Rehabilitation of Neuro-musculoskeletal Injuries within and Intensive Outpatient mTBI and Pain Rehabilitation Program: Outcome Success for Special Operators

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The Movement Recovery Program (MRP) system is a time and ability based biopsychosocial treatment system.

It consists of twelve 90 minute ADVANCED restorative group PT, Yoga, and Cognitive Restructuring sessions.

The MRP uses a functional diagnostic and symptom based Neuroplastic-Graded Proprioceptive Stimulation (N-GPS) approach to reduce chronic pain related kinesiophobia, desensitize the CNS, and improve the physical fitness, readiness, and retention standards expected of our Soldiers, Airmen, Sailors, and Marines.

Complex neuro-musculoskeletal injuries dramatically decrease military force readiness.

Recent research suggests that the polytrauma clinical triad of chronic pain, PTSD, and concussion is highly prevalent among OIF/OEF veterans and that each of these problems rarely occurs by itself, but the three conditions most often occur in combination with one another.

Animal models of pain rehabilitation have shown how vital movement is to sustained central nervous system stimulation and sustained recovery.

Our biopsychosocial rehabilitation incorporates a movement platform to address combat medical readiness concerns.

These concerns are especially relevant for the highly mobile, advanced tactical forces of our elite military Special Operations Forces.

Special Operations soldiers often experience a plethora of potential mechanisms of injury for neuro-musculoskeletal injury, traumatic brain injury and pain.

Treating this injury trifecta timely and ensuring stability of rehabilitation and recovery requires a complex interdisciplinary treatment process that is responsive and proactive to therapeutic redress.

Landstuhl Regional Medical Center’s Traumatic Brain Injury Program together with the Intensive Pain Management Program has developed a comprehensive treatment program specifically to target the complex rehabilitation needs of these warfighters.

Using CDC TBI Outcome measures that are responsive to the unique and comprehensive rehabilitation needs of these SOF soldiers, significant improvement in patient symptom sequelae was observed.

This paper presents preliminary findings from two Special Forces Cohort Groups who received neuro-musculoskeletal rehabilitation and offers suggestions for coordinated care.

Click here to download the PDF of the research poster.