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Assessing Fitness for Military Enlistment: Physical, Medical, and Mental Health Standards (2006)
Board on Behavioral, Cognitive, and Sensory Sciences (BBCSS)

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. "2 Procedures, Requirements, and Standards." Assessing Fitness for Military Enlistment: Physical, Medical, and Mental Health Standards. Washington, DC: The National Academies Press, 2006.

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Assessing Fitness for Military Enlistment: Physical, Medical, and Mental Health Standards

BOX 2-2
Orthopedic/Neurological Screening Examination

Goal:

Identify orthopedic/neurological abnormalities that must be further investigated by appropriate medical personnel.

Ask applicants:

  1. Do they have a current or recent injury?

  2. Do they have cardiovascular problems?

  3. Have they had a recent surgery?

Observe:

  1. Abnormalities in posture, habitus, and gait.

  2. Deformation, particularly of extremities.

  3. Limitations of motion and joints.

  4. Muscle absence or atrophy.

  5. Lack of muscle strength.

  6. Incoordination.

  7. Missing digits.

  8. Skin eruptions and other skin abnormalities.

  9. Apprehension, reluctance, or inability to perform in a prescribed manner due to fear of pain or joint dislocation.

  10. Clinically significant scars, including skin grafts.

  11. Other abnormalities.

Testing:

Each test movement is demonstrated by a technician—posture, arm, and leg extensions and flexions, etc.

additional testing and consultations, weight reduction programs, etc. This profile determines whether the applicant in medically qualified to enlist, has a medical or physical condition that is likely to be considered for a waiver by the Services, or has a permanently disqualifying condition. For some conditions, further testing or consultation with a specialist is recommended.

As noted above, each service applies its own BMI and body fat standards. Applicants who exceed the weight standard and the body fat standard (used only for those who exceed the BMI standard) are advised

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