1. Introduction
The OTPs that have been analyzed have already been described by Vera-Jiménez [
1] and they are intended to achieve the control of an adversary while minimizing the risk of any severe harm, which is in consonance with the use of proportional force and in contrast with other traditional intervention techniques that are still taught at most Police training academies.
From early 20th century, the traditional PITs used by Police and security force units have been based on techniques inherited from martial arts or combat sports, and are intended to immobilize an opponent. Very clear examples can be found in the manual entitled "Destreza" by Gistau [
2] from 1915, or the manual "Defensive Tactics", published in 1951 [
3] (written by Hoover, the first Director of the United States Federal Bureau of Investigation, FBI). “Complete Krav Maga”, as published by Levine [
4] and Guy Mor [
5], has remained until recent dates as the training manual for Israel’s security forces. While the “Basic manual of Police procedures and personal defense” (Benito [
6]) has been a reference training book in Spain. The type of intervention techniques that are described in these books involve a high risk of injury both for the adversaries and for the Police officers.
In the manual "Defensive Tactics" [
3] in particular, some of the martial art techniques that are recommended to reduce an opponent are targeted at vital areas (Liver, Spleen, Solar Plexus, Head). This manual presents a selection of simple and effective procedures extracted from certain ancient arts and sports such as Judo, Jujitsu, Savate, Boxing, Wrestling or Fencing. Among the PITs describe in this book, we have selected two of the most common ones as shown below: a throw (
Figure 1a) and a choking (
Figure 1b) technique.
The throw techniques, commonly known as Koshi-Waza techniques in Judo (for example, Koshi Guruma in the figure 1a), have the purpose of preparing the aggressor or adversary for handcuffing on the floor by making him fall onto the floor. This fall on a hard surface might cause trauma at head or spinal cord levels, besides the risk of hitting any of the likely hard elements around (curb, furniture…) and suffering even more serious injuries.
The choking technique,
Figure 1b, is known as rear naked choke (or Hadaka-jime). This technique may cause harm that goes from a light injury of the spine muscles to a more serious bone injury affecting the vertebrae themselves (fractures, crushing…), or even severe spinal cord injuries (complete or partial shearing). Therefore, it goes without saying that both of these techniques have triggered some considerable controversy since they were first implemented.
Unfortunately, the current situation of Police training has not substantially improved since then. In addition, a specific problem that could be characterized as procedural inertia has been identified, as reflected in a study by Williams J.J. et al. [
7]. In this study, the use of force (UOF) by SWAT and non-SWAT Police officers led to conclude that SWAT officers, who are taught to use force in normally dangerous situations, were more likely to use the same level of force in non-SWAT situations.
While certain technologies that are applicable to Police interventions have changed substantially in the 2000s, the approach to Police tactics has remained, with a few exceptions, fairly unchanged since the 1980s. Naturally, this has resulted in some critical positions with respect to certain Police training methods that have caused the implementation of certain legislative changes regarding the UOF. For instance, in an article of Chappell et al. [
8] states that even the community or urban Police forces remain highly militaristic and bureaucratic in their structure and culture.
On the other hand, from the late 1990s, Police training has fostered a notable production of scientific literature. Thus in 1997, McEwen [
9] analyzed the policies of 96 US agencies with regard to the observance of the law in non-lethal UOF. It is worth mentioning that the article included a review of the definitions of lethal force and non-lethal force. It finally pointed out that most of the policies applied are deficient. More recently in the year 2000, Garrett et al. [
10] conducted a similar study on the policies related to the use of these two types of forces. According to the Bureau of Justice Statistics it is estimated that over 93% of law enforcement agencies had policies governing the use of lethal force in place, while this percentage dropped to 87% when it came to the agencies that implemented policies concerning non-lethal force.
The controversy around the UOF is not only a matter of Police training, since even more controversial scenarios are found in the training methods applied by Private Security Companies (PSC). Among other requirements, the trainers are required to hold a “level II” or a higher qualification in the disciplines of Judo, Karate, Taekwondo, Fighting or Kick Boxing, as stated in the Spanish Royal Decree 1363/2007, October 24
th [
11]. Similar cases are found in the legislation of other European countries, where the harmonization of the regulations for PSCs at European level is still to be carried out. Consequently, the Geneva Center for the Democratic Control of the Armed Forces, after analyzing the existing regulations for PSCs in the different member states of the European Union (EU) makes an urgent recommendation to improve the current legal framework [
12].
Luckily, in the early 21
st century, a scientific evolution of tactics took place that resulted in the development of new policies and training methods to provide some guidance on the UOF by Police officers, a new approach to the role of Police instructors and their training methods (Birzer [
13]; Andersen et al. [
14]; Renden et al. [
15]; Di Nota, 2019 [
16]; Mcneeley [
17]; Bennell et al., [
18]). Many other related pedagogical issues, that had so far received marginal attention, have also been more deeply investigated (Cushion [
19]; Koerner [
20]; Staller [
21]).
McLean [
22] analyzed the proliferation of those policies that aimed at analyzing training programs and concluded that, although many promising ideas had arisen, practically no strategy had succeeded to achieve substantial changes with regard to a significant reduction in the use of lethal force. This fact represented a serious obstacle when it comes to selecting the new and effective policies that are so urgently needed.
Nevertheless, the appearance of this sequence of scientific studies on Police training has made clear that strong policies on the use of force are of vital importance.
