Evidence map›Paper›PMID 37620010›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2023

Barriers and facilitators to implementation of musculoskeletal injury mitigation programmes for military service members around the world: a scoping review.

Garrett S Bullock, Carolyn E Dartt, Emily A Ricker, Joanne L Fallowfield, Nigel Arden, Daniel Clifton, Kerry Danelson, John J Fraser, Christina Gomez, Tina A Greenlee and 14 more

Abstract readScoping Review
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2023. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Response to Young et al.'s 'Letter to the Editor'.Journal of military, veteran and family health · 2025
    Article
  8. Review
  9. Article
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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

24 authors.

Garrett S BullockDepartment of Orthopaedic Surgery & Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Carolyn E DarttConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA.
Emily A RickerConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA.
Joanne L FallowfieldEnvironmental Medicine and Sciences Division, Institute of Naval Medicine, Gosport, UK.
Nigel ArdenDepartment of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford Nuffield, Oxford, UK.
Daniel CliftonConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA.
Kerry DanelsonDepartment of Orthopaedic Surgery & Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
John J FraserDirectorate for Operational Readiness & Health, Naval Health Research Center, San Diego, California, USA.ORCID 0000-0001-9697-3795
Christina GomezCollege of Health Sciences, Western University of Health Sciences, Pomona, California, USA.
Tina A GreenleeDepartment of Rehabilitation Medicine, Brooke Army Medical Center, San Antonio, Texas, USA.ORCID 0000-0002-0638-5998
Alexandria GregoryConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA.
Timothy GribbinConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA.
Justin LoscialeDepartment of Rehabilitation, The University of British Columbia, Vancouver, British Columbia, Canada.
Joseph M MolloyOffice of the Army Surgeon General, Falls Church, Virginia, USA.
Kristen F NicholsonDepartment of Orthopaedic Surgery & Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Julia-Grace PolichDepartment of Orthopaedic Surgery & Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Anu RäisänenDepartment of Physical Therapy Education, Oregon, College of Health Sciences, Western University of Health Sciences, Lebanon, Oregon, USA.
Karishma ShahDepartment of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford Nuffield, Oxford, UK.
Michael SmudaConsortium for Health and Military Performance, Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA.
Deydre S TeyhenArmy Medical Specialist Corps Chief, Office of the Army Surgeon General, Falls Church, Virginia, USA.
Rhonda J AllardLearning Resource Center, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.ORCID 0000-0001-9021-3672
Gary S CollinsCentre for Statistics in Medicine, University of Oxford Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Sarah J de la Motte *Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, Maryland, USA.ORCID 0000-0002-4101-3313
Daniel I Rhon *Department of Rehabilitation Medicine, Brooke Army Medical Center, San Antonio, Texas, USA daniel.rhon@usuhs.edu.ORCID 0000-0002-4320-990X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMusculoskeletal injury (MSK-I) mitigation and prevention programmes (MSK-IMPPs) have been developed and implemented across militaries worldwide. Although programme efficacy is often reported, development and implementation details are often overlooked, limiting their scalability, sustainability and effectiveness. This scoping review aimed to identify the following in military populations: (1) barriers and facilitators to implementing and scaling MSK-IMPPs; (2) gaps in MSK-IMPP research and (3) future research priorities.

methodsA scoping review assessed literature from inception to April 2022 that included studies on MSK-IMPP implementation and/or effectiveness in military populations. Barriers and facilitators to implementing these programmes were identified.

resultsFrom 132 articles, most were primary research studies (90; 68.2%); the remainder were review papers (42; 31.8%). Among primary studies, 3 (3.3%) investigated only women, 62 (69%) only men and 25 (27.8%) both. Barriers included limited resources, lack of stakeholder engagement, competing military priorities and equipment-related factors. Facilitators included strong stakeholder engagement, targeted programme design, involvement/proximity of MSK-I experts, providing MSK-I mitigation education, low burden on resources and emphasising end-user acceptability. Research gaps included variability in reported MSK-I outcomes and no consensus on relevant surveillance metrics and definitions.

conclusionDespite a robust body of literature, there is a dearth of information about programme implementation; specifically, barriers or facilitators to success. Additionally, variability in outcomes and lack of consensus on MSK-I definitions may affect the development, implementation evaluation and comparison of MSK-IMPPs. There is a need for international consensus on definitions and optimal data reporting elements when conducting injury risk mitigation research in the military.

Indexed as

Military PersonnelMusculoskeletal DiseasesFemaleHumansMaleProgram Evaluationcommunityimplementation / translationmilitarysystematic review

Identifiers

PMID37620010
PMCPMC10715562

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.