P-B Nutrition Recharge Purpose “Y” Code Controlled Response “The Zone” Primal Fitness Mind Tactics Primal Fitness

The Warrior Athlete “Pre-habilitation = Preventing Injury” “Keeping the Warfighter at an optimal level of performance”

United States Marine Corps (1996). A Concept of Functional Fitness. Marine Corps Combat Development Command. Washington, DC. United States Army (2010). Building the Soldier Athlete Manual: Injury Prevention and Performance Optimization. United States Army (2010). Ranger Athlete Warrior (RAW). 75 th Ranger Regimen. United States Army (March, 2010). TC United States Army. Physical Readiness Training. Headquarters Department of the Army. Deuster, P. (1997). The Navy Seal Physical Fitness Guide. United States Naval Special Warfare Command. Uniformed Services University of Health Sciences (USUHS). Consortium for Health and Military Performance. Human Performance Resource Center (HPRC).

Deployed Injuries Back Pain is the number one injury while deployed and continues after re-deployment 70% of Warfighters with Back Pain wore body armor for 4 hours or more a day

Deployed Injuries cont’d Knee Injuries & Ankle Sprains (uneven terrain)

Deployed Injuries cont’d Lower Back

Poor physical fitness = Combat fatality Being out of shape can get you KILLED…

DOD Examination “The NEED - Improved performance…injury prevention” Findings: 1)Changes in combat requirements 2)Physical preparedness had not changed 3)Combat environment consists of “unknowables” 4)Lifestyles changed in combat

#1: Change in Combat Requirements “The need for adaptability…” “Body armor weight, operations tempo, length of deployment, etc…”

Change in Battle Gear Load

Change in Operations Tempo and Deployment Length

Change in Combat Environment

#2: Old School Physical Preparedness “Running, running, running…yah…yah…”

What We Look Like Now Mobility Strength Endurance

Injury Rates and Run Times Gender Miles Run over 9 weeks Percent Injuries2-Mile Run Time Male34-44 miles33%14.9 min Male26-39 miles21%14.8 min Female34-44 miles58%18.0 min Female26-39 miles46%17.8 min Knapik J, Darakjy S, Scott SJ, Hauret KG, Canada S, Marin R, Rieger W, Jones BH. Evaluation of a standarardized physical training program for basic combat training. Journal of Strength and Conditioning Research, 2005, 19(2), More running …NOT improved run time… MORE injuries

#3: Planned Workouts MondayWednesdayFriday

#4: Change in Lifestyle on Deployment “You don’t have time?????” “Warfighters stop training and exercising…”

Top 10 Excuses for NOT Exercising in Combat 10. “We don’t have a gym…” 8. ”No one to go with…" 9. ”I’m on shift work…" 7. ”I don’t like to sweat… " 6. ”Waiting for my suppl…" 5. ”I’ve got 6 months to my APFT…" 1. ”I don’t have time…" 2. ”The gym doesn’t have …” 3. “I burn enough calories at work… " 4. ”I know I need to…”

DOD Military Elitists Embracing Functional Fitness “Meeting the needs of Combat…”

U.S. Army…On board!!! Endurance Sustain activity Strength Overcome resistance Mobility Movement proficiency

Transition to New Army PRT TC BSA Manual New PRT showed 40% decrease in injury rates

No More Excuses “Who needs a gym?”

No More Excuses “Who needs a gym?”

Functional Fitness = Injury Prevention