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

Hauschild, Veronique; Schuh-Renner, Anna; Lee, Terrence; Richardson, Melissa; Hauret, Keith G.; Jones, Bruce H.

doi:10.1016/j.jsams.2019.04.001

Cited by 16 publications

(22 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The inconsistent surveillance methods used made comparing injury patterns between studies difficult, and results were considered likely to have underestimated the injury burden magnitude. The review's findings [4] are similar to previously raised concerns regarding musculoskeletal injury taxonomy in military injury surveillance [5][6][7][8][9][10].…”

Section: Introductionsupporting

confidence: 75%

Improving musculoskeletal injury surveillance methods in Special Operation Forces: A Delphi consensus study

Stannard

Finch

Fortington

2022

PLOS Glob Public Health

View full text Add to dashboard Cite

Musculoskeletal injury mitigation is a priority in military organisations to protect personnel health and sustain a capable workforce. Despite efforts to prevent injury, inconsistencies exist in the evidence used to support these activities. There are many known limitations in the injury surveillance data reported in previous Special Operation Forces (SOF) research. Such studies often lack accurate, reliable, and complete data to inform and evaluate injury prevention activities. This research aimed to achieve expert consensus on injury surveillance methods in SOF to enhance the quality of data that could be used to inform injury prevention in this population. A Delphi study was conducted with various military injury surveillance stakeholders to seek agreement on improving surveillance methods in SOF. Iterative questionnaires using close and open-ended questions were used to collect views about surveillance methods related to injury case definitions and identifying essential and optional data requirements. Consensus was predefined as 75% group agreement on an item. Sixteen participants completed two rounds of questionnaires required. Consensus was achieved for 17.9% (n = 7) of questions in the first-round and 77.5% (n = 38) of round two questions. Several challenges for surveillance were identified, including recording injury causation, SOF personnel’s injury reporting behaviours influencing accurate data collection, and surveillance system infrastructure limitations. Key military injury surveillance stakeholders support the need for improved data collection to enhance the evidence that underpins injury prevention efforts. The consensus process has resulted in preliminary recommendations to support future SOF injury surveillance.

show abstract

Section: Introductionsupporting

confidence: 75%

Improving musculoskeletal injury surveillance methods in Special Operation Forces: A Delphi consensus study

Stannard

Finch

Fortington

2022

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…The most common injury types were sprains and strains, fractures and ‘pain or spasm’ which are more consistent with acute-onset injuries. These greater acute injury patterns are different from those of conventional forces in which overuse injuries are more prevalent than acute-type injuries 27 41 42…”

Section: Discussionmentioning

confidence: 97%

Musculoskeletal injury in military Special Operations Forces: a systematic review

Stannard

Fortington

2021

BMJ Mil Health

View full text Add to dashboard Cite

IntroductionSpecial Operations Forces conduct military activities using specialised and unconventional techniques that offer a unique and complementary capability to conventional forces. These activities expose Special Operations Forces personnel to different injury risks in comparison with personnel in the conventional forces. Consequently, different injury patterns are expected in this population. The purpose of this research is to establish high-level evidence informing what is known about musculoskeletal injury epidemiology in Special Operations Forces.MethodsA systematic review was conducted using three online databases to identify original studies reporting musculoskeletal injury data in Special Operations Forces. A critical appraisal tool was applied to all included studies. Descriptive data were extracted for demographics, study design details and injuries (eg, injury frequency, injury type, body part injured, activity, mechanism, severity). Results were narratively synthesised.ResultsTwenty-one studies were included. Trainees conducting qualification training had the highest injury frequency, up to 68% injured in a training period. The ankle, knee and lumbar spine were the most common body parts affected. Parachuting caused the most severe injuries. Physical training was the most common activity causing injury, accounting for up to 80% of injuries. Running and lifting were common injury mechanisms. Injury causation information was frequently not reported. Partially validated surveillance methods limited many studies.ConclusionsInjuries are prevalent in Special Operation Forces. Future research should prioritise identifying injury causation information that supports prevention. Focus on improving surveillance methods to enhance the accuracy and comparison of results across cohorts is also recommended.

show abstract

“…The vast majority of injuries in the physically active population, as well as military populations, are MSKI, and most are MSKI of lower extremities due to overuse (Hauschild et al, 2019). Lower extremity and especially foot health is crucial for military readiness of infantry soldiers.…”

Section: Discussionmentioning

confidence: 99%

Peak Plantar Pressure as a Risk Factor for Lower Extremity Overuse Injury Among Infantry Soldiers

Nesterovica

Stepens

Vaivads³

2021

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

View full text Add to dashboard Cite

The majority of reported injuries among military populations are injuries due to cumulative repetitive microtrauma — overuse injuries. Plantar pressure measurement is a simple tool to analyse lower limb biomechanics through the assessment of forces applied to the foot. This study aimed to determine the relation between peak plantar pressure and lower extremity overuse. Sixty-six active-duty infantry male soldiers, with mean age 29.7 years (range 22–40 years), and mean service time 5.2 years (range 1–15 years) participated. The highest peak plantar pressure (PPP) at the forefoot occurred at the hallux (cases: 50.82 n/cm2, SD = 38.84; control: 34.39 n/cm2, SD= 28.03) and 3rd metatarsal head (cases: 54.40 n/cm2, SD = 33.83; control: 49.16 n/cm2, SD=28.87). The study demonstrated elevated PPP among cases. Statistically significant results were found at the hallux (χ2(1) = 6.8; p = 0.01), medial heel (χ2(1) = 5.18; p = 0.02) and lateral heel (χ2(1) = 12.12; p < 0.01) regions. The results show that plantar pressure assessment could be used as a useful screening tool for early lower extremity overuse injury detection.

show abstract

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

Cited by 16 publications

References 23 publications

Improving musculoskeletal injury surveillance methods in Special Operation Forces: A Delphi consensus study

Improving musculoskeletal injury surveillance methods in Special Operation Forces: A Delphi consensus study

Musculoskeletal injury in military Special Operations Forces: a systematic review

Peak Plantar Pressure as a Risk Factor for Lower Extremity Overuse Injury Among Infantry Soldiers

Contact Info

Product

Resources

About