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

Methods

Retrospective review of 65 younger retired NFL players evaluated for disability. Body-part and spine impairments combined to calculate total WPI. Player demographics and career details analyzed.

Key Findings

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

Conclusion

Younger retired NFL players exhibit significant orthopaedic impairment, with cumulative playing exposure linked to higher impairment risk.

What Does This Mean for Providers?

  • Providers should anticipate high levels of multi-joint and spine impairment in younger retired NFL players.
  • Early and comprehensive management strategies are critical to address complex disability patterns.
  • Awareness of career duration and game exposure helps predict impairment severity and guide long-term care planning.