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Although the current study was cross-sectional and com- data, revising the manuscript for important intellectual con-
parisons across studies are difficult due to methodological tent, and final approval of the version to be published.
differences, the cumulative evidence from these studies all
support that the financial impact resulting from MSIs is great References
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The authors have indicated they have no financial relation- 19. SEAL/SWCC: Official Naval Special Warfare Website. https://
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Disclaimer 20. Lovalekar M, Keenan KA, Chang YF, et al. Using the capture-re-
Any opinions, findings, and conclusions or recommendations capture method to estimate the incidence of musculoskeletal in-
juries among U.S. Army soldiers. J Sci Med Sport. 2017;20(Suppl
expressed in this material are those of the author(s) and do not 4):S23–S7.
necessarily reflect the views of the Department of Defense, Of- 21. Bullock SH, Jones BH, Gilchrist J, Marshall SW. Prevention of
fice of Naval Research, or Naval Special Warfare Command. physical training-related injuries recommendations for the mili-
tary and other active populations based on expedited systematic
Author Contributions reviews. Am J Prev Med. 2010;38(1 Suppl):S156–S181.
ML and KB made substantial contributions to conception and 22. Meeusen R, Duclos M, Foster C, et al. Prevention, diagnosis, and
design of the study and acquisition of data. ML conducted treatment of the overtraining syndrome: Joint consensus state-
ment of the European College of Sport Science and the American
data analysis. ML, KAK, MB, and DEC contributed to draft- College of Sports Medicine. Med Sci Sports Exerc. 2013;45(1):
ing the article. All authors contributed to interpretation of 186–205.

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