J Sport Rehabil. 2021 Jan 25;30(5):760-767. doi: 10.1123/jsr.2020-0231.
Little research has examined health-related quality of life in former National Football League (NFL) players.
Examine the association of musculoskeletal injury history and current self-reported physical and mental health in former NFL players.
Cross-sectional questionnaire.
Historical cohort of 2,103 former NFL players that played at least one season between 1940 and 2001.
Players were grouped by self-reported professional career musculoskeletal injury history and whether injuries affected current health: (1) no musculoskeletal injury history; (2) musculoskeletal injury history, currently affected by injuries; and (3) musculoskeletal injury history, not currently affected by injuries.
The Short Form 36 Measurement Model for Functional Assessment of Health and Well-Being (SF-36) yielded physical and mental health composite scores (PCS and MCS, respectively); higher scores indicated better health. Multivariable linear regression computed mean differences (MD) among injury groups. Covariates included demographics, playing history characteristics, surgical intervention for musculoskeletal injuries, and whether injury resulted in premature end to career. MD with 95% CI excluding 0.00 were deemed significant.
Overall, 90.3% reported at least one musculoskeletal injury during their professional football careers, of which 74.8% reported being affected by their injuries at time of survey completion. Adjusting for covariates, mean PCS in the "injury and affected" group was lower than the "no injury" (MD = -3.2; 95% CI: -4.8, -1.7) and "injury and not affected" groups (MD = -4.3; 95% CI: -5.4, -3.3); mean MCS did not differ.
Many players reported musculoskeletal injuries, highlighting the need for developing and evaluating injury management interventions.
鲜有研究调查过前国家橄榄球联盟（NFL）球员的健康相关生活质量。
调查前 NFL 球员的肌肉骨骼损伤史与当前自我报告的身体和心理健康之间的关联。
横断面问卷调查。
1940 年至 2001 年间至少参加过一个赛季的 2103 名前 NFL 球员的历史队列。
根据自我报告的职业生涯肌肉骨骼损伤史以及受伤是否影响当前健康状况，将运动员分为以下三组：（1）无肌肉骨骼损伤史；（2）有肌肉骨骼损伤史，当前受损伤影响；（3）有肌肉骨骼损伤史，当前不受损伤影响。
简短形式 36 项健康测量模型（SF-36）产生了身体和心理健康综合评分（PCS 和 MCS）；得分越高表示健康状况越好。多变量线性回归计算损伤组之间的平均差异（MD）。协变量包括人口统计学，比赛史特征，肌肉骨骼损伤的手术干预以及损伤是否导致职业生涯提前结束。MD 且 95%置信区间不包括 0.00 被认为有显著差异。
总体而言，90.3%的人报告在其职业足球生涯中至少发生过一次肌肉骨骼损伤，其中 74.8%的人在调查完成时报告受伤对其造成影响。调整协变量后，“受伤且受影响”组的平均 PCS 低于“无损伤”组（MD = -3.2；95%CI：-4.8，-1.7）和“受伤且不受影响”组（MD = -4.3；95%CI：-5.4，-3.3）；平均 MCS 没有差异。
许多运动员都报告了肌肉骨骼损伤，这突出表明需要制定和评估损伤管理干预措施。
