# Develop Solutions to Prevent Disease Non-Battle Injuries Due to Environmental, Nutritional and Musculoskeletal Factors

**R-2A activity** of project MK4 — Warfigher Health Applied Rsch Technology  
**Program element:** 0602787A — Medical Technology  
**Component:** U.S. Army · **Budget Activity:** 2  
**Vintage:** President's Budget PB2027  
**Canonical URL:** https://hitchintel.com/programs/0602787A/MK4/a8  
**Parent:** https://hitchintel.com/programs/0602787A/MK4

> **NEW START.** $10.8M requested in FY2027 with no prior-year and no current-year funding.

## Summary

This activity requests $10.8M in FY2027, 7.3% of project MK4 — a new start with no prior-year and no current-year money. The R-2A exhibit describes it across FY2027, including what the FY2027 money is planned to buy.

## What the FY2027 request buys

**FY2027 planned work.** Continued evaluation of translational countermeasures resulting in a go/no go decision supporting advance research to mitigate medical risk and augment performance for Soldier operations in extreme environments. Identify and assess novel interventions to optimize hydration in extreme heat and increase blood oxygen levels at extreme altitude to help sustain Warfighter performance and ensure mission success. Initiate pilot study to inform feasibility of implementing recommendations to reduce MSKI during Initial Military Training, effort will reduce the risk for future with follow-on randomized controlled trial evaluating the implementation of MSKI reduction recommendations in larger Combat Arms population. Continued evaluation of modifiable readiness, psychological, and physiological performance factors that can be targeted for interventions to improve cognitive and physical performance in the training and operational environment. Investigate inertial induced brain injury risk metrics to mitigate brain injury in military operational environments that generate inertial forces Determine effectiveness of a) transcranial ultrasound stimulation on boosting daytime sleep and aviator performance, and b) transcranial ultrasound stimulation in maintaining vigilance during UAS missions.

**FY2026 to FY2027 change.** Funding increase reflects realignment and consolidation within this project from: Operational Risk Planning Tools for Battlefield Environmental Threats; Leader Decision Aid to Manage Blast Head Injury in All Settings; Physical Fitness Standards to Prevent Musculoskeletal Injuries; Leader Tools to Reduce Musculoskeletal Injury In All Settings; Biomedical Performance Enhancement; Expeditionary Force Nutrition to Improve Performance. Funding will continue characterization of cold weather physiology to inform frostbite prevention, energy fueling optimization in extreme environments, and MSKI prevention strategies.

## Funding

| Fiscal Year | Estimate Type | Amount ($M) |
|---|---|---|
| FY2027 | Request | 10.8 |

> Prior, current and budget year only — an R-2A activity carries no five-year plan. It sums exactly into its project in the request year and not necessarily in any other.

## Other activities in project MK4

- [Energy Field Biological Effects and Mechanisms](https://hitchintel.com/programs/0602787A/MK4/a7) — FY2027 128.7
- Army Medical Blast Overpressure (BOP) Risk Mitigation — FY2027 8.0
- Operational Risk Planning Tools for Battlefield Environmental Threats — FY2027 —
- Prevention of Soldier Performance Degradation in Extreme Environments — FY2027 —
- Leader Decision Aid to Manage Blast Head Injury in All Settings — FY2027 —
- Physical Fitness Standards to Prevent Musculoskeletal Injuries — FY2027 —
- Leader Tools to Reduce Musculoskeletal Injury In All Settings — FY2027 —
- Biomedical Performance Enhancement — FY2027 —
- Expeditionary Force Nutrition to Improve Performance — FY2027 —

## Source & machine access

- **Source:** FY2027 Department of the Army RDT&E Budget Justification, Exhibit R-2A, PE 0602787A project MK4 (PB PB2027). Narrative is the government's own text.
- **No marks, no contractors at this grain** — congressional marks land on the program element and R-3 performers on the project.
- **MCP:** `mcp.hitchintel.com` — `budget_get_activity`.

*HitchAI is an independent intelligence service, not affiliated with the U.S. Department of Defense. Budget figures are requests/estimates, not obligations.*