Rationale for Embedded Musculoskeletal Care in Air Force Training and Operational Units

Nye, Nathaniel S.; Motte, Sarah J. de la

doi:10.4085/1062-6050.51.5.10

Cited by 9 publications

(5 citation statements)

References 10 publications

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“…Embedding musculoskeletal experts within military operational units-akin to the collegiate or professional athletics modelis a potential solution. 20 A cluster-randomized trial in Air Force basic training found that an embedded sports medicine prototype was associated with reduced injury morbidity and injury-related discharge. The embedded athletic trainers focused on early identification and rehabilitation of overuse injuries, correction of biomechanical abnormalities, and culture-building in partnership with unit leadership.…”

Section: Discussionmentioning

confidence: 99%

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Musculoskeletal Injuries in US Air Force Security Forces, January 2009 to December 2018

Sundstrom

Webber

Delclos³

et al. 2021

Journal of Occupational &Amp; Environmental Medicine

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Objective: To determine the incidence, types, and risk factors of musculoskeletal injuries in a military security forces population. Methods: Demographic and diagnostic data were retrieved on enlisted US Air Force security forces personnel who served on active duty between January 2009 and December 2018. Incidence rates and ratios were calculated using Poisson regression. Results: During 251,787 person-years of exposure, 62,489 personnel served on active duty. Of these, 40,771 (65.2%) were diagnosed with at least one musculoskeletal injury. The majority (60.1%) of the 164,078 unique musculoskeletal injuries were inflammation and pain secondary to overuse. After adjusting for other factors, women had a 31% higher injury rate than men, and those who were overweight and obese had 15% and 30% higher rates, respectively, than normal-weight peers. Conclusions: Modifiable and non-modifiable factors contribute to musculoskeletal injuries in the security forces career field.

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Section: Discussionmentioning

confidence: 99%

“…Embedding musculoskeletal experts within military operational units—akin to the collegiate or professional athletics model—is a potential solution 20 . A cluster-randomized trial in Air Force basic training found that an embedded sports medicine prototype was associated with reduced injury morbidity and injury-related discharge.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Injuries in US Air Force Security Forces, January 2009 to December 2018

Sundstrom

Webber

Delclos³

et al. 2021

Journal of Occupational &Amp; Environmental Medicine

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“…During an 2-year period, injuries sustained by Air Force trainees in a study by Nye et al resulted in more than US$43.7 million per year in medical and non-medical costs 19. Nye and de la Motte recommended that a 10% decrease in medical attrition of training pipeline students could create over US$2.5 million annually in savings 32. Further research is needed to examine costs of MSI for operational units like AFSOC ST. Culturally, specific injury prevention programme may reduce injury risk, which, in turn, would result in a reduction in both direct and indirect medical costs.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of musculoskeletal injuries among US Air Force Special Tactics Operators: an economic cost perspective

Lovalekar

Johnson

Eagle

et al. 2018

BMJ Open Sport Exerc Med

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ObjectivesMusculoskeletal injuries (MSI) are an important concern in military populations. The purpose of this study was to describe the burden of MSI and associated financial cost, in a sample of US Air Force Special Operations Command Special Tactics Operators.MethodsIn this cross-sectional study, medical records of the Operators were reviewed during the years 2014–2015. MSI that occurred during a 1-year period prior to the date of review were described. MSI attributes described included incidence, anatomic location, cause, activity when MSI occurred, type and lifetime cost of MSI estimated using the Web-based Injury Statistics Query and Reporting System.ResultsA total of 130 Operators participated in the study (age: 29.1±5.2 years). The 1-year cumulative incidence of MSI was 49.2 injured Operators/100 Operators/year. The most frequent anatomic location and sublocation for MSI were the lower extremity (40.9% of MSI) and shoulder (20.9%), respectively. Lifting was a common cause of MSI (21.8%). A large per cent of MSI (55.5%) occurred while Operators were engaged in either physical or tactical training. Common MSI types were pain/spasm/ache (44.5%). Many MSI (41.8%) were classified as potentially preventable by an injury prevention training programme. The total lifetime cost of these MSI was estimated to be approximately US$1.2 million.ConclusionMSI are an important cause of morbidity and financial cost in this sample of Air Force Special Tactics Operators. There is a need to develop a customised injury prevention programme to reduce the burden and cost of MSI in this population.

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“…Small improvements in MSKI reduction can have valuable effects within AFSOC. For example, Nye and de la Motte (55) noted that a decrease in medical attrition rates of 10% could reduce the cost associated with injury within AFSOC training pipeline by over $2.5 million annually.…”

Section: Introductionmentioning

confidence: 99%

Physical Demands of Air Force Special Operations Command Flight Crews: A Needs Analysis and Proposed Testing Protocol

Paschall

Dawes

2022

Strength &Amp; Conditioning Journal

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Aircrews within the US Air Force Special Operations Command play a unique role on the battlefield. The physical demands of different aircrew positions can be static and dynamic and require sufficient levels of physical fitness for optimal physical and cognitive performance. This article presents a needs analysis highlighting the occupational demands of the aircrews to fully inform strength and conditioning program designs. In addition, a proposed testing protocol is provided to obtain objective measures required for the appropriate design and progression of training programs.

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Rationale for Embedded Musculoskeletal Care in Air Force Training and Operational Units

Cited by 9 publications

References 10 publications

Musculoskeletal Injuries in US Air Force Security Forces, January 2009 to December 2018

Musculoskeletal Injuries in US Air Force Security Forces, January 2009 to December 2018

Epidemiology of musculoskeletal injuries among US Air Force Special Tactics Operators: an economic cost perspective

Physical Demands of Air Force Special Operations Command Flight Crews: A Needs Analysis and Proposed Testing Protocol

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