Military Orthopaedics Tracking Injuries and Outcomes Network (MOTION)- MHSRS 2024
bradley m, sheean a
Abstract accepted for poster presentation at the 2024 Military Health System Research Symposium
Musculoskeletal injuries (MSKI) remain the largest source of disability, readiness impairment, non-deployable status, and separation within the US Military. Although MSKI are of such magnitude, severity, and cost, efforts to uniformly collect and evaluate outcomes following injury and treatment are lacking due to decentralized datasets and the migratory nature of military service members (SM). The Military Orthopaedics Tracking Injuries and Outcomes Network (MOTION) is addressing this issue by establishing a DoD-wide enterprise system for the reliable collection of validated health outcome measures related to MSKI that cause the greatest impact on readiness, disability, and well-being.
MOTION is an ongoing collection of patient-reported outcomes (PROs) and clinical provider assessments of patients who are receiving treatment of MSKI. The target population is active duty SM, retirees, and beneficiaries who receive various orthopaedic and rehabilitative treatment interventions on upper extremity, lower extremity, or spine MSKI. All patients are enrolled at the time of their initial presentation to the orthopaedic or allied health clinic. PROs are collected at the following time points: pre-operative visit, 6-weeks post-op, 6-months, 12 months, 2, 5, 10, 15, and 20 years.
MOTION will develop, conduct, and disseminate original and innovative military relevant clinical research focusing on outcomes and reducing time away from duty following MSKI. This research will result in the development and improvement of evidence-based clinical practice guidelines to improve military health and readiness, mitigate long-term physical detriments following injury, promote military career longevity, and improve post-military service quality of life. MOTION’s revolutionized MSKI care system will place the MHS at the forefront of MSKI care advancement and will result in a centralized, enterprise-wide MSKI care system for improving clinical best practices that is based in evidence, informed by data, and geared towards individualized therapeutic interventions.eatment.