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Whole-Person Impairment in Younger Retired NFL Players: The Orthopaedic Toll of a Professional Football Career.

Domb BG, Carter C, Finch NA, Hammarstedt JE, Dunne KF, Stake CE - Orthop J Sports Med (2014)

Bottom Line: The mean number of games played was 98.4 (range, 2-236 games).This study demonstrated high WPI percentages related to symptomatic joints in a cohort of younger, retired NFL players.Further research is warranted to study potential cumulative physical and quality of life factors related to high impairment percentages in younger, retired NFL players.

View Article: PubMed Central - PubMed

Affiliation: American Hip Institute in Chicago, Westmont, Illinois, USA. ; Hinsdale Orthopaedics, Westmont, Illinois, USA.

ABSTRACT

Background: Professional American football is a physically demanding, high-impact sport with an elevated risk of injury. Orthopaedic injuries may impose acute, short-term or cumulative consequences throughout a player's lifetime. Several studies have addressed health and psychosocial concerns of an older, retired population of players in the National Football League (NFL); however, minimal research has examined the orthopaedic toll on younger, retired players.

Purpose: This study reports total whole-person impairment (WPI) percentages in a cohort of younger, retired NFL players who presented for disability evaluations based on the use of standardized American Medical Association (AMA) impairment guidelines.

Study design: Case series; Level of evidence, 4.

Methods: During the study period of February 2011 to August 2013, 65 younger retired NFL players presented for impairment evaluations. The mean time between retirement and impairment evaluation was 3.1 years (range, 0.3-16.4 years). A complete history and physical examination was performed on all symptomatic joints. A retrospective chart review was conducted on 100% of presenting players to assess orthopaedic burden. Body-part impairment (BPI) percentage for each affected joint was generated. The impairment data for each extremity were then combined with spine impairment data to create WPI percentage. Player demographics, including age, position, and playing time, were also recorded.

Results: The average WPI percentage was 37% (range, 19%-53%). Players participating in >30 games (n = 54) had a higher mean WPI percentage (38%) than those playing in <30 games (31%; n = 11) (P = .004). Players competing in >5 seasons (n = 46) were 2.4 times more likely to have a WPI of at least 37% (P = .007). The most common joints players reported as symptomatic were lumbar (n = 63; 97%) and cervical spine (n = 58; 89%). The mean age at evaluation was 33.5 years (range, 27-42 years), and the mean number of seasons played was 7.5 (range, 3-14 seasons). The mean number of games played was 98.4 (range, 2-236 games).

Conclusion: This study demonstrated high WPI percentages related to symptomatic joints in a cohort of younger, retired NFL players. Further research is warranted to study potential cumulative physical and quality of life factors related to high impairment percentages in younger, retired NFL players.

No MeSH data available.


Related in: MedlinePlus

Whole-person impairment (WPI) percentages of retired National Football League (NFL) players.
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fig2-2325967114534824: Whole-person impairment (WPI) percentages of retired National Football League (NFL) players.

Mentions: The average WPI percentage of the 65 players that presented to the clinic for impairment evaluation was 37% (range, 19%-53%). Figure 2 shows the number of retired NFL players within specific intervals of WPI percentages. The mean age at retirement was 30.4 years (range, 26-37 years), and the mean age at impairment evaluation was 33.5 years (range, 27-42 years). The mean time between retirement and impairment evaluation was 3.1 years (range, 0.3-16 years).


Whole-Person Impairment in Younger Retired NFL Players: The Orthopaedic Toll of a Professional Football Career.

Domb BG, Carter C, Finch NA, Hammarstedt JE, Dunne KF, Stake CE - Orthop J Sports Med (2014)

Whole-person impairment (WPI) percentages of retired National Football League (NFL) players.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4555538&req=5

fig2-2325967114534824: Whole-person impairment (WPI) percentages of retired National Football League (NFL) players.
Mentions: The average WPI percentage of the 65 players that presented to the clinic for impairment evaluation was 37% (range, 19%-53%). Figure 2 shows the number of retired NFL players within specific intervals of WPI percentages. The mean age at retirement was 30.4 years (range, 26-37 years), and the mean age at impairment evaluation was 33.5 years (range, 27-42 years). The mean time between retirement and impairment evaluation was 3.1 years (range, 0.3-16 years).

Bottom Line: The mean number of games played was 98.4 (range, 2-236 games).This study demonstrated high WPI percentages related to symptomatic joints in a cohort of younger, retired NFL players.Further research is warranted to study potential cumulative physical and quality of life factors related to high impairment percentages in younger, retired NFL players.

View Article: PubMed Central - PubMed

Affiliation: American Hip Institute in Chicago, Westmont, Illinois, USA. ; Hinsdale Orthopaedics, Westmont, Illinois, USA.

ABSTRACT

Background: Professional American football is a physically demanding, high-impact sport with an elevated risk of injury. Orthopaedic injuries may impose acute, short-term or cumulative consequences throughout a player's lifetime. Several studies have addressed health and psychosocial concerns of an older, retired population of players in the National Football League (NFL); however, minimal research has examined the orthopaedic toll on younger, retired players.

Purpose: This study reports total whole-person impairment (WPI) percentages in a cohort of younger, retired NFL players who presented for disability evaluations based on the use of standardized American Medical Association (AMA) impairment guidelines.

Study design: Case series; Level of evidence, 4.

Methods: During the study period of February 2011 to August 2013, 65 younger retired NFL players presented for impairment evaluations. The mean time between retirement and impairment evaluation was 3.1 years (range, 0.3-16.4 years). A complete history and physical examination was performed on all symptomatic joints. A retrospective chart review was conducted on 100% of presenting players to assess orthopaedic burden. Body-part impairment (BPI) percentage for each affected joint was generated. The impairment data for each extremity were then combined with spine impairment data to create WPI percentage. Player demographics, including age, position, and playing time, were also recorded.

Results: The average WPI percentage was 37% (range, 19%-53%). Players participating in >30 games (n = 54) had a higher mean WPI percentage (38%) than those playing in <30 games (31%; n = 11) (P = .004). Players competing in >5 seasons (n = 46) were 2.4 times more likely to have a WPI of at least 37% (P = .007). The most common joints players reported as symptomatic were lumbar (n = 63; 97%) and cervical spine (n = 58; 89%). The mean age at evaluation was 33.5 years (range, 27-42 years), and the mean number of seasons played was 7.5 (range, 3-14 seasons). The mean number of games played was 98.4 (range, 2-236 games).

Conclusion: This study demonstrated high WPI percentages related to symptomatic joints in a cohort of younger, retired NFL players. Further research is warranted to study potential cumulative physical and quality of life factors related to high impairment percentages in younger, retired NFL players.

No MeSH data available.


Related in: MedlinePlus