This article looks to explain why law enforcement recruits have higher incidences of lower extremity bone stress responses and stress fractures. It also explores injury mitigation pathways to increase the graduation rates among law enforcement academies.

An organized, science-based, and evidence-based periodized program that is guided by capable and competent professionals is the most efficient and effective way to accomplish the task of returning from a shoulder injury to full active duty. The concepts of periodization paired with evidence-based strength and conditioning interventions provides the framework needed for tactical facilitators to accomplish this task.