Table 2 Items generated through the Delphi process and subsequent levels of agreement

Words/description of musculoskeletal complaint

Pain

–

100% A^c

–

1

Discomfort

–

100% A^c

–

2

Reduced ROM specifically: enough to limit operational performance

–

89% A^c, 11% U

–

3

Stiffness

–

89% A^c, 11% U

–

4

Reduced ROM

–

100% A^c

–

5

Ache

–

56% A, 22% U, 22% D

89% A^c, 11% D

6

Tingling or numbness

–

89% A^c, 11% U

–

7

Tingling or numbness specifically: in fingers

–

56% A, 22% U, 22% D

89% A^c, 11% D

8

Domains to determine musculoskeletal complaint overall severity

Severity of pain

–

100% A^c

–

1

Duration of pain

–

100% A^c

–

2

Impact on flying performance

–

100% A^c

3

Severity of symptoms

–

100% A^c

–

4

Prolonged pain after flying

–

88% A^c, 12% U

–

5

Impact on planned flying schedule (including reduced duration, number, and/or intensity of sorties able to be flown)

–

100% A^c

–

6

Impact on ability to withstand the Gz required for optimal performance of sorties flown

–

67% A, 11% U, 22% D

100% A^c

7

Impact on concentration while flying

–

89% A^c, 11% U

–

8

Impact on use of helmet mounted equipment (e.g. JHMCS or NVG)

–

89% A^c, 11% U

–

9

Presence of pain at rest

–

67% A, 22% U, 11% D

100% A^c

10

Impact on sleep

–

78% A^c, 11%U, 11% D

–

11

Loss of work days

–

67% A, 22% U, 11% D

89% A^c, 11% D

12

Impact on non-work-related activity

–

67% A, 11% U, 22% D

100% A^c

13

Use of therapeutic intervention (such as input from health care provider, exercise, or medication)

–

78% A^c, 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% A^c

–

–

–

Attention has been sought from a qualified medical practitioner (e.g. Doctor, Physiotherapist, Osteopath, Chiropractor)

100% A^c

–

–

–

Contact with a physical training instructor

–

22% A, 44% U, 33% D

22% A, 78% D^c

–

Limitation of activities of daily living

–

78% A^c, 22% U

–

–

Impact on rest/sleep

–

67% A, 33% U

100% A^c

–

Limited spinal range of movement

–

66% A, 22% U, 11% D

89% A^c, 11% D

–

Use of medication for pain

–

78% A^c, 22% U

–

–

Body regions to be listed/selectable

Neck or cervical spine

–

100% A^c

–

–

Upper back or thoracic spine

–

100% A^c

–

–

Lower back or lumbar spine

–

100% A^c

–

–

Buttocks

–

44% A, 11%U, 44%D

56% A, 44% D

–

Shoulder (including the scapula)

–

100% A^c

–

–

Upper limb

–

89% A^c, 11% U`

–

–

Lower limb

–

67% A, 11% U, 22% D

100% A^c

–

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% D^c

–

Other

Use of a body chart denoting areas selectable regarding location of musculoskeletal complaint

100% A^c

–

–

–

Capture of mode of onset (gradual or sudden)

89% A^c, 11% U

–

–

–

Capture of status (new, ongoing, recurrent)

89% A^c, 11% U

–

–

–