232名患有肌肉骨骼残疾的军事飞行人员的诊断类别。

Diagnostic categories among 232 military aircrew with musculoskeletal disabilities.

作者信息

Taneja Narinder, Pinto Leslie J

机构信息

Department of Human Engineering and Human Factors, Institute of Aerospace Medicine, Indian Air Force, Bangalore, India.

出版信息

Aviat Space Environ Med. 2005 Jun;76(6):581-5.

PMID:15945404

Abstract

BACKGROUND

Musculoskeletal disabilities are a cause for concern in aircrew as they can critically affect return to flying duties. Analysis of the nature and cause of musculoskeletal disabilities can provide insight to assist in developing preventive and therapeutic intervention programs.

METHODS

The Institute of Aerospace Medicine (IAM) is responsible for centralized evaluation of military and civil aircrew with any musculoskeletal disability. We analyzed musculoskeletal disabilities among Indian Air Force aircrew who were evaluated at this Institute from 2001-2003.

RESULTS

A total of 232 aircrew were evaluated. The majority (53.4%, n=124) came from the fighter stream. A large proportion (30.2%, n=70) were in the age group 26 to 30 yr with an additional number (25.4%, n = 59) in the 31-35 age group. Musculoskeletal injuries affecting the spine constituted most (48.2%, n = 121) of the disabilities followed by upper limbs (28.2%, n = 71) and lower limbs (19.9%, n=50), respectively. Of the spinal disabilities, degenerative disease of the disk was the leading diagnosis (46 aircrew, 38.0%), followed by fracture of the spine (28.1%, n=35). Road traffic accidents accounted for almost a quarter of the injuries (23.3%, n=54).

DISCUSSION

These findings provide insight into the nature of musculoskeletal disabilities among military aircrew. Implications for preventive and therapeutic strategies are elaborated. Follow-up studies to understand the characteristics associated with each disability have been initiated.

摘要

背景

肌肉骨骼残疾是机组人员需要关注的问题，因为它们会严重影响恢复飞行任务。分析肌肉骨骼残疾的性质和原因有助于制定预防和治疗干预计划。

方法

航空航天医学研究所（IAM）负责对患有任何肌肉骨骼残疾的军事和民用机组人员进行集中评估。我们分析了2001年至2003年在该研究所接受评估的印度空军机组人员的肌肉骨骼残疾情况。

结果

共评估了232名机组人员。大多数（53.4%，n = 124）来自战斗机部队。很大一部分（30.2%，n = 70）年龄在26至30岁之间，另有一部分（25.4%，n = 59）年龄在31至35岁之间。影响脊柱的肌肉骨骼损伤构成了大多数（48.2%，n = 121）残疾，其次是上肢（28.2%，n = 71）和下肢（19.9%，n = 50）。在脊柱残疾中，椎间盘退行性疾病是主要诊断（46名机组人员，38.0%），其次是脊柱骨折（28.1%，n = 35）。道路交通事故占受伤人数的近四分之一（23.3%，n = 54）。