PULHES Factor
Encyclopedia
The PULHES Factor is a United States military acronym for the Military
Physical Profile Serial System. It is used to qualify an enlistee's physical profile for each military skill. For instance, the MOS 19D Cavalry Scout
requires a physical profile of 111121 or better.
For example, if a military
job requires a physical profile of "123123," that means, in order to qualify for that job, a person would have a medical rating a "1" in the area of "Physical capacity or stamina," a medical rating of "2" or better in the area of "Upper extremities," have a medical rating of "3" or better in the area of "Lower extremities," a rating of "1" in the area of "Hearing and Ears," etc.
As for the numerical designators, they generally mean a military medical evaluation of:
P-2. Presence of stable, minimally significant organic defect(s) or systemic diseases(s). Capable of all basic work commensurate with grade and position. May be used to identify minor conditions that might limit some deployments to specific locations (i.e. G6PD deficiency).
P-3. Significant defect(s) or disease(s) are under good control. Capable of all basic work commensurate with grade and position.
P-4. Organic defect(s), systemic and infectious disease(s) which have already undergone an MEB (Medical Evaluation Board).
U-2. Slightly limited mobility of joints, mild muscular weakness or other musculoskeletal defects that do not prevent hand-to-hand fighting and are compatible with prolonged effort. Capable of all basic work commensurate with grade and position.
U-3. Defect(s) causing moderate interference with function, yet capable of strong effort for short periods. Capable of all basic work commensurate with grade and position.
U-4. Strength, range of motion, and general efficiency of hand, arm, shoulder girdle, and back, includes cervical and thoracic spine severely compromised which has already undergone an MEB (Medical Evaluation Board).
L-2. Slightly limited mobility of joints, mild muscular weakness, or other musculoskeletal defects that do not prevent moderate marching, climbing, running, digging, or prolonged effort. Capable of all basic work commensurate with grade and position.
L-3. Defect(s) causing moderate interference with function, yet capable of strong effort for short periods. Capable of all basic work commensurate with grade and position.
L-4. Strength, range of movement, and efficiency of feet, legs, pelvic girdle, lower back, and lumbar vertebrae severely compromised which has already undergone an MEB (Medical Evaluation Board).
A3.2. H-2 Profile.
An H-3 profile is any loss that exceeds the values noted above in the definition of an H-2 profile.
H-4 Profile. Hearing loss sufficient to preclude safe and effective performance of duty, regardless of level of pure tone hearing loss, and despite use of hearing aids. This degree of hearing loss is disqualifying for all military duty.
E-2. Vision correctable to 20/40 in one eye and 20/70 in the other, or 20/30 in one eye and 20/200 in the other eye, or 20/20 in one eye and 20/400 in the other eye.
E-3. Vision that is worse than E-2 profile.
E-4. Visual defects worse than E-3 which has already undergone an MEB or ALC fast track as determined by the DAWG.
S-2. World Wide Qualified and diagnosis or treatment result in low risk of impairment or potential impairment that necessitates command consideration of changing or limiting duties.
S-3. World Wide Qualified and diagnosis or treatment result in medium risk due to potential impairment of duty function, risk to the mission or ability to maintain security clearance.
S-4. Diagnosis or treatment result in high to extremely high risk to the AF or patient due to potential impairment of duty function, risk to the mission or ability to maintain security clearance and which has already undergone an MEB (Medical Evaluation Board).
Military
A military is an organization authorized by its greater society to use lethal force, usually including use of weapons, in defending its country by combating actual or perceived threats. The military may have additional functions of use to its greater society, such as advancing a political agenda e.g...
Physical Profile Serial System. It is used to qualify an enlistee's physical profile for each military skill. For instance, the MOS 19D Cavalry Scout
Cavalry Scout
The Cavalry Scout is a job title and a reconnaissance specialist in the United States Army. Cavalry Scouts work to obtain, distribute and share vital combat and battlefield information on the enemy and on combat circumstances and environmental conditions. The role originated with the United States...
requires a physical profile of 111121 or better.
Acronym Designation
- P — The "P" stands for "Physical capacity or staminaEnduranceEndurance is the ability for a human or animal to exert itself and remain active for a long period of time, as well as its ability to resist, withstand, recover from, and have immunity to trauma, wounds, or fatigue. In humans, it is usually used in aerobic or anaerobic exercise...
." This factor, general physical capacity, normally includes conditions of the heartHuman heartThe human heart is a muscular organ that provides a continuous blood circulation through the cardiac cycle and is one of the most vital organs in the human body...
; respiratory systemRespiratory systemThe respiratory system is the anatomical system of an organism that introduces respiratory gases to the interior and performs gas exchange. In humans and other mammals, the anatomical features of the respiratory system include airways, lungs, and the respiratory muscles...
