Brigade Combat Team (BCT) Physical Therapy Guide (2010)
Brigade Combat Team (BCT) Physical Therapy Guide (2010) – https://web.archive.org/web/20101217144152/http://www.armymedicine.army.mil/prr/PT_BCT_Guide.pdf
Representative questions that can be answered with this resource:
- What sorts of supplies should a BCT physical therapist have with him in the field?
- What’s the surprising source of most Army injuries requiring physical therapy?
- What factors are involved in deciding where to send a BCT physical therapist?
- What is a Y Balance Screen and when should it be performed?
This is a 54 page guide whose purpose, according to the introduction, “a. Establishes policies for physical therapists assigned to Brigade Combat Teams and b. Defines physical therapy roles, responsibilities and services within the BCT.”
The guide offered statistics on injuries requiring physical therapy that surprised me:
In a deployed setting, musculoskeletal non-battle injuries account for 87% of all injuries. The rate of non-combat related musculoskeletal injuries are estimated to occur 6.5-7 times more frequently than combat related injuries. Over 75% of all medical evacuations from the Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) theater of operations were due to non-combat musculoskeletal injuries associated with back, knee, foot/ankle, shoulder, hand/wrist, and neck pain. The typical Soldier medically evacuated from the OIF/OEF Theater was a 29 year old Soldier in need of additional musculoskeletal care, resulting in a negative impact on operational capabilities.5 The primary focus of physical therapy services in the brigade combat team is to enhance unit readiness and physical performance through injury prevention, human performance optimization and timely rehabilitation.
The guide’s appendices provide examples of tests such as the “functional movement screen test” that are used to determine the extent of injury.
The guide appears to have been removed from the Army Medicine website, probably around the time the Publications section itself went away. But it lives on at the Internet Archive and elsewhere on the web.