{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:38:11Z","timestamp":1789699091364,"version":"4.0.1"},"reference-count":66,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian Department of Veterans\u2019 Affairs","award":["DVA-GEN 2019-20\/496"],"award-info":[{"award-number":["DVA-GEN 2019-20\/496"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The risks and incidence rates of musculoskeletal injuries among military personnel are high, and the importance of physiotherapy in treating these injuries is well established. However, what is less clear is whether the timing of commencement of physiotherapy treatment affects musculoskeletal injury outcomes in military personnel. This lack of clarity is exacerbated by the known underreporting of injuries among military personnel, and the resulting self-management of musculoskeletal injuries using analgesics, non-steroidal anti-inflammatories and other means. This narrative review was designed to identify and synthesize current evidence regarding the effects of timing of physiotherapy treatment on musculoskeletal injury outcomes, focusing on potential benefits of early versus typical or delayed commencement of physiotherapy treatment. Overall, current evidence suggests early physiotherapy treatment of musculoskeletal injuries offers distinct advantages over typical or delayed commencement of physiotherapy treatment in military settings. Specifically, it appears early treatment expedites recovery in early phases following injury onset and benefits longer term mental health and well-being. It may also reduce the need for more invasive and costly health care interventions and enable earlier return to training and operational service. Importantly, a cultural shift within military contexts to ensure early reporting of musculoskeletal injuries is required if the benefits of early commencement of physiotherapy treatment are to be achieved.<\/jats:p>","DOI":"10.3390\/ijerph192013416","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T21:11:51Z","timestamp":1666041111000},"page":"13416","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["The Effects of Early Physiotherapy Treatment on Musculoskeletal Injury Outcomes in Military Personnel: A Narrative Review"],"prefix":"10.3390","volume":"19","author":[{"given":"Patrick","family":"Campbell","sequence":"first","affiliation":[{"name":"Tactical Research Unit, Bond University, Robina, QLD 4229, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1320-5801","authenticated-orcid":false,"given":"Rodney","family":"Pope","sequence":"additional","affiliation":[{"name":"Tactical Research Unit, Bond University, Robina, QLD 4229, Australia"},{"name":"School of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Albury, NSW 2640, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5797-2917","authenticated-orcid":false,"given":"Vinicius","family":"Simas","sequence":"additional","affiliation":[{"name":"Tactical Research Unit, Bond University, Robina, QLD 4229, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8358-398X","authenticated-orcid":false,"given":"Elisa","family":"Canetti","sequence":"additional","affiliation":[{"name":"Tactical Research Unit, Bond University, Robina, QLD 4229, Australia"},{"name":"Faculty of Health Science and Medicine, Bond University, Robina, QLD 4229, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1865-0488","authenticated-orcid":false,"given":"Benjamin","family":"Schram","sequence":"additional","affiliation":[{"name":"Tactical Research Unit, Bond University, Robina, QLD 4229, Australia"},{"name":"Faculty of Health Science and Medicine, Bond University, Robina, QLD 4229, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8297-8288","authenticated-orcid":false,"given":"Robin","family":"Orr","sequence":"additional","affiliation":[{"name":"Tactical Research Unit, Bond University, Robina, QLD 4229, Australia"},{"name":"Faculty of Health Science and Medicine, Bond University, Robina, QLD 4229, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,17]]},"reference":[{"key":"ref_1","first-page":"451","article-title":"Occupational loads carried by Australian soldiers on military operations","volume":"31","author":"Orr","year":"2015","journal-title":"J. Health Saf. Environ."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S42","DOI":"10.1016\/j.amepre.2009.10.014","article-title":"Medical surveillance of injuries in the US military: Descriptive epidemiology and recommendations for improvement","volume":"38","author":"Jones","year":"2010","journal-title":"Am. J. Prev. