Epidemiological attribution of knee and ankle injuries in firefighters: risk model construction

Epidemiological attribution of knee and ankle injuries in firefighters: risk model construction | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Article Epidemiological attribution of knee and ankle injuries in firefighters: risk model construction Huiyu Wang, Guoqing Zhu This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7248243/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 29 Oct, 2025 Read the published version in Scientific Reports → Version 1 posted 10 You are reading this latest preprint version Abstract This study aimed to evaluate the main factors of knee and ankle injuries among Chinese firefighters, focusing on the role of training arrangements, training conditions, and knowledge of training injuries. A questionnaire survey was conducted among 963 firefighters to collect data on training content, duration, load, protective equipment, rehabilitation measures and fatigue after training. Multiple regression analysis was used to explore the relationship between each factor and knee and ankle injuries. This study shows that training load parameters, personal protective equipment, rehabilitation measures and fatigue or discomfort factors after training play a significant role in the occurrence of knee and ankle injuries. Based on this, a two-stage theory and a three-level intervention model of "training load monitoring-dynamic protection adaption-precision rehabilitation intervention" for firefighter knee and ankle joint injury were proposed. Health sciences/Health care Health sciences/Health occupations Health sciences/Medical research Health sciences/Risk factors fireman Knee joint Ankle joint Training impairment Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 29 Oct, 2025 Read the published version in Scientific Reports → Version 1 posted Editorial decision: Revision requested 05 Sep, 2025 Reviews received at journal 04 Sep, 2025 Reviews received at journal 24 Aug, 2025 Reviewers agreed at journal 24 Aug, 2025 Reviewers agreed at journal 21 Aug, 2025 Reviewers invited by journal 21 Aug, 2025 Editor assigned by journal 21 Aug, 2025 Editor invited by journal 12 Aug, 2025 Submission checks completed at journal 07 Aug, 2025 First submitted to journal 07 Aug, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7248243","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":504737517,"identity":"853cbf10-5d17-4050-8429-351eb0a69f06","order_by":0,"name":"Huiyu Wang","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAyUlEQVRIiWNgGAWjYBACeYbDBx98MLCR42dmPkCcFsPGY8mGMyrSjCXb2RKItObwGTNpnjOHEw36eQyI08HYBtTC23Y4wYCZ5+ONNwx2croNBLSw8xwrtpzblp5nzsy72XIOQ7Kx2QFCtsw4vPHG2zbrYstm3m3SPAwHErcR0sJw/4GBBG8bc+KGwzzPiNRy4IiRJM8ZZ5AWNuK0GDbAArmZzdhyjgERfkFEJf/hhzfeVNjJEdSCAiSIjRpkLaTqGAWjYBSMghEBAOLLRmX8en/qAAAAAElFTkSuQmCC","orcid":"","institution":"China University of Mining and Technology","correspondingAuthor":true,"prefix":"","firstName":"Huiyu","middleName":"","lastName":"Wang","suffix":""},{"id":504737518,"identity":"44418515-34d6-44e7-a972-5a727f6b8635","order_by":1,"name":"Guoqing Zhu","email":"","orcid":"","institution":"China University of Mining and Technology","correspondingAuthor":false,"prefix":"","firstName":"Guoqing","middleName":"","lastName":"Zhu","suffix":""}],"badges":[],"createdAt":"2025-07-30 04:08:22","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-7248243/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-7248243/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1038/s41598-025-20026-5","type":"published","date":"2025-10-29T15:57:51+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":95040427,"identity":"17655649-e120-4171-8d58-311e01aed05b","added_by":"auto","created_at":"2025-11-03 16:08:35","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":538798,"visible":true,"origin":"","legend":"","description":"","filename":"EpidemiologicalAttributionofKneeandAnkleInjuriesamongFirefightersConstructionofaRiskModel.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7248243/v1_covered_914aca68-b311-496d-b6e3-3b87b3c3d8d0.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Epidemiological attribution of knee and ankle injuries in firefighters: risk model construction","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"fireman, Knee joint, Ankle joint, Training impairment","lastPublishedDoi":"10.21203/rs.3.rs-7248243/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7248243/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eThis study aimed to evaluate the main factors of knee and ankle injuries among Chinese firefighters, focusing on the role of training arrangements, training conditions, and knowledge of training injuries. A questionnaire survey was conducted among 963 firefighters to collect data on training content, duration, load, protective equipment, rehabilitation measures and fatigue after training. Multiple regression analysis was used to explore the relationship between each factor and knee and ankle injuries. This study shows that training load parameters, personal protective equipment, rehabilitation measures and fatigue or discomfort factors after training play a significant role in the occurrence of knee and ankle injuries. Based on this, a two-stage theory and a three-level intervention model of \"training load monitoring-dynamic protection adaption-precision rehabilitation intervention\" for firefighter knee and ankle joint injury were proposed.\u003c/p\u003e","manuscriptTitle":"Epidemiological attribution of knee and ankle injuries in firefighters: risk model construction","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-08-29 04:18:32","doi":"10.21203/rs.3.rs-7248243/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-09-05T08:22:21+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-09-04T12:15:42+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-08-24T06:54:05+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"222132529091317017503261553827024340052","date":"2025-08-24T06:43:03+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"158503999112320452923665498324520229562","date":"2025-08-21T18:46:39+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-08-21T14:21:08+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-08-21T14:20:23+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-08-12T13:38:40+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-08-07T04:43:42+00:00","index":"","fulltext":""},{"type":"submitted","content":"Scientific Reports","date":"2025-08-07T04:40:04+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"ae8fba82-e395-4096-ba95-d5ca89394553","owner":[],"postedDate":"August 29th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":53618495,"name":"Health sciences/Health care"},{"id":53618496,"name":"Health sciences/Health occupations"},{"id":53618497,"name":"Health sciences/Medical research"},{"id":53618498,"name":"Health sciences/Risk factors"}],"tags":[],"updatedAt":"2025-11-03T16:04:38+00:00","versionOfRecord":{"articleIdentity":"rs-7248243","link":"https://doi.org/10.1038/s41598-025-20026-5","journal":{"identity":"scientific-reports","isVorOnly":false,"title":"Scientific Reports"},"publishedOn":"2025-10-29 15:57:51","publishedOnDateReadable":"October 29th, 2025"},"versionCreatedAt":"2025-08-29 04:18:32","video":"","vorDoi":"10.1038/s41598-025-20026-5","vorDoiUrl":"https://doi.org/10.1038/s41598-025-20026-5","workflowStages":[]},"version":"v1","identity":"rs-7248243","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7248243","identity":"rs-7248243","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}