11/2/2022 0 Comments Combat arms 2016![]() ![]() ![]() There are several reasons why soldiers may exaggerate injuries, including rationalizing substandard performance, release from mandatory requirements (eg, physical training, deployment, etc), to pursue military separation prior to contractual obligation, and to increase potential disability benefits upon separation. In contrast to injury concealment, injury exaggeration is another potential concern within military populations. ![]() 26 Injury minimization (ie, symptoms were not serious enough to seek help), 20 fear of job loss, separation from coworkers, 25 and desire to avoid filing a workers’ compensation claim 4 were cited as common reasons for civilian injury underreporting. Because injuries in the armed forces are regarded as a threat to military readiness, soldiers may be motivated to minimize or conceal injuries to avoid perceptions of weakness or ineptitude.Ĭoncealment of work-related injuries in the civilian workplace has been widely cited, 4, 8, 19, 20, 25, 31, 32 with rates as high as 65% in some reports. The unique occupational demands of military service may predispose soldiers to various acute and overuse MSIs, impeding optimal job performance and posing risks to the mission and the well-being of the unit. Participants in that study also reported that their injuries affected job performance. Other causes of injuries included: running (9%), sports (5%), lifting (5%), motor vehicle–related injuries (4%), and falling (2%). 12 Jennings et al 13 found that 47% of injuries reported by soldiers are work related, with 29% of these occurring during mission-related training. Despite mandated fitness requirements, there may be instances in which the physical demands of military occupational tasks exceed a soldier’s physical capacity to perform that task. 27 The rigors of military service also require personnel to maintain a certain level of fitness through regular physical training. The physical and occupational demands required by SMs in the US Military involve repetitive and highly dynamic movements including heavy lifting and load carriage requirements, 28 which are even greater during combat deployments. 29 Moreover, as one of the largest contributors to disability discharge, 6 MSIs can have long-term financial implications for the MHS. 7, 10, 14 In addition to decreased productivity, MSIs can be associated with chronic pain, personnel attrition, and long-term disability. 2, 11, 21, 34 The MSI burden affects Service Members (SM), military units, and the Military Health System (MHS), with approximately 1.6 million hospital encounters per year resulting in millions of lost and limited duty days. For decades, musculoskeletal injury (MSI) has remained a liability to military readiness. ![]()
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