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1519\/JSC.0000000000001115","article-title":"Physical training, fitness, and injuries: Lessons learned from military studies","volume":"29","author":"Jones","year":"2015","journal-title":"J. Strength Cond. Res."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Orr, R., Pope, R., Lopes, T.J.A., Leyk, D., Blacker, S., Bustillo-Aguirre, B.S., and Knapik, J.J. (2021). Soldier load carriage, injuries, rehabilitation and physical conditioning: An international approach. Int. J. Environ. Res., 18.","DOI":"10.3390\/ijerph18084010"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jbmt.2020.03.001","article-title":"The effects of body armour on mobility and postural control of police officers","volume":"24","author":"Schram","year":"2020","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_6","first-page":"39","article-title":"Soldier self-reported reductions in task performance associated with operational load carriage","volume":"21","author":"Orr","year":"2013","journal-title":"J. Aust. Strength. Cond."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1080\/17457300.2013.833944","article-title":"Soldier occupational load carriage: A narrative review of associated injuries","volume":"21","author":"Orr","year":"2014","journal-title":"Int. J. Inj. Contr. Saf. Promot."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"749","DOI":"10.2519\/jospt.2018.7979","article-title":"Incidence of musculoskeletal injury in US Army unit types: A prospective cohort study","volume":"48","author":"Teyhen","year":"2018","journal-title":"J. Orthop. Sports. Phys. Ther."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"S61","DOI":"10.1016\/j.amepre.2009.10.021","article-title":"Musculoskeletal injuries: Description of an under-recognized injury problem among military personnel","volume":"38","author":"Hauret","year":"2010","journal-title":"Am. J. Prev. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/j.jsams.2021.03.016","article-title":"Musculoskeletal injuries in military personnel\u2014Descriptive epidemiology, risk factor identification, and prevention","volume":"24","author":"Lovalekar","year":"2021","journal-title":"J. Sports Sci. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e73","DOI":"10.1016\/j.amepre.2020.08.007","article-title":"Nonexercise interventions for prevention of musculoskeletal injuries in armed forces: A systematic review and meta-analysis","volume":"60","author":"Arslan","year":"2021","journal-title":"Am. J. Prev. Med."},{"key":"ref_12","unstructured":"Australian Department of Defence (2022, June 01). Australian Defence Force Health Status Report [Electronic Resource], Available online: http:\/\/nla.gov.au\/nla.arc-39715."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Sanders, J.W., Putnam, S.D., Frankart, C., Frenck, R.W., Monteville, M.R., Riddle, M.S., Rockabrand, D.M., Sharp, T.W., and Tribble, D.R. (2005). Impact of Illness and Non-Combat Injury during Operations Iraqi Freedom and Enduring Freedom (Afghanistan), Naval Medical Research Unit No 3 Cairo (Egypt) Department of Medical Zoology.","DOI":"10.4269\/ajtmh.2005.73.713"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.1016\/j.amepre.2009.10.004","article-title":"A process to identify military injury prevention priorities based on injury type and limited duty days","volume":"38","author":"Ruscio","year":"2010","journal-title":"Am. J. Prev. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"49","DOI":"10.7205\/MILMED-D-13-00289","article-title":"Impact of training patterns on injury incidences in 12 Swiss Army basic military training schools","volume":"179","author":"Wyss","year":"2014","journal-title":"Mil. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1093\/milmed\/164.10.710","article-title":"Predicting attrition in basic military training","volume":"164","author":"Pope","year":"1999","journal-title":"Mil. Med."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"(2018). Holsteen K, Choi Y, Bedno S et al. Gender differences in limited duty time for lower limb injury Occup. Med., 68, 18\u201325.","DOI":"10.1093\/occmed\/kqx169"},{"key":"ref_18","unstructured":"Orr, R.M., Schram, B., Canetti, E., and Pope, R. (2020, January 11). Physical Training in the Military: A Telling History. Proceedings of the 5th International Congress on Soldiers\u2019 Physical Performance, Quebec City, QC, Canada."