Publications by authors named "Tanja Roy"
Article Synopsis
- This study analyzed the relationship between insomnia and sleep apnea with deployment and combat exposure in active-duty soldiers from 2010 to 2019, involving over 1.2 million soldiers.
- The data showed that incidents of insomnia increased from 2010 to 2012, then declined, while sleep apnea rates increased until 2016, but both disorders remained common among soldiers.
- Findings indicated that both deployment and combat exposure significantly raised the risks of developing insomnia and sleep apnea, with soldiers’ sleep issues highlighting the need for ongoing screening and support for better sleep habits.
Article Synopsis
- Upper extremity musculoskeletal injuries (MSKIs) are common among active-duty Army soldiers, leading to increased limited duty days and suggesting that direct access to occupational therapy (OT) may enhance patient satisfaction and reduce surgery rates.
- The study analyzed health records of over 18,000 soldiers with MSKIs to assess the time from initial evaluation to full duty status and the utilization of OT services.
- Findings indicate that longer waits for OT evaluation are associated with higher rates of OT service use and longer limited duty periods, suggesting that earlier OT intervention could benefit soldiers' recovery times and healthcare needs.
Article Synopsis
- The study investigates how permanent behavioral health (BH)-related duty limitations affect U.S. Army service members based on a two-year analysis of diagnoses and profiles.
- It found that 16% of soldiers received new BH diagnoses, but only 9.5% were given permanent duty limitations within a year.
- The highest risk for permanent profiles was among those with psychotic disorders (42%), followed by dissociative disorders (26%), and eating disorders (23%), highlighting the impact of BH issues on military readiness.
Introduction: Less than half of service members with a behavioral health (BH) problem seek care. Soldiers may avoid seeking needed care because of concerns related to being placed on a duty-limiting profile and the related medical disclosures that follow.
Materials And Methods: This study used a retrospective population-based design to identify all new BH diagnoses across the U.
U.S. Army Ranger School is an arduous 64-day leadership training course designed to simulate the stressors of combat.
View Article and Find Full Text PDFIntroduction: Neuromusculoskeletal injuries (NMSKIs) are the primary cause of ambulatory visits, lost duty days, and disability discharges in the U.S. Military.
View Article and Find Full Text PDFBackground: Mental health disorders are associated with persistent knee pain, but the association between these conditions has had little investigation in the military. The purpose of this study was to identify rates of mental health disorders in patients with patellofemoral pain (PFP) and determine differences by sex and whether mental health copresence influences outcomes.
Methods: Eligible patients with a new PFP diagnosis were categorized according to sex and presence of mental health disorders.
Objectives: To provide an overall perspective on musculoskeletal injury (MSI) epidemiology, risk factors, and preventive strategies in military personnel.
Design: Narrative review.
Methods: The thematic session on MSIs in military personnel at the 5th International Congress on Soldiers' Physical Performance (ICSPP) included eight presentations on the descriptive epidemiology, risk factor identification, and prevention of MSIs in military personnel.
Article Synopsis
- Neuromusculoskeletal injuries (MSKI) are a major health concern in the U.S. Army, leading to significant medical encounters, lost duty days, and disability among soldiers.
- A retrospective study examined the incidence of time-loss MSKIs (TLMSKIs) from limited duty profiles (LDPs) issued during 2017-2018, revealing an incidence rate of 44 and 40 TLMSKIs per 100 soldier-years for those years.
- The ankle/foot region was most affected by limited duty profiles, particularly due to injuries incurred during fitness training, and this study provides a new method to track key injury-related time losses in the Army.
Objectives: Road marching is an important physical training activity that prepares soldiers for a common occupational task. Continued exploration of risk factors for road marching-related injuries is needed. This analysis has assessed the association between modifiable characteristics of physical training and injury risk.
View Article and Find Full Text PDFArticle Synopsis
- * Out of 160 participants, 36% reported experiencing 78 MSI, with significant factors including heavy loads, prolonged carrying of gear, and strenuous lifting activities increasing injury risk.
- * The findings suggest that heavier equipment and frequent lifting elevate the likelihood of MSI, while better performance in sit-ups before deployment appears to lower that risk.
Article Synopsis
- - The use of Physical Employment Standards (PES) aims to ensure workers can safely and efficiently perform their jobs, but these standards often fail to accurately reflect actual job requirements, particularly disadvantaging women.
- - Women typically have different physical attributes than men, such as smaller stature and less upper body strength, which can lead to their unfair exclusion from physically demanding roles based on selection standards that don't align with job demands.
- - The paper reviews research on gender disparities in physically demanding jobs, discusses strategies to improve PES for equitable employment access, presents injury rate data, and identifies areas needing further study.
