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Introducing a new method to record injuries during military training: a prospective study among 296 young Norwegian conscripts
  1. John Bjørneboe1,2,
  2. A Heen3,
  3. E Borud4,5,
  4. R Bahr1,
  5. B Clarsen1,6 and
  6. A-J Norheim4
  1. 1Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway
  2. 2Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway
  3. 3Norwegian Army, Oslo, Norway
  4. 4Norwegian Armed Forces Joint Medical Services, Ullensaker, Norway
  5. 5Institute of Community Medicine, Tromsø, Norway
  6. 6Department of Disease Burden, Norwegian Institute of Public Health, Oslo, Norway
  1. Correspondence to Dr John Bjørneboe, Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo 0806, Norway; joanbj{at}ous-hf.no

Abstract

Introduction Most epidemiological studies in the field of military medicine have been based on data from medical records and registries. The aims of this study were to test a self-reporting injury surveillance system commonly used in sports medicine in a military setting, and to describe the injury pattern among Norwegian army conscripts during a period of military training.

Method A total of 296 conscripts in His Majesty the King’s Guard were asked to report all injuries each week for 12 weeks, using a modification of the Oslo Sports Trauma Research Center Questionnaire on Health Problems (OSTRC-H2). We recorded all injuries irrespective of their need for medical attention or consequences for military participation. In addition, we retrieved data on injuries recorded by military physicians in the medical record from the Norwegian Armed Forces Health Register.

Results The mean weekly response rate was 74%. A total of 357 injuries were recorded, of which 82% were only captured through the OSTRC-H2 and 3% only in the medical records. The average weekly prevalence of injury was 28% (95% CI: 25% to 31%), and 10% (95% CI: 8% to 12%) experienced injuries with a substantial negative impact on training and performance. The greatest injury burden was caused by lower limb injuries, with knee and foot injuries as the predominant injury locations.

Conclusion The OSTRC-H2 is suitable for use in a military setting and records substantially more injuries than the standard medical record. The prevalence of injuries among conscripts is high and comparable with many elite sports.

  • EPIDEMIOLOGY
  • Orthopaedic sports trauma
  • SPORTS MEDICINE
  • STATISTICS & RESEARCH METHODS

Data availability statement

Data may be obtained from a third party and are not publicly available. Data are owned by the Norwegian Army, and the study group were allowed a data dump; however, other authors can apply for the same data dump to the Norwegian Armed Forces.

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Data availability statement

Data may be obtained from a third party and are not publicly available. Data are owned by the Norwegian Army, and the study group were allowed a data dump; however, other authors can apply for the same data dump to the Norwegian Armed Forces.

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Footnotes

  • Contributors All authors contributed to the planning of the study. The data collection was done by JB and AH. All authors have been involved in the data analyses, drafting and revision of the manuscript, and all have approved the final version. JB acts as guarantor for the overall content,

  • Funding The Oslo Sports Trauma Research Center has been established at the Norwegian School of Sport Sciences through generous grants from the Royal Norwegian Ministry of Culture, the South-Eastern Norway Regional Health Authority, the International Olympic Committee, the Norwegian Olympic Committee and Confederation of Sport, and Norsk Tipping.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.