MRI findings and physical performance as predictors of flight-induced musculoskeletal pain incidence among fighter pilots
Rintala, H., Sovelius, R., Rintala, P., Huhtala, H., Siitonen, S., & Kyröläinen, H. (2017). MRI findings and physical performance as predictors of flight-induced musculoskeletal pain incidence among fighter pilots. Biomedical Human Kinetics, 9 (1), 133-139. doi:10.1515/bhk-2017-0019
Published inBiomedical Human Kinetics
© De Gruyter Open, 2017. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Study aim: The aim of this study was to evaluate the possible association of pre-career magnetic resonance imaging (MRI) findings and physical performance level with possible musculoskeletal disorders during jet flight training. Material and methods: The study group consisted of 73 fighter pilots who had undergone pre-career cervical and lumbar spine MRI. Physical performance of a subgroup of the pilots (n = 67) was measured initially at the same time and followed up to the fast jet training phase (ranging from 3.8 to 7.0 years). Musculoskeletal pain history during pilot training was taken from the medical charts. MRI findings and physical performance were associated with perceived clinical complaints during the follow-up. Results: 82% of the cervical and 92% of the lumbar spines showed abnormalities at at least one disk level. MRI did not reveal significant cervical degeneration. Thirteen disk bulges in the lumbar spine were discovered, while 5 pilots had listhesis and/or osteophyte formation on the spine (lumbar vertebra 4/sacroiliac joint level, L4-SI). 41% of the studied pilots suffered spinal symptoms during the follow-up, but only 16% and 17% of the cervical and lumbar MRI findings, respectively, were associated with subsequent symptoms. Endurance and strength levels were not, but lower body motor skills were, strongly (relative risk, RR 0.46) associated with a decreased number of flight-induced medical appointments in the early flight career. Conclusions: Minor MRI findings have no predictable value in the very early flight career. Nevertheless, versatile, skills/ power-oriented exercises before the flight career seem to be occupationally beneficial in reducing musculoskeletal disorders. ...
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Except where otherwise noted, this item's license is described as © De Gruyter Open, 2017. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Showing items with similar title or keywords.
Honkanen, Tuomas (2019)This thesis investigates the effects of physical fitness, muscle cross-sectional area (CSA) and Gz exposure and their interaction in fighter pilots’ spinal disorders and resulting flight duty limitations (FDL). The primary ...
Reliability, validity and performance determinants of the military simulation test for the assessment of anaerobic performance in soldiers Helén, Joonas (2020)Introduction: Measurements of physical fitness have been identified as one of the most important research priorities in the military. Currently, the physical fitness tests of The Finnish Defence Forces (FDF) do not include ...
Ojanen, Tommi; Häkkinen, Keijo; Vasankari, Tommi; Kyröläinen, Heikki (Oxford University Press, 2018)Introduction: Few studies have reported the amount of physical activity (PA) and its associations to physical performance of warfighters during military field training (MFT). The purpose of this study was to investigate ...
Effect of Prolonged Military Field Training and Different Physical Training Programmes on Physiological Responses and Physical Performance in Soldiers Ojanen, Tommi (2022)To fulfil their required missions, soldiers need adequate physical fitness and sufficient ability to move in different terrains. During the Finnish conscript service, the physical fitness of conscripts can be improved to ...
Body composition as a predictor of physical performance in older age : A ten-year follow-up of the Helsinki Birth Cohort Study Mikkola, Tuija M.; von Bonsdorff, Mikaela; Salonen, Minna K.; Simonen, Mika; Pohjolainen, Pertti; Osmond, Clive; Perälä, Mia-Maria; Rantanen, Taina; Kajantie, Eero; Eriksson, Johan G. (Elsevier Ireland Ltd., 2018)Background This study assessed how different measures of body composition predict physical performance ten years later among older adults. Methods The participants were 1076 men and women aged 57 to 70 years. Body ...