This controversy with regard to Police training has moved into even harder terms when the areas of physical fitness, motivation and discipline have been contemplated. Koerner’s study [
23] gathers the expert opinions of 8 Police trainers on a number of pedagogical issues related to the actual training of Police instructors themselves. When questioned on the different aspects of their training, the interviewed coaches reported certain learning deficiencies that could be classified into “social”, “psychological” or “physical” factors. For instance, in this study the authors focus on various issues criticized by coaches, such as: the lack of discipline in young people in training, or the motivation and concentration deficits during police training. However, the one that is considered most important is the physical deficiency, mainly in the lack of coordination and condition/aptitude in Police recruits, which is also a source of injuries.
Moreover, the coaches’ views with regard to female recruits revealed a pronounced gender bias. Koerner et al. found that for several coaches the “Female Police officers are seen as “support members” in the context of Police deployment”.
Another aspect that was strongly criticized with regard to the difficulty to implement a particular Police training method that would suit the needs of today’s society lies on the insufficient provision of resources. This is reflected in a study on several Police trainers from 6 European countries, developed by Kleygrewe et al. [
24].
The UOF in European countries has also been analyzed because of the controversies unleashed by a number of events with extensive media coverage. These have caused concern among trainers/instructors, as reported in numerous publications. Staller et al. [
25], suggested that Police instructors need context-specific knowledge and support in order to develop knowledge structures. That is, a solid and systematically controlled knowledge base on the parameters involved in violent encounter scenarios is crucial.
Despite all of the above said, no bibliography has been found to describe a methodology for the training of tactics intended for this type of real life situations. An initial approach was pointed out by Cushion et al. [
26], who described in their paper an analysis on the use of scenario-based training (SBT) and its subsequent adaptation to the officers’ Personal Security Training (PST) based on existing Police research in UOF training and SBT from the United Kingdom, Europe, North America and Australia. The idea is supporting a national initiative across 43 Police forces in England and Wales to change the PST curriculum and the ‘train-the-trainer’ training.
In this sense OTPs should be considered as an innovation, Vera et al. [
27]. Unlike the traditionally taught techniques, OTPs not only avoid hitting any vital areas and causing serious harm to opponents, but they also represent a lesser risk of injuries for Police officers themselves. In the present study, risk prevention has been addressed by comparing different types of PITs by means of ergonomic evaluations. For this purpose, a proper evaluation form that allows a precise identification of specific biometric parameters such as angles, forces or energy, among others has been created. Furthermore, a set of IMUs combined with 3D motion capture tools have been used and their level of accuracy for the measurement of the parameters of interest has been confirmed [
28].
It should be noted that the four PITs that have been studied were executed under controlled conditions in the adequate sport facilities and after completing the essential physical warm-up required to avoid any additional risk of injuries [
29].
The selection of the most relevant occupational risk assessment parameters and methods was based on a previous work by Vera et al. [
27] as follows:
1.1 Parameters of Interest for the REBA Method (Rapid Entire Body Assessment). Designed by Cuixart [
30] and built into NTP 601, the REBA method evaluates a set of geometrical parameters of relative positions of parts of the human body, such as flexion angles, torsion angles, positions of the extremities, trunk, head, etc. As the techniques of interest are being implemented, these parameters are awarded a series of scores at specific intervals and within a specific range of values.
1.2. Asymmetry Angle. It is a parameter of Interest in the NIOSH Method, which has focused on the risks that may cause low back pain or back discomfort. From this method based on NIOSH lifting equation [
31], we have considered the Compression Force (or Joint contact force) at the L5-Pelvic junction and the angle of asymmetry, to be the most appropriate parameters.
The asymmetry angle (A) is an angle used to determine the asymmetry of movements with respect to the vertical plane of the human body (sagittal plane) when a worker is performing a lifting or loading task.
The greater the angle of asymmetry, the greater body effort must be made to achieve the same lifting work. For this reason, the NIOSH method advises against movements that involve flexing, bending and twisting the trunk. If A> 135°, no weight lifting would be recommended.
1.3. Compression force at the L5 pelvic junction. The most important compression forces that appear when performing the techniques are body weight and the loads of lifting that take place. According to NIOSH criteria [
31], it has been reported that the cutoff for low back pain risks to arise at the L5-Pelvic junction, is 3400 N.
1.4. Shear force at the L5-pelvis junction. These forces have been defined as the forces that cause a slide or parallel displacement of a vertebra with respect to the one immediately below or above [
28]. Therefore, they are perpendicular forces with respect to the compression force. Shear forces usually arise when the trunk of a human body performs pulling and/or pushing efforts. For the shear force has been established 1000 N as the limit recommended [
31].
1.5. Total muscle power. It is another of the PEP that was mentioned as very important in a previous paper [
27]. Muscle power, expressed in watts, has been calculated as the amount of energy per time used to complete a specific job.
The aim of this study is to evaluate the occupational risks associated to the physical intervention techniques (PITs) used by Police officers. Our research has been specifically focused on the risk of injuries related to the UOF. For this purpose, a comparative analysis between the traditional PITs commonly used by Police forces against new Operational Tactical Procedures (OTPs) has been conducted.
Author Contributions
Conceptualization, J.C.V.-J., J.A.Á. and J.A.; acquisition financing, J.C.V.-J., M.F.G., J.A.Á. and J.A.; research, J.C.V.-J., D.V.C. and J.A.; validation, J.C.V.-J., D.V.C., A.P.F., J.S., M.F.G., J.A.Á. and J.A.; screen, J.C.V.-J.; methodology, J.C.V.-J., D.V.C., J.A.Á., J.C.J.JU., J.S., and J.A.; redaction—preparation of the original draft, J.C.V.-J. and J.A.; Writing—Correction and edition, J.C.V.-J. and J.A.; supervision, J.C.V.-J., D.V.C., A.P.F., J.S., M.F.G., J.C.J.JU., J.A.Á., and J.A. All authors have read and accepted the published version of the manuscript.