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Published in: Journal of Occupational Rehabilitation 2/2015

01-06-2015

Reported Load Carriage Injuries of the Australian Army Soldier

Authors: Robin M. Orr, Venerina Johnston, Julia Coyle, Rodney Pope

Published in: Journal of Occupational Rehabilitation | Issue 2/2015

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Abstract

Introduction Many injuries experienced by soldiers can be attributed to the occupational loads they are required to carry. Purpose The aim of this study was to determine whether contemporary military load carriage is a source of injuries to Australian Regular Army soldiers and to profile these injuries. Methods The Australian Defence Force ‘Occupational Health, Safety and Compensation Analysis and Reporting’ database was searched to identify all reported injuries sustained during load carriage events. Key search terms were employed and narrative description fields were interrogated to increase data accuracy. Results A total of 1,954 injury records were extracted from the database. Of these, 404 injuries were attributed to load carriage. The majority of these load carriage injuries involved either the lower limb or back, with bones and joints accounting for the most frequently reported body structures to be injured. Field activities were the leading activities being performed at the time that load carriage injuries occurred, and muscular stress was identified as the mechanism of injury for over half of reported load carriage injuries. Conclusion This study suggests that load carriage is a substantial source of injury risk to Australian Army soldiers. Physical training may fail to adequately prepare soldiers for load carriage tasks during field training exercises.
Literature
1.
go back to reference Orr R. The history of the soldier’s load. Aust Army J. 2010;VII(2):67–88. Orr R. The history of the soldier’s load. Aust Army J. 2010;VII(2):67–88.
2.
go back to reference Knapik JJ, Reynolds KL, Harman E. Soldier load carriage: historical, physiological, biomechanical, and medical aspects. Mil Med. 2004;169(1):45–56.PubMed Knapik JJ, Reynolds KL, Harman E. Soldier load carriage: historical, physiological, biomechanical, and medical aspects. Mil Med. 2004;169(1):45–56.PubMed
3.
go back to reference Meakin JR, Smith FW, Gilbert FJ, Aspden RM. The effect of axial load on the sagittal plane curvature of the upright human spine in vivo. J Biomech. 2008;41(13):2850–4.CrossRefPubMed Meakin JR, Smith FW, Gilbert FJ, Aspden RM. The effect of axial load on the sagittal plane curvature of the upright human spine in vivo. J Biomech. 2008;41(13):2850–4.CrossRefPubMed
4.
go back to reference Harman E, Han K-H, Frykman PN. Load-speed interaction effects on the biomechanics of backpack load carriage. In: RTO meeting proceedings 56: soldier mobility: innovations in load carriage system design and evaluation; Kingston, Canada: Research and Technology Organisation/North Atlantic Treaty Organization; 2000. Harman E, Han K-H, Frykman PN. Load-speed interaction effects on the biomechanics of backpack load carriage. In: RTO meeting proceedings 56: soldier mobility: innovations in load carriage system design and evaluation; Kingston, Canada: Research and Technology Organisation/North Atlantic Treaty Organization; 2000.
5.
go back to reference Wright A. Smart vests take pressure off troops. Natl Def. 2009;94(672):19. Wright A. Smart vests take pressure off troops. Natl Def. 2009;94(672):19.
6.
