Strowbridge N F, Burgess K R
Medical Reception Station, Colchester.
J R Army Med Corps. 2002 Sep;148(3):236-43. doi: 10.1136/jramc-148-03-03.
To record and analyse the injuries and conditions requiring referral to the Colchester Garrison Sports Injury and Rehabilitation Centre over a three year period, with special reference to type and site of injury, aetiology, and outcome.
An ongoing prospective study in which data on the diagnosis, cause of injury, and treatment of all patients referred to the Centre was coded and stored on a database. A total of seventeen variables were recorded.
All patients were trained, serving soldiers in the British Army referred via their General Practitioner to the Sports Injury and Rehabilitation Centre.
A total of 3921 referrals were made over the three-year period. The most common specific condition seen was low back pain (22.2%) followed by sprain of the ankle (15.1%). Lower limb conditions, both overuse and traumatic, accounted for over half (55.8%) of all referrals. Military training was the most common cause of all conditions (35.2%) followed by organised or personal sport (28.5%). In addition to medical treatment and physiotherapy, 30% of patients required formal rehabilitation.
This is the first full review of the data collected by the Sports Injury and Rehabilitation Centre. It defines the injury patterns for trained soldiers rather than military recruits. Low back pain is identified as a major cause of morbidity in this population. The review serves as a benchmark in the planning of injury prevention strategies and the establishment of future rehabilitation services.
记录并分析在三年期间转诊至科尔切斯特驻军运动损伤与康复中心的损伤情况及病症,特别关注损伤类型与部位、病因及治疗结果。
进行一项前瞻性研究,对所有转诊至该中心患者的诊断、损伤原因及治疗数据进行编码并存储在数据库中。共记录了十七个变量。
所有患者均为接受过训练的英国陆军现役士兵,通过其全科医生转诊至运动损伤与康复中心。
三年期间共转诊3921例。最常见的具体病症是腰痛(22.2%),其次是踝关节扭伤(15.1%)。下肢病症,包括过度使用和创伤性病症,占所有转诊病例的一半以上(55.8%)。军事训练是所有病症最常见的原因(35.2%),其次是有组织的运动或个人运动(28.5%)。除药物治疗和物理治疗外,30%的患者需要正规康复治疗。
这是对运动损伤与康复中心收集的数据进行的首次全面审查。它明确了受过训练的士兵而非新兵的损伤模式。腰痛被确定为该人群发病的主要原因。该审查为损伤预防策略的规划和未来康复服务的建立提供了基准。