If you work in the training room, weight room, or rehab bay, you already know: availability is performance. This NFL Teams’ ranking looks at fitness through your world: tissue capacity, load management, practice participation, and how cleanly athletes move from clinic → re-conditioning → full practice → games.

We measured: Adjusted Games Lost (AGL) — the injury-impact metric originally built by Football Outsiders and now maintained by Sumer Sports, which tracks how often starters and other key players missed games or played at less than full strength — for the just-completed 2025 NFL season, the most recent full season available as of this 2026 update. We layered in publicly reported multi-year context (prior AGL/health-score standings, notable injuries, staff continuity) only where it’s independently confirmed.

Scoring: 2025 AGL is the primary signal (it's the cleanest, most current read on availability). We weight it against documented multi-year trend where the public record supports it, plus program signals (staff continuity, sport-science adoption, clear return-to-play pathways) — we no longer assert precise historical splits we can’t verify team-by-team.

What moved teams up: documented RTP scripts, objective monitoring that informs dosing, consistent language across departments, clean injury-tracking and documentation between the training room and the field, and boringly steady practice participation.

What dragged teams down: a handful of season-altering injuries to franchise players, yo-yo availability, soft-tissue recurrences, and murky handoffs between clinic and field—even with good infrastructure on paper.

Throughout, we’re talking directly to your room. When we say “your rank is X because…,” it’s a read on how effectively you convert rehab into snaps.

2026 NFL Teams’ Physical Fitness Rankings (2025 Season AGL)

Team-by-Team Breakdown

1) Philadelphia Eagles — Your rank: #1

44.0 AGL, the NFL’s best or second-best mark for a third straight year. Credit the integrated model under Head Athletic Trainer Tom Hunkele, with performance led by Fernando Noriega and a deep AT/PT bench. That clinic-to-field handoff keeps load, velocity, and recovery aligned—and availability high.

2) New England Patriots — Your rank: #2

43.5 AGL — technically the NFL’s lowest games-lost total in 2025, capping a 14-3 season. Head Athletic Trainer Jim Whalen and head strength coach Deron Mayo have real continuity to point to after two rough AGL years in 2023-24; this is what a program looks like when the injury math finally breaks their way.

3) Seattle Seahawks — Your rank: #3

46.9 AGL, a third straight upper-tier finish. Head Athletic Trainer David Stricklin and Sam Ramsden’s performance staff keep incremental on-field conditioning built into rehab, which shows up as fewer setbacks and steady practice participation.

4) Kansas City Chiefs — Your rank: #4

49.4 AGL. VP of Sports Medicine and Performance Rick Burkholder’s department marries acute care with long-horizon workload planning, which is exactly why a veteran-heavy roster can still be managed deep into a season.

5) Las Vegas Raiders — Your rank: #5

51.3 AGL — one of the largest single-year swings in the league, after ranking near the bottom of the AGL table in 2024. Whatever changed in the medical-to-performance handoff, it worked; now the job is proving it wasn’t a one-year outlier.

6) Pittsburgh Steelers — Your rank: #6

53.3 AGL, a clear step up after a mid-table 2023-24. Head Athletic Trainer Gabe Amponsah’s training room and the club’s phase-based offseason programming appear to be paying off in steadier week-to-week availability.

7) Jacksonville Jaguars — Your rank: #7

54.7 AGL, continuing a multi-year run that never craters. A PT-heavy AT room paired with progressive-loading strength work keeps soft-tissue recurrences down.

8) Denver Broncos — Your rank: #8

60.6 AGL, holding a top-10 spot for a second straight cycle. Long-tenured head strength coach Dan Dalrymple and the medical staff have a defined rehab pipeline that shortens clinic-to-field cycles.

9) Minnesota Vikings — Your rank: #9

61.4 AGL, another upper-half finish. Individualized speed and strength blocks tied to medical milestones continue to translate into steadier return-to-play timelines with fewer surprises.

