Needs Analysis For Mountain Search and Rescue.6
Needs Analysis For Mountain Search and Rescue.6
Mountain Search
and Rescue
Michelle Conolly, MSc, CSCS,1 Craig Elder, PhD, ATC, CSCS, CSPS,2 and
Jay Dawes, PhD, CSCS*D, NSCA-CPT*D, FNSCA2
1
University of Colorado, Colorado Springs, CO; and 2Department of Health Sciences, University of Colorado,
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Colorado Springs, CO
ABSTRACT In order to save lives from incidents in overhead capacity, which refers to peo-
the backcountry, Mountain Search ple who work on a mission, but in
INDIVIDUALS BELONGING TO
and Rescue (MSAR) teams consist of a nonfielding capacity such as com-
MOUNTAIN SEARCH AND RESCUE
occupational athletes required to dem- mand positions or radio operations.
TEAMS ARE REQUIRED TO DEM- onstrate proficiencies in diverse wilder- Moderate duties are characterized by
ONSTRATE PROFICIENCY IN ness environments including technical lengthy weight load carriage and mate-
TECHNICAL ROCK RESCUE, WIL- rock and snow/ice. Very few studies rial handling, usually between 11 and
DERNESS SEARCH, AND SNOW/ address the physical demands for moun- 22 kg, where the individual sets the
ICE OPERATIONS TO SAVE LIVES tain rescue (MR) scenarios. Conse- pace. In contrast, arduous duties
FROM INCIDENTS IN THE BACK- quently, to develop a scientific- and require material handling of more than
COUNTRY. IN MOST CASES, A evidence-based training program for 22 kg in poor environmental condi-
HIGH LEVEL OF FITNESS IS MSAR, group data must be extrapolated tions, where the pace of activity is
REQUIRED TO SUCCESSFULLY from other groups of tactical athletes strenuous because of an emergency sit-
PERFORM THESE TASKS. THE with similar job tasks. An occupational uation (38). MR work has several
PURPOSE OF THIS ARTICLE IS TO analysis was conducted (Table) to iden- defining characteristics. Ground evac-
PROVIDE THE READER WITH tify individual fitness measures. Many of uations from mountainous areas are
INFORMATION REGARDING THE these fitness measures possess common- often strenuous and prolonged (6).
ESSENTIAL JOB TASKS, AS WELL alities with other tactical athletes; for These operations require a great deal
AS THE FITNESS AND PERFOR- instance, army dismounted combat of muscular and cardiovascular endur-
MANCE NEEDS FOR THIS GROUP trades, wildland firefighters, and inter- ance. Injured subjects are typically
OF OCCUPATIONAL ATHLETES. agency hotshot crew (IHC) firefighters removed by way of a litter, which is
are comparable because of the occupa- balanced and manipulated on a wheel
tional requirement of sustained weight or on belay with support from other
load carriage in wilderness terrain. In MSAR members (Figure). Litter loads
INTRODUCTION addition to drawing inferences from can exceed 100 kg (1). These tasks
he ultimate goal of any search
T
the literature, personal observations require muscular strength, balance,
and rescue (SAR) operation is related to the specific biomechanics and agility to maneuver and manipu-
the preservation of human life. and physiological demands requisite to late a load while traversing across
The exact structure and organization be successful in a given task are also unstable and uneven terrain. If on belay
of SAR units varies internationally. essential for developing programs to or rappel, the suspended individual
Many ground SAR teams, including enhance occupational performance. must maintain an upright posture in
those in the United States, Canada, a 1/2 to 3/4 squat position while wear-
and England, are composed entirely ing a pack weighing on average 17% of
of volunteers. Although there are sim- PHYSICAL DEMANDS
ilarities between international ground As defined by the National Park KEY WORDS:
SAR teams, each team requires spe- Service (NPS), SAR positions fall into tactical athlete; search and rescue;
