Over a prolonged period, the weight of the system pushing down on the upper extremities can fatigue muscles, compress nerves, impinge on the shoulder rotator cuff, reduce available range of motion, and cause pain. Positioning the OTV During physical therapy evaluations, patients who donned a basic OTV under supervision demonstrated a distinctive pattern of errors in positioning the OTV that included * Failing to initially release the side straps to assist with front Velcro alignment. * Adjusting the neckline flaps around the angle of the chin when looking down at the vest and not straight ahead. * Failing to adjust the vest off the shoulders and tightly against the ribcage.
Measures to Prevent Profiles in Combat Support Commands by lieutenant sarah D. thoMas, usn S oldiers on duty-limiting medical profiles offer with a newer model known as the modular tactical reduced benefits to commands that provide logis- vest, but the OTV is still issued to active duty members tics support to operations in Iraq. Medical limita- in ancillary roles, such as supply, transportation, and tions can prevent a Soldier from wearing body armor or training commands. driving, leaving fewer Soldiers to perform a steady work- The OTV should be worn tightly around the torso to load. For units already undermanned, medical issues can protect core organs from some types of small projec- compromise mission success. tiles. The vest, with two small-arms protective inserts, Between March and August 2007, shoulder and weighs approximately 17 pounds. The additional bur- back pain complaints among Soldiers of the 377th den of side, shoulder, groin, throat, and neck pieces, Theater Support Command were numerous. Because plus the enhanced tactical load-carrying vest and of the physical demands of the environment, many individual equipment belt, can result in a total system ailments became chronic despite rest and required weight of more than 60 pounds. physical therapy. Recognizing this injury trend, the When worn tightly on the torso with minimal shoul- command identified measures for preventing injury in der contact, the OTV attempts to distribute its weight order to reduce physical therapy visits and avoid lost along the surface area of the ribcage. If the vest is work hours. Two areas identified as causing injury to not adjusted correctly, the tactical load rests directly Soldiers were ill-fitting body armor and misaligned and disproportionately on the smaller surface area of vehicle seats. the shoulders. Over a prolonged period, the weight of the system pushing down on the upper extremities Shoulder Pain and Individual Body Armor can fatigue muscles, compress nerves, impinge on the Prolonged wear of the interceptor body armor outer shoulder rotator cuff, reduce available range of motion, tactical vest (OTV) is frequently blamed for common and cause pain. Even if patients improved after a complaints of neck and shoulder pain. Thirty percent of period of light duty and shoulder rehabilitation, many the physical therapy referrals at Camp Arifjan, Kuwait, complained of pain after returning to OTV wear when in March 2007 were related to pain caused by OTV their shoulders again became the focal point of weight wear. The OTV is being replaced in direct combat roles distribution. Note how the ill-fitted outer tactical vest does The Soldier looks up as he adjusts the OTV to not align at the front closing. clear his chin from the path of the neckline. 22
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