Reducing Injury Risk in Law Enforcement: Evaluating a Standardized Physical Training Model With Fitness Outcomes.

Melton, Bridget F; Cleveland, Richard; Dulla, Joseph; Mews, Isaiah; Ashley, Andrew; Keko, Mario; Rochani, Haresh; Kardouni, Joseph R · J Occup Environ Med · 2026

prospective_cohort · Level II

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Abstract

This observational study evaluated the effectiveness of a standardized, evidence-based police academy physical training (PT) program in reducing the incidence of musculoskeletal injury and improving fitness among law enforcement cadets. Using a university-supported train-the-trainer model, a 12-week PT program was implemented across 10 training centers in the Southeastern US, with 937 cadets completing pre- and postprogram fitness assessments and self-reported injury surveys. Self-reported injuries ranged from 10% to 20%, with serious injuries falling from 6.18% to 3.65%, lowering total injury rates to <2.5%, well below national averages. Significant improvements were observed in body mass index (-0.30 kg/m 2 ), grip strength (+7.72 lbs), vertical jump (+1.11 in), pushups (+6.20), plank time (+28.74s), and agility (-0.87s) with all P values < 0.001. Evidence-based, progressive PT programs can reduce musculoskeletal injury risk and enhance occupational fitness and long-term wellness among police recruits.

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