ACFT 3.0 is the next adaptation of the ACFT. Building on the lessons from the ACFT 2.0, the Army will incorporate modifications into ACFT 3.0 starting 1 April 2021. ACFT 3.0 consists of six events: 3-Repetition Maximum Deadlift, Standing Power Throw, Hand-Release Push-Ups, Sprint-Drag-Carry, Leg Tuck or Plank, and 2-Mile Run, with a maximum possible score of 600.

Although every Solider will be expected to meet the same baseline physical standard (at least 60 points in each of the six events), ACFT 3.0 incorporates two significant changes: (1) the inclusion of the Plank as a 100-point alternative to the Leg Tuck; and (2) the establishment of an evaluation system with performance categories that may be used to proportionally tier ACFT performance according to gender. While the Army expects to fully implement the ACFT in 2022, policy changes will only be finalized when sufficient data exists for Army Senior Leaders to make informed decisions. Until full implementation, ACFT scores will not be linked to a Soldier’s record in any Army personnel system. During this transition period, no administrative actions will be taken for or against Soldiers on the basis of their performance on the ACFT.

There are no specific minimum scores for any MOS identifier. Every Soldier, regardless of MOS, will be expected to meet the same baseline physical standard of a 360 raw score (at least 60 points in each of the six events). Combat Arms requirements on the ACFT are the same as for all Soldiers.

ACFT 3.0 incorporates two significant changes: (1) the inclusion of the Plank as a 100-point alternative to the Leg Tuck, and (2) the establishment of an evaluation system with gender-informed performance categories that may be used to proportionally tier ACFT performances by gender. The Army chose to keep the Leg Tuck because the Leg Tuck has a higher correlation to the fitness requirements for Warrior Tasks and Battle Drills (WTBDs) and Soldier common tasks. By making the Plank a fully graded, alternate assessment, we are working to give Soldiers who are currently struggling with the Leg Tuck a chance to succeed on the ACFT, while adapting their physical readiness training to the Army’s changing fitness culture.

Other guidance has not changed. As Army Directive 2020-06 stated, no adverse administrative actions will be taken against a Soldier for failing the ACFT. Additionally, units will not maintain any record of individual scores in a personnel file or any other accessible location to unit personnel.

ACFT 3.0 has five proposed performance categories. The Army is studying the new performance categories to identify specified percentiles by gender that can account for the recognized physiological differences between men and women. While not final, each Soldier’s total ACFT score may fall into one of five proposed performance tiers:

• Platinum – Soldiers who score in the top 1% of their gender group
• Gold – Soldiers who score in the top 10%
• Silver – Soldiers who score in the top 25%
• Bronze – Soldiers who score in the top 50%
• Green – Soldiers who meet the minimum requirements (60 points on each events for at least 360 total points) but score in the lower 50%

Under ACFT 3.0, performance categories would be calculated annually based upon ACFT scores from across the force. Categorizing scores into tiers allows for variations in height, weight, test conditions, slope, surface, etc.

The Army is exploring this evaluation system with the goal of achieving two objectives: (1) foster and recognize above-average physical performance, something inherent to Army culture, and (2) account for recognized physiological differences between men and women.

As the Army collects data, scores will be rank ordered based on how they compare to the scores of all other Soldiers for their gender. For example, a 476 point score may place SGT John Doe in the Bronze category; that same score may place SGT Jane Doe in the Silver category. Once Army Senior Leaders have sufficient data to make full and informed decisions and fully implement the ACFT, these performance categories may be used to drive promotion points for the E-4 and E-5 enlisted ranks, and other evaluations. The categories may also be used for awards (e.g., Soldier of the Quarter) and schools. The Army projects that tiering by performance and gender will allow for equitable application of scoring for women and men based upon physiology.

The Army’s intent is that the ACFT will not adversely or disproportionately affect any Soldier or group. After 1 April 2021, the Army expects to collect approximately 1 million additional ACFT scores to support data-informed test modifications and administrative updates. No administrative actions will be taken for or against Soldiers solely on the basis of the ACFT during this ongoing evaluation period. Additionally, during this period, no information or comments from a Soldier’s ACFT performance will be maintained in a Soldier’s personnel record.

Also, as directed in the FY21 NDAA, the Army is participating in an independent study conducted by the RAND Corporation to determine the impact of ACFT implementation across all Army demographics, compositions, and geographic regions. RAND is expected to provide a final report by the end of the 1st Quarter, FY22. The Army believes full implementation may start in 2022, but full implementation will only be executed when sufficient data exists for Army leaders to make fully informed decisions.

