{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T22:02:26Z","timestamp":1788732146504,"version":"build-2803163510"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"3-4","license":[{"start":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T00:00:00Z","timestamp":1697241600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,27]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>High-speed boat operators constitute a population at risk of work-related injuries and disabilities. This review aimed to summarize the available knowledge on workplace-related injuries and chronic musculoskeletal pain among high-speed boat operators.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>In this systematic review, we searched Medline, Embase, Scopus, and the Cochrane Library Database for studies, published from 1980 to 2022, on occupational health and hazards onboard high-speed boats. Studies and reports were eligible for inclusion if they evaluated, compared, used, or described harms associated with impact exposure onboard high-speed boats. Studies focusing on recreational injuries and operators of non-planing boats were excluded. The primary outcome of interest was the incidence of acute injuries. The secondary outcome measures comprised the presence of chronic musculoskeletal disorders, pain medication use, and days off work.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 163 search results, 5 (2 prospective longitudinal and 3 cross-sectional cohort studies) were included in this systematic review. A total of 804 cases with 3,312 injuries sustained during 3,467 person-years onboard high-speed boats were included in the synthesis of the results. The pooled incidence rate was 1.0 per person-year. The most common injuries were related to the lower back (26%), followed by neck (16%) and head (12%) injuries. The pooled prevalence of chronic pain was 74% (95% CI: 73\u201375%) and 60% (95% CI: 59\u201362%) of the cohort consumed analgesics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Despite very limited data, this review found evidence that high-speed boat operators have a higher rate of injuries and a higher prevalence of chronic pain than other naval service operators and the general workforce. Given the low certainty of these findings, further prospective research is required to verify the injury incidence and chronic pain prevalence among high-speed boat operators.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad377","type":"journal-article","created":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T07:11:41Z","timestamp":1697267501000},"page":"e573-e580","source":"Crossref","is-referenced-by-count":10,"title":["Systematic Review of\u00a0Injuries and\u00a0Chronic Musculoskeletal Pain Among High-speed Boat Operators"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7287-723X","authenticated-orcid":false,"given":"Cpt Johan","family":"Ullman","sequence":"first","affiliation":[{"name":"Centre for Disaster Medicine, University of Gothenburg , Box 426, G\u00f6teborg 413 45, Sweden"},{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg , G\u00f6teborgsv\u00e4gen 31, M\u00f6lndal 431 80, Sweden"},{"name":"Centre for Defence Medicine, Swedish Armed Forces , G\u00f6ta \u00c4lvsgatan 20, V\u00e4stra Fr\u00f6lunda 426 05, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hengst","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg , G\u00f6teborgsv\u00e4gen 31, M\u00f6lndal 431 80, Sweden"},{"name":"Department of Orthopaedics, Sahlgrenska University Hospital , L\u00e4nsmansgatan 28, M\u00f6lndal 431 30, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6534-1242","authenticated-orcid":false,"given":"Ola","family":"Rolfson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg , G\u00f6teborgsv\u00e4gen 31, M\u00f6lndal 431 80, Sweden"},{"name":"Department of Orthopaedics, Sahlgrenska University Hospital , L\u00e4nsmansgatan 28, M\u00f6lndal 431 30, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7855-4033","authenticated-orcid":false,"given":"Stephen","family":"Myers","sequence":"additional","affiliation":[{"name":"Occupational Performance Research Group, Institute of Applied Sciences, University of Chichester , College Lane, Chichester, West Sussex PO19 6PE, Great Britain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2724-6372","authenticated-orcid":false,"given":"Yohan","family":"Robinson","sequence":"additional","affiliation":[{"name":"Centre for Disaster Medicine, University of Gothenburg , Box 426, G\u00f6teborg 413 45, Sweden"},{"name":"Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg , G\u00f6teborgsv\u00e4gen 31, M\u00f6lndal 431 80, Sweden"},{"name":"Centre for Defence Medicine, Swedish Armed Forces , G\u00f6ta \u00c4lvsgatan 20, V\u00e4stra Fr\u00f6lunda 426 05, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,13]]},"reference":[{"key":"2024022722292484600_R1","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/978-3-030-44975-9_10","volume-title":"Governance of Arctic Shipping: Rethinking Risk, Human Impacts and Regulation","author":"Shan","year":"2020"},{"issue":"2S Suppl 1","key":"2024022722292484600_R2","doi-asserted-by":"publisher","first-page":"S41","DOI":"10.1097\/ta.0000000000004047","article-title":"Injury trends aboard US Navy vessels: a 50-year analysis of\u00a0mishaps at sea","volume":"95","author":"Benham","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"issue":"2","key":"2024022722292484600_R3","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1177\/1475090220981187","article-title":"Effect of\u00a0occupational exposure to shock and\u00a0vibration on\u00a0health in\u00a0high-performance marine craft occupants","volume":"235","author":"de Alwis","year":"2021","journal-title":"Proc Inst Mech Eng Part M"},{"key":"2024022722292484600_R4","article-title":"Dynamics models for\u00a0the assessment of\u00a0spinal injury from repeated impact in\u00a0high speed planing boats","author":"Bass","year":"2007"},{"issue":"1","key":"2024022722292484600_R5","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1080\/19338244.2020.1841720","article-title":"Musculoskeletal diseases among French military high-speed boat pilots","volume":"77","author":"Hurpin","year":"2022","journal-title":"Arch Environ Occup Health"},{"key":"2024022722292484600_R6","article-title":"Fatigue in\u00a0Military Operations. 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