In this program, the soldiers would be able to receive proper rehabilitative care before transferring to their next duty station and would arrive physically prepared to start advanced training. These results agree with other studies that showed females to have a higher injury rate when compared with males in the military training environment. Unfortunately, this was not possible due to the small number of screeners available and the time frame given in which to screen the soldiers before they initiated training. When this happens, minor injuries that could be treated effectively in a relatively short period of time may turn into more chronic conditions that may plague soldiers throughout their training and possibly prevent them from passing a physical fitness test and completing their training on time. Conclusion Musculoskeletal injuries are prominent in the military training environment.
The injured soldiers were referred to the BAS and received appropriate medical intervention during their training cycle. Conclusion Musculoskeletal injuries are prominent in the military training environment. Additionally, several soldiers were taken off medical profile by their units to pass an APFT, then placed back on profile until 1 day before graduation. The reliability and validity of the screening tool used in this study has not been established. Therefore, it is recommended that a team of trained screeners be used to perform this process. In this program, the soldiers would be able to receive proper rehabilitative care before transferring to their next duty station and would arrive physically prepared to start advanced training. This study documented the use and benefits of a brief musculoskeletal screening examination for Initial Entry Training soldiers. Unfortunately, this was not possible due to the small number of screeners available and the time frame given in which to screen the soldiers before they initiated training. Although the screening examination itself is quick, the process of evaluating several hundred soldiers each week is labor-intensive for one or two providers to perform. Additionally, chronic conditions may ultimately result in the soldier being medically discharged from the military. Those soldiers found to have physical restrictions on the screening examination could be enrolled in the Physical Training and Readiness Program in basic training. Our data agree with other studies that reported a high incidence of musculoskeletal injuries, especially to the lower extremities, in the military training environment. Figure 2 contains the distribution of injuries by anatomical location. The examination included broad coverage of all body parts and was effective at identifying common orthopedic injuries. There were some limitations to our study. These results agree with other studies that showed females to have a higher injury rate when compared with males in the military training environment. Future studies need to be performed to establish the effectiveness of this screening tool at identifying musculoskeletal injuries, lowering injury rates, decreasing medical costs, and avoiding lost training days. During the screening process, several soldiers in our study reported that the drill sergeants and staff at the various basic training posts discouraged them from seeking medical care by telling them it would prevent them from graduating. Through the application of this screening examination in conjunction with timely medical intervention, injured soldiers can be identified early, receive proper treatment for their injuries, complete their training on time, and move on to their next assignment physically ready to perform their duties. The screening process used in our study had several positive aspects. Of the five soldiers medically discharged two males and three females , two were due to tibial stress fractures, one due to calcaneal stress fractures, one for chronic iliotibial band syndrome, and one for chronic piriformis syndrome. If not identified early, these injuries can lead to more chronic conditions which may preclude soldiers from completing training and even result in a medical discharge from the military. Discussion The results of our study indicate that a brief musculoskeletal screening examination is a useful tool to identify injured soldiers early in the training cycle. This tool allows proper medical care to be administered which will assist injured soldiers to complete their training and pass a physical fitness test. Of the eight soldiers that did not graduate on time, five were medically discharged from the Army and three were recycled and graduated at a later date. The average time from screening to discharge was 7 months range, 4—8 months.
Video about medical discharge in basic training benefits:
WHY I GOT KICKED OUT OF THE MILITARY: My Medical Retirement Story
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