The purpose of this paper was to 1) use an explorative literature overview to identify issues related to ill-fitting clothing and occupational gear for female firefighters, and 2) use an inductive approach to develop generalizable recommendations for exercise professionals to utilize by identifying significant themes in published peer reviewed articles related to movement and injury risk. Research, including both qualitative and quantitative approaches, has shown that the majority of current personal protective clothing (PPC) and operational gear was developed to fit a limited array of male physiques. Consequently, the improper fit of PPC and gear has presented numerous concerns that, if not addressed, will continue to present unnecessary occupational challenges and risk to firefighters, especially female firefighters. These issues include, but are not limited to, an increased risk of hazardous material exposure, elevated thermoregulatory challenges, higher injury risk due compensatory biomechanical movement during occupational tasks, and lower self-efficacy and emotional well-being. Countermeasures for physical conditioning that target injury risk factors or other issues associated with improper fitting of PPC and gear may include strengthening and stabilizing specific joints or regions of the body (e.g., core, shoulder, and back), reducing health-related risk factors that magnify issues (e.g., body composition), and consulting with a certified exercise professional (e.g., TSAC-F) for program development. Although ongoing research is still needed, the data and subsequent recommendations provided may present valuable insight into injury risk reduction and individualized exercise training considerations for female firefighters that take into consideration improper PPC fit.
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