cialized training and equipment that a light, moderate, or arduous physical altitude; occupational fitness; occupa-
may be largely dictated by the environ- fitness category (38). The light tional strength and conditioning
ment and geography. category best describes work in an
Copyright Ó National Strength and Conditioning Association Strength and Conditioning Journal | www.nsca-scj.com 35
Needs Analysis for Mountain Search and Rescue
Table
MSAR occupational analysis and individual fitness measures
Traverse unstable and uneven terrain Trunk stability, balance, agility, muscular power Weight load carriage
Navigate obstacles
Litter carry Trunk stability, balance, agility, muscular strength, Weight load carriage
muscular endurance, cardiovascular endurance,
isometric muscular strength Navigate obstacles
Cardiovascular fitness
Material handling
MSAR-specific movement
Scree evacuation Maintain posture, isometric muscular strength, muscular MSAR-specific movement
endurance, trunk stability, balance
High angle litter team Maintain posture, isometric muscular strength, muscular MSAR-specific movement
strength and endurance, trunk stability, balance
Material handling
Tag line—haul team Muscular strength, muscular endurance, trunk stability, Weight load carriage
excellent to superior V̇O2max, high AT threshold
Cardiovascular fitness
MSAR-specific movement
Tag line—brake Muscular strength, muscular endurance, trunk stability, Weight load carriage
excellent to superior V̇O2max, high AT threshold,
agility, dynamic balance Navigate obstacles
Cardiovascular fitness
MSAR-specific movement
Rappel/belay with pack Maintain posture, isometric muscular strength, trunk MSAR-specific movement
stability, balance, agility
Tying and dressing knots Grip strength Grip strength
Providing medical and building systems Muscular strength, muscular endurance, trunk stability, MSAR-specific movement
with/without pack on uneven terrain dynamic balance
Lift 11–22 kg Muscular strength Material handling
Hand carrying equipment (i.e., O2 bottle) Muscular endurance Material handling
The fitness standard for IHC Opera- may be one of the best predictors of to a greater extent than women. On
tions (37) is a minimum of 1 hour of 3.2-km load carriage time at training average, highly active men experienced
fitness training, 5 days per week with loads of 14, 27, and 41 kg. Therefore, a decrease of 20 mL$kg21$min21 in
a focus on stretching, aerobic fitness, attaining and maintaining cardiovascular V̇ O2max in a simulated transition from
and strength building. To be an IHC fitness is essential for MSAR personal. 1499 to 4465 m (30). Many MR tasks
member, you must pass the work Sustainable fitness is a term commonly are considered to be strenuous physical
capacity test to the standard of the found in texts and studies examining work. For example, Narahara et al. (23)
appropriate individual sponsoring wildland fire and refers to the ability discovered that ratings of perceived
agency. The operations manual (37) to perform arduous work for periods exertion were significantly higher when
also recommends IHCs be able to longer than 8 hours. Continuous work performing CPR at altitude. Conse-
complete a 2.4-km run in 10:35 or less, is performed at the first lactate thresh- quently, a higher V̇ O2max may help off-
40 sit-ups in 60 seconds or less, 25 old (LT1), which is approximately 50% set the deleterious effects of altitude in
push-ups in 60 seconds or less, and of V̇ O2max. Training can improve both such situations.
a certain number of chin-ups according V̇ O2max (which will plateau) and the Tactical athletes often perform large
to individual body weight (.77 kg 5 4, amounts of running and are tested in
LT1 (which can continually improve).
