Espanyol vs Deportivo AlavesRCDE Stadium, BarcelonaSaturday, 13-04-2019 @2pmThe opening game on match-day 32 in La Liga comes from Barcelona. It sees Alaves travel to play Espanyol with the visitors hoping to bolster their European hopes after a few recent setbacks. Rubi’s men meanwhile have little left to play for now having picked up an important victory last weekend to take the pressure off this Saturday’s game.That victory came in a Catalan derby away to Girona, a rare success on the road for Espanyol. It moved them onto 38 points, which is likely to be about the mark needed to stay up. Unless they literally lose every game between now and the end of the campaign, they should be safe. Their season has petered out somewhat after a bright start but 13th is probably a fair reflection of the level they are operating on.As for Alaves, they have been punching above their weight for virtually the whole campaign. However having only taken 1 point from their last 3 matches, it looks like their surprise top four push is now over. Making the Europa League is still a realistic possibility but in terms of quality, there are certainly stronger teams than them that may well edge them out.One problem right now is that a few injuries and suspensions have crept in, making them much easier to break down. Key centre-back Guillermo Maripan has been carrying an injury and remains a doubt here while full-back Martin Aguirregabiria and midfielder Tomas Pina are suspended after five Alaves players were booked last time out. They’ve gone 6 matches without a clean sheet heading into this and they’ve been a lot more vulnerable away than at home all season, letting in 1.56 goals per game on their travels compared to less than 1 per game at home.With the pressure now off, Espanyol can afford to take a few more risks and really take the game to Alaves here. With recent signing Wu Lei alongside Borja Iglesias, they now have a more dangerous strike-force. They’ve scored twice or more in 4 of their last 8 home games and will feel as though they can breakdown a weakened Alaves defence at least a couple of times here.Huesca vs BarcelonaEstadio El Alcoraz, HuescaSaturday, 13-04-2019 @5:15pmThe basement boys host the league leaders here as Huesca take on Barcelona this Saturday in La Liga. The Catalans are now on the brink of winning another Spanish title, while Huesca’s first ever top flight season now looks destined to end in relegation. However, with the visitors expected to rotate heavily, this could be a closer game than many are expecting.Barcelona have had an excellent week. They effectively clinched the Spanish title with a 2-0 win over Atletico Madrid last weekend as Luis Suarez and Leo Messi netted late goals to open up an 11 point advantage at the top. Barca backed that up with a 1-0 victory at Old Trafford and will have a firm eye on the 2nd Leg of that Champions League Quarter-Final which takes place just three days after this game.Huesca meanwhile will give it all they’ve got and it should be a lot closer than the 8-2 defeat they suffered at Camp Nou earlier this season. They have reverted back to more of a gung-ho approach in recent weeks but wins have eluded them. Their last two have ended in 2-2 and 3-3 draws against fellow relegation rivals to leave them 6 points from safety heading into this weekend.Even though it’s Barcelona, they really still have to try and chase a shock win here and that should open this game up. Huesca are better than the league table suggests. They’ve actually scored more goals than 7 teams in this division, including 6th placed Valencia. They play some genuinely good football at times and they’ve only failed to net in 1 of their last 10 matches.Their chances here are aided by the suspension of Gerard Pique. That should see Samuel Umtiti come in but he looked desperately short of match fitness in the 4-4 draw at Villarreal the week before last. Barcelona could certainly be vulnerable but even without the suspended Luis Suarez and quite possibly Leo Messi, who is carrying a knock, they should have enough quality to create chances against this Huesca defence.Atletico Madrid vs Celta VigoEstadio Wanda Metropolitano, MadridSaturday, 13-04-2019 @7:30pmRelegation-threatened Celta Vigo travel to play Atletico Madrid this Saturday in La Liga. They do so on the back of their best week of the season which has seen them jump out of the drop-zone. However they won’t be expecting a great deal here, despite being up against an Atleti side that has very little left to play for.The main motivation now for Diego Simeone’s side will be trying to finish as the top team in Madrid for the second season