Military Performance Division, United States Army Institute of Environmental Medicine, Massachusetts 01760, USA.
Curr Opin Rheumatol. 2012 Mar;24(2):232-6. doi: 10.1097/BOR.0b013e3283503406.
The purpose of this review is to summarize current trends and rehabilitation programs for musculoskeletal injuries in military personnel returning from deployment.
Musculoskeletal injuries (MSIs) are the leading healthcare problem for military members. Risk factors include participation in sports, carrying heavy loads, older age, female sex, standing for long periods of time, and walking long distances. MSIs may lead to medical discharge from the military. Physical and occupational therapists work at the Combat Support Hospitals to provide rehabilitation care to injured personnel and reduce recovery time by 60% and costs by 123%. The Army Medical Department has developed initiatives to decrease the burden of MSI: musculoskeletal screening and referral tools to assist military medical providers in managing patients with MSI; Pain Management Task Force to optimize care for wounded soldiers; Musculoskeletal Action Plan for injury prevention, early diagnosis and management, and rehabilitation/reintegration following injury; and Musculoskeletal Action Teams to work with military recruits who make up the largest subgroup in the Army with the highest incidence of MSIs.
The US Military is aware of the inherent risks for MSI associated with military training and repeated combat deployments. Rehabilitation efforts have been developed to address the problem.
本综述旨在总结军事人员部署后肌肉骨骼损伤的当前趋势和康复计划。
肌肉骨骼损伤（MSI）是军事人员的主要医疗问题。危险因素包括参加运动、搬运重物、年龄较大、女性、长时间站立和长距离行走。MSI 可能导致军事人员退役。物理治疗师和职业治疗师在战斗支援医院工作，为受伤人员提供康复护理，将康复时间缩短 60%，成本降低 123%。陆军医疗部门已经制定了减少 MSI 负担的计划：肌肉骨骼筛查和转诊工具，以帮助军队医疗提供者管理 MSI 患者；疼痛管理工作组，以优化对受伤士兵的护理；肌肉骨骼行动计划，用于预防、早期诊断和管理损伤以及受伤后的康复/重新融入；以及肌肉骨骼行动小组，与构成军队中最大亚群且 MSI 发生率最高的新兵合作。
美国军方意识到与军事训练和反复战斗部署相关的 MSI 的固有风险。已经制定了康复措施来解决这个问题。
