Evidence map›Paper›PMID 32139408›Full record

Observational studyBMJ military health2022

One out of four recruits drops out from elite military training due to musculoskeletal injuries in the Netherlands Armed Forces.

Iris Dijksma, W O Zimmermann, E-J Hertenberg, C Lucas, M M Stuiver

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in BMJ military health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Rehabilitating Soldiers for Load Carriage Tasks: An International Perspective.International journal of environmental research and public health · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Grit was not associated to dropout in Dutch Marine recruits.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022
    Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Iris DijksmaPrimary Health Care, Defense Health Care Organisation, Netherlands Ministry of Defense, Utrecht, Utrecht, The Netherlands i.dijksma@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-3372-5070
W O ZimmermannDepartment of Sports Medicine, Royal Netherlands Army, Netherlands Ministry of Defense, Utrecht, Utrecht, The Netherlands.
E-J HertenbergPrimary Health Care, Defense Health Care Organisation, Netherlands Ministry of Defense, Utrecht, Utrecht, The Netherlands.
C LucasMaster Evidence Based Practice in Health Care, Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC - Location AMC, Amsterdam, North Holland, The Netherlands.
M M StuiverMaster Evidence Based Practice in Health Care, Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC - Location AMC, Amsterdam, North Holland, The Netherlands.
Ministry of Defence · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMusculoskeletal injuries (MSIs) are among the main causes of dropout from military training. The main purpose of this study was to provide an overview of dropout rates and MSI incidence rates during elite military training. Second, this study aimed to explore restricted training days due to MSIs and to describe MSI-care by military physicians.

methodsIn a retrospective observational study, we collected dropout rates and injury surveillance data from the electronic patient records of two elite units of the Netherlands Armed Forces (NAF): the Royal Netherlands Marine Corps (RNLMC) and the Airmobile Brigade (AMB), from 1 January 2015 until 31 December 2017.

resultsIn the RNLMC, total dropout rate was 53.9% and dropout due to MSIs was 23%. The most frequently affected locations were foot, knee and leg. In the AMB total dropout rate was 52.6% and dropout due to MSIs was 25%. In the AMB, the most frequently affected locations were back, knee and leg. Average restricted training days due to MSIs ranged between 8.3 and 20.8 days/injury. MSI-care by military physicians consisted mostly of the provision of injury-specific information and (self-)management options, imposing a specific activity restriction and referral to physiotherapy.

conclusionOur study findings showed that one out of four recruits who dropout from elite military training in the NAF, do so due to MSIs. Redesigning training programmes with the objective to reduce MSIs should be given high priority, as this may reduce dropout substantially.

Indexed as

Military PersonnelMusculoskeletal DiseasesHumansIncidenceNetherlandsRetrospective Studiesepidemiologyprimary carerehabilitation medicinesports medicine

Identifiers

PMID32139408
PMCPMC8961760
OpenAlexW3009709014

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.