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- Author
-
I. Dijksma
- Title
- Musculoskeletal injuries and dropout in the military
- Subtitle
- Epidemiology, prediction and prevention
- Supervisors
- Co-supervisors
-
M.M. Stuiver
- Award date
- 21 June 2021
- Number of pages
- 224
- ISBN
- 9789464165074
- Document type
- PhD thesis
- Faculty
- Faculty of Medicine (AMC-UvA)
- Abstract
-
The objectives of the research in this thesis were to provide insight in epidemiologic data of musculoskeletal injuries and dropout of training in the Netherlands Armed Forces, make efforts to predict individual dropout probabilities and to evaluate which prevention interventions may be worth implementing in the military. Ultimately this thesis aims to contribute to training soldiers sustainably. In the second chapter we describe the epidemiology and injury-dependent financial burden of musculoskeletal injuries in active-duty personnel in the Netherlands Armed Forces. In the third chapter we describe the epidemiology of musculoskeletal injuries in military recruits and the impact in terms of dropout of elite military training. The fourth chapter presents the derivation and validation of a prediction algorithm for dynamically updated estimation of conditional dropout probabilities for Marine recruit training. The fifth chapter is a clinimetrics study and describes the psychometric qualities of a Dutch grit scale to be used in Marine recruits. Subsequently we describe in chapter six the association between baseline grit levels and attrition from Marine recruit training. Chapter seven presents the results of a pilot trial evaluating the effects of an injury and attrition preventive program. In chapter eight we present a systematic review of the literature including the effectives of exercise programs to reduce the risk of all musculoskeletal injuries in military populations generally. In chapter nine we address the challenges and possibilities to apply key evidence-informed principles of load management to minimize the risk of injury to basic military training.
- Persistent Identifier
- https://hdl.handle.net/11245.1/b576aa48-0e5b-4b8d-9cf0-f56be5f5be7e
- Downloads
-
Thesis (complete)
Front matter
Chapter 1: General introduction
Chapter 2: Epidemiology and financial burden of musculoskeletal injuries as the leading health problem in the military
Chapter 3: One out of four recruits drops out from elite military training due to musculoskeletal injuries in the Netherlands Armed Forces
Chapter 4: Development and validation of a dynamically updated prediction model for attrition from Marine recruit training
Chapter 5: Evaluating the psychometric properties of the Grit scale in Marine recruits using Rasch analysis
Chapter 6: Grit was not associated to dropout in Dutch Marine recruits
Chapter 7: Effects of agility training on body control, change of direction speed and injury attrition rates in Dutch recruits: A pilot study
Chapter 8: Exercise programs to reduce the risk of musculoskeletal injuries in military personnel: A systematic review and meta-analysis
Chapter 9: Training load monitoring and injury prevention in military recruits: Considerations for preparing soldiers to fight sustainably
Chapter 10: General discussion
Chapter 11: Summary; Nederlandse samenvatting
Portfolio; List of publications; Dankwoord; Over de auteur
- Supplementary materials
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