running. That’s still a decent achievement for a club that has spent so much of their history playing second fiddle to Real in the Spanish capital. However there will be a real sense of disappointment that they are now a huge 11 points behind Barcelona and with no realistic chance of winning the title after a late defeat at Camp Nou last weekend.Celta meanwhile come into this one having taken 7 points from their last 3 games in pretty dramatic fashion. They scored 3 goals in each of those games, coming from behind to win twice and squandering a 2-0 lead to draw the other. Unquestionably the return to fitness of Iago Aspas was the main reason for their improvement. Aspas scored 5 times in hose 3 matches having not been fit enough to start in 2019 prior to that.Crucially though, Aspas is suspended here. Cynics might suggest he deliberately took off his shirt last weekend when celebrating his second goal to spark a one-match ban that occurs here in a game that won’t be pivotal in determining Celta’s chances of survival. The Galicians have only taken 4 points from their 11 games without Aspas this season and that’s unlikely to improve here.Atleti are also missing three men to suspension, including Diego Costa who was sent off for something he said to the referee last weekend early on at Camp Nou. However, they have the squad to cope and with no more cup commitments, there’s no reason to really expect them to run into trouble here.Sevilla vs Real BetisEstadio Ramon Sanchez Pizjuan, SevilleSaturday, 13-04-2019 @9:45pmThe feistiest city derby in Spanish football takes place this Saturday as Real Betis make the short trip to take on neighbours Sevilla. Not only will local pride be on the line, it’s also a really big game in the race for European football. 5th placed Sevilla are currently 6 points better off than their 9th placed rivals but both sides will be targeting at the very least Europa League qualification.Any more than that is probably out of Betis’ grasp now. They’ve struggled with the volume of games in 2019, having advanced to the Copa del Rey Semi-Finals and featured in Europe. With just 2 wins in 12 matches, their season was in danger of badly petering out but they picked up a key victory last weekend, beating Villarreal 2-1, with Santi Cazorla missing a late penalty for the Yellow Submarine.That could prove really significant for Betis this season and it at least sends them into this fixture with a bit of momentum. Sevilla though have also turned a corner with 3 wins from 4 games since they appointed Joaquín Caparrós in a caretaker role for the second season running. He guided Sevilla to a 2-2 draw at Betis late last term to help secure European football and his passion for this club will ensure he drills the importance of this game into the players.Betis though have taken 7 points from 3 Seville derbies under Quique Setien, famously winning this fixture 5-3 last term. That result will ensure they make the short trip with belief and they rarely veer from a naturally pretty attack-minded game-plan. All of their last 4 matches have seen both teams score and they are perhaps a top quality striker away from being a genuinely very good side.Sevilla have made improvements in that department this term. Wissam Ben Yedder has really stepped up and cemented his status as the Andalusian side’s main man in the final third. He has already got 14 goals in all competitions in 2019 alone and has 16 for the season in La Liga. Backing Ben Yedder to score anytime could be worth a punt here.Real Valladolid vs GetafeEstadio Municipal Jose Zorrilla, ValladolidSunday, 14-04-2019 @1pmThe early game this Sunday is a significant one for matters at both ends of the table in La Liga. Getafe head into the weekend in 4th place and still on track for a surprise Champions League qualification although still with plenty of work to do to secure it. Real Valladolid meanwhile are now looking very nervously over their shoulder with the relegation battle likely to go right to the wire.They suffered a 2-0 defeat at home to another of the Champions League contenders last weekend as Sevilla won at the Jose Zorrilla. Both goals came in the closing minutes and a similar thing happened in their previous game, a last gasp defeat at Leganes. They are now only outside of the drop-zone courtesy of a superior head-to-head record in their meetings with Villarreal but an immediate return to the Segunda Division is starting to look quite likely.Getafe meanwhile are dreaming of Europe and they should get there one way or another now. They responded well to a 3 game winless streak by beating Athletic Bilbao 1-0 last time out with Angel