Injury Mechanisms, Activities, and Limited Work Days in US Army Infantry Units.

U.S. Army Medical Department journal Pub Date : 2018-07-01
Michelle Canham-Chervak, Catherine Rappole, Tyson Grier, Bruce H Jones
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Abstract

Injuries are a leading health and readiness concern for the US Army. For effective prevention planning, details concerning circumstances associated with injuries are needed. Over 5,000 Soldiers were surveyed to collect demographic and injury details (type, body part, mechanism, activity, limited duty days); 874 reported an injury within 6 months of survey administration. The greatest proportion of limited duty time was associated with knee (19.2%), ankle (14.8%), and lower back injuries (12.9%). Overexertion was the leading injury mechanism (43.9%), followed by falls, jumps, trips, and slips (35.2%), which accounted for the highest average limited duty days per injury (42±43 days). Running was the leading activity associated overexertion injuries (39.3%) and falls (30.5%). Running also accounted for the greatest total limited duty days (5,844 days, 29.8%). For Army infantry units, results suggested a focus of prevention activities on running-related injuries resulting in overexertion or falls. Healthcare providers can facilitate injury prevention with contributions to initiatives providing details on injury mechanisms and activities associated with injuries.

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美国陆军步兵单位的伤害机制、活动和有限工作日。
伤病是美国陆军最关心的健康和战备问题。为了有效的预防计划,需要详细了解与伤害有关的情况。对5000多名士兵进行了调查,收集了人口统计和受伤细节(类型、身体部位、机制、活动、有限值班天数);874人在调查开始后6个月内报告受伤。有限工作时间的最大比例与膝盖(19.2%)、脚踝(14.8%)和下背部损伤(12.9%)有关。过度劳累是最主要的伤害机制(43.9%),其次是跌倒、跳跃、绊倒和滑倒(35.2%),每起伤害的平均限制工作天数最高(42±43天)。跑步是与过度运动相关的主要伤害(39.3%)和跌倒(30.5%)。在所有限制值班天数中,跑步天数最多(5844天,29.8%)。对于陆军步兵部队,结果表明,预防活动的重点是与跑步有关的伤害,导致过度劳累或跌倒。医疗保健提供者可以促进伤害预防,为提供有关伤害机制和与伤害相关活动细节的倡议作出贡献。
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