{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T06:12:54Z","timestamp":1793081574145,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"am","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:00:00Z","timestamp":1636588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007188","name":"Uniformed Services University of the Health Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007188","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009898","name":"Defense Health Agency Consortium","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009898","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare readiness to return to duty in soldiers following recent lower\u2010extremity versus spine injury. The secondary purposes were to provide normative data for the Selective Functional Movement Assessment Top Tier movements (SFMA\u2010TTM) and assess the association between SFMA\u2010TTM scores and future injury occurrence, comparing injuries of the lower extremity and thoracic\/lumbar spine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>SFMA was rated by trained assessors on 480 U.S. Army soldiers within 2 weeks of being cleared to return to duty after recent lower\u2010extremity or lumbar\/thoracic injury. Participants were followed for 1 year to determine incidence of subsequent time\u2010loss injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Only 74.4% of soldiers felt 100% mission capable when returning to full duty (73.6% lower\u2010extremity; 76.5% spine). After 1 year, 37.9% had sustained a time\u2010loss injury, and pain with movement at baseline was associated with higher odds for having an injury (odd ratio 1.53 95% confidence interval 1.04\u20102.24;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .032). Almost all (99.8%) had at least 1 dysfunctional pattern, and 44.1% had pain with at least 1 movement (40.3% with previous lower\u2010extremity injury; 54.6% with previous spine injury) after being cleared to return to duty.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>One in four patients did not feel 100% mission capable upon being cleared for full duty. Pain with movement was also associated with future injury. Regardless of recent injury type, 99.8% of soldiers returned to full unrestricted duty with at least 1dysfunctional movement pattern and 44.1% had pain with at least 1 of the SFMA\u2010TTM movements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2021.09.028","type":"journal-article","created":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T15:30:23Z","timestamp":1643383823000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"title":["Recovery, Rehabilitation, and Return to Full Duty in a Military Population After a Recent Injury: Differences Between Lower\u2010Extremity and Spine Injuries"],"prefix":"10.1002","volume":"4","author":[{"given":"Daniel I.","family":"Rhon","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine Brooke Army Medical Center San Antonio Texas U.S.A."},{"name":"Department of Rehabilitation Medicine The Uniformed Services University of the Health Sciences Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deydre S.","family":"Teyhen","sequence":"additional","affiliation":[{"name":"Office of the Surgeon General Army Medical Command Falls Church Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Kiesel","sequence":"additional","affiliation":[{"name":"Doctoral of Physical Therapy Program University of Evansville Indiana U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott W.","family":"Shaffer","sequence":"additional","affiliation":[{"name":"University of the Incarnate Word School of Physical Therapy San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen L.","family":"Goffar","sequence":"additional","affiliation":[{"name":"University of the Incarnate Word School of Physical Therapy San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina A.","family":"Greenlee","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine Brooke Army Medical Center San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip J.","family":"Plisky","sequence":"additional","affiliation":[{"name":"Doctoral of Physical Therapy Program University of Evansville Indiana U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa027"},{"key":"e_1_2_2_3_2","unstructured":"Army Public Health Center 2021 DoD Health of the Force 2020"},{"key":"e_1_2_2_4_2","doi-asserted-by":"crossref","unstructured":"T.C.Roy T.N.Faller M.D.Richardson K.M.Taylor.Characterization of limited duty neuromusculoskeletal injuries and return to duty times in the U.S. Army During 2017\u20102018 [Published online January 9 2021].Mil Med.https:\/\/doi.org\/10.1093\/milmed\/usaa392","DOI":"10.1093\/milmed\/usaa392"},{"key":"e_1_2_2_5_2","unstructured":"Military Health System Communication Office.DHA priorities focused on readiness patients outcomeshttps:\/\/health.mil\/News\/Articles\/2020\/10\/07\/DHA\u2010priorities\u2010focused\u2010on\u2010readiness\u2010patients\u2010outcomes Published October 7 2020. Accessed July 18 2021"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097500"},{"key":"e_1_2_2_7_2","doi-asserted-by":"crossref","unstructured":"D.I.Rhon J.M.Molloy A.Monnier B.R.Hando P.M.Newman.Much work remains to reach consensus on musculoskeletal injury risk in military service members: A systematic review with meta\u2010analysis [Published online June 18 2021.].EJSS.https:\/\/doi.org\/10.1080\/17461391.2021.1931464","DOI":"10.1080\/17461391.2021.1931464"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738120902991"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13432"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2011.02.021"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-019-01221-7"},{"key":"e_1_2_2_12_2","first-page":"195","article-title":"Intra\u2010 and inter\u2010rater reliability of the selective functional movement assessment (SFMA)","volume":"9","author":"Glaws K.R.","year":"2014","journal-title":"Int J Sports Phys Ther"},{"key":"e_1_2_2_13_2","first-page":"575","article-title":"Using the selective functional movement assessment and regional interdependence theory to guide treatment of an athlete with back pain: A case report","volume":"11","author":"Goshtigian G.R.","year":"2016","journal-title":"Int J Sports Phys Ther"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.26603\/ijspt20190107"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.26603\/ijspt20170752"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2016.10.032"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2016-042234"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.26603\/ijspt20170931"},{"key":"e_1_2_2_19_2","article-title":"Army Regulation 40\u2013502: Medical Readiness","author":"Office of The Surgeon General","year":"2019","journal-title":"Headquarters Department of the Army"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4342-6"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20160211"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.26603\/ijspt20170960"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-51.6.02"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520910138"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516686080"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03552-3"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515625048"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269591"},{"key":"e_1_2_2_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096256"},{"key":"e_1_2_2_30_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0206024"},{"key":"e_1_2_2_31_2","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxf011"},{"key":"e_1_2_2_32_2","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2010.028233"},{"key":"e_1_2_2_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.37.1.13"},{"key":"e_1_2_2_34_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200737100-00004"},{"key":"e_1_2_2_35_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000001523"},{"key":"e_1_2_2_36_2","doi-asserted-by":"publisher","DOI":"10.26603\/ijspt20181008"},{"key":"e_1_2_2_37_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095850"},{"key":"e_1_2_2_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-020-01326-4"},{"key":"e_1_2_2_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738116666813"},{"key":"e_1_2_2_40_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-099006"},{"key":"e_1_2_2_41_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096938"},{"key":"e_1_2_2_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2020.12.037"},{"key":"e_1_2_2_43_2","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12062"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X21002212?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X21002212?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2021.09.028","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2021.09.028","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2021.09.028","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2021.09.028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:41:11Z","timestamp":1773564071000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2021.09.028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1016\/j.asmr.2021.09.028"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2021.09.028","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Recovery, Rehabilitation, and Return to Full Duty in a Military Population After a Recent Injury: Differences Between Lower-Extremity and Spine Injuries","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2021.09.028","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}