The Army’s obligation to our Soldiers is to provide them with an immersive, integrative, and comprehensive training system to ensure their success on the ACFT. The Army succeeds when our Soldiers succeed. ACFT 3.0 updates signal that the Army will continue to assess and evolve the ACFT (i.e. scoring standards, alternate events). We will utilize performance data from the upcoming years to inform potential future modifications and updates. All Soldiers are challenged to pass ACFT 3.0 with a raw score of 360 or higher.

ACFT 3.0 scores will not be used for any administrative personnel actions during this data collection phase. The lessons from ACFT data currently being collected will inform Army Senior Leaders about how to shape future policy.

In ACFT 3.0, the Army is exploring a gender-informed performance category system with the goal of both accounting for recognized physiological differences between men and women, while fostering and recognizing above-average physical performance. Performance tiers are a benchmark used to guide data collection and to drive training goals in FY21 and FY22. No adverse administrative actions will be taken against a Soldier for failing the ACFT and a Soldier’s score or comments on performance will not be used administratively during the data collection period.

Once the NDAA-directed independent study is complete and Army senior leaders have study–informed data to make decisions, the Army will finalize the personnel polices relative to the ACFT. These standards could apply to all promotion evaluations, school requirements, and awards throughout the fiscal year. These performance category standards would apply to men and women in all components of the Army. Army Senior Leaders are continuing to assess the ACFT data and will finalize these personnel policies associated with ACFT performance when appropriate.

As the Army collects more data on ACFT 3.0 event performance, initial performance scores will be published for Soldiers to use for personal assessment. Once the data collection period is over, the results of the study and data collection will inform Army Senior Leader decisions on the way ahead regarding performance tiers. For now, every Soldier is encouraged to achieve a 360 score or higher on the ACFT.

The Army plans to establish the performance categories based on raw score distributions by gender. As we continue to gather data, the Army will refine its evaluation systems for establishing the performance categories. The general concept is to take all scores from Soldiers across the entire force on a set date (for example, 1 October), group those scores by gender, rank order them highest to lowest, and calculate the performance categories from those rankings. The minimum passing score will remain 360 points for all Soldiers. Scores that fall into the upper 50% of all collected scores by gender will be tiered proportional to their distance above the average. We are currently considering performance groups cut scores at 50%, 25%, 10%, 1%. By assigning value to above-average performance, we believe performance categories will incentivize Soldiers to maximize their individual personal fitness.

The Army continues to evaluate how well the Plank assesses core strength. The Leg Tuck is a more dynamic exercise, measuring core strength in more fitness dimensions. The Plank is intended to give the Army time and space to lower injury rates as Soldiers develop more dynamic core and upper body strength. As Soldiers develop that core fitness, they should be able to proceed to the Leg Tuck to further assess their progress.

Performance categories mitigate scoring bias by reducing the impact of test variation from outside influences such as climate, elevation, wind, turf quality, etc. The Army expects that 360 points will provide an accurate minimum fitness standard for all Soldiers, but also appreciates the value in recognizing Soldiers for their individual effort to achieve higher levels of personal fitness. By tiering scores into performance categories, rather than focusing on raw scores, we will somewhat mitigate the impact of test variation.

Establishing performance categories during the ACFT 3.0 evaluation period enables the Army to observe, measure, and assess impacts of the system. Starting this process now, even though no administrative use of the ACFT is occurring, will provide the Army real-world data to better develop the test. Performance categories can help guide data collection and inspire Soldiers to train to their full individual potential.

Soldiers can achieve success on the ACFT by training for the events in accordance with the ACFT Training Guide, learning the correct form for the events, and through progressive training. Soldiers should be able train for the ACFT 3.0 in any environment. ACFT equipment is not required for training, and the Army has released an ACFT training guide with exercises to help Soldiers successfully prepare for the test anytime, anywhere. This Initial Operating Capability guide can be found at the bottom of this ACFT site under Resources.

Alternate non-impact aerobic test events include a 5,000 meter row, a 12,000 meter stationary bike, a 1,000 meter swim. During this ACFT 3.0 data collection period, Soldiers with permanent profiles will take all ACFT events within the limits of their profile, to include either the 2 mile run or one of the alternate non-impact aerobic test events.

Under the current plan, only Soldiers with a permanent profile that prevents them from running will take an alternate non-impact aerobic assessment. However, a permanent profile does not limit the Soldier from taking as many of the events as their profile will allow to include the 2-mile run.