go back to reference Orr RM, Pope R, Johnston V, Coyle J. Load carriage and its force impact. Aust Def Forc J J Aust Prof Arms. 2011;185:52–63. Orr RM, Pope R, Johnston V, Coyle J. Load carriage and its force impact. Aust Def Forc J J Aust Prof Arms. 2011;185:52–63.
7.
go back to reference Butler NL. Injury prevention as a combat multiplier. Carlisle Barracks, PA: U.S. Army War College; 2008. Butler NL. Injury prevention as a combat multiplier. Carlisle Barracks, PA: U.S. Army War College; 2008.
8.
go back to reference Lee JWI. A greek army on the march: soldiers and survival in xenophon’s anabasis. New York: Cambridge University Press; 2007. Lee JWI. A greek army on the march: soldiers and survival in xenophon’s anabasis. New York: Cambridge University Press; 2007.
9.
go back to reference Lothian NV. The load carried by the soldier. J R Army Med Corps. 1921;38:9–24, 241–63, 342–51, 448–58. Lothian NV. The load carried by the soldier. J R Army Med Corps. 1921;38:9–24, 241–63, 342–51, 448–58.
10.
go back to reference Mayville WC. A soldier’s load. Infantry. 1987;87:25–28. Mayville WC. A soldier’s load. Infantry. 1987;87:25–28.
12.
go back to reference Australian Safety and Compensation Council. Type of Occurence Classification System: Australian Safety and Compensation Council, Canberra; 2008. Australian Safety and Compensation Council. Type of Occurence Classification System: Australian Safety and Compensation Council, Canberra; 2008.
13.
go back to reference Khosa R. Australian Defence Almanac 2010–2011: Australian Strategic Policy Institute; 2010. Khosa R. Australian Defence Almanac 2010–2011: Australian Strategic Policy Institute; 2010.
14.
go back to reference Knapik JJ, Reynolds KL, Staab J, Vogel JA, Jones B. Injuries associated with strenuous road marching. Mil Med. 1992;157(2):64–7.PubMed Knapik JJ, Reynolds KL, Staab J, Vogel JA, Jones B. Injuries associated with strenuous road marching. Mil Med. 1992;157(2):64–7.PubMed
15.
go back to reference Reynolds KL, White J, Knapik JJ, Witt C, Amoroso P. Injuries and risk factors in a 100-mile (161-km) infantry road march. Prev Med. 1999;28(2):167–73.CrossRefPubMed Reynolds KL, White J, Knapik JJ, Witt C, Amoroso P. Injuries and risk factors in a 100-mile (161-km) infantry road march. Prev Med. 1999;28(2):167–73.CrossRefPubMed
16.
go back to reference Jennings BM, Yoder LH, Heiner SL, Loan LA, Bingham MO. Soldiers with musculoskeletal injuries. J Nurs Scholarsh. 2008;40(3):268–74.CrossRefPubMed Jennings BM, Yoder LH, Heiner SL, Loan LA, Bingham MO. Soldiers with musculoskeletal injuries. J Nurs Scholarsh. 2008;40(3):268–74.CrossRefPubMed
17.
go back to reference O’Connor F. Injuries during Marine Corps officer basic training. Mil Med. 2000;165(7):515–20.PubMed O’Connor F. Injuries during Marine Corps officer basic training. Mil Med. 2000;165(7):515–20.PubMed
18.
go back to reference Defence Health Services Branch. ADF Health Status. Defence Health Services Branch: Department of Defence. 2000. Defence Health Services Branch. ADF Health Status. Defence Health Services Branch: Department of Defence. 2000.
19.
go back to reference Lobb B. Load carriage for fun: a survey of New Zealand trampers, their activities and injuries. Appl Ergon. 2004;35(6):541–7.CrossRefPubMed Lobb B. Load carriage for fun: a survey of New Zealand trampers, their activities and injuries. Appl Ergon. 2004;35(6):541–7.CrossRefPubMed
20.
go back to reference Attwells R, Birrell SA, Hooper RH, Mansfield NJ. Influence of carrying heavy loads on soldier’s posture, movements and gait. Ergonomics. 2006;49(14):1527–37.CrossRefPubMed Attwells R, Birrell SA, Hooper RH, Mansfield NJ. Influence of carrying heavy loads on soldier’s posture, movements and gait. Ergonomics. 2006;49(14):1527–37.CrossRefPubMed
