Kelly E W, Bradway L F
Musculoskeletal Clinic, Naval Hospital Great Lakes, IL 60088, USA.
Mil Med. 1997 May;162(5):354-9.
In 1991, musculoskeletal injuries prevented 488 recruits from completing basic training at the Naval Recruit Training Command, Great Lakes, Illinois. These losses cost the Navy an estimated $5 million. To respond to the large number of injured recruits, a multi-disciplinary team was developed in 1992. Along with this team, a three-tiered, systematic approach to injuries was implemented. These changes were associated with an increase in the recovery rate for injured recruits requiring physical therapy, a decrease in the amount of training time lost per injury, and fewer total lost training days due to musculoskeletal problems. In addition, this new system was associated with a decrease in the overall attrition rate for musculoskeletal injuries and a cost savings to the Navy of several million dollars per year.
1991年，肌肉骨骼损伤致使488名新兵无法在伊利诺伊州大湖海军新兵训练司令部完成基础训练。这些损失估计让海军花费了500万美元。为应对大量受伤新兵的情况，1992年组建了一个多学科团队。与该团队一起，实施了一种针对损伤的三层系统方法。这些变化带来了接受物理治疗的受伤新兵康复率的提高、每次损伤所损失训练时间的减少以及因肌肉骨骼问题导致的总训练日损失的减少。此外，这个新系统还使肌肉骨骼损伤的总体 attrition 率降低，每年为海军节省了数百万美元的成本。 （注：原文中“attrition rate”未明确给出准确中文释义，可根据语境理解为“损耗率”等类似意思）
