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

Authors

Domb BG, Carter C, Finch NA, Hammarstedt JE, Dunne KF, Stake CE
DOI: 10.1177/2325967114534824

Purpose

To quantify total whole-person impairment (WPI) in younger retired NFL players using standardized AMA impairment guidelines.

Methods

Retrospective review of 65 younger retired NFL players evaluated for disability. Body-part impairments for symptomatic joints were combined with spine impairments to calculate WPI percentages. Player demographics and career details were also analyzed.

Key Findings

  • Average WPI was 37% (range 19-53%).
  • Players with >30 games had higher WPI (38%) compared to those with fewer games (31%).
  • Playing >5 seasons increased likelihood of high WPI.
  • Lumbar and cervical spine were the most commonly symptomatic areas.

Conclusion

Younger retired NFL players show high levels of orthopaedic impairment, with cumulative exposure (games/seasons) increasing impairment risk.

What This Means for Patients

Retired NFL players may face significant ongoing orthopaedic challenges early in retirement, emphasizing the need for early management and support.