netting a fine winner. They have a crunch game with 5th placed Sevilla next time out and they’ll be determined to head into it on a positive note.Overall, the visitors look much the more likely victors here. They’ve been excellent travellers this season, losing just twice on the road in La Liga. You have to go back over a year for the last time they lost away in the league to a team other than Atletico Madrid or Real Madrid and overall they have a lot more quality than Valladolid.The hosts are perhaps fortunate to not be in the drop-zone as at times even Huesca and Rayo Vallecano show far more than they do going forward. Valladolid have only managed 0.77 goals per game this term and that record is almost identical at home and away. They’ve scored 7 fewer goals than the next lowest scorers and you wonder how they are going to break down the side with the division’s 3rd meanest defence.As a result, backing Getafe Draw No Bet looks good here, a smart move when you consider that while Getafe don’t lose many away, they do draw plenty with 10 away draws already this term in La Liga.Athletic Bilbao vs Real VallecanoStadio San Mames Barria, BilbaoSunday, 14-04-2019 @3pmThere are several key games this weekend in La Liga between teams chasing Europe and teams battling the drop. This is certainly one of them as 8th placed Athletic Club host 19th placed Rayo Vallecano. It is though only Rayo who come into this Sunday’s game on the back of a victory and they will be out to cause a shock here as they look to mount a dramatic escape.Paco Jemez is back in charge of the Vallecas club and he is the sort of character who could potentially inspire something like that to happen. Rayo had only taken 1 point from 9 games prior to last weekend’s surprise win over Valencia but they are now only 3 points off safety heading into this weekend, with a host of their relegation rivals still to play.Athletic meanwhile suffered a setback in their seemingly relentless charge up the table last weekend. A 1-0 defeat at Getafe has perhaps ended talk that they could even have ended up sneaking that 4th spot, having looking in real danger earlier in the season. Europa League qualification does though look like a realistic target with the Basques impressing under Gaizka Garitano.Overall, it’s hard to look past the home team here. Athletic are yet to lose at home in La Liga under Garitano and are unbeaten in 11 games in La Liga at San Mames overall. They’ve won 5 of their last 7 in front of their own fans and have played with a real belief since the change in coach.Rayo meanwhile have lost all of their last 5 away games. No side has picked up fewer points on their travels this season in the Spanish top flight, so on the surface this is still a bit of a mismatch. Defensively Rayo aren’t really operating at the level required to compete in this division and Athletic look capable of making them pay here so backing a Home Win could be the way to go.Real Sociedad vs EibarEstadio Municipal de Anoeta, San SebastianSunday, 14-04-2019 @5:15pmThis is a weekend of derbies in La Liga. This may not be the biggest of them but it is a pretty significant game as two sides from the same part of the Basque Country go head to head this Sunday. Real Sociedad and Eibar are both looking comfortable in mid-table but it will take something special if either of them are going to make Europe now.Sociedad have been struggling with some selection problems of late and the last thing they needed was star striker Willian Jose getting sent off in Vigo last weekend. His dismissal helped spark a comeback victory for Celta and La Real have now won just 1 of their last 7 games. They will be without Willian Jose here as a result which could mean a start for Sandro Ramirez up top. That’s not exactly good news for Sociedad fans given the striker hasn’t scored since the 2016/17 season for Malaga. He has now played for three different clubs without netting since.Eibar meanwhile come into this following a 2-1 defeat to Real Madrid last time out at the Bernabeu. They are just one point shy of 40 though and with seven games to play, it has been another impressive season from the Basque minnows, who continue to punch well above their weight at this level.There is plenty of reason to think they can get something from this game. Eibar do draw a lot of games but they have become really tough to beat. Indeed it’s just 4 losses in 17 league games for them now. 2 of those defeats came at Camp Nou and the Bernabeu with another away to in-form Athletic Bilbao. In games against teams on their level or below, they’ve very rarely slipped up which certainly suggests they could get something