10) Los Angeles Rams — Your rank: #10

62.2 AGL, a bounce-back into the top third. Senior VP of Sports Medicine and Performance Reggie Scott — recognized as the NFL Physicians Society’s Outstanding Athletic Trainer of the Year — runs a single-umbrella model that gives the Rams a strong floor even in a rougher year.

11) Tennessee Titans — Your rank: #11

62.8 AGL, extending a multi-year climb after a brutal 2022. Speed work and individualized strength tied to medical milestones keep trending the right direction.

12) Indianapolis Colts — Your rank: #12

65.9 AGL — mid-pack, but stable rather than volatile, which is its own kind of progress for a program still building out its sport-science layer.

13) Buffalo Bills — Your rank: #13

72.4 AGL. Head Athletic Trainer Nate Breske’s room remains one of the league’s most decorated (a repeat PFATS recognition winner), even after longtime AT Denny Kellington’s 2024 departure to Carolina. Proactive care and crisp RTP handoffs keep this a solidly middle-of-pack, not bottom-tier, result.

14) Dallas Cowboys — Your rank: #14

72.5 AGL, almost exactly league average. Head Athletic Trainer Jim Maurer — an NFL Athletic Trainer of the Year honoree — brings continuity and known return-to-field templates that keep the roster from swinging too far in either direction.

15) Green Bay Packers — Your rank: #15

72.9 AGL, squarely mid-pack after the well-documented rebound of recent seasons. Head Athletic Trainer Bryan “Flea” Engel’s long-tenured processes, plus psychology and nutrition support, keep availability from sliding further.

16) Cincinnati Bengals — Your rank: #16

74.4 AGL, a step back from an elite 2023 but still hovering around league average. Individualized RTP inside a modernized training room is keeping the drop from becoming a freefall.

17) Chicago Bears — Your rank: #17

74.9 AGL. A hamstring injury that sidelined quarterback Caleb Williams for multiple weeks was the headline story of an otherwise average year for availability—proof that even one franchise-player injury can move a team’s whole AGL picture.

18) Baltimore Ravens — Your rank: #18

78.7 AGL — a steep fall from one of the league’s best AGL marks the prior season. Lamar Jackson’s recurring back issues, which he said forced him to change how he plays, were the biggest single driver; the medical and performance staff now have to prove last year wasn’t the new normal.

19) New Orleans Saints — Your rank: #19

83.2 AGL, continuing a run of below-average availability. Sports performance lead Ted Rath’s department has the structure in place; the data still says “prove it.”

20) Atlanta Falcons — Your rank: #20

86.4 AGL, a drop from a much healthier prior season. Institutionalized RTP pathways and in-house PT depth are the pieces that should help this correct rather than compound.

21) Carolina Panthers — Your rank: #21

92.4 AGL. VP of Player Health and Performance Denny Kellington — the longtime Buffalo Bills athletic trainer known for reviving Damar Hamlin on the field in 2023 — is now in his second season centralizing the medical, S&C, nutrition, and sports-science departments under one roof. That centralization is the right first move; the AGL number hasn’t caught up yet.

22) New York Jets — Your rank: #22

93.1 AGL, below average again. The medical-to-performance handoff needs to tighten before the number moves meaningfully.

23) New York Giants — Your rank: #23

95.0 AGL, a lower-half finish. Clinic-to-weight-room continuity is the stated goal; 2025’s number shows there’s still ground to make up.

24) Tampa Bay Buccaneers — Your rank: #24

96.1 AGL, below-average availability for a second straight year. A holistic AT/S&C/performance-science/nutrition model is in place; it needs to show up in fewer soft-tissue setbacks next year.

25) Houston Texans — Your rank: #25

101.3 AGL, a bottom-third finish. Director of Sports Medicine Roland Ramirez and Director of Rehabilitation and Return to Football Pete Ruby run a program built for holistic readiness; the availability numbers haven’t reflected it the last two years.

26) Cleveland Browns — Your rank: #26

104.4 AGL, continuing a multi-year stretch of below-average availability. The infrastructure question isn’t the issue anymore—the outcomes still need to follow.

