Page 135 - JSOM Summer 2022
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FIGURE 2  Cont.                                    FIGURE 3  Descriptions and Depictions of Some Rugged Maniac
              Name of                                            Events. (Photos from https://ruggedmaniac.com/obstacles/)
              Obstacle   Description of Obstacle  Depiction of Obstacle  Name of
              Gauntlet   Participant negotiates                  Obstacle   Description of Obstacle  Depiction of Obstacle
                         100-feet long obstacle                  Antigravity  Trampoline bounces
                         with 4 sections: 1-walk                            participant up a
                         narrow plank; 2-use                                padded cargo rope-
                         rings to move hand-                                climbing wall.
                         over-hand across
                         water; 3-use beam and
                         hand holds to move
                         across space; 4–use two                 The Ringer  Participant moves
                         horizontal planks (one                             hand-over-hand on
                         with hands, other with                             rings while suspended
                         feet) to move across                               over a pit of water.
                         water obstacle.
              Hero Carry  Participant carries
                         teammate on back.                       Accelerator  Participant slides down
                         Two participants                                   a steep 50-foot slide
                         switch places half way                             into a deep pool of
                         through event.                                     water.
              Kiss of Mud  Participant crawls
                         on stomach through
                         mud with barbed wire
                         handing 18 inches                       The Gauntlet  Participant moves
                         above.                                             across a board
              Ladder to   Participant climb 15-                             suspended over water
              Hell       foot ladder with wide                              with massive swinging
                         spaces between rungs.                              bags along the route.

              Lumberjacked Participant vaults over               The        Participant jumps over
                         a series of chest high                  Pyromaniac  rows of burning logs.
                         logs.


              Mudderhorn  Participant climbs up
                         then down a 3-story                     The Trenches  Participant jumps over
                         tall A-frame structure.                            wide mud trenches.




                                                                 The Head   Participants low crawls
              Mud Mile   Participant runs or                     Scratcher  under barbed wire
                         wades through mud                                  through a muddy field.
                         with rolling muddy
                         mounds.
                                                                 Ninja Escape  Participant negotiates
                                                                            triangular wooden
              Pitfall    Participant runs/walks                             platforms placed in a
                         through a 35-foot pit                              zigzag formation above
                         of mud with sporadic                               a muddy field.
                         holes and a very steep
                         exit berm.
              Skidmarked  Climb a 10-foot slanted
                         wall. Can only be nego-                 mud and muddy water, varied ground conditions, unusual
                         tiated with help of team-               vegetation, and encounters with insects (bites, stings) and
                         mates above or below.                   other animal. While these challenges test physical and mental
              Texas      Participant shuffles                    fitness, they will invariably involve injuries and other medical
              Hold’em    laterally along a
                         sloped platform while                   problems. The purpose of this article is to review the literature
                         grasping a teammate.                    on medical problems during participation in obstacle course
                                                                 events. Injury incidence and injury rates during obstacle course
                                                                 events in military training will first be covered, then medical
              Well Spring  Participant jumps and
                         grab a bar hooked to                    problems in civilian OCEs will be reviewed, and finally injury
                         a wheels on a rail that                 prevention measures for the most common medical problems
                         swings participant                      will be summarized.
                         over a body of water.
                         Participant release bar
                         to enter water then exits               Methods
                         water using rope ladder.
                                                                 PubMed, Web of Science, and Cumulative Index to Nursing
                                                                 and Allied Health Literature (CINAHL) were searched to find

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