here.The suspension of Willian Jose is a big blow for Sociedad and they still have quite a few other notable absentees. They are also a side with a pretty poor home record this term. They average just 1.33 points per game in front of their own fans with just a 33% home win percentage. Only six teams have picked up fewer home points.Girona vs VillarealEstadio Municipal de Montilivi, GironaSunday, 14-04-2019 @7:30pmThis is one of the biggest games this weekend in La Liga. Villarreal head into Sunday’s clash in 18th, four points below Girona. Victory for the Yellow Submarine would really suck the Catalans into the thick of the relegation scrap. However Girona would feel virtually safe if they manage to secure maximum points.Villarreal opted to field a very strong team in the Europa League on Thursday despite survival being their main goal. The plan backfired as they lost 3-1 at home to Valencia to leave them with a mountain to climb at the Mestalla in four days time. They conceded twice in the 90th minute or later in that match having done likewise against Barcelona in La Liga a couple of weeks back. Conceding late goals is becoming a real problem for them and is a major reason why them remain in the drop-zone and not out of it.Girona haven’t been much better in that regard though. A freak own goal from their keeper in the 89th minute saw them lose at home to Espanyol last weekend. Their next 3 games are all against relegation strugglers so they will have chances to move clear of danger but the Girona camp will certainly be getting a bit jittery now with only 7 games to play and work to do if they want to playing top flight football next term.Their dreadful home record is the main reason why they are in trouble. Girona haven’t won at home in La Liga since way back in October. They’ve lost 6 of their last 7 at Montilivi in all competitions and playing at home has become a real problem for them. With just 2 wins from 21 home league games, it’s hard to see any reason to fancy Girona to win this one.Villarreal have defensive problems but they are the better footballing team and they’ve started looking much more threatening going forward. They scored four unanswered goals either side of Half-Time against Barcelona recently and have scored in all of their last 9. They can take some confidence from having won 3 of their last 6 competitive away games and overall backing Villarreal Draw No Bet could be worth considering here.Valencia vs Levante Estádio Mestalla, ValenciaSunday, 14-04-2019 @7:30pmThe final game on Sunday in La Liga is the Valencia derby at the Mestalla. It’s a fixture that invariably favours the home team with Valencia often struggling on trips across the city to play Levante. However at the Mestalla it is a very different matter and Levante have never ever won a derby clash away to their city rivals.Their chances of them breaking that duck appear pretty slim here. Valencia suffered a setback in La Liga last weekend losing 2-0 at Rayo, but overall they are in exceptionally good form. They bounced back well on Thursday night winning 3-1 away to another of their local rivals Villarreal in the Europa League. They will probably be able to afford to make changes in the 2nd Leg of that tie now and that’s bad news for Levante you’d imagine.The visitors have now gone 7 games without winning a league match. That sequence has seem them slide dangerously towards trouble. They head into the weekend with a 3 point advantage on the bottom three but that may be significantly less by the time this one kicks off depending on other results.Overall, it’s hard to see any outcome other than a home win here. Valencia are one of the form teams in Spain with just 1 defeat in 19 matches in all competitions. They are starting to play much more like the side that eased into 4th place last term with the likes of Goncalo Guedes back to form and fitness and providing a much greater all-round threat.Levante meanwhile have been struggling results for many months now. They were in the top six during the opening couple of months of the season but their flaws have been exposed since the turn of the year. They will carry some threat on the break so Valencia will have to be careful not to over commit, but the hosts should be the dominant force in this match.Leganes vs Real MadridEstádio Municipal de Bartaque, LeganesMonday, 15-04-2019 @10pmLeganes and Real Madrid meet for the eighth time since the start of last season this Monday. Los Blancos make the short trip to Butarque with a victory in mind as they hope to edge out Atletico for 2nd place in La Liga. It won’t be easy though against a Lega side that is having an