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Identification of Risk Factors Prospectively Associated With Musculoskeletal Injury in a Warrior Athlete Population.

Publication ,  Journal Article
Teyhen, DS; Shaffer, SW; Goffar, SL; Kiesel, K; Butler, RJ; Rhon, DI; Plisky, PJ
Published in: Sports Health
2020

BACKGROUND: Musculoskeletal injuries are a primary source of disability. Understanding how risk factors predict injury is necessary to individualize and enhance injury reduction programs. HYPOTHESIS: Because of the multifactorial nature of musculoskeletal injuries, multiple risk factors will provide a useful method of categorizing warrior athletes based on injury risk. STUDY DESIGN: Prospective observational cohort study. LEVEL OF EVIDENCE: Level 2. METHODS: Baseline data were collected on 922 US Army soldiers/warrior athletes (mean age, 24.7 ± 5.2 years; mean body mass index, 26.8 ± 3.4 kg/m2) using surveys and physical measures. Injury occurrence and health care utilization were collected for 1 year. Variables were compared in healthy versus injured participants using independent t tests or chi-square analysis. Significantly different factors between each group were entered into a logistic regression equation. Receiver operating characteristic curve and accuracy statistics were calculated for regression variables. RESULTS: Of the 922 warrior athletes, 38.8% suffered a time-loss injury (TLI). Overall, 35 variables had a significant relationship with TLIs. The logistic regression equation, consisting of 11 variables of interest, was significant (adjusted R2 = 0.21; odds ratio, 5.7 [95% CI, 4.1-7.9]; relative risk, 2.5 [95% CI, 2.1-2.9]; area under the curve, 0.73). Individuals with 2 variables had a sensitivity of 0.89, those with 7 or more variables had a specificity of 0.94. CONCLUSION: The sum of individual risk factors (prior injury, prior work restrictions, lower perceived recovery from injury, asymmetrical ankle dorsiflexion, decreased or asymmetrical performance on the Lower and Upper Quarter Y-Balance test, pain with movement, slower 2-mile run times, age, and sex) produced a highly sensitive and specific multivariate model for TLI in military servicemembers. CLINICAL RELEVANCE: A better understanding of characteristics associated with future injury risk can provide a foundation for prevention programs designed to reduce medical costs and time lost.

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Published In

Sports Health

DOI

EISSN

1941-0921

Publication Date

2020

Volume

12

Issue

6

Start / End Page

564 / 572

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Sex Factors
  • Risk Factors
  • Return to Work
  • Recurrence
  • Prospective Studies
  • Physical Fitness
  • Physical Conditioning, Human
  • Musculoskeletal System
 

Citation

APA
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ICMJE
MLA
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Teyhen, D. S., Shaffer, S. W., Goffar, S. L., Kiesel, K., Butler, R. J., Rhon, D. I., & Plisky, P. J. (2020). Identification of Risk Factors Prospectively Associated With Musculoskeletal Injury in a Warrior Athlete Population. Sports Health, 12(6), 564–572. https://doi.org/10.1177/1941738120902991
Teyhen, Deydre S., Scott W. Shaffer, Stephen L. Goffar, Kyle Kiesel, Robert J. Butler, Daniel I. Rhon, and Phillip J. Plisky. “Identification of Risk Factors Prospectively Associated With Musculoskeletal Injury in a Warrior Athlete Population.Sports Health 12, no. 6 (2020): 564–72. https://doi.org/10.1177/1941738120902991.
Teyhen DS, Shaffer SW, Goffar SL, Kiesel K, Butler RJ, Rhon DI, et al. Identification of Risk Factors Prospectively Associated With Musculoskeletal Injury in a Warrior Athlete Population. Sports Health. 2020;12(6):564–72.
Teyhen, Deydre S., et al. “Identification of Risk Factors Prospectively Associated With Musculoskeletal Injury in a Warrior Athlete Population.Sports Health, vol. 12, no. 6, 2020, pp. 564–72. Pubmed, doi:10.1177/1941738120902991.
Teyhen DS, Shaffer SW, Goffar SL, Kiesel K, Butler RJ, Rhon DI, Plisky PJ. Identification of Risk Factors Prospectively Associated With Musculoskeletal Injury in a Warrior Athlete Population. Sports Health. 2020;12(6):564–572.
Journal cover image

Published In

Sports Health

DOI

EISSN

1941-0921

Publication Date

2020

Volume

12

Issue

6

Start / End Page

564 / 572

Location

United States

Related Subject Headings

  • Young Adult
  • Time Factors
  • Sex Factors
  • Risk Factors
  • Return to Work
  • Recurrence
  • Prospective Studies
  • Physical Fitness
  • Physical Conditioning, Human
  • Musculoskeletal System