The Army remains committed to full consideration for all Soldiers in special circumstances. As Army policy develops, the Army recognizes we have talented Soldiers with special medical concerns or permanent profiles. Policy recommendations will be reviewed by administrative experts, medical experts, fitness experts, senior Army Commanders/Command Sergeants Major, and Army Senior Leaders. Any policy updates will be data-informed.

The required equipment to conduct the ACFT 3.0 include deadlift hex bars with weights and collars, nylon drag sleds with straps and plates (each weighted with two 45-pound plates), 10-pound medicine balls, 40-pound kettle bells and a location to do the Leg Tuck and run. See the full equipment list linked at the bottom of this site.

• Simple to set up and easier to learn than the barbell or Olympic bar deadlift.
• Reduces loading (shear forces) on the lumbar spine.
• Less chance of getting pulled forward and creating excessive spinal flexion.
• No hyperextension at lockout.
• No need for a mixed grip.
• Allows Soldier to safely lift heavier loads.
• Enhanced posterior activation and patterning.
• Increased muscular hypertrophy applicable to most athletic movements.

The Army believes that Soldiers can train for the ACFT 3.0 in any environment. ACFT equipment is not required for training, and the Army has released an ACFT training guide with exercises to help Soldiers successfully prepare for the test anytime, anywhere. This Initial Operating Capability guide can be found at the bottom of this ACFT site under Resources.

Equipment

• The Army provided identical equipment, on the same timeline, to all three Army components.
• While ACFT testing equipment is not required to train for the ACFT, any significant delays in equipment delivery could have shortened practice-testing timelines in some geographic regions.
• The Army centrally funded and purchased $78 million of base equipment for the ACFT and distributed to all components at no cost.
• Units are responsible for leg-tuck bars, alternate event test equipment (Rowers/Bikes), and accessory equipment (cones, stopwatch, clipboards, etc.), if not already on-hand.

• All Army Components began training for the ACFT on 1 OCT 2019 (ACFT IOC).
• The "ACFT IOC Manual" and CALL Publication "The Army ACFT" provide units training plans and exercises, both with and without equipment to prepare for the ACFT.
• In FY19, the Army trained 5,814 National Guard Soldiers and 477 Army Reserve Soldiers (over half of the total population trained) as ACFT OIC/NCOICs or Graders.
• In FY20, the Army has trained an additional 432 National Guard and Army Reserve Soldiers. There are three National Guard and five Army Reserve additional MTTs scheduled and capacity for more.

• The Army intends for all Soldiers to conduct a practice test or familiarization of events before taking a record ACFT.

ACFT Resources:

• Army Directive 2020-06 (Army Combat Fitness Test), 12 Jun 20 (PDF)
• HQDA EXORD 219-18, ARMY COMBAT FITNESS TEST, 13 JUL 18 and associated FRAGOS
• CALL "The Army Combat Fitness Test" Manual (SEP 18 and FEB 20) describes the test events and a variety of training exercises (with and without equipment) for the ACFT.
• ACFT Microsite: Since early 2018, the central repository for information on the ACFT is https://www.army.mil/acft
• ACFT PRT App: Available on Android and iOS, the ACFT PRT app was developed to keep Soldiers and leaders informed on how to train for and administer the ACFT. The app is still evolving to provide the best user experience on all devices.

The Army is committed to the health and wellness of our Soldiers during this unprecedented time. The Army encourages Soldiers to maintain their physical fitness while balancing their health and wellness of themselves, their families and their communities. Soldiers can train for the ACFT 3.0 in any environment. ACFT equipment is not required for training, and the Army has released an ACFT training guide with exercises to help Soldiers successfully prepare for the test anytime, anywhere.

Under the current plan, Active duty and AGR Soldiers will take the ACFT two times per year and Reserve and Guard Soldiers will take it once per year.

The ACFT uniform is the Army Physical Fitness Uniform (APFU).

The average testing time for a single Soldier is about 50 minutes. The ACFT can be scaled to groups of Soldiers ranging from one to 120 per testing session depending on the number of lanes (equipment) and graders. A Company of 120 Soldiers could be tested in a little over two hours using 16 lanes of equipment and testing 64 Soldiers at a time.