excellent season and is tough to beat at home.Leganes will be hoping to upset their illustrious neighbours again here. They knocked them out of the Copa del Rey last term and won the 2nd Leg of this season’s cup meeting at Butarque. They’ve also beaten Barcelona at home this season and held Atletico, so they’ve got nothing to fear here, not least having taken 7 points from their last 3 league outings.Real Madrid meanwhile you sense are just keen to get this season over with. They are all but guaranteed Champions League qualification now but aren’t going to catch Barcelona. If motivation was going to be a problem, Zinedine Zidane hasn’t really helped matters by saying that performances over the remaining games won’t necessarily have a bearing on the futures of players with a big summer overhaul perhaps in the pipeline.The return of Zidane hasn’t really produced a significant increase in the level of performances and it’s hard to really fancy them to leave Butarque with all the points. Real Madrid’s last 3 games have seen them need late goals to beat Eibar and Huesca at home, either side of a defeat at Valencia. 6 points was probably more than their performances merited in those matches and they could be vulnerable again here.Leganes have been exceptionally strong at home. They’ve suffered just 1 defeat in 13 home league games heading into this match. Only 3 teams can better their record of just 2 home league defeats overall this term. Their direct style has caused Real problems in the past and you have to wonder whether this laboured Real Madrid side is going to be up for the derby battle they are sure to get here.BET ON ALL THESE GAMES AND MANY MORE @Bunga Bet Comments Tags: Spanish La Ligatop
Previous Article Next Article Injury timeOn 1 Apr 2001 in Personnel Today Comments are closed. Overuse injuries are the major cause of days lost during military trainingbut they are not always easy to spot. Advice on diagnosis, treatment andprevention is given, by Susan GregoryIntroduction Bassingbourn Barracks is an initial training regiment for the Army. Thereare approximately 1,500 recruits undertaking their Phase 1 basic training atany one time. Overuse injuries, particularly in the lower limbs, are the majorcause of days lost during military training and one of the most common of theseinjuries is stress fracture1. Background Initial training is for 11 weeks and many recruits find the discipline andarduous exercise regimes hard to settle into and decide to leave. Recruits who are injured during the course of their training at Bassingbournare transferred into the rehabilitation platoon. Running, according to Bruknerand colleagues2, is the major cause of tibial stress fractures. Although stressfractures can occur at any time they are most commonly seen in week five. Definition Stress fractures are the result of repetitive abnormal or excessive loadingof bone. The fractures can be partial or complete resulting from repeatedstress that is lower than that required to fracture the bone in a single load3.Bone is a living tissue and has the ability to remodel and adapt to thephysical stresses imposed upon it. Increases in bone mass appear to beinfluenced by the type of exercise training performed. This stress reaction can be graded from normal remodelling (grade 0) tostress fracture (grade 4), with mild, moderate and severe stress reaction inbetween. Risk factors Risk factors for any injury may be classified as extrinsic or intrinsic.Injuries occur as a result of the sum of various extrinsic or intrinsic factorsat any given point in time. In military studies female recruits have a higher risk of stress fracturesthan male recruits with similar training volumes. Schaffer and colleagues’recent study4 revealed that 21.6 per cent of high-risk individuals experiencedmore than three times as many stress fractures as low-risk individuals. Thissuggests that the risk of stress fractures is increased by poor physicalfitness and low levels of physical activity prior to entry into training. Specific aspects of the training regime can influence stress fracturedevelopment and military studies have shown that modifying the training candecrease their incidence. These interventions include rest periods, eliminationof running and marching on concrete, and a reduction of high- impact activity.These may reduce stress fractures by allowing time for bone microdamage to berepaired and by decreasing the load applied to bone. Athletic footwear, insoles and orthotics aim to attenuate the shock ofground contact and to control motion of the foot and ankle. Surprisingly, a newform of infantry boot produced the lowest strains compared to