Musculoskeletal injury outcomes: 2-year retrospective service evaluation of a UK defence primary care rehabilitation facility (PCRF).

BMJ Military Health
Peter James Scott

Abstract

Musculoskeletal injury represents the leading cause of medical discharge from the UK Armed Forces. This study evaluates effectiveness of care provision within a large primary care rehabilitation facility (PCRF) against directed defence best practice guidelines (BPGs) METHODS: All new patient electronic records from January to July 16 were interrogated to identify demographics, causation, injury pathology, timelines and outcomes. 393 eligible records (81.9% male) were identified. 17.6% were officers, 32.8% were seniors and 49.6% were juniors. The average age was 35.1 years (mode 30). The average wait to treatment was 8.3 days with 75.6% key performance indicator compliance. 47.3% were repeat injuries. The average care timeline was 117.1 days with 8.7 average treatment sessions needed. 30 remained under care at 2 years. 17.8% accessed hydrotherapy and 44% underwent exercise remedial instructors care. 14.2% of individuals required concurrent DCMH care (15.9% male and 26.8% female). 28.5% required multidisciplinary injury assessment clinic intervention with 74.1% compliance against BPGs. 2.9% used the Defence Medical Rehabilitation Centre. Common pathologies were low back pain (LBP) (n=67), upper limb (UL) soft tissue (n=40) and kn...Continue Reading

References

Mar 29, 2000·American Journal of Preventive Medicine·J B Peake
Nov 11, 2009·Archives of Internal Medicine·Steven P CohenAnthony Plunkett
Jan 9, 2010·Military Medicine·Christopher D SkeehanMark S Riddle
Feb 13, 2010·American Journal of Preventive Medicine·Bruce H JonesDavid A Sleet
Nov 20, 2012·Aviation, Space, and Environmental Medicine·Tanja C RoyMarilyn A Sharp
Mar 12, 2013·Journal of the Royal Army Medical Corps·T G NelsonR Simpson

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