Citation

Dijksma I, Zimmermann WO, Hertenberg EJ, Lucas C, Stuiver MM. BMJ Mil. Health 2020; ePub(ePub): ePub.

Affiliation

Master Evidence Based Practice in Health Care, Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC - Location AMC, Amsterdam, North Holland, The Netherlands.

Copyright

(Copyright © 2020, BMJ Publishing Group)

DOI

10.1136/bmjmilitary-2020-001420

PMID

32139408

Abstract

INTRODUCTION: Musculoskeletal injuries (MSIs) are among the main causes of dropout from military training. The main purpose of this study was to provide an overview of dropout rates and MSI incidence rates during elite military training. Second, this study aimed to explore restricted training days due to MSIs and to describe MSI-care by military physicians.

METHODS: In a retrospective observational study, we collected dropout rates and injury surveillance data from the electronic patient records of two elite units of the Netherlands Armed Forces (NAF): the Royal Netherlands Marine Corps (RNLMC) and the Airmobile Brigade (AMB), from 1 January 2015 until 31 December 2017.

RESULTS: In the RNLMC, total dropout rate was 53.9% and dropout due to MSIs was 23%. The most frequently affected locations were foot, knee and leg. In the AMB total dropout rate was 52.6% and dropout due to MSIs was 25%. In the AMB, the most frequently affected locations were back, knee and leg. Average restricted training days due to MSIs ranged between 8.3 and 20.8 days/injury. MSI-care by military physicians consisted mostly of the provision of injury-specific information and (self-)management options, imposing a specific activity restriction and referral to physiotherapy.

CONCLUSION: Our study findings showed that one out of four recruits who dropout from elite military training in the NAF, do so due to MSIs. Redesigning training programmes with the objective to reduce MSIs should be given high priority, as this may reduce dropout substantially.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Language: en

Keywords

epidemiology; primary care; rehabilitation medicine; sports medicine