Abstract:There were only 4 women in the MBT group; as a consequence, female personnel were excluded from the study. The participation rate was 58.0% (n = 184) in the MBT group and 56.3% (n = 333) in the reference group. The pattern of musculoskeletal disorders among personnel in the main battle tank units of the Danish army was not significantly different from that in other types of units (infantry, signal, combat service support, engineers, and artillery). Working as a gunner less than 2 years increased the risk of re… Show more
“…The literature review yielded 121 potential articles. Twelve studies 1 , 2 , 3 , 10 , 16 , 17 , 21 , 24 , 25 , 26 , 27 , 28 ) met all inclusion criteria and were used for later analyses ( Fig. 1 Fig.…”
Section: Resultsmentioning
confidence: 99%
“… 25 ) Locomotive questionnaire 1.89 1.43 2.50 ≤0.001 Nissen et al . 21 ) GB: Main Battle Tank questionnaire 0.99 0.68 1.45 0.96 Petren-Mallmin and Linder 27 ) FW: Fighter MRI 14.83 0.73 295.97 0.08 Pippig et al . 2 ) FW: Fighter CT/MRI 0.08 0.05 0.14 ≤0.001 Pippig et al .…”
Section: Resultsmentioning
confidence: 99%
“… 25 ) 516 Locomotive engineers employed by the national rail carrier in New Zealand Questionnaire 2 (++) Nissen et al . 21 ) 317 Main battle tank personnel Questionnaire 2 (+) Petren-Mallmin and Linder 27 ) 29 Swedish Air Force pilots Magnetic resonance imaging 2 (++) Pippig et al . 2 ) 286 pilots examined at the German Air Force Institute of Medicine Clinical examination, peripheral neurological examination, computerized tomography, magnetic resonance imaging 2 (–) Rehn et al .…”
Section: Methodsmentioning
confidence: 99%
“…Investigation of the prevalence of cervical pathology in ground-based military vehicle personnel is lacking in the literature. The one report available 21 ) indicates that Danish main battle tank personnel were not at greater risk than other types of units (infantry, signal, combat service support, engineers, and artillery) for cervical spine pathology. However, there are many types of ground-based vehicles such as main battle tanks, Humvees (i.e.…”
Research to date on the effect vehicle-ride exposure has on the development of cervical
pathologies in mounted Warfighters is conflicting. The purpose of this study was to
determine if the literature suggests a definite effect of vehicle-ride exposure on
cervical pathology. Databases were searched using multiple combinations of select terms.
Twelve studies meeting the inclusion criteria were included in the meta-analysis. The
results of the meta-analysis revealed that overall vehicle-ride exposure was likely to
increase cervical pathology (p=0.01, odds ratio=1.59, 95%
CI=1.16−2.17). Using vehicle type as a moderator it was found that vehicle-ride exposure
in ground-based vehicles (p=0.01, odds ratio=2.33, 95%
CI=1.41−3.85) and fixed-wing aircraft (p=0.01, odds ratio
=1.59, 95% CI=1.13−2.23) were likely to increase cervical pathology. Using operator/other
personnel moderator it was found that in the populations tested, fighter pilots or fighter
jet weapons systems operators were more likely to develop a cervical pathology
(p<0.001, odds ratio=1.78, 95% CI=1.26−2.50). The
available studies indicate an increase in cervical pathology for personnel exposed to
ground-based vehicles and fixed-wing aircraft.
“…The literature review yielded 121 potential articles. Twelve studies 1 , 2 , 3 , 10 , 16 , 17 , 21 , 24 , 25 , 26 , 27 , 28 ) met all inclusion criteria and were used for later analyses ( Fig. 1 Fig.…”
Section: Resultsmentioning
confidence: 99%
“… 25 ) Locomotive questionnaire 1.89 1.43 2.50 ≤0.001 Nissen et al . 21 ) GB: Main Battle Tank questionnaire 0.99 0.68 1.45 0.96 Petren-Mallmin and Linder 27 ) FW: Fighter MRI 14.83 0.73 295.97 0.08 Pippig et al . 2 ) FW: Fighter CT/MRI 0.08 0.05 0.14 ≤0.001 Pippig et al .…”
Section: Resultsmentioning
confidence: 99%
“… 25 ) 516 Locomotive engineers employed by the national rail carrier in New Zealand Questionnaire 2 (++) Nissen et al . 21 ) 317 Main battle tank personnel Questionnaire 2 (+) Petren-Mallmin and Linder 27 ) 29 Swedish Air Force pilots Magnetic resonance imaging 2 (++) Pippig et al . 2 ) 286 pilots examined at the German Air Force Institute of Medicine Clinical examination, peripheral neurological examination, computerized tomography, magnetic resonance imaging 2 (–) Rehn et al .…”
Section: Methodsmentioning
confidence: 99%
“…Investigation of the prevalence of cervical pathology in ground-based military vehicle personnel is lacking in the literature. The one report available 21 ) indicates that Danish main battle tank personnel were not at greater risk than other types of units (infantry, signal, combat service support, engineers, and artillery) for cervical spine pathology. However, there are many types of ground-based vehicles such as main battle tanks, Humvees (i.e.…”
Research to date on the effect vehicle-ride exposure has on the development of cervical
pathologies in mounted Warfighters is conflicting. The purpose of this study was to
determine if the literature suggests a definite effect of vehicle-ride exposure on
cervical pathology. Databases were searched using multiple combinations of select terms.