; gastrointestinal system, genitourinary systemGenitourinary systemIn anatomy, the genitourinary system or urogenital system is the organ system of the reproductive organs and the urinary system. These are grouped together because of their proximity to each other, their common embryological origin and the use of common pathways, like the male urethra...
; nervous systemNervous systemThe nervous system is an organ system containing a network of specialized cells called neurons that coordinate the actions of an animal and transmit signals between different parts of its body. In most animals the nervous system consists of two parts, central and peripheral. The central nervous...
; allergicAllergyAn Allergy is a hypersensitivity disorder of the immune system. Allergic reactions occur when a person's immune system reacts to normally harmless substances in the environment. A substance that causes a reaction is called an allergen. These reactions are acquired, predictable, and rapid...
, endocrine, metabolicMetabolismMetabolism is the set of chemical reactions that happen in the cells of living organisms to sustain life. These processes allow organisms to grow and reproduce, maintain their structures, and respond to their environments. Metabolism is usually divided into two categories...
and nutritional diseaseDiseaseA disease is an abnormal condition affecting the body of an organism. It is often construed to be a medical condition associated with specific symptoms and signs. It may be caused by external factors, such as infectious disease, or it may be caused by internal dysfunctions, such as autoimmune...
s; diseases of the blood and blood forming tissues; dentalOral hygieneTeeth cleaning is part of oral hygiene and involves the removal of dental plaque from teeth with the intention of preventing cavities , gingivitis, and periodontal disease. People routinely clean their own teeth by brushing and interdental cleaning, and dental hygienists can remove hardened...
conditions; diseases of the breast, and other organic defects and diseases that do not fall under other specific factors of the system.
- U — The "U" stands for "Upper Extremities". This factor concerns the hands, arms, shoulder girdle, and upper spineVertebral columnIn human anatomy, the vertebral column is a column usually consisting of 24 articulating vertebrae, and 9 fused vertebrae in the sacrum and the coccyx. It is situated in the dorsal aspect of the torso, separated by intervertebral discs...
(cervicalCervical vertebraeIn vertebrates, cervical vertebrae are those vertebrae immediately inferior to the skull.Thoracic vertebrae in all mammalian species are defined as those vertebrae that also carry a pair of ribs, and lie caudal to the cervical vertebrae. Further caudally follow the lumbar vertebrae, which also...
, thoracic, and upper lumbarLumbarIn tetrapod anatomy, lumbar is an adjective that means of or pertaining to the abdominal segment of the torso, between the diaphragm and the sacrum ...
) in regard to strength, range of motion, and general efficiency.
- L — The "L" stands for "Lower Extremities". This factor concerns the feet, legs, pelvic girdle, lower back musculature and lower spineVertebral columnIn human anatomy, the vertebral column is a column usually consisting of 24 articulating vertebrae, and 9 fused vertebrae in the sacrum and the coccyx. It is situated in the dorsal aspect of the torso, separated by intervertebral discs...
(lower lumbarLumbarIn tetrapod anatomy, lumbar is an adjective that means of or pertaining to the abdominal segment of the torso, between the diaphragm and the sacrum ...
and sacralSacralSacral may refer to:*sacred*sacrum...
) in regard to strength, range of motion, and general efficiency.
- H — The "H" stands for "Hearing and Ears". This factor concerns auditoryHearing (sense)Hearing is the ability to perceive sound by detecting vibrations through an organ such as the ear. It is one of the traditional five senses...
acuity and disease and defects of the ear.
- E — The "E" stands for "Eyes". This factor concerns visual acuity and diseases and defects of the eye.
- S — The "S" stands for "Psychiatric". This factor concerns personality, emotional stability, and psychiatric diseases.
Using numbers
Four numerical designations are used to reflect different levels of functional capacity. The basic purpose of the physical profile serial is to provide an index to overall functional capacity. Therefore, the functional capacity of a particular organ or system of the body, rather than the defect per se, is evaluated in determining the numerical designation 1, 2, 3, or 4.For example, if a military
Military
A military is an organization authorized by its greater society to use lethal force, usually including use of weapons, in defending its country by combating actual or perceived threats. The military may have additional functions of use to its greater society, such as advancing a political agenda e.g...
job requires a physical profile of "123123," that means, in order to qualify for that job, a person would have a medical rating a "1" in the area of "Physical capacity or stamina," a medical rating of "2" or better in the area of "Upper extremities," have a medical rating of "3" or better in the area of "Lower extremities," a rating of "1" in the area of "Hearing and Ears," etc.
As for the numerical designators, they generally mean a military medical evaluation of:
- An individual having a numerical designation of “1” under all factors is considered to possess a high level of medical fitness.
