Abstract

Low physical fitness levels are associated with increased musculoskeletal injury risk and attrition among military recruits. The authors review physical fitness trends, injury risk factors, and Department of the Army initiatives to address recruit fitness, injuries, and attrition. Initiatives include the Fitness Assessment Program, which reduced injury risk and attrition among low-fit trainees, and the Assessment of Recruit Motivation and Strength, which enabled the Army to enlist individuals exceeding body composition accession standards without increasing attrition. Physical Readiness Training (PRT) is the Army's primary initiative to address training-related injuries and attrition. PRT's inherent injury control and exercise progression components are designed to address low fitness levels across entry-level training. PRT has been shown to decrease injury rates, but low-fit recruits remain at increased risk regardless of program design. The authors recommend resuming pre-enlistment fitness screening and fitness programming before low-fit recruits begin entry-level training. The decision whether to screen for fitness before beginning entry-level training could be based upon the existing recruiting environment in terms of applicant supply and the demand for recruits. However, the Army should anticipate increased injury and attrition rates when discontinuing screening and/or fitness programming for low-fit recruits.

Links

Publisher Full Text

Authors

Molloy JM, Feltwell DN, Scott SJ, Niebuhr DW

Institution

Fort Sam Houston Primary Care Clinic, 3100 Schofield Road, Building 1179, Fort Sam Houston, TX 78234, USA.

Source

Military medicine 177:5 2012 May pg 553-8

MeSH

Adult
Female
Humans
Male
Mass Screening
Military Personnel
Physical Education and Training
Physical Fitness
South Carolina
Wounds and Injuries

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22645882