61–76 kg 5 5, 49–60 kg 5 6, ,49 kg 5 aerobic capability by a maximum run
Improving LT1 reduces lactic acid
7) (24). of several kilometers. However, recent
accumulation resulting in a greater
As outlined in the Table, many MSAR work rate at the same level of fatigue. research has found that lower volumes
occupational tasks have individual fit- This fitness measure is often used to of continuous running (twice a week)
ness measures in common with other determine work output in physically supplemented with interval training,
tactical trades. These measures directly demanding occupations, such as wild- and movement drills can result in
relate to cardiovascular and sustainable land fire (34). Lankford et al. (17) found similar maximal effort run times as pro-
fitness, weight load carriage, obstacle that an individual’s sustainable fitness grams with twice the running volume.
navigation, material handling, grip level had a significant impact on self- These lower volume programs revealed
strength, and mental resilience. Because selected work rates during 9 days of a lower incidence of lower-body muscu-
the amount of research on MSAR is arduous wildland firefighting where loskeletal injury when compared with
limited at this time, we must draw in- work performed was strongly related continuous running programs (11).
ferences based on similar physically to ventilatory threshold (r 5 0.94). Rudzki also found that a load carriage
demanding occupations. Results from Gaskil et al. (2) reported IHC fire- training plan improved V̇ O2max at a sim-
research conducted on dismounted fighters with greater sustainable fitness, ilar rate as unloaded run training in young
combat trades, wildland firefighters, as measured by ventilatory threshold, male recruits when the load was progres-
IHC firefighters, and recreational back- performed more relative and absolute sively increased from 21.2 to 29 kg and
packers were carefully applied with con- work on a daily basis, and recovered walking speed was increased from 5 to 7.5
sideration of confounders (such as faster after multiple days of wildland km/h (33). This form of training may be
running volume, distance and total fire work. Ruby et al. (32) discovered more task specific and also potentially
amount of load carried, issued footwear, strong correlations between V̇ O2 peak reduce the risk of repetitive injuries.
and 1-sided repetitive movements). and faster load carriage and unloaded
hiking speed in wildland firefighters. WEIGHT LOAD CARRIAGE
CARDIOVASCULAR AND
SUSTAINABLE FITNESS Hendrickson et al. (3) found that Weight load carriage specifically re-
Cardiovascular and sustainable fitness
improved 3.2-km load carriage time quires excellent to superior V̇ O2max,
was correlated (r 5 0.50) with im- muscular strength, muscular endurance,
specifically requires excellent to supe-
provements in V̇ O2peak. and trunk stability (Table), whereas
rior V̇ O2max, a high anaerobic threshold
and cardiovascular endurance. Callender A major consideration for MSAR teams mobility may be negatively impacted
et al. (1) have reported the need for is the reduction in V̇ O2max at high alti- by carrying an external load (26).
MSAR personnel to operate for long tudes because of reduced availability of Pandorf et al. (28) indicated that transit
periods of time at a high cardiovascular oxygen. MSAR members may experi- time for female soldiers carrying a 27-kg
intensity. Typically, a greater V̇ O2max ence rapid environmental changes load resulted in 19% slower times than
is related to improved endurance perfor- when moving from lower to higher al- when carrying a 14-kg load. It has also
mance (1). Moreover, hiking uphill titudes. Once at altitude, these individ- been noted that military personnel
with a pack is classified as extremely uals are often required to perform tend to demonstrate significantly less
heavy physical work based on energy intense physical labor for extended du- postural control while wearing a back-
expenditure (.2.0 L per minute of rations. Thus, acute hypoxia is a major pack that is detrimental for balance (20).
oxygen) by the U.S. Department of concern for MSAR members. Peak V̇ O2 Terrain grade, load weight, and move-
Labor (34). In a study by Pandorf et al. decreases linearly with acute exposure ment speed increase the energy cost of
(28), it was discovered that V̇ O2max to increasing altitude, with men affected weight load marching (12). Furthermore,
duration load carriages may assist in Trunk strengthening should be per- job tasks required for these individuals
developing mental stamina for endur- formed using flexion, extension, and the greater the transfer would be to
ance tasks (2). Mahoney et al. (18) dis- rotational movement patterns through MSAR situations. Additionally, training
covered soldiers carrying a 40-kg load a wide variety of planes of movement. programs that include materials handling
experienced significant reductions in Disassociation between the lower and tasks may yield greater improvements in
cognitive focus after 30 minutes of per- upper body should also be taught as occupational performance with less
forming this task. Increased load carriage this is common for many tasks that training volume; however, these im-
demands of approximately 30% of an require the upper body to handle an provements may be task specific (8).
