Conversely, mean final PEBLO disability ratings were significantly (p < 0.001) lower for Marines than for Army servicemembers with amputation; however, when those Marines who were SWSP (by definition these servicemembers receive a disability rating of zero because they are not eligible for disability payments) were removed, there was no significant difference in the mean disability rates among service branches (Table 3).
Of note, those servicemembers with amputation with the highest mean ISS were actually Marines and Navy servicemembers who were SWSP (receiving a disability rating of zero).
These policies may help explain the disability ratings and recoveries achieved by some servicemembers with amputation, such as those who were SWSP. All service branches have taken steps to optimize the rehabilitative outcome of their injured servicemembers, and institutions such as the Center for the Intrepid at Fort Sam Houston serve as examples to this.
Abbreviations: COAD = continuation on Active Duty, Fit = fit for duty, ISS = Injury Severity Score, MAD = military amputation database, MLA = major limb amputation, OEF = Operation Enduring Freedom, OIF = Operation Iraqi Freedom, OND = Operation New Dawn, PEBLO = Physical Evaluation Liaison Office, PR = permanently retired, RTD = return to duty, SEM = standard error of mean, SWSP = separated with severance pay without disability pay, TDRL = temporarily disabled retired list, ULA = upper-limb amputation.