},{"key":"ref_19","first-page":"67","article-title":"The history of the soldier\u2019s load","volume":"7","author":"Orr","year":"2010","journal-title":"Aust. Army J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"440","DOI":"10.7205\/MILMED.172.4.440","article-title":"Knowledge in Managing Musculoskeletal Conditions and Educational Preparation of Physical Therapists in the Uniformed Services","volume":"172","author":"Childs","year":"2007","journal-title":"Mil. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"56","DOI":"10.2519\/jospt.2016.6138","article-title":"Timing of physical therapy initiation for nonsurgical management of musculoskeletal disorders and effects on patient outcomes: A systematic review","volume":"46","author":"Ojha","year":"2016","journal-title":"J. Orthop. Sports. Phys. Ther."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Childs, J.D., Fritz, J.M., Wu, S.S., Flynn, T.W., Wainner, R.S., Robertson, E.K., Kim, F.S., and George, S.Z. (2015). Implications of early and guideline adherent physical therapy for low back pain on utilization and costs. BMC Health Serv. Res., 15.","DOI":"10.1186\/s12913-015-0830-3"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1080\/09638288.2019.1639222","article-title":"Effects of waiting for outpatient physiotherapy services in persons with musculoskeletal disorders: A systematic review","volume":"43","author":"Deslauriers","year":"2021","journal-title":"Disabil. Rehabil."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1136\/bjsports-2015-095741","article-title":"Physiotherapy for pain: A meta-epidemiological study of randomised trials","volume":"50","author":"Christensen","year":"2016","journal-title":"Br. J. Sports Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1093\/ptj\/77.1.10","article-title":"A comparison of resource use and cost in direct access versus physician referral episodes of physical therapy","volume":"77","author":"Mitchell","year":"1997","journal-title":"Phys. Ther."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1016\/j.apmr.2018.11.025","article-title":"The Effect of Timing of Physical Therapy for Acute Low Back Pain on Health Services Utilization: A Systematic Review","volume":"100","author":"Arnold","year":"2019","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.7205\/MILMED-D-15-00233","article-title":"Self-Management of Unreported Musculoskeletal Injuries in a U.S. Army Brigade","volume":"181","author":"Sauers","year":"2016","journal-title":"Mil. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e431","DOI":"10.1093\/milmed\/usy414","article-title":"Surveyed Reasons for Not Seeking Medical Care Regarding Musculoskeletal Injury Symptoms in US Army Trainees","volume":"184","author":"Cohen","year":"2019","journal-title":"Mil. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"470","DOI":"10.7205\/MILMED-D-00-4108","article-title":"Optimizing the utility of military injury surveillance systems: A qualitative study within the Australian Defence Force","volume":"174","author":"McKinnon","year":"2009","journal-title":"Mil. Med."},{"key":"ref_30","unstructured":"Orr, R.M., Schram, B., Irving, S., Pope, N., and Pope, R.R. (2019). ARP1706 Measuring Occupational Exposures to Osteoarthritis in the Lower Limb in ADF Job Categories, Tactical Research Unit, Bond University."},{"key":"ref_31","unstructured":"Productivity Commission (2018). A Better Way to Support Veterans, Productivity Commission. Draft Report."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"110","DOI":"10.5847\/wjem.j.1920-8642.2017.02.005","article-title":"Potential impact of early physiotherapy in the emergency department for non-traumatic neck and back pain","volume":"8","author":"Sohil","year":"2017","journal-title":"World J. Emerg. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1001\/jama.2015.11648","article-title":"Early Physical Therapy vs Usual Care in Patients With Recent-Onset Low Back Pain: A Randomized Clinical Trial","volume":"314","author":"Fritz","year":"2015","journal-title":"JAMA"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1744","DOI":"10.1016\/j.spinee.2015.04.001","article-title":"Clinical outcomes of early and later physical therapist services for older adults with back pain","volume":"15","author":"Rundell","year":"2015","journal-title":"Spine J."