It is expected that Soldiers conducting the ACFT, properly supervised and trained by their leadership, will not have any unusual risk of injury. Injuries are possible with any training. However, new training resources, such as the ACFT Training Guide, are available to all units so they can minimize the chance for injury and successfully prepare Soldiers for the ACFT. The ACFT drives balanced and appropriate physical training that will reduce overuse injuries and unplanned attrition.

Conventional wisdom with regards to strength lifts is that reduced load plus increased repetitions plus proper rest equals reduced injuries. A three-repetition maximum deadlift will produce fewer injuries than a one-repetition maximum deadlift since Soldiers are lifting at a lower load. Hex bars can be significantly easier for untrained Soldiers to learn and execute lifts properly. Hex bars put the Soldier in a more controlled biomechanical posture to promote adherence to precision during the lift. The hex bar lift exerts less spinal loading due to an upright torso than the regular deadlift. The Army tested more than 500 untrained Soldiers with zero reported injuries. Improvements in grip, core and lower body strength will significantly improve combat performance while reducing load-carriage injuries.

Soldiers execute a myriad of complex movements as part of warfighter tasks. While these movements require a baseline of strength, power, speed and endurance, the movements also require a relatively high degree of body coordination, dynamic balance and agility. Assessment of these dimensions of fitness at high intensity is important to overall movement lethality. The Army anticipates that the Standing Power Throw will prove to be highly predictive of Soldiers’ performance at basic combat tasks.

From decades of experience, the Army learned that the APFT’s two-minute push-up presented several problems. Changes in body and hand position varied the levels of workload per repetition. Also, the two-minute APFT push-up encouraged Soldiers to execute higher numbers of repetitions as rapidly as possible, degrading form and undermining the event’s test validity. The unsupported or Hand Release Push-up has been designed to increase the force required for each repetition, thereby testing upper body push strength with fewer repetitions. The Hand Release Push-up is also proving significantly easier to grade because it specifies hand placement and permits resting only in the front leaning rest position. The Hand Release Push-up is designed to have great functional application to many warfighter tasks like getting up quickly for a three-to-five second rush, holding off combatants, and moving obstacles out of the way.

This event is simple and easy to learn, mimics many warfighter skills and tasks, and measures anaerobic power and endurance. Prior to the initial ACFT roll-out in 2019, the Army tested over 500 Soldiers with an average preparation/training time of 10 minutes. Every Soldier was capable of executing the Sprint-Drag-Carry to standard with no issues. It is similar to shuttle-type training exercises that have been part of Army doctrine for several decades and the Interval Aerobic Run test as part of the OPAT.

The Leg Tuck has been a part of Army doctrine (FM 7-22) for more than 10 years and is highly correlated with common Soldier tasks. While there are a myriad of core strength exercises—heel claps, heel taps, leg tuck, ankles to the bar, etc.—the Army selected the Leg Tuck for its simplicity of form and objectivity of grading. Under load, few if any Soldiers can execute a pull-up; however with training, Soldiers under load can 'hook a heel' to get out/up/over an obstacle. Improvements in core and upper body strength (specifically the muscles on the back of the body – the posterior chain) can significantly improve combat performance while reducing load carriage injuries.

The Plank is now one of two authorized assessments for Core Strength.  Soldiers may select the Leg Tuck or the Plank Core Strength assessment.  Both assessments will be on a 100 point scale. Because the Leg Tuck requires greater upper body strength, the Plank gives Soldiers the opportunity to successfully demonstrate core strength at a lower intensity while they train to engage the Leg Tuck. Adding a fully scaled test event with a maximum score of 100 points, the Plank aligns with all other ACFT test events.  While training to successfully execute the Leg Tuck, the Plank gives Soldiers a pathway to succeed on the ACFT while adapting their physical readiness training to the Army’s changing fitness culture.

A distance run enables the Army to simply and effectively measure aerobic endurance with large groups of Soldiers. The Army measures and trains aerobic endurance to allow Soldiers to safely conduct occupationally-specific training and task performance to include moving long distances under load.

The ACFT Training Guide recommends sprint intervals (30:60 seconds, 60:120 seconds), release run, hill repeats and 10 sprint intervals (60:120 seconds). Additional guidance can be found in FM 7-22 and from your master fitness trainers.

For more information, download the Appendix 2 to Annex A, HQDA EXORD 219-18 - ACFT Grader and NCOIC/OIC Training and Validation.

The levels were phased out in October 2019. If you were a Level I, you are now an ACFT Grader. If you were a Level II/III, you are now an ACFT NCOIC/OIC. You do not need to attend training again.

