Musculoskeletal Injuries in British Army Recruits: A Retrospective Study of Incidence and Training Outcome in Different Infantry Regiments Over Five Consecutive Training Years

Sharma, Jagannath; Jc, Clayton; Rdh, Heagerty

doi:10.4172/2329-9096.1000440

Cited by 6 publications

(11 citation statements)

References 36 publications

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“…This is especially true of overuse (CMT) injuries in physically active populations. Yet CMT injuries have long been acknowledged as having a substantial impact to military populations, 9,13,[19][20][21][22][23][24][25][26][27][28][29] to civilians especially in certain occupational settings 1,2,5,34 and in athletic communities. [6][7][8]35 For example, in 1995 the sports medicine community noted "a dramatic rise in what is called 'overuse injury'.…”

Section: Discussionmentioning

confidence: 99%

“…36,37 Military studies have indicated that overuse injuries are a leading military medical burden, annually costing millions in medical treatment and lost duty time. 19,[21][22][23][26][27][28]38 Inclusion of these injuries in military injury surveillance is therefore critical to ensure a full understanding of their impact to force readiness. However, MSKI and especially CMT MSKI, have not been consistently defined or reported -or compared in the context of injuries from all other external causes.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] Yet U.S. Army medical surveillance and investigative studies have shown that these severe incidents are not representative of the entire military injury problem. [11][12][13]19 Military studies in the U.S. [19][20][21][22] and several international countries [23][24][25] have indicated that injuries with greatest adverse impact to military readiness are musculoskeletal injuries (MSKI). MSKI refers to damage to bone, muscle, tendon, ligaments, joints, cartilage, bursa, or synovium caused by either sudden trauma (e.g., fractures, dislocations, sprain, strains, etc) or by the accumulation of repeated microtrauma (e.g., stress fractures, Achilles tendinopathy, patellofemoral pain and "runner's knee," and dorsalgia).…”

Section: Introductionmentioning

confidence: 99%

“…9,12,13,[27][28][29] Studies have also have suggested that MSKI among soldiers are most frequently in the lower extremities and spine or back. 19,21,23,29 Yet methods for grouping injury pathology by cause, type, and injured body locations have not been uniform. For example, since the standardized Barell matrix 30 only addresses acute trauma injuries, other studies have used different approaches to group or characterize overuse injuries.…”

Section: Introductionmentioning

confidence: 99%

“…13,22,27,33 For example, studies of military MSKI have attributed lower body overuse injuries to running and foot marching. 21,23,27,33 The inclusion of overuse MSKI in Army injury surveillance has been an important step in describing the magnitude of the military's injury problem. However, the relative distribution of overuse MSKI compared to all other types of injuries by causal mechanism (i.e., acute MSKI and non-MSKI) has not previously been investigated.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Using causal energy categories to report the distribution of injuries in an active population: An approach used by the U.S. Army

Hauschild

Schuh-Renner

Lee

et al. 2019

Journal of Science and Medicine in Sport

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Using causal energy categories to report the distribution of injuries in an active population: An approach used by the U.S. Army

Hauschild

Schuh-Renner

Lee

et al. 2019

Journal of Science and Medicine in Sport

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Prevalence of Musculoskeletal Injuries in New Zealand Army Recruits as Defined by Physical Therapy Service Presentations

et al. 2021

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Introduction Army recruit injuries occurring during basic training can lead to high personal and organizational burdens potentially threatening deployment capability. Previous military surveillance describing recruit injury as defined by physical therapy presentations is limited to 1-year duration or includes only male infantry recruits or trained personnel. Research describing injury incidence and trends specific to New Zealand Army basic training recruits over a longer period will better inform future injury prevention programs. Aims To identify the incidence and patterns of injuries reported from physical therapy presentations for New Zealand Army recruits undertaking basic training over a 4-year period. Materials and Methods This retrospective observational study identified injuries from physical therapy service presentations in New Zealand Army recruits from 2008 to 2011. All male and female New Zealand Army recruits who presented to physical therapy, following medical triage, were included. Recruit physical therapy presentations for injury and respiratory and other conditions were collated. Injury incidence was grouped by body region (upper limbs, lower limbs, and combined spinal regions) and site (joint or segment), and cumulative and injury incidence rates were calculated. Results One thousand eight hundred and ninety-six (1,697 males and 199 females) New Zealand Army recruits commenced basic training between 2008 and 2011. One thousand six hundred and eighty-three physical therapy presentations occurred for recruit injury during New Zealand Army basic training over 4 years. Lower limb injuries accounted for over 75% (n = 1,285) of the overall demand for physical therapy service during recruit basic training. Injuries sustained at the knee and below accounted for 67% of all reported injury presentations. Conclusion Four years of injury surveillance using physical therapy presentations identified the lower limb, with the knee and below as the most commonly injured regions in New Zealand Army recruits. Injury prevention interventions for New Zealand Army recruits should aim to reduce lower limb injuries. Future research on injury surveillance would benefit from incorporating clear injury and severity definitions, established injury classification systems, and standardized incidence calculations.

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Epidemiology and Financial Burden of Musculoskeletal Injuries as the Leading Health Problem in the Military

Dijksma

Bekkers²,

Spek³

et al. 2019

Military Medicine

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Introduction Musculoskeletal injuries (MSIs) have direct impact on occupational readiness and task performance in military populations. Until this date, no epidemiologic data have been published concerning MSI incidence in the Netherlands Armed Forces (NAF). The aim of this study was to assess the MSI incidence and related costs in the NAF. Methods In this descriptive epidemiologic study, we collected injury surveillance data from the electronic patient records of multiple military units of the NAF. Using data of all new consultations with a military physician from January 1, 2014 to December 31, 2016, we calculated MSI incidence rates per 100 person-years, with a 95% confidence interval (CI). Physician care costs were determined based on the number of physician consults and the charge per appointment. We used two methods to determine productivity costs; the top-down microcosting method and the friction cost method. Results Our study sample included 22% (n = 8,847) of the total NAF population of 2016 (n =40,178). In this sample, consultations of MSIs accounted for 23.2% (n = 7,815) of all new consultations (n = 33,666). MSI incidence rates per unit ranged from 12.5 to53.3 per 100 person-years. In the total sample, MSI incidence rates were highest in the back (6.73, 95% CI 6.39–7.10), knee (5.04, 95% CI 4.74–5.35), and foot (4.79, 95% CI 4.50–5.10). The estimated costs for physician visits for MSIs in our sample were €0.69 million. Limited duty days accounted for €1.10 million productivity costs using top-down microcosting method. Conclusion Our study provided evidence that MSIs result in substantial financial burden. Injuries of the back, knee, and foot account for the majority of demands on curative care for MSIs.

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Musculoskeletal Injuries in British Army Recruits: A Retrospective Study of Incidence and Training Outcome in Different Infantry Regiments Over Five Consecutive Training Years

Cited by 6 publications

References 36 publications

Using causal energy categories to report the distribution of injuries in an active population: An approach used by the U.S. Army

Using causal energy categories to report the distribution of injuries in an active population: An approach used by the U.S. Army

Prevalence of Musculoskeletal Injuries in New Zealand Army Recruits as Defined by Physical Therapy Service Presentations

Epidemiology and Financial Burden of Musculoskeletal Injuries as the Leading Health Problem in the Military

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