Physical fitness of paramedic students during vocational training - a follow-up study
DOI: http://dx.doi.org/10.32378/ijp.v3i1.49
Abstract
Introduction: Paramedics’ work includes periods of physically light activity, but also involves short periods of relatively intense physical activity. Even during their studies paramedic students’ days involve a lot of sitting, i.e. physically sedentary behaviour. We initiated a programme to motivate paramedic students to be physically active during their studies. In this study we report physical fitness among paramedic students who for one year participated in brief physical activity counselling consisting of both verbal and a written individually tailored exercise program
Methods: A total of 40 paramedic students (26 female, 14 male) had participated voluntarily in a physical activity programme alongside their studies. Subjects’ maximal oxygen consumption and muscle strength were measured at baseline and at one-year follow-up. According to the results of the baseline tests all students were given an individual exercise programme, which included aerobic and muscle strength training.
Results: Sixty-five percent (26/40) of the students participated in the follow-up examinations. At baseline male students had higher mean maximal oxygen consumption (VO2Max) and, as expected, greater absolute muscle strength than their female counterparts (all p-values <0.05). During the follow-up females had improved their VO2Max on average by 2.4 ml/kg/min. Furthermore, females on average improved the number of squats by 4.2 [95% Confidence Interval (CI) 0.01 to 8.33] repetitions, and males improved the number of push-ups (mean improvement 4.8, 95% CI 1.93 to 7.57), and left arm grip strength (mean improvement 4.0 kg, 95% CI 1.39 to 6.53).
Conclusions: It seems to be possible to maintain, and even slightly improve paramedic students’ physical fitness with a self-directed, guided, home exercise programme. This approach could enhance prospective paramedics’ willingness to develop the necessary physical qualities long-term throughout their clinical careers.
Keywords
References
Sterud T, Ekeberg, Ø, Hem, E. Health status in the ambulance services: a systematic review. BMC Health Services Research. 2006;6: 82.
Maguire B, Hunting K, Guidotti T, Smith G. Occupational injuries among emergency medical services personnel. Prehosp Emerg Care. 2005; 9: 405-11.
Reichard A, Jackson L. Occupational injuries among emergency responders. Am J Ind Med 2010; 53 (1): 1-11.
Thornton K, Sayers M. Unfit for duty? Evaluation of 4 years of paramedic preemployment fitness screening test results. Prehospital Emergency Care 2014; 18 (2): 201-206.
Aasa U, Barnekow-Bergkvist M, Änquist K-A, Brulin C. Relationship between work-related factors and disorders in the neck-shoulder and low-back region among female and male ambulance personnel. J Occup Health. 2005; 47: 481-9.
Gamble R, Stevens A, McBrien H, Black A, Cran G, Boreham C. Physical fitness and occupational demands of the Belfast ambulance service. Br J Ind Med. 1991; 48: 592-6.
Pattani S, Constantinovici N, Williams S. Who retires early from the NHS because of ill health and what does it cost? A national cross sectional study. BMJ. 2001; 322: 208-9.
Crill M, Hostler D. Back strength and flexibility of EMS providers in practicing prehospital providers. Journal of Occupational Rehabilitation. 2005; 15(2): 105-111.
Laska M, Pasch K, Lust K, Story M., Ehlinger, E. The Differential Prevalence of Obesity and Related Behaviors in Two vs. Four-Year Colleges. Obesity 2011; 19 (2): 453-6.
Schluter P, Turner C, HuntingtonA, Bain C, McClure R. Work/life balance and health: the nurses and midwives e-cohort study. International Nursing Review 2011; 58: 28-36.
Chapman D, Peiffer J, Abbiss C, Laursen P. A descriptive profile of Western Australian male paramedics. Journal of Emergency Primary Health Care 2007; 5 (1).
WHO. Global recommendations on physical activity for health. World Health Organization 2010. ISBN 978 92 4 159 997 9.
The American College of Sports Medicine (ACSM) exercise testing. ACSM' s Guidelines for Exercise Testing and Prescription, 8th Edition. American College of Sports Medicine. Philadelphia: Lippincott Williams & Wilkins. 2009. pp.
http://www.ukkinstituutti.fi/filebank/500-ALPHAFIT Testers Manual.pdf. Accessed 31.5.2017.
Salmi Jukka. Body Composition Assessment with segmental multifrequency bioimpedance method. Journal of Sports Science & Medicine 2003; 2. Supplementum 3.
Aandstad A, Holtberget K, Hageberg, R, Holme I, Anderssen Sigmund. Validity and Reliability of Bioelectrical Impedance Analysis and Skinfold Thickness in Predicting Body Fat in Military Personnel. Military Medicine 2014; 179 (2): p. 208-217.
Lange Andersen K, Shephard R, Denolin H, Varnauskas E, Masironi R. 1971. Fundamentals of exercise testing. Geneva: WHO.
Jackson Andrew, Blai Steven, Mahar Matthew, Wier Larry, Ross Robert, Stuteville Joseph. Prediction of functional aerobic capacity without exercise testing. Med. Sci. Sports Exerc. 1990. 22; (6): pp. 863-870.
Mackenzie B. 101 Performance Evaluation Tests. Jonathan Pye. Electric World plc. London; 2005. p. 111-2.
Fess E. Grip Strength. Clinical Assessment Recommendations. In: Casanova J. (Ed.) Grip Strength. American Society of Hand Therapists. Chicago. 1992. pp.41-5.
Jenkins N, Smith G, Stewart S, Kamphuis C. Pre-employment physical capacity testing as a predictor for musculoskeletal injuries in paramedics: a review of the literature. Work. 2016; 55: 565-75.
Schaafsma F, Mahmud N, Reneman N, Fassier J, Jungbauer F. Pre-employment examinations for preventing injury, disease and sick-leave in workers. Cochrane Database of Systematic Reviews 2016; (1) Art. No.:CD008881. DOI.10.1002/14651858.CD00888.1.pub2.
Videman T, Ojajärvi A, Riihimäki H, Troup J. Low back pain among nurses. A follow-up beginning at entry to the nursing school. Spine. 2005; 30 (20): 2334-2341.
Lallukka T, Viikari-Juntura E, Viikari J, Kähönen M, Lehtimäki T, Raitakari OT, Solovieva S. Early work-related physical exposures and low back pain in midlife: the Cardiocascular Risk in Young Finns Study. Occup Environ Med. 2017 (74): 163-168.
Aasa A, Angquist K, Barnekow-Bergkvist M. The effects of a 1-year physical exercise programme on development of fatigue during a simulated ambulance work task. Ergonomics 2008; 51(8): 1179-1194.
DOI: http://dx.doi.org/10.32378/ijp.v3i1.49
Refbacks
- There are currently no refbacks.
Copyright (c) 2018 Heikki Paakkonen, Joachim Ring, Jyrki Kettunen

This work is licensed under a Creative Commons Attribution 4.0 International License.
IJP is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) licence. Article copyright remains with individual authors. Authors grant unrestricted copyright license to the IJP. Readers may copy, distribute, build upon, reproduce, and display the work with the proper citation of the original work in this publication.
DPLA Rights statement:http://rightsstatements.org/page/InC-NC/1.0/?language=en. The IJP supports the National Principles for Open Access Policy Statement.