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Journal Article

Citation

Houston MN, Hoch JM, Van Lunen BL, Hoch MC. J. Sport Rehab. 2016; 26(5): 365-375.

Affiliation

School of Physical Therapy & Athletic Training, Old Dominion University, Norfolk, VA.

Copyright

(Copyright © 2016, Human Kinetics Publishers)

DOI

10.1123/jsr.2016-0011

PMID

27632873

Abstract

CONTEXT: 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.

OBJECTIVE: 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.

DESIGN: Cross-sectional. SETTING: Three National Collegiate Athletic Association (NCAA) institutions. PARTICIPANTS: Four hundred and sixty-seven 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 creating a diverse sample of current and past injury histories. MAIN OUTCOME MEASURES: During a single session, participants completed an injury history form, the Disablement in the Physically Active Scale (DPA), and Fear-Avoidance Beliefs Questionnaire (FABQ). Dependent variables included DPA-Physical Summary Component (DPA-PSC), DPA-Mental Summary Component (DPA-MSC), and FABQ Scores.

RESULTS: 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 (rs=0.503, p<0.001) and a weak relationship between the DPA-MSC and FABQ (rs=0.266, p<0.001).

CONCLUSION: 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 evidence-based treatment and rehabilitation strategies that target the physical and psychosocial aspects of health.


Language: en

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