various sportsshoes, despite the relatively higher weight and sole durometry of the boot6. Signs and symptoms – Local redness and/or swelling. – Local bony tenderness. – Antalgic gait. – History of a gradual onset of pain first noted during/after strenuousexercise. – Pain gradually progressing during non-sports activities, or at rest,leading to reduced activity. – Typically, a recent change in the training regime either with increasedactivity or mileage. – A focal, isolated site of pain. – Pain that is mild at rest but is exacerbated on the first loading of thelimb. – Sliding a vibrating tuning fork along the skin will severely exacerbatethe pain in a localised area at the site of a stress fracture. Nursing model Within the medical centre at Bassingbourn there are no set models in use toassess and plan care. Each nurse develops his or her own method of assessmentand examination within a general framework of guidelines and protocols. Case study The client is referred to as Barry, not his real name, in order to ensuremedical confidentiality. Barry is 17 years of age. He completed eight weeks of basictraining and presented to the medical centre with left shin pain. Inspection of both lower limbs including the knee, ankle and lumbar spine,will indicate any focus of deformity, swelling or redness. Red streaks above anarea of swelling with associated warmth point to infection. Inspection of thefoot for any areas of broken skin may identify a source of contamination. Stress fractures can be so localised that a point of maximal tenderness can becovered with a single finger. Multiple stress fractures are possible in thesame limb. Left shin pain Barry admitted during questioning that he had been suffering from shin painfor six weeks. He did not want to miss any of his training and decided to tryand cope with the problem. The pain however has worsened, with Barryexperiencing pain on initial weight bearing at the start of the day. On examination of both of Barry’s legs he was found to be tender over theleft tibia. There was no obvious sign of injury or trauma. In view of thelength of time Barry had been experiencing pain, and because of its worseningnature, it was important not to delay treatment further. Barry was excusedboots, issued with crutches to ensure no further weight bearing on the leftleg, and referred to the Senior Medical Officer. Barry was given a full examination by the SMO who gave a provisionaldiagnosis of left tibia stress fracture. He was referred to physiotherapy andto the sports medicine department at Addenbrookes Hospital for a bone scan andadvice regarding his future management. Barry was transferred to Aisne Platoon (rehabilitation). Due to Barrysuffering pain and having difficulty in mobilising the SMO admitted him to theward at the medical centre for rest and observation. Health care pathway A health care pathway demonstrates the multi-professional approach taken inBarry’s care and treatment indicating at what stage in the process outsideagencies were involved. These agencies were: – Physiotherapy – Bone Scan – Army welfare – Family doctor – Rehabilitation Interdisciplinary teamwork involves all team members at formal team meetingsand is explicitly patient centred, focused on what the patient needs ratherthan what the individual therapist can do. For these meetings to be successfuleach member of the team has to have an understanding of the techniques used byothers, accepting some overlapping of roles. Physiotherapy Early treatment has been demonstrated by research3 to be a key factor inreturning to full fitness. Physiotherapy is available to military personnel onsite daily. A pneumatic leg brace was applied to Barry’s lower left leg.Swenson and colleagues7 highlight the use of an “Aircast” brace inreducing the amount of time taken to return to full training. Barry wasinstructed to carry on using crutches. Ice therapy and short wave pulsedtreatment was given on six occasions. Progress of a stress fracture is monitored clinically. Patients can resumeactivities when healing is evident, that is, when they are pain free duringactivities of daily living and there is no local tenderness. Return to activityis gradual. Bone scan Barry’s bone scan confirmed a “grossly abnormal” increased traceruptake in the posteromedial aspect of the left tibia at the junction of theproximal with the distal. The appearance was consistent with a high gradestress fracture. Two weeks sick leave was agreed and Barry’s family doctor wasinformed of the diagnosis, treatment and medication to date. Rehabilitation On return from sick leave Barry was seen by the SMO. Now relatively painfree he was discharged from