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1097\/BRS.0b013e3181d79a09","article-title":"Management patterns in acute low back pain: The role of physical therapy","volume":"37","author":"Gellhorn","year":"2012","journal-title":"Spine"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1097\/BRS.0b013e31825d32f5","article-title":"Primary Care Referral of Patients With Low Back Pain to Physical Therapy: Impact on Future Health Care Utilization and Costs","volume":"37","author":"Fritz","year":"2012","journal-title":"Spine"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1097\/01.ajp.0000210696.46250.0d","article-title":"Early Access to Physical Therapy Treatment for Subacute Low Back Pain in Primary Health Care: A Prospective Randomized Clinical Trial","volume":"22","author":"Nordeman","year":"2006","journal-title":"Clin. J. Pain."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2350","DOI":"10.1097\/01.brs.0000143619.34308.b4","article-title":"Early Intervention for the Management of Acute Low Back Pain: A Single-Blind Randomized Controlled Trial of Biopsychosocial Education, Manual Therapy, and Exercise","volume":"29","author":"Wand","year":"2004","journal-title":"Spine"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2491","DOI":"10.1097\/01.BRS.0000090822.96814.13","article-title":"Active Intervention in Patients with Whiplash-Associated Disorders Improves Long-Term Prognosis: A Randomized Controlled Clinical Trial","volume":"28","author":"Rosenfeld","year":"2003","journal-title":"Spine"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1782","DOI":"10.1097\/00007632-200007150-00008","article-title":"Early Intervention in Whiplash-Associated Disorders: A Comparison of Two Treatment Protocols","volume":"25","author":"Rosenfeld","year":"2000","journal-title":"Spine"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/00043764-200001000-00010","article-title":"Effectiveness of early physical therapy in the treatment of acute low back musculoskeletal disorders","volume":"42","author":"Zigenfus","year":"2000","journal-title":"J. Occup. Environ. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1093\/ptj\/76.2.150","article-title":"Physician referral to physical therapy in a cohort of workers compensated for low back pain","volume":"76","author":"Rossignol","year":"1996","journal-title":"Phys. Ther."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"193","DOI":"10.12965\/jer.1836636.318","article-title":"The management of work-related musculoskeletal injuries in an occupational health setting: The role of the physical therapist","volume":"15","author":"Prall","year":"2019","journal-title":"J. Exerc. Rehabil."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1136\/bjsports-2017-098106","article-title":"Diagnosis, treatment and prevention of ankle sprains: Update of an evidence-based clinical guideline","volume":"52","author":"Vuurberg","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_45","first-page":"9","article-title":"Low back pain: Early management of persistent non-specific low back pain","volume":"14","author":"Savigny","year":"2009","journal-title":"Lond. Natl. Collab. Cent. Prim. Care R. Coll. Gen. Pract."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.joca.2014.01.003","article-title":"OARSI guidelines for the non-surgical management of knee osteoarthritis","volume":"22","author":"McAlindon","year":"2014","journal-title":"Osteoarthr. Cartil."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.pain.2007.06.018","article-title":"A systematic review of the effect of waiting for treatment for chronic pain","volume":"136","author":"Lynch","year":"2008","journal-title":"Pain"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"65","DOI":"10.3109\/14038190903174262","article-title":"The effect of early physiotherapy after an acute ankle sprain","volume":"12","author":"Hultman","year":"2010","journal-title":"Adv. Physiother."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Young, J.L., Snodgrass, S.J., Cleland, J.A., and Rhon, D.I. (2021). Timing of physical therapy for individuals with patellofemoral pain and the influence on healthcare use, costs and recurrence rates: An observational study. BMC Health Serv. Res., 21.","DOI":"10.1186\/s12913-021-06768-8"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"619","DOI":"10.2519\/jospt.2021.10730","article-title":"Delayed Rehabilitation Is Associated With Recurrence and Higher Medical Care Use After Ankle Sprain Injuries in the United States Military Health System","volume":"51","author":"Rhon","year":"2021","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"173","DOI":"10.4055\/cios.2010.2.3.173","article-title":"Prospective Evaluation of the Effectiveness of a Home-Based Program of Isometric Strengthening Exercises: 12-Month Follow-up","volume":"2","author":"Park","year":"2010","journal-title":"Clin. Orthop. Surg."