{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:10:28Z","timestamp":1789657828707,"version":"4.0.1"},"reference-count":45,"publisher":"American Medical Association (AMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Musculoskeletal injuries are a leading cause of pain, disability, and lost workforce productivity in the US. These injuries are more frequent in physically demanding occupations, making strategies to accelerate recovery a critical economic, public health, and workforce sustainability issue.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To evaluate whether an embedded interdisciplinary occupational health intervention was associated with faster return-to-work times after a musculoskeletal injury.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This cohort study analyzed longitudinal data on 43\u202f870\u202f526 person-month observations from active-duty US Army personnel collected between October 1, 2017, and September 30, 2025.<\/jats:p>\n <\/jats:sec>\n \n Exposure<\/jats:title>\n Assignment to an Army unit with an embedded Holistic Health and Fitness (H2F) occupational health system, which includes on-site physical therapists, athletic trainers, occupational therapists, registered dietitians, strength and conditioning coaches, and cognitive performance specialists.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n Number of limited duty workdays after a musculoskeletal injury and time to return to full duty. Linear regression, logistic regression, and Kaplan-Meier models with inverse probability of treatment weighting were used to estimate the association between the intervention and recovery outcomes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 1\u202f420\u202f195 musculoskeletal injuries in active-duty soldiers (mean [SD] age, 28.6 [7.64] years; 79% male) that resulted in limited duty restrictions, 19% were in soldiers exposed to the H2F embedded occupational health system. Exposure to H2F was associated with a 5.9% (95% CI, 7.2%-4.6%;\n P<\/jats:italic>\n \u2009&amp;lt;\u2009.001) reduction in the duration of limited duty workdays compared with soldiers not exposed to H2F. Reductions in limited duty workdays were greater for lower-body injuries than for upper-body injuries. These reductions corresponded to an estimated 3.3 million to 4.0 million workdays restored during the study period, representing an annual labor productivity value of $93 million to $164 million.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n In this cohort study of active-duty US Army soldiers, embedding an interdisciplinary occupational health system directly into the workplace was associated with a significantly accelerated recovery time from musculoskeletal injuries. These findings suggest that employer-sponsored occupational health interventions are a scalable strategy to reduce injury-related absenteeism and enhance workforce productivity, particularly in high-risk industries.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2026.34391","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:00:26Z","timestamp":1789657226000},"page":"e2634391","source":"Crossref","is-referenced-by-count":0,"title":["Interdisciplinary Occupational Health System for Recovery From Musculoskeletal Injuries in US Army Personnel"],"prefix":"10.1001","volume":"9","author":[{"given":"Timothy A.","family":"Murray","sequence":"first","affiliation":[{"name":"US Army Research Institute of Environmental Medicine, Natick, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew G.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Holistic Health and Fitness, US Army Maneuver Center of Excellence, Ft. 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