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Associations Between Self-Reported Injury History, Physical Complaints, and Medical Attention Injury During Army
Neil Gibson1, Jace R Drain2, Matthew Whalan1,3
1School of Medical, Indigenous and Health Sciences, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW 2522, Australia.
Military Medicine
|May 19, 2025
Summary
Prior injury history did not predict medical attention injuries during Army basic military training. However, daily self-reported physical complaints can indicate increased injury risk, potentially preventing severe outcomes.
Area of Science:
- Military Medicine
- Sports Medicine
- Injury Prevention
Background:
- Reducing injury incidence and burden during Army basic military training (BMT) is crucial.
- This study investigated injury risk factors in military recruits.
- Effective injury prevention strategies are needed for military training environments.
Purpose of the Study:
- To examine the association between prior injury history and medical attention (MA) injuries during BMT.
- To assess the relationship and predictive accuracy of daily self-reported physical complaints for MA injuries in BMT.
- To identify potential early warning signs for injury in military recruits.
Main Methods:
- A cohort of 625 recruits (524 male, 101 female) completed a prior injury history questionnaire.
- Recruits daily reported physical complaints using a modified Oslo Sports Trauma Research Centre Questionnaire on Health Problems (OSTRC-H).
- Cox regressions and generalized linear mixed-effects models analyzed associations between prior injury, OSTRC-H responses, and MA injuries.
Main Results:
- Prior injury history was not significantly associated with increased MA injury risk during BMT.
- Self-reported physical complaints related to participation, severity, and location were significantly associated with higher odds of MA injury within 7 days.
- Specific complaints in the spine, upper extremity, and lower extremity correlated with injuries in those regions, though predictive accuracy was limited.
Conclusions:
- Prior injury history alone is not a significant predictor of MA injuries during Army BMT.
- Daily self-reported physical complaints can serve as an indicator of increased MA injury risk.
- Monitoring physical complaints may aid in the early detection and prevention of more severe injuries in military trainees.
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