21.
go back to reference Knapik JJ, Reynolds KL, Duplantis KL, Jones B. Friction blisters: pathophysiology, prevention and treatment. Sports Med. 1995;20(3):136–47.CrossRefPubMed Knapik JJ, Reynolds KL, Duplantis KL, Jones B. Friction blisters: pathophysiology, prevention and treatment. Sports Med. 1995;20(3):136–47.CrossRefPubMed
22.
go back to reference Knapik JJ, Reynolds K, Barson J. Influence of an antiperspirant on foot blister incidence during cross-country hiking. J Am Acad Dermatol. 1998;39(2):202–6.CrossRefPubMed Knapik JJ, Reynolds K, Barson J. Influence of an antiperspirant on foot blister incidence during cross-country hiking. J Am Acad Dermatol. 1998;39(2):202–6.CrossRefPubMed
23.
go back to reference Rudzki SJ. Lessons learnt from a heat stroke death: 704: May 28 9: 30 AM-9: 45 AM. Med Sci Sports Exerc. 2009;41(5):56.CrossRef Rudzki SJ. Lessons learnt from a heat stroke death: 704: May 28 9: 30 AM-9: 45 AM. Med Sci Sports Exerc. 2009;41(5):56.CrossRef
24.
go back to reference Carter R III, Cheuvront SN, Williams JO, Kolka MA, Stephenson LA, Sawka MN, et al. Epidemiology of hospitalizations and deaths from heat illness in soldiers. Med Sci Sports Exerc. 2005;37(8):1338.CrossRefPubMed Carter R III, Cheuvront SN, Williams JO, Kolka MA, Stephenson LA, Sawka MN, et al. Epidemiology of hospitalizations and deaths from heat illness in soldiers. Med Sci Sports Exerc. 2005;37(8):1338.CrossRefPubMed
25.
go back to reference Goldman RF. Introduction to heat-related problems in military operations, in. Medical Aspects of Harsh Environments Volume 1: Office of the Surgeon General, United States Army; 2001. p. 3–49. Goldman RF. Introduction to heat-related problems in military operations, in. Medical Aspects of Harsh Environments Volume 1: Office of the Surgeon General, United States Army; 2001. p. 3–49.
26.
go back to reference Park K, Hur P, Rosengren KS, Horn GP, Hsiao-Wecksler ET. Effect of load carriage on gait due to firefighting air bottle configuration. Ergonomics. 2010;53(7):882–91.CrossRefPubMed Park K, Hur P, Rosengren KS, Horn GP, Hsiao-Wecksler ET. Effect of load carriage on gait due to firefighting air bottle configuration. Ergonomics. 2010;53(7):882–91.CrossRefPubMed
27.
go back to reference Orr R. The Australian Army load carriage context: a challenge for defence capability. Australia: Annual Military Pharmacy Specialist Interest Group conference Brisbane; 2012. Orr R. The Australian Army load carriage context: a challenge for defence capability. Australia: Annual Military Pharmacy Specialist Interest Group conference Brisbane; 2012.
29.
go back to reference Orr R, Pope R, Johnston V, Coyle J. Load carriage: minimising soldier injuries through physical conditioning: a narrative review. J Mil Veterans’ Health. 2010;18(3):31–8. Orr R, Pope R, Johnston V, Coyle J. Load carriage: minimising soldier injuries through physical conditioning: a narrative review. J Mil Veterans’ Health. 2010;18(3):31–8.
30.
go back to reference Nordin M, Frankel VH. Basic biomechanics of the musculoskeletal system. 3rd ed. Lippincott: Williams and Wilkins; 2001. Nordin M, Frankel VH. Basic biomechanics of the musculoskeletal system. 3rd ed. Lippincott: Williams and Wilkins; 2001.
Metadata
Title
Reported Load Carriage Injuries of the Australian Army Soldier
Authors
Robin M. Orr
Venerina Johnston
Julia Coyle
Rodney Pope
Publication date
01-06-2015
Publisher
Springer US
Published in
Journal of Occupational Rehabilitation / Issue 2/2015
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-014-9540-7

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