- A physical profile designator of “2” under any or all factors indicates that an individual possesses some medical condition or physical defect that may require some activity limitations.
- A profile containing one or more numerical designators of “3” signifies that the individual has one or more medical conditions or physical defects that may require significant limitations. For those applying for military service, this designation is usually a disqualification. For individuals already in the service, the individual should receive assignments commensurate with his or her physical capability for military duty (i.e., limited duty/assignments)
- A profile serial containing one or more numerical designators of “4” indicates that the individual has one or more medical conditions or physical defects of such severity that performance of military duty must be drastically limited, and usually disqualifies applicants.
Specific definitions used by the military
This is an abridged excerpt from Air Force Instruction 48-123 Medical Examinations and Standards "Table 1.1. Physical Profile Serial Chart." and Attachment 3 "HEARING PROFILE".P. Physical condition.
P-1. Free of any identified organic defect or systemic disease.P-2. Presence of stable, minimally significant organic defect(s) or systemic diseases(s). Capable of all basic work commensurate with grade and position. May be used to identify minor conditions that might limit some deployments to specific locations (i.e. G6PD deficiency).
P-3. Significant defect(s) or disease(s) are under good control. Capable of all basic work commensurate with grade and position.
P-4. Organic defect(s), systemic and infectious disease(s) which have already undergone an MEB (Medical Evaluation Board).
U. Upper Extremities.
U-1. Bones, joints, and muscles normal. Able to do hand-to-hand fighting.U-2. Slightly limited mobility of joints, mild muscular weakness or other musculoskeletal defects that do not prevent hand-to-hand fighting and are compatible with prolonged effort. Capable of all basic work commensurate with grade and position.
U-3. Defect(s) causing moderate interference with function, yet capable of strong effort for short periods. Capable of all basic work commensurate with grade and position.
U-4. Strength, range of motion, and general efficiency of hand, arm, shoulder girdle, and back, includes cervical and thoracic spine severely compromised which has already undergone an MEB (Medical Evaluation Board).
L. Lower extremities.
L-1. Bones, muscles, and joints normal. Capable of performing long marches, continuous standing, running, climbing, and digging without limitation.L-2. Slightly limited mobility of joints, mild muscular weakness, or other musculoskeletal defects that do not prevent moderate marching, climbing, running, digging, or prolonged effort. Capable of all basic work commensurate with grade and position.
L-3. Defect(s) causing moderate interference with function, yet capable of strong effort for short periods. Capable of all basic work commensurate with grade and position.
L-4. Strength, range of movement, and efficiency of feet, legs, pelvic girdle, lower back, and lumbar vertebrae severely compromised which has already undergone an MEB (Medical Evaluation Board).
H. Hearing (ears).
A3.1.1. Definition: Unaided hearing loss in either ear with no single value greater than:| 500 Hz | 1000 Hz | 2000 Hz | 3000 Hz | 4000 Hz | 6000 Hz |
|---|---|---|---|---|---|
| 25dB | 25dB | 25dB | 35dB | 45db | 45db |
A3.2. H-2 Profile.
| 500 Hz | 1000 Hz | 2000 Hz | 3000 Hz | 4000 Hz | 6000 Hz |
|---|---|---|---|---|---|
| 25dB | 25dB | 25dB | 35dB | 45db | 45db |
An H-3 profile is any loss that exceeds the values noted above in the definition of an H-2 profile.
H-4 Profile. Hearing loss sufficient to preclude safe and effective performance of duty, regardless of level of pure tone hearing loss, and despite use of hearing aids. This degree of hearing loss is disqualifying for all military duty.
E. Eyes.
E-1. Minimum vision of 20/200 correctable to 20/20 in each eye.E-2. Vision correctable to 20/40 in one eye and 20/70 in the other, or 20/30 in one eye and 20/200 in the other eye, or 20/20 in one eye and 20/400 in the other eye.
E-3. Vision that is worse than E-2 profile.
E-4. Visual defects worse than E-3 which has already undergone an MEB or ALC fast track as determined by the DAWG.
S. Psychiatric.
S-1. Diagnosis or treatment results in no impairment or potential impairment of duty function, risk to the mission or ability to maintain security clearance.S-2. World Wide Qualified and diagnosis or treatment result in low risk of impairment or potential impairment that necessitates command consideration of changing or limiting duties.
S-3. World Wide Qualified and diagnosis or treatment result in medium risk due to potential impairment of duty function, risk to the mission or ability to maintain security clearance.
S-4. Diagnosis or treatment result in high to extremely high risk to the AF or patient due to potential impairment of duty function, risk to the mission or ability to maintain security clearance and which has already undergone an MEB (Medical Evaluation Board).