27) Los Angeles Chargers — Your rank: #27

106.2 AGL, among the league’s least healthy rosters in 2025. Individualizing load and RTP at depth (not just for the starters) is the lever most likely to move this number.

28) San Francisco 49ers — Your rank: #28

115.0 AGL. Nick Bosa’s season-ending torn ACL was the headline injury in a year that also hit Brock Purdy and other core starters—by several outlets’ accounting, San Francisco lost more expected production to injury than almost any team in football. The processes here are well regarded; 2025 was the outlier the program has to arrest.

29) Miami Dolphins — Your rank: #29

117.3 AGL, one of the NFL’s five most-injured rosters in 2025. Formalizing the clinic-to-field handoff remains step one for turning this around.

30) Washington Commanders — Your rank: #30

124.4 AGL. Quarterback Jayden Daniels’ season-ending dislocated elbow, suffered against Dallas, was the single biggest blow to an otherwise-promising season and dragged the whole team’s availability number down with it.

31) Detroit Lions — Your rank: #31

130.3 AGL — a historic injury toll, concentrated on the defensive side of the ball, in a year public reporting has since described as one of the most injury-battered defenses of the AGL era. Head Athletic Trainer Michael Sundeen’s room has a real rebuild ahead after this level of attrition.

32) Arizona Cardinals — Your rank: #32

179.8 AGL — the second-worst single season in the metric’s history since 2001, trailing only the 2021 Ravens. A brutal schedule against top-tier defenses didn’t help, but a number this far outside the pack (bigger than the gap between #31 and #19) points to more than bad luck. Head Athletic Trainer Drew Krueger’s department has a genuine rebuild in front of it.

Top Voices on Durability & Preparation

Physical dominance isn’t just measured in stats, it’s built long before kickoff. To understand what separates the healthiest teams in our rankings from the rest, we asked performance experts for their perspective on what truly drives availability and resilience.

“Preseason is where you shift your focus from basic strength to functional movement pattern exercises, multiplanar and multidirectional. Strength and power lifts integrate with plyos and contrast training for advanced athletes.” - Ed Downs, CEO - Engineering Sports Performance LLC

“The preseason isn’t just about getting reps in, it’s about building durability at every level. The best athletes are training the nervous system as much as the muscles. Sleep, mobility, force absorption, and stress management aren’t extras, they’re the edge.” - Dr. Jaime Mor, Sports Physical Therapist & Owner at Rehabletics

 “As the season warms up, recovery can’t be ignored. Proper nutrition, hydration, sleep, and technologies like NormaTec, red light therapy, and cold plunges build resiliency and prevent injuries.” - Trent Nessler, MPT, DPT, Owner at The Athlete Lab

“Preseason is the foundation. Prioritizing recovery methods like cold plunges, mobility drills, and balanced strength work keeps athletes durable and performing at their peak.” - Odessa K, CEO of @sweatofffitness & @o.k.training.

Closing Thoughts

We’re fired up for the rest of this season and hoping your PT/AT/S&C work shines—keeping more starters available, week after week. If your room tightens the handoffs and dosing between the clinic and the field — and keeps the documentation trail clean enough that everyone from the AT room to S&C is working off the same data — your rank (and record) will follow. If your team is still tracking injuries and return-to-play milestones on paper or in a generic EMR, a purpose-built sports medicine and rehab platform like SPRY is worth a look. Best of luck the rest of this season—wishing every roster good health. May the healthiest team win.

**Disclaimer

Adjusted Games Lost (AGL) figures cited above are for the 2025 NFL regular season and are drawn from publicly published sports-analytics reporting (Sumer Sports’ AGL methodology, as reported by FTN Fantasy and Yahoo Sports); team medical/performance staff titles were verified against team websites, PFATS, and other public directories at the time of this update but are subject to change with normal NFL offseason turnover. No protected health information was accessed. Rankings are indicative, not predictive, and will evolve as new data emerges.