Houston Megan N, Hoch Johanna M, Van Lunen Bonnie L, Hoch Matthew C
J Sport Rehabil. 2017 Sep;26(5):365-375. doi: 10.1123/jsr.2016-0011. Epub 2016 Aug 24.
Health-related quality of life (HRQOL) is a broad term for the impact of injury or illness on physical, psychological, and social health dimensions. Injury has been associated with decreased HRQOL in athletes. However, the influence of injury history, participation status, time since last injury, and injury severity on HRQOL remains unclear.
To compare HRQOL in collegiate athletes based on injury history, participation status, time since last injury, and injury severity and to examine relationships between HRQOL outcomes.
Cross-sectional.
3 National Collegiate Athletic Association (NCAA) institutions.
467 collegiate athletes (199 males, 268 females; 19.5 ± 1.3 y, 173.9 ± 10.5 cm, 71.9 ± 13.6 kg) were recruited from NCAA Division I (n = 299) and Division III (n = 168) institutions. Athletes were included regardless of participation status, which created a diverse sample of current and past injury histories.
During a single session, participants completed an injury history form, the Disablement in the Physically Active Scale (DPA), and the Fear-Avoidance Beliefs Questionnaire (FABQ). Dependent variables included DPA-Physical Summary Component (DPA-PSC), DPA-Mental Summary Component (DPA-MSC), and FABQ Scores.
HRQOL differences were detected between groups based on injury history, participation status, and time since last injury. No differences were detected for injury severity. A moderate correlation was identified between the DPA-PSC and FABQ (r = 0.503, P < .001) and a weak relationship was identified between the DPA-MSC and FABQ (r = 0.266, P < .001).
Injury negatively influenced HRQOL in athletes with a current injury. While those individuals participating injured reported better HRQOL than the athletes sidelined due to injury, deficits were still present and should be monitored to ensure a complete recovery. Identifying the patient's perception of impairment will help facilitate evidencebased treatment and rehabilitation strategies that target the physical and psychosocial aspects of health.
健康相关生活质量（HRQOL）是一个宽泛的术语，指损伤或疾病对身体、心理和社会健康维度的影响。损伤与运动员健康相关生活质量下降有关。然而，损伤史、参赛状态、距上次损伤的时间以及损伤严重程度对健康相关生活质量的影响仍不明确。
比较不同损伤史、参赛状态、距上次损伤时间以及损伤严重程度的大学生运动员的健康相关生活质量，并研究健康相关生活质量结果之间的关系。
横断面研究。
3所美国国家大学体育协会（NCAA）院校。
从NCAA一级联赛（n = 299）和三级联赛（n = 168）院校招募了467名大学生运动员（199名男性，268名女性；年龄19.5±1.3岁，身高173.9±10.5厘米，体重71.9±13.6千克）。无论参赛状态如何，均纳入运动员，从而形成了一个涵盖当前和既往损伤史的多样化样本。
在一次测评中，参与者完成了一份损伤史表格、体力活动能力丧失量表（DPA）和恐惧-回避信念问卷（FABQ）。因变量包括DPA身体总结成分（DPA-PSC）、DPA心理总结成分（DPA-MSC）和FABQ得分。
根据损伤史、参赛状态和距上次损伤的时间，在不同组之间检测到了健康相关生活质量差异。未检测到损伤严重程度方面的差异。DPA-PSC与FABQ之间存在中度相关性（r = 0.503，P <.001），DPA-MSC与FABQ之间存在弱相关性（r = 0.266，P <.001）。
损伤对当前有损伤的运动员的健康相关生活质量有负面影响。虽然那些带伤参赛的个体报告的健康相关生活质量比因伤缺阵的运动员要好，但仍存在不足，应进行监测以确保完全康复。确定患者对损伤的认知将有助于推动针对健康的身体和心理社会方面的循证治疗和康复策略。
