Halfpap, J.P.; Donofry, D.F.; Walker, M.J.; Dugan, J.L.; Childs, J.D. The Functional Movement Screen: A Reliability Study. J. Orthop. Sports Phys. Ther. 2012, 42, 530–540. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Weir, J.P. Quantifying Test-Retest Reliability Using the Intraclass Correlation Coefficient and the SEM. J. Strength Cond. Res. 2005, 19, 231–240. [Google Scholar] [CrossRef] [PubMed]
- Duncan, M.J.; Stanley, M.; Wright, S.L. The Association between Functional Movement and Overweight and Obesity in British Primary School Children. Sports Med. Arthrosc. Rehabil. Ther. Technol. 2013, 5, 11. [Google Scholar] [CrossRef] [Green Version]
- Perry, F.T.; Koehle, M.S. Normative Data for the Functional Movement Screen in Middle-Aged Adults. J. Strength Cond. Res. 2013, 27, 458–462. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Nicolozakes, C.P.; Schneider, D.K.; Roewer, B.D.; Borchers, J.R.; Hewett, T.E.; Rower, B. Influence of Body Composition on Functional Movement Screen™ Scores in College Football Players. J. Sport Rehabil. 2018, 27, 431–437. [Google Scholar] [CrossRef]
- Agresta, C.; Slobodinsky, M.; Tucker, C. Functional Movement ScreenTM—Normative Values in Healthy Distance Runners. Int. J. Sports Med. 2014, 35, 1203–1207. [Google Scholar] [CrossRef]
- Gnacinski, S.L.; Cornell, D.J.; Meyer, B.B.; Arvinen-Barrow, M.; Earl-Boehm, J.E. Functional Movement Screen Factorial Validity and Measurement Invariance Across Sex Among Collegiate Student-Athletes. J. Strength Cond. Res. 2016, 30, 3388–3395. [Google Scholar] [CrossRef]
- Loudon, J.K.; Parkerson-Mitchell, A.J.; Hildebrand, L.D.; Teague, C. Functional Movement Screen Scores in a Group of Running Athletes. J. Strength Cond. Res. 2014, 28, 909–913. [Google Scholar] [CrossRef] [PubMed]
Variable | W1 | W14 | W38 |
---|---|---|---|
BMI, kg·m−2 | 27.1 (3.0) | 26.7 (2.3) | 27.3 (2.7) |
BF, % | 17.8 (4.1) | 12.3 (3.2) † | 14.6 (3.5) |
FMS Sub-Test | W1 | W14 | W38 |
---|---|---|---|
Deep Squat | 1.38 (0.50) | 1.50 (0.58) | 1.35 (0.49) |
Hurdle Step | 1.38 (0.50) | 1.46 (0.58) | 2.0 (0.00) *, ‡ |
In-Line Lunge | 1.50 (0.58) | 1.62 (0.57) | 1.96 (0.45) *, ‡ |
Shoulder Mobility | 1.92 (0.80) | 2.12 (0.71) | 2.15 (0.68) |
Active Straight-Leg Raise | 2.23 (0.59) | 2.19 (0.49) | 2.38 (0.50) |
Trunk Stability Push-Up | 2.42 (0.76) | 2.73 (0.45) | 2.88 (0.33) ‡ |
Rotary Stability | 1.08 (0.27) | 2.00 (0.00) † | 1.73 (0.45) *, § |
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Cornell, D.J.; Gnacinski, S.L.; Ebersole, K.T. Functional Movement Quality of Firefighter Recruits: Longitudinal Changes from the Academy to Active-Duty Status. Int. J. Environ. Res. Public Health 2021, 18, 3656. https://doi.org/10.3390/ijerph18073656
Cornell DJ, Gnacinski SL, Ebersole KT. Functional Movement Quality of Firefighter Recruits: Longitudinal Changes from the Academy to Active-Duty Status. International Journal of Environmental Research and Public Health. 2021; 18(7):3656. https://doi.org/10.3390/ijerph18073656
Chicago/Turabian StyleCornell, David J., Stacy L. Gnacinski, and Kyle T. Ebersole. 2021. "Functional Movement Quality of Firefighter Recruits: Longitudinal Changes from the Academy to Active-Duty Status" International Journal of Environmental Research and Public Health 18, no. 7: 3656. https://doi.org/10.3390/ijerph18073656
APA StyleCornell, D. J., Gnacinski, S. L., & Ebersole, K. T. (2021). Functional Movement Quality of Firefighter Recruits: Longitudinal Changes from the Academy to Active-Duty Status. International Journal of Environmental Research and Public Health, 18(7), 3656. https://doi.org/10.3390/ijerph18073656