Accession Number:



Application of the Taxonomy of Injuries: Analysis of Army Recruit Injuries, CY 2016

Descriptive Note:

[Technical Report, Final Report]

Corporate Author:

Army Public Health Center

Report Date:


Pagination or Media Count:



U.S. Army basic training, known as initial entry training IET, ensures the physical and mental preparation of recruits prior their enlistment. Recruits have long been recognized as a military population at high-risk of injury because of the physical intensity and repetition of IET activities. Of primary concern are musculoskeletal MSK injuries, especially cumulative microtraumatic overuse injuries. The volume of medical visits and lost training time from injuries substantially hinders Army training, force strength, and combat readiness. Some overuse injuries i.e., stress fractures can even result in medical discharge in these cases, recruits never become Soldiers, and are no longer available for future military service. This investigation confirmed that over 80 of recruit injuries are to the lower body. Most are to the lower extremities i.e., knee, ankle, foot, lower leg. Others include lower back injuries and pelvichip stress fractures. These injuries are attributed to the substantial on-foot activities required of IET recruits running, patrolling, and foot marching. Higher-than-expected rates of lower body injuries can indicate excessive distances andor frequencies of a specific activity andor of the combined on-foot activities. Though less common, this investigation also found a notable number of shoulder injuries 5 , indicating injuries caused by different activities possibly weight-training or donningdoffing rucksacks. Results also confirm disparate impacts to men and women for specific injuries e.g., female pelvic stress fractures. To help reduce injuries that have the largest impact to recruits, routine installationunit training-related injury reports are available to Army leaders to monitor injury trends.

Subject Categories:

  • Weapons Effects (Biological)

Distribution Statement:

[A, Approved For Public Release]