Yes. After you have attended training you are encouraged to conduct training at your unit to validate others to the same level you have been trained. For example, a Grader can train other Graders, and an NCOIC/OIC can train another OIC/NCOIC and Graders.

Yes. MFT is not a prerequisite for ACFT Grader and NCOIC/OIC validation.

No. This course does not meet requirements for promotion points and should not be added to an ERB.

The Holistic Health and Fitness System (H2F) is the Army’s primary investment in the health and fitness of our most critical weapon system: the Soldier. H2F will optimize Soldier physical and non-physical performance, mitigate injury, improve rehabilitation after injury, and increase the overall effectiveness of the Total Army. H2F is an enterprise-wide readiness “system” that combines all aspects of physical and non-physical human performance optimization under a single governance to enable commanders to improve Soldier health and fitness. We are bringing a Soldier’s physical readiness training and the non-physical aspect of health, including sleep, proper nutrition, behavioral and spiritual health, under a single system so individuals and commanders can achieve better health outcomes for the entirety of a Soldier’s career. From the day they enter the Army until the day they leave, we have cared for the health and fitness of the whole Soldier.

H2F consolidates the tenets of various Army health promotion and wellness campaigns and programs (e.g., Performance Triad, Go For Green, Soldier Fueling Initiative, Ready and Resilient Training Centers, Global Assessment Tool, Army Center for Enhanced Performance, Army Wellness Centers) under a single governance structure to better integrate, synchronize, message, and execute across the enterprise. H2F represents a cultural shift in the way commanders train, develop, and care for our most important weapon system, our Soldiers.

Chronic sleep deprivation, fatigue, and insomnia are associated with mental illnesses/injuries that contribute to medically non-available status. According to the 2018 Health of the Force Report, 12% of Soldiers had a sleep disorder (prevalence ranging from 5.8% to 21% across installations). Obesity also impacts a number of Soldiers. In fact, it is a societal problem that affects Army recruitment as 70% of the 17-24 age demographic are ineligible to serve in the military due to obesity. The 2018 Health of the Force Report categorized 17% of active duty Soldiers as obese. These Soldiers are 48% more likely to sustain an injury, and have an 86% increased risk of being non-available. Developed to overcome these health challenges, the H2F System relies on the evidence-based knowledge and best practices of USASOC Tactical Human Optimization, Rapid Rehabilitation, and Reconditioning (THOR3) program’s success over the last 10 years and builds upon Performance Triad.

H2F education will be integrated throughout Army’s institutional training domains which means that new Soldiers will experience components of the H2F System in Basic Combat Training. The health and fitness of America’s youth greatly impacts readiness and recruitment. Factors including poor sleep, inadequate physical activity, poor nutrition, and suboptimal coping skills, singularly or in combination, have a dramatic negative impact on the future force. From FY00 to FY10, first-time failure rates on the modified physical fitness during U.S. Army Initial Entry Training (IET) increased from 4% to 40% for males and from 12% to 54% for females. During the first 90 days of IET, 31% of Soldiers who failed their initial pre-accession Occupational Physical Assessment Test (OPAT) became injured. H2F will reduce attrition for these new Soldiers. Additionally H2F training facilities, established for brigade-size elements, will be exclusively dedicated to holistic physical and non-physical training and programming for Soldiers across the force. Operationally, H2F enablers will be resourced to 110 COMPO I brigades between FY21-26. Each of the 110 brigades will receive H2F Performance Teams, consisting of a wide range of medical and performance enhancement SMEs, equipment and facilities. The USAR and ARNG are implementing pilot programs to assess the functionality of H2F in their respective compos. ARNG currently has H2F programs in 14 states (IN, KY, MA, MN, MS, NM, SC, TX, VA, CT, FL, GA, IA & WA). USAR will begin a pilot in 3rd Quarter, FY21 under a regional-alignment construct. Compo II/III pilots will consist of fitness apps, virtual education, purchase of commercial off the shelf (COTS) training equipment, partnerships with academia & industry, and state-run programs. Successful pilot outcomes will not only inform the future of H2F in the ARNG and USAR, but also benefit the 250K active component Soldiers who don't have direct H2F support in their unit.

