Identification of specific activities associated with fall-related injuries, active component, U.S. Army, 2011.

Although falls continue to be a leading mechanism of serious injuries among military populations, interventions must target activities or hazards that can be controlled or managed. This project aimed to identify activities most frequently associated with Army soldier fall-related injuries to prioritize prevention strategies for this substantial health burden. Narrative data from Army safety, medical evacuation, and casualty reporting systems were reviewed to select incidents meeting inclusion criteria and assign established codes. Nondeployed (n=988) and deployed (n=254) injury rates were not statistically different (2.20 per 1,000 non-deployed person-years [p-yrs], 2.21 per 1,000 deployed p-yrs, respectively). More than 75% of injuries were temporarily disabling fractures, sprains, and strains, primarily to lower extremities. The most frequent activities associated with non-deployed fall injuries were sports (e.g., snowboarding and basketball; 22%), parachuting (20%), walking/marching (19%), and climbing (15%). Ice and snow were the leading hazard (43%). The most common associated activities among deployed soldiers were occupational tasks (53%), walking/patrolling (24%), climbing (23%), and sports (17%). Specific interventions that target the activities and hazards identified in this investigation are suggested as priorities to reduce Army fall-related injuries.

[1]  T K Courtney,et al.  Using narrative text and coded data to develop hazard scenarios for occupational injury interventions , 2004, Injury Prevention.

[2]  Bruce H Jones,et al.  Prevention of physical training-related injuries recommendations for the military and other active populations based on expedited systematic reviews. , 2010, American journal of preventive medicine.

[3]  Joseph J Knapik,et al.  Risk factors for musculoskeletal injuries for soldiers deployed to Afghanistan. , 2012, Aviation, space, and environmental medicine.

[4]  Paul J Amoroso,et al.  Hospitalizations for fall-related injuries among active-duty Army soldiers, 1980-1998. , 2002, Work.

[5]  Wen-Ruey Chang,et al.  Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees , 2008, Ergonomics.

[6]  A. Ziv,et al.  An introduction to the Barell body region by nature of injury diagnosis matrix , 2002, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[7]  P. Amoroso,et al.  Effectiveness of an external ankle brace in reducing parachuting-related ankle injuries , 2010, Injury Prevention.

[8]  J. Knapik,et al.  Systematic review of the parachute ankle brace: injury risk reduction and cost effectiveness. , 2010, American Journal of Preventive Medicine.

[9]  Suzanne R. Block,et al.  Frequency and causes of nonbattle injuries air evacuated from operations iraqi freedom and enduring freedom, u.s. Army, 2001-2006. , 2010, American journal of preventive medicine.

[10]  J. Knapik,et al.  Injury incidence with T-10 and T-11 parachutes in military airborne operations. , 2014, Aviation, space, and environmental medicine.

[11]  Jack W. Smith,et al.  A process to identify military injury prevention priorities based on injury type and limited duty days. , 2010, American Journal of Preventive Medicine.

[12]  Christian Ehrnthaller,et al.  Differences in injury distribution in professional and recreational snowboarding , 2015, Open access journal of sports medicine.

[13]  Janine Margarita R Dizon,et al.  A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players. , 2010, Journal of science and medicine in sport.

[14]  B. Jones,et al.  Mechanisms of basketball injuries reported to the HQ Air Force Safety Center a 10-year descriptive study, 1993-2002. , 2010, American journal of preventive medicine.