Themed items generated from Round 1 | Level of agreement achieved in each round a | ROI b | ||
---|---|---|---|---|
 | Round 1 | Round 2 | Round 3 |  |
Words/description of musculoskeletal complaint | ||||
Pain | – | 100% Ac | – | 1 |
Discomfort | – | 100% Ac | – | 2 |
Reduced ROM specifically: enough to limit operational performance | – | 89% Ac, 11% U | – | 3 |
Stiffness | – | 89% Ac, 11% U | – | 4 |
Reduced ROM | – | 100% Ac | – | 5 |
Ache | – | 56% A, 22% U, 22% D | 89% Ac, 11% D | 6 |
Tingling or numbness | – | 89% Ac, 11% U | – | 7 |
Tingling or numbness specifically: in fingers | – | 56% A, 22% U, 22% D | 89% Ac, 11% D | 8 |
Domains to determine musculoskeletal complaint overall severity | ||||
Severity of pain | – | 100% Ac | – | 1 |
Duration of pain | – | 100% Ac | – | 2 |
Impact on flying performance | – | 100% Ac |  | 3 |
Severity of symptoms | – | 100% Ac | – | 4 |
Prolonged pain after flying | – | 88% Ac, 12% U | – | 5 |
Impact on planned flying schedule (including reduced duration, number, and/or intensity of sorties able to be flown) | – | 100% Ac | – | 6 |
Impact on ability to withstand the Gz required for optimal performance of sorties flown | – | 67% A, 11% U, 22% D | 100% Ac | 7 |
Impact on concentration while flying | – | 89% Ac, 11% U | – | 8 |
Impact on use of helmet mounted equipment (e.g. JHMCS or NVG) | – | 89% Ac, 11% U | – | 9 |
Presence of pain at rest | – | 67% A, 22% U, 11% D | 100% Ac | 10 |
Impact on sleep | – | 78% Ac, 11%U, 11% D | – | 11 |
Loss of work days | – | 67% A, 22% U, 11% D | 89% Ac, 11% D | 12 |
Impact on non-work-related activity | – | 67% A, 11% U, 22% D | 100% Ac | 13 |
Use of therapeutic intervention (such as input from health care provider, exercise, or medication) | – | 78% Ac, 22% D | – | 14 |
Presence of psychological stress | – | 22% A, 44% U, 33% D | 44% A, 56% D | 15 |
Definitions of recordable injury to be included | ||||
Time loss has occurred (i.e. whether they have been unable to partake in their flying duties as a result of their complaint) | 100% Ac | – | – | – |
Attention has been sought from a qualified medical practitioner (e.g. Doctor, Physiotherapist, Osteopath, Chiropractor) | 100% Ac | – | – | – |
Contact with a physical training instructor | – | 22% A, 44% U, 33% D | 22% A, 78% Dc | – |
Limitation of activities of daily living | – | 78% Ac, 22% U | – | – |
Impact on rest/sleep | – | 67% A, 33% U | 100% Ac | – |
Limited spinal range of movement | – | 66% A, 22% U, 11% D | 89% Ac, 11% D | – |
Use of medication for pain | – | 78% Ac, 22% U | – | – |
Body regions to be listed/selectable | ||||
Neck or cervical spine | – | 100% Ac | – | – |
Upper back or thoracic spine | – | 100% Ac | – | – |
Lower back or lumbar spine | – | 100% Ac | – | – |
Buttocks | – | 44% A, 11%U, 44%D | 56% A, 44% D | – |
Shoulder (including the scapula) | – | 100% Ac | – | – |
Upper limb | – | 89% Ac, 11% U` | – | – |
Lower limb | – | 67% A, 11% U, 22% D | 100% Ac | – |
Hip | – | 33% A, 44% U, 22% D | 56% A, 44% D | – |
Buttocks should be incorporated with lower back/lumbar spine | – | 44% A, 11% U, 44% D | 56% A, 44% D | – |
Divide neck/cervical spine into upper and lower | – | 33% A, 11% U, 56% D | 11% A, 89% Dc | – |
Other | ||||
Use of a body chart denoting areas selectable regarding location of musculoskeletal complaint | 100% Ac | – | – | – |
Capture of mode of onset (gradual or sudden) | 89% Ac, 11% U | – | – | – |
Capture of status (new, ongoing, recurrent) | 89% Ac, 11% U | – | – | – |