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1016\/j.pain.2010.12.036","article-title":"A population-based survey of chronic pain and its treatment with prescription drugs","volume":"152","author":"Toblin","year":"2011","journal-title":"Pain"},{"key":"ref_53","unstructured":"Department of Veterans Affairs (2014). Healthcare Inspection: VA Patterns of Dispensing Take-Home Opioids and Monitoring Patients on Opioid Therapy."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.outlook.2016.05.010","article-title":"Answering the call to address chronic pain in military service members and veterans: Progress in improving pain care and restoring health","volume":"64","author":"Schoneboom","year":"2016","journal-title":"Nurs. Outlook."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"936","DOI":"10.7205\/MILMED.172.9.936","article-title":"Factors associated with discharge during marine corps basic training","volume":"172","author":"Reis","year":"2007","journal-title":"Mil. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1002\/ajim.20747","article-title":"Predictors of delayed return to work after back injury: A case\u2014Control analysis of union carpenters in Washington State","volume":"52","author":"Kucera","year":"2009","journal-title":"Am. J. Ind. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/JOM.0000000000000591","article-title":"Lag times in reporting injuries, receiving medical care, and missing work: Associations with the length of work disability in occupational back injuries","volume":"58","author":"Besen","year":"2016","journal-title":"J. Occup. Environ. Med."},{"key":"ref_58","unstructured":"Zhang, J.C.L., and Yu, Y. (2020). Costs Impacts of Medical Care Delays in the California Workers\u2019 Compensation System, Workers\u2019 Compensation Insurance Rating Bureau of California (WCIRB California)."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Horn, M.E., Brennan, G.P., George, S.Z., Harman, J.S., and Bishop, M.D. (2016). A value proposition for early physical therapist management of neck pain: A retrospective cohort analysis. BMC Health Serv. Res., 16.","DOI":"10.1186\/s12913-016-1504-5"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/CPT.0000000000000129","article-title":"Physical therapy as a force multiplier: Population health perspectives to address short-term readiness and long-term health of military service members","volume":"31","author":"Fraser","year":"2020","journal-title":"Cardiopulm. Phys. Ther. J."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1080\/02640414.2012.682078","article-title":"Stressors experienced by injured athletes","volume":"30","author":"Evans","year":"2012","journal-title":"J. Sport Sci."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1080\/02701367.2002.10609025","article-title":"Injury rehabilitation: A goal-setting intervention study","volume":"73","author":"Evans","year":"2002","journal-title":"Res. Q. Exerc. Sport"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1136\/bjsports-2012-091988","article-title":"Injury initiates unfavourable weight gain and obesity markers in youth","volume":"48","author":"Myer","year":"2014","journal-title":"Br. J. Sports Med."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1136\/bjsm.2006.027623","article-title":"Previous injury as a risk factor for injury in elite football: A prospective study over two consecutive seasons","volume":"40","author":"Ekstrand","year":"2006","journal-title":"Br. J Sports Med."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1007\/s00420-021-01700-3","article-title":"Risk factors for musculoskeletal injuries in military personnel: A systematic review with meta-analysis","volume":"94","author":"Rodrigues","year":"2021","journal-title":"Int. Arch. Occup. Environ. Health."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Jones, B.H., Cowan, D.N., Tomlinson, J.P., Robinson, J.R., Polly, D.W., and Frykman, P.N. (1993). Epidemiology of Injuries Associated with Physical Training among Young Men in the Army, Army Research Institute of Environmental Medicine.","DOI":"10.1249\/00005768-199302000-00006"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/20\/13416\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:55:59Z","timestamp":1760144159000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/20\/13416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,17]]},"references-count":66,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["ijerph192013416"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192013416","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,17]]}}}