Purpose: The purpose of this study was to compare the coordination between the trunk and the pelvis during a sustained asymmetric repetitive lifting task between a group with a history of low back pain (LBP; HBP) and a group with no history of LBP (NBP).
Methods: Volunteers lifted a 11-kg box from ankle height in front to a shelf 45° off-center at waist height, and lowered it to the start position at 12 cycles/min for 10 min. Lifting side was alternated during the trial.
Each year musculoskeletal injuries (MSIs) result in thousands of lost duty days and medical discharges. Women represent 15% of the Army and have higher incidence of injury than male soldiers; studies that have investigated MSIs in deployed women are lacking. Therefore, the purpose of this prospective cohort study was to investigate MSIs in women during a 9-month deployment to Afghanistan.
View Article and Find Full Text PDFMusculoskeletal injuries (MSIs) are the most common cause of ambulatory visits in the deployed setting. Research done on deployed populations have focused mostly on men. The purpose of this retrospective cohort study was to describe physical demands and MSIs among male and female soldiers in a Brigade Combat Team during a 12-month deployment to Afghanistan.
View Article and Find Full Text PDFMusculoskeletal injuries (MSIs) result in the most medical encounters, lost duty days, and permanent disability. Women are at greater risk of injury than men and physical training is the leading cause of injury. The purpose of this study was to investigate the demographic, body composition, fitness, and physical training risk factors for injuries in female Soldiers serving in garrison Army units over the past 12 months.
View Article and Find Full Text PDFArticle Synopsis
- * The Military Low Back Pain Questionnaire (MBQ) was created by military Physical Therapists to assess military-specific tasks and showed strong reliability when compared to the Modified Oswestry Disability Index (M-ODI).
- * The study revealed that the MBQ has similar reliability to the M-ODI and may even be more sensitive to changes in low back pain among nondeployed Soldiers, indicating its potential usefulness in military contexts.
With deployment Soldiers must now wear body armor and additional equipment while performing occupational tasks, representing a large demand that has not been considered when studying military occupations. The purpose of this study was to: (1) describe tasks required by different occupational battalions within a Brigade Combat Team; (2) establish the incidence of low back pain (LBP) in each battalion and; (3) determine which tasks predict LBP within the different battalions. This was a prospective cohort study investigating 805 Soldiers in a Brigade Combat Team deployed to Afghanistan for 1 year.
View Article and Find Full Text PDFMild traumatic brain injury (mTBI), a principal injury of the wars in Iraq and Afghanistan, can result in significant morbidity. To make accurate return-to-duty decisions for soldiers with mTBI, military medical personnel require sensitive, objective, and duty-relevant data to characterize subtle cognitive and sensorimotor injury sequelae. A military-civilian research team reviewed existing literature and obtained input from stakeholders, end users, and experts to specify the concept and develop a preliminary assessment protocol to address this need.
View Article and Find Full Text PDFUnlabelled: This study compared three-dimensional trunk and pelvis range of motion (ROM) during a sustained asymmetric box lift/lower task between a group with a history of low back pain (HBP, n = 9) and a group with no history of low back pain (NBP, n = 9). Participants lifted an 11-kg box for 10 min at 12 cycles/min from ankle height in front to shelves 45 deg off-centre at waist height. Kinematic data were collected at the beginning (min1), middle (min5) and end of the bout (min9).
View Article and Find Full Text PDFLoads worn by soldiers predict episodes of low back pain during deployment to Afghanistan.
Spine (Phila Pa 1976)
July 2013
Study Design: Prospective cohort study.
Objective: To describe low back pain (LBP) sustained by soldiers deployed to Afghanistan and identify demographic, fitness, and occupational risk factors of LBP.
Summary Of Background Data: LBP is the most common injury in deployed soldiers.
Risk factors for musculoskeletal injuries for soldiers deployed to Afghanistan.
Aviat Space Environ Med
November 2012
Purpose: This study determined injury incidence and examined the association between musculoskeletal injuries and potential intrinsic and extrinsic risk factors.
Methods: This retrospective cohort study involved a survey of 593 volunteers from two battalions of a Stryker Brigade Combat Team upon completion of a 12-mo deployment to Afghanistan. The survey included questions on physical characteristics, work duties, equipment worn, fitness training, and injuries experienced during the deployment.
U.S. Army soldiers spend months at a time working in austere environments during deployments.
View Article and Find Full Text PDFRehabilitation programs for musculoskeletal injuries in military personnel.
Curr Opin Rheumatol
March 2012
Purpose Of Review: The purpose of this review is to summarize current trends and rehabilitation programs for musculoskeletal injuries in military personnel returning from deployment.
Recent Findings: Musculoskeletal injuries (MSIs) are the leading healthcare problem for military members. Risk factors include participation in sports, carrying heavy loads, older age, female sex, standing for long periods of time, and walking long distances.