Musculoskeletal Injuries: Modifiable and also Non-modifiable Risks and also Strategies because that Prevention

By Chelsea Bauckman, USAMRMC publicly Affairs


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Musculoskeletal injuries room the leading cause of healthcare utilization and also disability in the Army and today76 percent of the non-deployable pressure is due to musculoskeletal injuries. Musculoskeletal injury research study wasone of plenty of topics questioned during the 2016 Military wellness System study Symposium, Aug. 15-18 in ~ the GaylordHotel and Convention center in Kissimmee, Florida.(Courtesy photo)

Serving in the military as a Soldier, Sailor, Airmen or naval is arduous. The physical demands placed upon the Warfighter are challenging and have the right to be more debilitating 보다 standard work-related injuries. Musculoskeletal injuries space the leading cause of healthcare utilization and also disability in the Army and today 76 percent of the non-deployable pressure is due to musculoskeletal injuries.

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These injuries deserve to be attributed come a range of modifiable and non-modifiable factors. Modifiable factors include habits and behaviors that deserve to be readjusted or modified, such together body massive index, tobacco use and Army physics Fitness check scores. Non-modifiable determinants are qualities that can not be changed such as age or gender.

The studies performed by Military health and wellness System researchers aims to avoid physical injuries through the development of injury prediction models, equipment style specifications and guidelines, wellness hazard evaluate criteria and also strategies to reduce injuries. Musculoskeletal injury research was one of countless topics questioned during the 2016 Military health System study Symposium, Aug. 15-18 in ~ the Gaylord Hotel and also Convention center in Kissimmee, Florida.

The Musculoskeletal Injury prevention panel was co-moderated by the U.S. Military Medical Research and also Materiel Command"s Dr. Richard Shoge, Injury prevention Portfolio Manager v the armed forces Operational medicine Research Program and Maj. Richard Westrick, Deputy cook of the armed forces Performance division with the U.S. Military Medical research study Institute of environment Medicine. The panelists included six researchers from across the services, who debated current and also future research initiatives that are paving the method for musculoskeletal injury research across the services.

The panel started with two presentations from Lt. Col. Sheryl Bedno, chef of Preventive medicine at Womack army Medical Center. The emphasis of she presentations extended the various components that may bring about musculoskeletal injuries, particularly lower extremity injuries, among brand-new U.S. Military Soldiers. New Soldiers were a particularly viable populace for this study, as previous research has shown a greater rate that injuries among this group.

The first study looked at profile data the 188,000 new U.S. Military Soldiers ranging in age from 20-24, to research the gender distinctions in order to calculation the incidence of reduced extremity conditions that result in minimal duty days and also the complete days of limited duty attributed come such problems for brand-new Soldiers during their an initial two to three years of service. The study found that 39 percent that females and 28 percent of males had actually at least one profile. Furthermore, the probability of a lower extremity restricted duty injury because that females beginning the military almost doubled from 27 to 40 percent end the course of their very first 24 months in the military. In regards to readiness, this equates to about 6.3 million person days limited due to reduced extremity injuries.

The second study looked in ~ the impact of human body mass index and tobacco use on reduced extremity injuries among brand-new U.S. Soldiers. While modifiable, this factors present important health and readiness worries for the Army. In today"s society, the military is not immune to the obesity and also tobacco-use troubles that afflict the U.S. These issues present obstacles throughout the army beginning in recruiting efforts. In an occupation where readiness is key to mission success; exceeding the recommended BMI is associated the musculoskeletal injuries, particularly lower extreme injuries. Tobacco usage is well-known to decrease bone density and also increase the threat for bone fractures, pre-operative complications, infections also as delay wound healing. This study compared BMI, tobacco-use and also Army physics Fitness test scores and concluded that there is a greater likelihood that musculoskeletal injury among underweight, overweight and obese enlisted males. Additionally, tobacco use is consistently associated with a higher risk that injury.

While some research study looks in ~ the reasons of injury, various other research focuses on screening tools to suspect or reduce injuries.

The Uniformed services University"s Consortium because that Health and also Military power Injury prevention Laboratory is top the MEPStart program a 4 service, cohort study looking to determine modifiable components (BMI, tobacco use, fitness level, etc.) in order come identify threats early to implement injury avoidance strategies.

Another examine funded through the USAMRMC, considers bone area against length and also tissue thickness to identify the impact on tension fractures. This study looked in ~ peripheral quantitative computed tomography, a kind of quantitative computed tomography, provided for making dimensions of the bone mineral density in peripheral parts of the body, such together the arms or legs. The study scanned the tibias that its subjects and reviewed the data to find subjects that might be at risk to tibial stress and anxiety injuries. The aim of the study is the much better understand risk determinants to allow for much better screening and injury prevention.

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This research highlights just one topic, in i m sorry the MHS and also USAMRMC space considering all angles, come address, treat and mitigate risks in order to maintain readiness and the health of the Warfighter. Gatherings, such as the 2016 MHSRS administer a cooperation forum for researcher to share and also discuss their efforts.