Abstract
Abstract
Background
Musculoskeletal injuries (MSkIs) are a leading cause of health care utilization, as well as limited duty and disability in the US military and other armed forces. MSkIs affect members of the military during initial training, operational training, and deployment and have a direct negative impact on overall troop readiness. Currently, a systematic overview of all risk factors for MSkIs in the military is not available.
Methods
A systematic literature search was carried out using the PubMed, Ovid/Medline, and Web of Science databases from January 1, 2000 to September 10, 2019. Additionally, a reference list scan was performed (using the “snowball method”). Thereafter, an international, multidisciplinary expert panel scored the level of evidence per risk factor, and a classification of modifiable/non-modifiable was made.
Results
In total, 176 original papers and 3 meta-analyses were included in the review. A list of 57 reported potential risk factors was formed. For 21 risk factors, the level of evidence was considered moderate or strong. Based on this literature review and an in-depth analysis, the expert panel developed a model to display the most relevant risk factors identified, introducing the idea of the “order of importance” and including concepts that are modifiable/non-modifiable, as well as extrinsic/intrinsic risk factors.
Conclusions
This is the qualitative systematic review of studies on risk factors for MSkIs in the military that has attempted to be all-inclusive. A total of 57 different potential risk factors were identified, and a new, prioritizing injury model was developed. This model may help us to understand risk factors that can be addressed, and in which order they should be prioritized when planning intervention strategies within military groups.
Publisher
Springer Science and Business Media LLC
Reference203 articles.
1. No authors listed. Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2018. MSMR. 2019;26(5):2–10.
2. Dijksma I, Bekkers M, Spek B, Lucas C, Stuiver M. Epidemiology and financial burden of musculoskeletal injuries as the leading health problem in the military. Mil Med. 2020;185(3–4):e480–6.
3. Orr RM, Johnston V, Coyle J, Pope R. Reported load carriage injuries of the Australian army soldier. J Occup Rehabil. 2015;25(2):316–22.
4. Sammito S. Direct and indirect costs caused by accidents at workplace sport activities. Präv Gesundheitsf. 2011;6(4):245–8.
5. Strowbridge NF, Burgess KR. Sports and training injuries in British soldiers: the Colchester Garrison Sports Injury and Rehabilitation Centre. J R Army Med Corps. 2002;148(3):236–43.
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