SELF-REPORTED MUSCULOSKELETAL ACUTE AND OVERUSE INJURIES AMONG LATVIAN INFANTRY SOLDIERS

Darja Nesterovica, Normunds Vaivads, Ainars Stepens

Abstract


Musculoskeletal injury is the leading cause of disability among different military populations that results in socioeconomic burden and negatively affects military readiness. Study aim was to describe self-reported musculoskeletal injuries among Latvian infantry soldiers during one-year period. Survey-based cross-sectional study was carried out. Data was assessed using survey about injuries that occurred in one-year period during annual medical check-up. Musculoskeletal injuries were classified according to body regions as it is in Barell injury matrix and by injury type – acute or overuse. Study results showed in one-year injury incidence rate was 867.8 cases per 1000 person-years (95% CI 824.8 – 913.0) with total 197 musculoskeletal injuries reported among active duty infantry soldiers. Typical acute injuries were superficial contusion injuries (n=24), fractures (n=21), joint dislocations (n=21) and sprains (n=29). Typical overuse diagnoses were lower back pain (n=42), patellofemoral pain syndrome (n=11), medial tibial stress syndrome (n=9), plantar fasciitis (n=8). Present study showed high incidence of overuse back injuries and overuse and acute lower leg injuries. Mostly of reported injuries could be classified as preventable and should be reduced through injury reduction programmes.

 


Keywords


Barell matrix; military personnel; musculoskeletal injuries; occupational health

Full Text:

PDF

References


Abt, J.P., Sell, T.C., Lovalekar, M.T., Keenan, K.A., Bozich, A.J., Morgan, J.S., Kane, S.F., Benson, P.J., & Lephart, S.M. (2014). Injury Epidemiology of U.S. Army Special Operations Forces. Military Medicine, 179(10), 1106–1112. DOI: https://doi.org/10.7205/milmed-d-14-00078

Barell, V., Aharonson-Daniel, L., Fingerhut, L.A., Mackenzie, E.J., Ziv, A., Boyko, V., Abargel, A., Avitzour, M., & Heruti, R. (2002). An introduction to the Barell body region by nature of injury diagnosis matrix. In Injury Prevention (Vol. 8, Issue 2, pp. 91–96). DOI: https://doi.org/10.1136/ip.8.2.91

Dijksma, C. I., Bekkers, M., Spek, B., Lucas, C., & Stuiver, M. (2019). Epidemiology and Financial Burden of Musculoskeletal Injuries as the Leading Health Problem in the Military. Military Medicine. DOI: https://doi.org/10.1093/milmed/usz328

Jones, B.H., Canham-Chervak, M., & Sleet, D.A. (2010). An evidence-based public health approach to injury priorities and prevention: Recommendations for the U.S. Military. American Journal of Preventive Medicine, 38(1 SUPPL.). DOI: https://doi.org/10.1016/j.amepre.2009.10.001

Knapik, J.J., Bullock, S.H., Canada, S., Toney, E., Wells, J.D., Hoedebecke, E., & Jones, B. H. (2004). Influence of an injury reduction program on injury and fitness outcomes among soldiers. Injury Prevention, 10(1), 37–42. DOI: https://doi.org/10.1136/ip.2003.002808

Knapik, Joseph J., Darakjy, S., Hauret, K.G., Canada, S., Scott, S., Rieger, W., Marin, R., & Jones, B. H. (2006). Increasing the Physical Fitness of Low-Fit Recruits before Basic Combat Training: An Evaluation of Fitness, Injuries, and Training Outcomes. Military Medicine, 171(1), 45–54. DOI: https://doi.org/10.7205/milmed.171.1.45

Lovalekar, M.T., Abt, J.P., Sell, T.C., Nagai, T., Keenan, K., Beals, K., Lephart, S.M., & Wirt, M.D. (2016). Descriptive Epidemiology of Musculoskeletal Injuries in the Army 101st Airborne (Air Assault) Division. Military Medicine, 181(8), 900–906. DOI: https://doi.org/10.7205/milmed-d-15-00262

Neal, B.S., Griffiths, I.B., Dowling, G.J., Murley, G.S., Munteanu, S.E., Franettovich Smith, M.M., Collins, N.J., & Barton, C.J. (2014). Foot posture as a risk factor for lower limb overuse injury: A systematic review and meta-analysis. Journal of Foot and Ankle Research, 7(1), 1–13. DOI: https://doi.org/10.1186/s13047-014-0055-4

Orr, R. M., Coyle, J., Johnston, V., & Pope, R. (2017). Self-reported load carriage injuries of military soldiers. International Journal of Injury Control and Safety Promotion, 24(2), 189–197. DOI: https://doi.org/10.1080/17457300.2015.1132731

Ruscio, B., Smith, J., Amoroso, P., Anslinger, J., Bullock, S., Burnham, B., Campbell, J., Chervak, M., Garbow, K., & Garver, R. (2006). DoD Military Injury Prevention Priorities Working Group: Leading Injuries, Causes and Mitigation Recommendations. DTIC Document, ADA458257, 88. DOI: http://www.dtic.mil/get-tr-doc/pdf?AD=ADA458257

Schuh-Renner, A., Canham-Chervak, M., Grier, T. L., & Jones, B. H. (2019). Accuracy of self-reported injuries compared to medical record data. Musculoskeletal Science and Practice, 39, 39–44. DOI: https://doi.org/10.1016/j.msksp.2018.11.007

Schuh, A., Canham-Chervak, M., & Jones, B.H. (2017). Statistical process control charts for monitoring military injuries. Injury Prevention, 23(6), 416–422. DOI: https://doi.org/10.1136/injuryprev-2016-042089

Smith, L., Westrick, R., Sauers, S., Cooper, A., Scofield, D., Claro, P., & Warr, B. (2016). Underreporting of Musculoskeletal Injuries in the US Army: Findings From an Infantry Brigade Combat Team Survey Study. Sports Health, 8(6), 507–513. DOI: https://doi.org/10.1177/1941738116670873

Wardle, S.L., & Greeves, J.P. (2017). A systematic review of the most effective injury prevention strategies for military personnel. Journal of Science and Medicine in Sport, 20, S3–S10. DOI: https://doi.org/10.1016/j.jsams.2017.09.014




DOI: https://doi.org/10.17770/sie2020vol6.5094

Refbacks

  • There are currently no refbacks.