the ward and transferred back into Aisne Platoon tocommence his rehabilitation. Phase 1 Barry was allowed to perform normal activities of daily living. Aerobicfitness was maintained by cycling. As Barry was pain free at rest, activerehabilitation was undertaken in the form of a gradual return to weight bearingexercise, from walking through to jogging in trainers. Once Barry was able tojog pain free in trainers, without carrying any weight, he was able to passinto Phase 2. Phase 2 Physical fitness in Phase 2 rehabilitation is of utmost importance. Herejogging increased to running at normal pace, with physical training exercisesand marching. If at any time Barry had experienced pain he would have beenreturned to Phase 1 training, as stress fractures can recur. Barry’s progress throughout rehabilitation was closely monitored by thephysical fitness team, physiotherapists and the medical team. Barry reportedweekly to the occupational health nurse with progress reports. With full agreement of the rehabilitation team Barry was considered fit,allowing him to return to full training. Barry passed his test with no pain. OH nurses are in a unique position to understand clients’ illness/disabilitybecause of their familiarity of the workplace setting and training schedules. Conclusions Stress fractures represent a significant cause of sickness absence during militaryrecruits’ basic training. The financial implications of lost training days,medical discharges and potential litigation is considerable. All staff need to be aware of the implications of delayed treatment whenassessing recruits presenting with limb pain or injury. Careful questioning andhistory taking in an initial assessment is of great importance as some recruitsmay be unwilling to admit to having pain. This is usually borne out of a fearof being taken out of training. Health promotion and education can raise awareness of the importance ofseeking advice early. Awareness of any possible contributing factors along withrecognition of the signs and symptoms of chronic injuries such as stressfractures may reduce the incidence. Recommendations It is suggested that the following research-based recommendations regardingthe prevention and treatment of stress fractures should be implemented. – Potential recruits should be made more aware of the physical demands ofbasic training at pre-selection interviews and at recruitment centres. – Prior to enlistment, candidates should be given a training schedule tofollow to improve their physical fitness and activity level. – Recruits should perform alternative aerobic exercise with low impactloading for one week after week 2 or 3 of their basic training5. – Alternative exercise such as swimming or cycling should be added into theweekly training schedule instead of running5. – The training programme needs to be reviewed if there is an increased incidenceof stress fractures in any one part of the schedule. – Nursing staff need to be aware of the signs and symptoms of stressfractures and the importance of early diagnosis and treatment by continualeducation. – Health education needs to be increased to the recruits when they arestarting basic training to alert them to seek advice early with regard to painor difficulties with the training programme. References 1. Hoffman J, Chapnik L, Shamis A. (1999a) The effect of leg strength on theincidence of lower extremity overuse injuries during military training.Military Medicine; 164(2): 153-6. 2. Brukner P, Bradshaw C, Bennell K. (1998a) Managing common stressfractures, let risk level guide treatment. The Physician and Sports Medicine;26(8): 40. 3. Brukner P, Bradshaw C, Bennell K. (1998b) Managing common stressfractures, let risk level guide treatment. The Physician and Sports Medicine;26(8): 39-47. 4. Schaffer RA, Brodine SK, Almeida SA et al. (1999) Use of simple measuresof physical activity to predict stress fractures in young men undergoing arigorous physical training program. American Journal Epidemiology; 149: 236-42.5. Bennell K, Matheson G, Meeuwisse W, Brukner P. (1999) Risk factors forstress fractures. Sports Medicine; 28(2): 91-122. 6. Milogram C, Burr D, Fyhrie D, et al. (1996) The effect of shoe gear onhuman tibial strains recorded during dynamic loading: a pilot study. Foot andAnkle 17: 667-71. 7. Swenson EJ, DeHaven KE, Sebastianelli WJ, et al. (1997) The effect of apneumatic leg brace on return to play in athletes with tibial stress fractures.American Journal of Sport Medicine; 25: 322. The author is one of nine nurses working in the medical centre atBassingbourn Barracks which is an initial training regiment for the Army. Related posts:No related photos.