Musculoskeletal-Related Disability in US Army Personnel

Feuerstein, Michael; Berkowitz, Steven M.; Peck, Charles A.

doi:10.1097/00043764-199701000-00013

Cited by 99 publications

(13 citation statements)

References 31 publications

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“…Other tactical populations, such as the military, have reported the lower limb and back to be the most common sites of injury [43,44,45,46,47,48]. In fire fighters, the most common sites of injury have similarly been reported to be the lower limb and the back rather than the upper extremity [40,41].…”

Section: Discussionmentioning

confidence: 99%

A Profile of Injuries Sustained by Law Enforcement Officers: A Critical Review

Lyons

Radburn

Orr

et al. 2017

IJERPH

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Due to the unpredictable, varied and often physical nature of law enforcement duties, police officers are at a high risk of work-related physical injury. The aim of this critical narrative review was to identify and synthesize key findings of studies that have investigated musculoskeletal injuries sustained by law enforcement officers during occupational tasks. A systematic search of four databases using key search terms was conducted to identify potentially relevant studies, which were assessed against key inclusion and exclusion criteria to determine studies to be included in the review. Included studies were critically appraised and the level of evidence determined. Relevant data were extracted, tabulated and synthesized. The 16 identified studies ranged in percentage quality scores from 25.00% to 65.00%, with a mean score of 41.25% and high interrater agreement in scores reflected in a Cohen’s Kappa coefficient, κ = 0.977. The most common body site of injury was the upper extremity, the most common injury types were soft-tissue sprains and strains and the most common cause of injury was a non-compliant offender, often involving assault. However, there was limited peer reviewed research in this area and the published research had a narrow focus and was of low to fair methodological quality.

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Section: Discussionmentioning

confidence: 99%

A Profile of Injuries Sustained by Law Enforcement Officers: A Critical Review

Lyons

Radburn

Orr

et al. 2017

IJERPH

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“…Although physical training, mechanical work, and airborne activity were ranked as the leading causes of injury for both sexes, road marching and garrison activities produced the most injuries in women (Knapik et al 2007). Additionally, some jobs (wheeled vehicle mechanics, signal intelligence analysts, and voice interceptors) have been identified as having higher rates of discharge for women than for men (Feuerstein 1997).…”

Section: Sex Differences In Musculoskeletal Injury (Msi) In Physicallmentioning

confidence: 99%

Current considerations related to physiological differences between the sexes and physical employment standards

Roberts

Gebhardt²,

Gaskill

et al. 2016

Appl. Physiol. Nutr. Metab.

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The use of physical employment standards (PES) has helped ensure that workers have the physical attributes necessary to complete their jobs in a safe and efficient manner. However, PES used in the selection processes have not always reflected the critical physical requirements of the job tasks. Women generally have smaller anthropometric stature than men, less muscle mass, and therefore less strength, power, and endurance, particularly in the upper body. Nonetheless, these attributes in themselves are not valid grounds for exclusion from employment in physically demanding occupations. Selection standards based upon size or strength, irrespective of the job requirements, have resulted in the barring of capable women from physically demanding jobs, claims of gender bias, and costly litigations. To ensure all individuals are provided with equal access to employment, accurate characterization of the critical physical requirements of the job is paramount. This paper summarizes the existing research related to disparities between the sexes that contribute to sex differences in job performance in physically demanding occupations including physical and legal factors. Strategies for mitigating these differences in the setting of PES and the meeting of minimum employment standards are discussed. Where available, injury rates for women and men in physically demanding occupations are presented and the etiology considered. Finally, areas for further research are identified.

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“…However, these blast-induced injuries often produce severe, complex, wide-spread and highly painful fractures of the head and extremities (Owens et al, 2007). Although young males have historically had a higher incidence of fractures than young females (Koval and Cooley, 2006), with the increasing number of women participating in sports (Hame et al, 2004) and military roles (Feuerstein et al, 1997), this gender difference in fracture incidence in the young is declining.…”

Section: Fracture Pain: Causes Consequences and Therapeutic Oppormentioning

confidence: 99%

New advances in musculoskeletal pain

Bove

Flatters

Inglis

et al. 2009

Brain Research Reviews

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Non-malignant musculoskeletal pain is the most common clinical symptom that causes patients to seek medical attention and is a major cause of disability in the world. Musculoskeletal pain can arise from a variety of common conditions including osteoarthritis, rheumatoid arthritis, osteoporosis, surgery, low back pain and bone fracture. A major problem in designing new therapies to treat musculoskeletal pain is that the underlying mechanisms driving musculoskeletal pain are not well understood. This lack of knowledge is largely due to the scarcity of animal models that closely mirror the human condition which would allow the development of a mechanistic understanding and novel therapies to treat this pain. To begin to develop a mechanism-based understanding of the factors involved in generating musculoskeletal pain, in this review we present recent advances in preclinical models of osteoarthritis, post-surgical pain and bone fracture pain. The models discussed appear to offer an attractive platform for understanding the factors that drive this pain and the preclinical screening of novel therapies to treat musculoskeletal pain. Developing both an understanding of the mechanisms that drive persistent musculoskeletal pain and novel mechanism-based therapies to treat these unique pain states would address a major unmet clinical need and have significant clinical, economic and societal benefits.

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Musculoskeletal-Related Disability in US Army Personnel

Cited by 99 publications

References 31 publications

A Profile of Injuries Sustained by Law Enforcement Officers: A Critical Review

A Profile of Injuries Sustained by Law Enforcement Officers: A Critical Review

Current considerations related to physiological differences between the sexes and physical employment standards

New advances in musculoskeletal pain

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