The distribution and rates of medical conditions and musculoskeletal injuries suffered during training by U.S. Navy SEAL Special Forces trainees were described in a prospective, descriptive epidemiological study. We studied consecutive classes of candidates undergoing the physically-demanding 25-week Navy Special Warfare indoctrination training during Spring 1991 in Coronado, CA. Healthy males, ages 19 to 31, contributed 482 trainee-months at risk. Combined medical conditions and musculoskeletal injuries occurred at a rate of 61.4 cases per 100 trainee-months at risk. Visits were nearly evenly split between medical conditions (31.7 cases/100 trainee-months) and musculoskeletal injuries (29.7 cases/100 trainee-months). Respiratory complaints accounted for almost half (14. 7 cases/100 trainee-months) of the medical conditions, while overuse injuries (primarily iliotibial band syndrome, patellofemoral syndrome, and stress fracture) accounted for 90% of the musculoskeletal injuries. physical fitness, Injury, Epidemiology, Military, U.S. Navy, SEALS, Overuse injury, Physical training, Respiratory.

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