Incidence of Musculoskeletal Injury in US Army Unit Types: A Prospective Cohort Study.
J Orthop Sports Phys Ther
; 48(10): 749-757, 2018 10.
Article
en En
| MEDLINE
| ID: mdl-29787695
ABSTRACT
BACKGROUND:
Musculoskeletal injuries during military service are a primary source of disability, resulting in 2.4 million annual health care visits and 25 million limited-duty days. While the injury incidence during basic training is well documented, there is little understanding of injury distribution by organization type in the US Army following initial training.OBJECTIVE:
To compare injury incidence, distribution, and impact across various military units.METHODS:
In this prospective observational cohort study, comprehensive injury data from subject questionnaires and medical chart reviews were collected over 12 months for 1430 initially healthy Army personnel, representing combat, combat support, combat service support, and ranger units. Health care utilization and time loss due to injury were also collected.RESULTS:
Of 1430 soldiers, 481 (33.6%) had time-loss injury, 222 (15.5%) were injured without limited work, 60 (4.2%) reported an injury but did not seek medical care, and 667 (46.6%) were uninjured. Across the whole sample, injuries were responsible for 5.9 ±14.4 medical visits per soldier, 21 902 days of limited work, and $1 337 000 ($1901 ± $6535 per soldier) in medical costs. Considering only those reporting injury, each person averaged 36.3 ± 59.7 limited-work days. The injury incidence was highest in combat service support units (65.6%), with a risk ratio 1.60 times that of the reference group (combat, 41.1%).CONCLUSION:
Combat support and combat service support personnel were more likely to have 1 or more injuries compared to rangers and combat personnel. The higher relative risk of injury in support units should be explored further. J Orthop Sports Phys Ther 2018;48(10)749-757. Epub 22 May 2018. doi10.2519/jospt.2018.7979.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_financiamento_saude
Asunto principal:
Acondicionamiento Físico Humano
/
Personal Militar
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Sistema Musculoesquelético
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adult
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Female
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Orthop Sports Phys Ther
Año:
2018
Tipo del documento:
Article