Twelve studies meeting the inclusion criteria were included in the meta-analysis. The
results of the meta-analysis revealed that overall vehicle-ride exposure was likely to
increase cervical pathology (p=0.01, odds ratio=1.59, 95%
CI=1.16−2.17). Using vehicle type as a moderator it was found that vehicle-ride exposure
in ground-based vehicles (p=0.01, odds ratio=2.33, 95%
CI=1.41−3.85) and fixed-wing aircraft (p=0.01, odds ratio
=1.59, 95% CI=1.13−2.23) were likely to increase cervical pathology. Using operator/other
personnel moderator it was found that in the populations tested, fighter pilots or fighter
jet weapons systems operators were more likely to develop a cervical pathology
(p<0.001, odds ratio=1.78, 95% CI=1.26−2.50). The
available studies indicate an increase in cervical pathology for personnel exposed to
ground-based vehicles and fixed-wing aircraft.
“…In AE, ergonomic risk factors that increase the likelihood of MSI include awkward postures, excessive force, and vibrations. [6][7][8][9][10][11][12] Ergonomic challenges are likely to arise during AE tasks in the following categories: aircraft configuration, patient loading, patient care during flight, and patient unloading. Each of these categories brings about unique challenges often linked to a specific type of aircraft.…”
Background: Aeromedical evacuation providers care for patients during air transport. By applying standard medical practices, oftentimes developed for ground care, these practitioners perform their mission duties under additional physical stress in this unique medical environment. Awkward postures and excessive forces are common occurrences among personnel operating in this domain. Additionally, anecdotal reports highlight the risk of developing musculoskeletal injuries for these providers. Currently, there is limited research focusing on musculoskeletal injuries in aeromedical evacuation providers.Purpose: To determine the prevalence of musculoskeletal injuries and associated symptoms in aeromedical evacuation providers to understand the risk and burden of these injuries to military personnel.Methods: This study utilized a retrospective review of military medical records containing ICD-9 codes to investigate the incidence of musculoskeletal injuries within flight nurses and medical technicians compared to their non-flying counterparts from 2006 through 2011. Data were analyzed from 2013 through 2014.
Results: Although musculoskeletal injuries were identified within the test populations, resultsshowed fewer injuries for aeromedical evacuation populations compared to non-aeromedical evacuation counterparts.
Conclusions:One contributing factor may be a potential under-reporting of musculoskeletal injuries resulting from the fear of being placed on limited flying status. As flyers, aeromedical evacuation personnel must undergo yearly medical examinations and complete training courses that emphasize proper lifting techniques and physical requirements necessary for the safe and efficient transport of patients on various platforms. These additional requirements may create a healthy worker effect, likely contributing to lower musculoskeletal injuries.
Occupational activities such as lifting loads, working in constrained spaces, and training increase the risk of pain-related musculoskeletal disorders (MSDs) in military veterans. Few studies have investigated MSD and psychological disorder in veterans, and previous studies had limitations. This cross-sectional study compared pain-related MSD and psychological comorbidity and well-being between 1381 male Australian 1990-1991 Gulf War veterans (veterans) and a military comparison group (n=1377, of whom 39.6% were serving and 32.7% had previously deployed). At a medical assessment, 2000-2002, reported doctor-diagnosed arthritis or rheumatism, back or neck problems, joint problems, and soft tissue disorders were rated by medical practitioners as nonmedical, unlikely, possible, or probable diagnoses. Only probable MSDs were analysed. Psychological disorders in the past 12 months were measured using the Composite International Diagnostic Interview. The Short-Form Health Survey (SF-12) assessed 4-week physical and mental well-being. Almost one-quarter of veterans (24.5%) and the comparison group (22.4%) reported an MSD. Having any or specific MSD was associated with depression and posttraumatic stress disorder (PTSD), but not alcohol disorders. Physical and mental well-being was poorer in those with an MSD compared to those without, in both study groups (eg, veterans with any MSD, difference in SF-12 physical component summary scale medians = -10.49: 95% confidence interval -12.40, -8.57), and in those with MSD and psychological comorbidity compared with MSD alone. Comorbidity of any MSD and psychological disorder was more common in veterans, but MSDs were associated with depression, PTSD, and poorer well-being in both groups. Psychological comorbidity needs consideration in MSD management. Longitudinal studies are needed to assess directionality and causality.
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