Incidence of Overuse Musculoskeletal Injuries in Military Service Members With Traumatic Lower Limb Amputation

Shawn Farrokhi, Brittney Mazzone, Susan Eskridge, Kaeley Shannon, Owen T. Hill

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Objective: To describe the incidence of overuse musculoskeletal injuries in service members with combat-related lower limb amputation. Design: Retrospective cohort study. Setting: Military treatment facilities. Participants: Service members with deployment-related lower limb injury (N=791): 496 with a major lower limb amputation and 295 with a mild lower limb injury. Interventions: Not applicable. Main Outcome Measures: The outcomes of interest were clinical diagnosis codes (International Classification of Diseases–9th Revision) associated with musculoskeletal overuse injuries of the lumbar spine, upper limb, and lower limb regions 1 year before and 1 year after injury. Results: The overall incidence of developing at least 1 musculoskeletal overuse injury within the first year after lower limb amputation was between 59% and 68%. Service members with unilateral lower limb amputation were almost twice as likely to develop an overuse lower or upper limb injury than those with mild combat-related injury. Additionally, service members with bilateral lower limb amputation were more than twice as likely to develop a lumbar spine injury and 4 times more likely to develop an upper limb overuse injury within the first year after amputation than those with mild combat-related injury. Conclusions: Incidence of secondary overuse musculoskeletal injury is elevated in service members with lower limb amputation and warrants focused research efforts toward developing preventive interventions.

Original languageEnglish (US)
Pages (from-to)348-354.e1
JournalArchives of Physical Medicine and Rehabilitation
Volume99
Issue number2
DOIs
StatePublished - Feb 2018
Externally publishedYes

Keywords

  • Amputation
  • Pain
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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