Goldberg Capt Kathy F, Green Bart, Moore Jacqueline, Wyatt Marilynn, Boulanger Lynn, Belnap Brian, Harsch Peter, Donaldson David S
Naval Medical Center, San Diego, CA, USA.
J Manipulative Physiol Ther. 2009 Nov-Dec;32(9):781-91. doi: 10.1016/j.jmpt.2009.10.010.
The purpose of this study is to describe the musculoskeletal rehabilitation model used to care for combat and severely wounded or ill US military service members at an integrated Comprehensive Combat and Complex Casualty Care center located at Naval Medical Center San Diego.
Through a collaborative and iterative process, providers from the various services included at the Comprehensive Combat and Complex Casualty Care program developed a description of the integration of services provided at this location.
After construction of the facility in 2007, the program has provided services for approximately 2 years. Eighteen different health care providers from 10 different specialties provide integrated musculoskeletal services, which include primary care, physical therapy, occupational therapy, vestibular therapy, gait analysis, prosthetics, recreational therapy, and chiropractic care. At the time of this writing (early 2009), the program had provided musculoskeletal rehabilitation care to approximately 500 patients, 58 with amputations, from the operational theater, Veterans Affairs, other military treatment facilities, and local trauma centers.
The complex nature of combat wounded and polytrauma patients requires an integrated and interdisciplinary team that is innovative, adaptable, and focused on the needs of the patient. This article presents a description of the model and the experiences of our musculoskeletal rehabilitation team; it is our hope that this article will assist other centers and add to the small but emerging literature on this topic.
本研究旨在描述位于圣地亚哥海军医疗中心的综合战斗与复杂伤亡护理中心，用于照料作战受伤及病情严重的美国军人的肌肉骨骼康复模式。
通过一个协作且反复的过程，综合战斗与复杂伤亡护理项目中的各军种提供者对该中心提供的服务整合情况进行了描述。
2007年该设施建成后，该项目已提供服务约两年。来自10个不同专业的18名不同的医疗保健提供者提供综合肌肉骨骼服务，包括初级保健、物理治疗、职业治疗、前庭治疗、步态分析、假肢、娱乐治疗和脊椎按摩治疗。在撰写本文时（2009年初），该项目已为约500名患者提供了肌肉骨骼康复护理，其中58名患者来自作战战区、退伍军人事务部、其他军事治疗机构和当地创伤中心，有截肢情况。
战斗伤员和多发伤患者的复杂性需要一个创新、适应性强且专注于患者需求的综合跨学科团队。本文介绍了该模式以及我们肌肉骨骼康复团队的经验；我们希望本文能帮助其他中心，并为关于这一主题的少量但正在增加的文献增添内容。
