Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model

Stefan Sammito; Vedran Hadzic; Thomas Karakolis; Karen R. Kelly; Susan P. Proctor; Ainars Stepens; Graham White; Wes O. Zimmermann

doi:10.1186/s40779-021-00357-w

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Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model

RESEARCH | Updated：2023-02-28

- Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model
- Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model
- 解放军医学杂志（英文版） 2022年9卷第4期页码：444-483
- Affiliations：
  
  1.Section Experimental Aerospace Medicine Research, German Air Force Centre of Aerospace Medicine, Flughafenstraße 1, 51147 Cologne, Germany
  2.Occupational Medicine, Faculty of Medicine, Otto-Von-Guericke-University of Magdeburg, 39120 Magdeburg, Germany
  3.Faculty of Sport, University of Ljubljana, 1000 Ljubljana, Slovenia
  4.Defence Research and Development Canada, Toronto, ON M3K 2C9, Canada
  5.Warfighter Performance, Naval Health Research Center, San Diego, CA 92106-3599, USA
  6.Military Performance Division, US Army Research Institute of Environmental Medicine, Natick, MA 01760, USA
  7.Research Service, VA Boston Healthcare System, Boston, MA 02130, USA
  8.Centre for Military Medicine Research, Riga Stradins University, Riga 1007, Latvia
  9.Human and Social Sciences Group, Defense Science and Technology Laboratory, Portsdown Hill Road, Fareham PO17 6AD, UK
  10.Department of Military Sports Medicine, Royal Netherlands Army, 3584 AB Utrecht, The Netherlands
  11.Department of Military/Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
- Author bio：
  
  * stefansammito@bundeswehr.org
- Funds：
- DOI：10.1186/s40779-021-00357-w
  中图分类号：
- 纸质出版：2022-08
- Accepted：
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Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model[J]. 解放军医学杂志（英文版）, 2022,9(4):444-483.

Sammito S, Hadzic V, Karakolis T, Kelly KR, Proctor SP, Stepens A, et al. Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model. Mil Med Res. 2021;8(1):66.
Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model[J]. 解放军医学杂志（英文版）, 2022,9(4):444-483. DOI： 10.1186/s40779-021-00357-w.

Sammito S, Hadzic V, Karakolis T, Kelly KR, Proctor SP, Stepens A, et al. Risk factors for musculoskeletal injuries in the military: a qualitative systematic review of the literature from the past two decades and a new prioritizing injury model. Mil Med Res. 2021;8(1):66. DOI： 10.1186/s40779-021-00357-w.

摘要

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.

关键词

Keywords

references

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