Musculoskeletal Injury Clinical Trial
— MP3-RDOfficial title:
Development of Predictive Models for Lower Extremity, Lumbar, and Thoracic Injury After Discharge From Physical Rehabilitation
NCT number | NCT02776930 |
Other study ID # | 215032 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | March 2016 |
Est. completion date | November 19, 2019 |
Verified date | January 2020 |
Source | Brooke Army Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The purpose of this study is to develop algorithms that will help predict future injury
and/or re-injury after being returned to duty from a musculoskeletal injury. After completion
of an episode of care with a physical therapist, the subjects will undergo a battery of
physical performance tests and fill out associated surveys. The subjects will then be
followed for a year to identify the occurrence/re-occurence of any injuries. Based on the
performance on the physical evaluation tests, algorithms will be derived using regression
analysis to predict injury.
Subjects will be recruited from the pool of patients that have recently completed physical
rehabilitation in physical therapy clinics for their lower extremity or lumbar/thoracic spine
injury.
Status | Completed |
Enrollment | 480 |
Est. completion date | November 19, 2019 |
Est. primary completion date | September 19, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 45 Years |
Eligibility |
Inclusion Criteria: 1. Active duty service member eligible for Tricare benefits 2. Lower extremity or lumbar/thoracic spine injury is the patient's primary complaint. 3. Determined fit for duty (cleared to return to work) after completing a course of physical therapy for a lower extremity or lumbar/thoracic spine musculoskeletal injury Exclusion Criteria: 1. Individuals planing on leaving the military within the next 10 months. 2. Trauma or polytrauma that results in amputation of any limbs or appendages. 3. Pregnancy, or recently pregnant within the last 6 months - subjects that become pregnant during the course of the study will be withdrawn based on the different injury risk factors that are associated with pregnancy. |
Country | Name | City | State |
---|---|---|---|
United States | William Beaumont Army Medical Center | Fort Bliss | Texas |
United States | Womack Army Medical Center | Fort Bragg | North Carolina |
United States | Brooke Army Medical Center | San Antonio | Texas |
United States | Madigan Army Medical Center | Tacoma | Washington |
Lead Sponsor | Collaborator |
---|---|
Brooke Army Medical Center | Madigan Army Medical Center, William Beaumont Army Medical Center, Womack Army Medical Center |
United States,
Bahr R. Why screening tests to predict injury do not work-and probably never will…: a critical review. Br J Sports Med. 2016 Jul;50(13):776-80. doi: 10.1136/bjsports-2016-096256. Epub 2016 Apr 19. Review. — View Citation
Bonazza NA, Smuin D, Onks CA, Silvis ML, Dhawan A. Reliability, Validity, and Injury Predictive Value of the Functional Movement Screen: A Systematic Review and Meta-analysis. Am J Sports Med. 2017 Mar;45(3):725-732. doi: 10.1177/0363546516641937. Epub 20 — View Citation
Butler RJ, Contreras M, Burton LC, Plisky PJ, Goode A, Kiesel K. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013 Jan 1;46(1):11-7. doi: 10.3233/WOR-121545. — View Citation
de la Motte SJ, Lisman P, Sabatino M, Beutler AI, O'Connor FG, Deuster PA. The Relationship Between Functional Movement, Balance Deficits, and Previous Injury History in Deploying Marine Warfighters. J Strength Cond Res. 2016 Jun;30(6):1619-25. doi: 10.15 — View Citation
Ernat J, Knox J, Orchowski J, Owens B. Incidence and risk factors for acute low back pain in active duty infantry. Mil Med. 2012 Nov;177(11):1348-51. — View Citation
Jones BH, Perrotta DM, Canham-Chervak ML, Nee MA, Brundage JF. Injuries in the military: a review and commentary focused on prevention. Am J Prev Med. 2000 Apr;18(3 Suppl):71-84. — View Citation
Jones BH, Thacker SB, Gilchrist J, Kimsey CD Jr, Sosin DM. Prevention of lower extremity stress fractures in athletes and soldiers: a systematic review. Epidemiol Rev. 2002;24(2):228-47. Review. — View Citation
Knapik JJ, Bullock SH, Canada S, Toney E, Wells JD, Hoedebecke E, Jones BH. Influence of an injury reduction program on injury and fitness outcomes among soldiers. Inj Prev. 2004 Feb;10(1):37-42. — View Citation
Knapik JJ, Graham B, Cobbs J, Thompson D, Steelman R, Jones BH. A prospective investigation of injury incidence and injury risk factors among Army recruits in military police training. BMC Musculoskelet Disord. 2013 Jan 17;14:32. doi: 10.1186/1471-2474-14-32. — View Citation
Kodesh E, Shargal E, Kislev-Cohen R, Funk S, Dorfman L, Samuelly G, Hoffman JR, Sharvit N. Examination of the Effectiveness of Predictors for Musculoskeletal Injuries in Female Soldiers. J Sports Sci Med. 2015 Aug 11;14(3):515-21. eCollection 2015 Sep. — View Citation
Larsson H, Broman L, Harms-Ringdahl K. Individual risk factors associated with premature discharge from military service. Mil Med. 2009 Jan;174(1):9-20. — View Citation
Lehr ME, Plisky PJ, Butler RJ, Fink ML, Kiesel KB, Underwood FB. Field-expedient screening and injury risk algorithm categories as predictors of noncontact lower extremity injury. Scand J Med Sci Sports. 2013 Aug;23(4):e225-32. doi: 10.1111/sms.12062. Epub 2013 Mar 20. — View Citation
Lincoln AE, Smith GS, Amoroso PJ, Bell NS. The natural history and risk factors of musculoskeletal conditions resulting in disability among US Army personnel. Work. 2002;18(2):99-113. — View Citation
Parkkari J, Kujala UM, Kannus P. Is it possible to prevent sports injuries? Review of controlled clinical trials and recommendations for future work. Sports Med. 2001;31(14):985-95. Review. — View Citation
Peate WF, Bates G, Lunda K, Francis S, Bellamy K. Core strength: a new model for injury prediction and prevention. J Occup Med Toxicol. 2007 Apr 11;2:3. — View Citation
Wilkinson DM, Blacker SD, Richmond VL, Horner FE, Rayson MP, Spiess A, Knapik JJ. Injuries and injury risk factors among British army infantry soldiers during predeployment training. Inj Prev. 2011 Dec;17(6):381-7. doi: 10.1136/ip.2010.028233. Epub 2011 Apr 19. — View Citation
* Note: There are 16 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Injury Occurrence | Monthly SMS survey capturing new musculoskeletal injury since the prior survey | 1 year | |
Secondary | Injury-Related Healthcare Utilization | Healthcare utilization for musculoskeletal injury taken from the Tricare claims database (MHS Data Repository) | 1 year |
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