individual’s total body weight have also object and move in a different direction, This may not only yield performance
been found to negatively affect balance such as rotating, whereas the lower improvements but also reduce the risk
control and cognitive test performance extremity is moving in a different direc- of repetitive training injuries.
and cause more errors in decision mak- tion/plane of motion. For example, dur- Conflicts of Interest and Source of Funding:
ing in young ROTC cadets (20). ing a litter carry, it is occasionally The authors report no conflicts of interest
necessary to turn the upper body to and no source of funding.
PRACTICAL APPLICATION counter gravitational forces (especially
Training priorities for MSAR are (1) if downhill from the litter). Training
cardiovascular fitness, (2) core strength, trunk, or core, strength may also Michelle
(3) total body muscular endurance, and decrease the risk of injury. As the dura- Conolly is a for-
(4) power, speed, and agility. To tion of a task increases, degradation of mer member of
enhance sustainable fitness, it is recom- posture due to trunk musculature the EL Paso
mended that MSAR members engage fatigue produces a sustained anterior County Search
in a minimum of 3 days of aerobic train- force on the lower back created by re- and Rescue team
ing/week with resistance training on sisting the gravitational toque of a back- and graduate of the Master of Sciences in
alternate days. Weekly aerobic training pack (16). Sports Medicine from the University of
programs should include a long To maximize the transfer of training Colorado Colorado Springs.
duration/low-intensity day (45–60 mi- effect, selected exercises should mimic
nutes at 55–65% of V̇ O2max), short those preformed in the field in terms of
duration/high-intensity day (15–20 mi- dynamic correspondence (22). Consider- Craig Elder is an
nutes at 80–90% of V̇ O2max), and ing this, strength-endurance training is associate profes-
a moderate duration at moderate- vital for sustained weight load carriage sor and the
intensity day (30–40 minutes at and material-handling tasks performed graduate coordi-
70–80% of V̇ O2max). Job-related cross by MSAR personnel. These movements nator for Health
training may also be performed 1–2 require controlled deceleration and rapid Sciences at the
d/wk (34). Continuous training modes responses to avoid obstacles and other University of
such as running, backpacking, and hik- environmental hazards. For these rea- Colorado Colora-
ing should be considered as priority sons, slow accentuated eccentric loading do Springs.
activities for maximum transference of followed by explosive concentric muscle
cardiovascular gains. Interval training actions may be beneficial for reducing
targeting both fast glycolysis and oxida- injury and enhancing job performance. Jay Dawes is an
tive energy systems should also be Super-slow training may also be incorpo- assistant profes-
included. rated as an adjunct to traditional resis- sor of Strength
Monday: Resistance training with and Conditioning
tance training. This form of training can
intervals. be used to increase the time under ten- in Health Scien-
Tuesday: Continuous long-duration ces Department
sion of a specific muscle group (13),
cardio at low intensity. Weight load which may improve muscular endurance. at the University
carriage at least every second week of Colorado
(45 minutes at 55–65% of V̇ O2max). Colorado Springs.
Wednesday: Continuous short- SUMMARY
duration (15–20 minutes) cardio at Performance in occupational tasks may
high intensity (80–90% of V̇ O2max). be significantly improved through the
Thursday: Resistance training with implementation of generalized fitness
intervals. programs, in combination with job-
Friday: Continuous moderate-duration specific task/training for MSAR person- REFERENCES
cardio (30–45 minutes) at medium nel (3). However, it is likely the more 1. Callender N, Ellerton J, and MacDonald JH.
intensity (70–80% of V̇ O2max). mechanically and metabolically similar Physiological demands of mountain rescue
Saturday: Job-related cross training. the exercises selected are to the specific work. Emerg Med J 29: 753–757, 2012.