The Army has rewritten FM 7-22 Physical Readiness Training as FM 7-22 Holistic Health and Fitness, incorporating evidence-based knowledge and best practices for physical, sleep, nutritional, mental, and spiritual programming. H2F Performance Teams (Physical Therapist (PT), Registered Dietitian (RD), Occupational Therapist (OT), Athletic Trainers Certified (ATC), Cognitive Performance Experts, and Strength & Conditioning Coaches), will support brigade-sized elements, providing far-forward medical care and performance expertise. The H2F doctrinal publication series consists of FM 7-22, as well as Army Techniques Publication (ATP) 7-22.01 (H2F Testing) and ATP 7-22.02 (H2F Drills and Exercises). All three publications are currently available for download at the Army Publishing Directorate (APD) website.

H2F provides an opportunity to obtain a “return on readiness.” For example, a 10% system-generated reduction in musculoskeletal injury would add a full BCT to the battlefield. An H2F-driven 10% reduction in Soldiers who do not meet ABCP standards enables FORSCOM to achieve a 90% deployable rate. A 1% reduction in the non-available rate adds a battalion-sized ready force and $40M in cost avoidance in non-mission capable assets.

H2F must lead cultural change in the Army. To enable this culture change, training in H2F principles will be part of the skills required of Army leaders and embedded in Professional Military Education at all levels. H2F, similar to previous force-wide modernization efforts like digitalization, must be deployed by unit as a complete system. Piecemeal implementation of selected components will not yield the synergistic effect or achieve the desired end state. H2F’s guiding principle integral to its success is that it’s a leader-driven program. Commanders are responsible for its success. H2F Performance Teams advise commanders on performance readiness issues and integrate H2F into organizational training, mission planning and personnel decisions.

In the future, the Army intends to build Soldier Performance Readiness Centers, or SPRCs. SPRC requirements are approx. Forty-thousand square feet broken into five zones: Resistance, Accessory, Agility, Rehab/Sports Medicine, and Administration. Brigades receiving H2F personnel in FY21 will need to use existing facilities until a dedicated facility is converted/constructed.

ARNG has implemented pilot programs to assess the functionality of H2F. ARNG currently has programs in 14 states (IN, KY, MA, MN, MS, NM, SC, TX, VA, CT, FL, GA, IA & WA). Pilot programs consist of fitness apps, virtual education, purchase of commercial off the shelf (COTS) training equipment, partnerships with academia & industry, and state-run programs. Currently, many ARNG units are utilizing existing facility partnerships with high schools, local gyms, and other organizations. The Guard is resourcing H2F by implementing creative solutions including local partnerships, technology apps, mobile platforms, and leveraging subject matter experts in their states. Some states like Georgia have already innovated ways to close that gap between commanders, the Soldier and their H2F teams.

The USAR H2F effort is a key priority. The USAR’s geographic dispersion, limited contact time with Soldiers, and unique organizational structure requires an innovative approach to implementing H2F. USAR intends to execute a Pilot program in 3RD QTR FY21 within the 81st Readiness Division. The one-year Pilot program, which includes two pilot tests conducted simultaneously, will assess the feasibility and effectiveness of this model. These pilot tests will help inform how the USAR implements an H2F program of record for Army Reserve Soldiers.

The Army has designed the ACFT 3.0 to take a holistic approach to assessing physical fitness as it relates to basic combat tasks. Three decades of combat operations, injury statistics, and formal studies have showed the Army that there are strength and power requirements across five domains of combat physical fitness: muscular strength, muscular endurance, aerobic endurance, explosive power, and anaerobic endurance. The ACFT's predecessor, the three-event Army Physical Fitness Test (APFT), only evaluated two of the five domains (aerobic endurance and muscular endurance). The Army created physical training programs to address those two physical fitness domains, at the exclusion of the other three. This methodology contributed to increased musculoskeletal injury rates because the Army was not training holistically. The ACFT 3.0 and associated training programs in FM7-22, as well as the H2F Performance Teams, are intended to help mitigate injury risk and provide "prehab" to prevent injuries before they occur.

H2F Performance Teams consists of physical therapists, registered dietitians, occupational therapists, cognitive enhancement specialists, athletic trainers, and strength and conditioning coaches. H2F Performance Teams advise commanders on performance readiness issues and integrate H2F into organizational training, mission planning and personnel decisions. The H2F Performance Team, in close coordination with the chain of command, will execute a team approach to injury prevention and holistic performance enhancement.

The Army is developing an H2F Trainer MOS which is a future deployable capability. This NCO will possess the knowledge and expertise to facilitate Soldier strength and conditioning, as well as understand the impact of the nonphysical domains on physical performance, in order to enhance readiness. They will lead the implementation of appropriate Soldier training and education in coordination with other members of the H2F Performance Team and the unit leadership.