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Outcomes of Embedded Athletic Training Services Within United States Air Force Basic Military Training

Journal of athletic training, 2021-02, Vol.56 (2), p.134-140 [Peer Reviewed Journal]

by the National Athletic Trainers' Association, Inc. ;Copyright National Athletic Trainers Association Dec 2020 ;Copyright National Athletic Trainers Association Feb 2021 ;by the National Athletic Trainers' Association, Inc 2021 2021 ;ISSN: 1062-6050 ;EISSN: 1938-162X ;DOI: 10.4085/1062-6050-0498.19 ;PMID: 33370444

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  • Title:
    Outcomes of Embedded Athletic Training Services Within United States Air Force Basic Military Training
  • Author: Fisher, Reid ; Esparza, Shandra ; Nye, Nathaniel S ; Gottfredson, Ryan ; Pawlak, Mary T ; Cropper, Thomas Leo ; Casey, Theresa ; Tchandja, Juste ; de la Motte, Sarah J ; Webber, Bryant J
  • Subjects: Cost control ; Gait ; Health care ; Injuries ; Intervention ; Medicine ; Mental health ; Military Athletic Training Services ; Military training ; Physical therapy ; Primary care ; Rehabilitation ; Sports medicine ; Sports training ; Teams
  • Is Part Of: Journal of athletic training, 2021-02, Vol.56 (2), p.134-140
  • Description: Musculoskeletal injury is the leading cause of attrition from military training. To assess the effect of an embedded athletic training musculoskeletal care model within a basic military training unit. Cluster randomized trial. United States Air Force Basic Military Training, Joint Base San Antonio-Lackland. Military recruits randomly assigned to 1 of 3 training squadrons, 2 control and 1 experimental, between January 2016 and December 2018. A sports medicine care model was established in 1 squadron by embedding 2 certified athletic trainers overseen by a sports medicine fellowship-trained physician. The athletic trainers diagnosed and coordinated rehabilitation as the primary point of contact for recruits and developed interventions with medical and military leadership based on injury trends. Recruit attrition from basic training due to a musculoskeletal injury. Secondary outcomes were all-cause attrition, on-time graduation, rates of lower extremity injury and stress fracture, rates of specialty care appointments, and fiscal costs. Recruits in the athletic training musculoskeletal care arm experienced 25% lower musculoskeletal-related attrition (risk ratio = 0.75 [95% confidence interval (CI) = 0.64, 0.89]) and 15% lower all-cause attrition (risk ratio = 0.85 [95% CI = 0.80, 0.91]), translating to a net saving of more than $10 million. The intervention reduced the incidence of lower extremity stress fracture by 16% (rate ratio = 0.84 [95% CI = 0.73, 0.97]). An embedded athletic training musculoskeletal care model outperformed usual care across operational, medical, and fiscal outcomes.
  • Publisher: United States: National Athletic Trainers Association
  • Language: English
  • Identifier: ISSN: 1062-6050
    EISSN: 1938-162X
    DOI: 10.4085/1062-6050-0498.19
    PMID: 33370444
  • Source: ProQuest One Psychology
    Freely Accessible Journals
    GFMER Free Medical Journals
    PubMed Central
    Alma/SFX Local Collection
    ProQuest Central
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