Epidemiology of Injuries in National Collegiate Athletic Association Men's Ice Hockey: 2014–2015 Through 2018–2019

Boltz, Adrian J.; Nedimyer, Aliza K.; Chandran, Avinash; Robison, Hannah J.; Collins, Christy L.; Morris, Sarah N.

doi:10.4085/1062-6050-611-20

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…These athletes are also more likely to experience more severe symptoms and can take longer to recover 9. NCAA-ISP studies which replicated our included studies in male soccer, basketball, ice hockey and lacrosse found only soccer posed a notably higher overall SRC risk for females 56–59. However, one US collegiate study found higher match SRC rates for females than males in each of these sports 35.…”

Section: Discussionsupporting

confidence: 70%

“…9 NCAA-ISP studies which replicated our included studies in male soccer, basketball, ice hockey and lacrosse found only soccer posed a notably higher overall SRC risk for females. [56][57][58][59] However, one US collegiate study found higher match SRC rates for females than males in each of these sports. 35 A systematic review of SRCs in team contact sports also reported far lower match rates for male rugby union (2.16-8.93 per 1000 AE hours) than reported for females in the current study.…”

Section: Open Accessmentioning

confidence: 99%

See 1 more Smart Citation

Epidemiology of sport-related concussion rates in female contact/collision sport: a systematic review

Walshe¹,

Daly²,

Ryan³

2022

BMJ Open Sport Exerc Med

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ObjectivesTo determine sport-related concussion (SRC) incidence rates in female contact/collision sport.DesignSystematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.Data sourcesFour databases (PubMed, SportsDiscus, Web of Science, CINAHL) were searched for data from 2012 to 2021.Eligibility criteriaStudies reporting SRC incidence rates or the number of concussions and athletic exposures (AEs) per 1000 participating events or hours in healthy female contact and collision sport athletes of any age were included.ResultsThe search yielded 8438 non-duplicate articles. Following screening, 19 were included in the analysis (median quality score=70%), with 8 reporting match or training incidence rates. Studies were primarily from US high school and collegiate populations; data are reported for eight sports. Rugby union reported the highest match SRC rates (8.2–16.11 per 1000 AE hours), followed by Gaelic football (5.21 per 1000 AE hours) and soccer (2.08–4.04 per 1000 AE events). Where available, match SRC rates were substantially higher than training and overall SRC rates.ConclusionFemale sports such as rugby union, Gaelic football and soccer present the highest risk for SRCs within the available data. Previous research indicates a potentially greater injury burden for female athletes experiencing SRCs than their male counterparts. Thus, future research should analyse concussion knowledge and return-to-play protocols in these sports. Future research should also prioritise exploration of the gap in SRC rates within amateur sports, and data should be presented specifically in the context of athletic exposures (match vs training).Trial registration numberCRD42021281569.

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Section: Discussionsupporting

confidence: 70%

Section: Open Accessmentioning

confidence: 99%

Epidemiology of sport-related concussion rates in female contact/collision sport: a systematic review

Walshe¹,

Daly²,

Ryan³

2022

BMJ Open Sport Exerc Med

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“…Because there are certainly patients with minor injuries that are treated in the emergency department and then discharged, or patients who are admitted to non-trauma centers, this study does not capture the full spectrum of injuries sustained while playing hockey. There are NCAA-based data suggesting that the majority of hockey injuries in both men and women are contusions, sprains, and strains, 23,24 which highlight the likelihood of these minor injuries evading capture by the current study. Furthermore, approximately onethird of the burden of injury following ice hockey appears to be related to overuse injuries, 25 which would be unlikely to be captured by this study which examines admission to acute care hospitals.…”

Section: Discussionmentioning

confidence: 75%

“…Over the study period, there were 306 patients with hockey-related injuries (<1% of all patients in the NTDB). The median age was 15 [13][14][15][16][17][18][19][20][21][22][23][24][25] years and ranged from 5 to 71 years (Table 1). The majority of patients were male (n = 279, 91%).…”

Section: Patient Demographics Clinical Data and Injury Datamentioning

confidence: 99%

Two Minutes for Roughing: A National Analysis of Ice Hockey Injuries from American Trauma Centers

Owattanapanich

Schellenberg

Emigh

et al. 2022

The American Surgeon™

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Background Hockey is a high-impact sport that carries a risk of injury. No national-level studies defining the burden of injury in this sport have yet been performed. This study sought to analyze patient demographics, injury types and severity, and outcomes after trauma sustained while playing hockey. Methods Retrospective analysis of hockey-related injuries was performed using the National Trauma Data Bank (NTDB) (2007-2018). Patients were identified based on ICD-9 and -10 codes without exclusions. Demographics, clinical/injury data, and outcomes were examined using univariate analysis. Subgroup analysis was performed by patient sex. Results Hockey injuries (n = 306) comprised <1% of the NTDB. Median age was 15 years [IQR 13-25] (range 5-71). Most patients (n = 279, 91%) were male. Lower extremities were the most frequently injured body region (n = 88, 29%). Head injuries occurred in 19% (n = 57). Facial injuries occurred in 6% (n = 17). Tooth loss was infrequent (n = 2, 1%). One (<1%) death occurred after a hockey-related brain injury. Clinical/injury data between male and female hockey players were comparable apart from a significantly higher rate of upper extremity fractures among the female cohort (22% vs 4%, P < .001). Conclusion Perceptions that hockey players may frequently sustain head, face, and tooth injuries from collisions, fighting, or stick/puck impacts were not supported by this national-level study, in which lower extremity fractures were the most common injury. While hockey injury prevention equipment has primarily focused on head/face protection (eg, helmets and mouthguards), this analysis suggests increased focus on extremity protective measures is warranted.

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“…3 Furthermore, during the 2014-15 to the 2018-19 collegiate hockey seasons, injuries to the hip and groin constituted the body region with the highest proportion (~20%) of injuries sustained during practice. 4 However, it is important to note that the majority of these (~50-60%) do not cause time-loss from training or competition. 5,6 Nonetheless, on-going hip and groin pain can have debilitating long-term effects, such as increased depen-dency on medication, higher surgical intervention rates, and potentially early retirement.…”

Section: Introductionmentioning

confidence: 99%

Associations Between Hip Pathology, Hip and Groin Pain, and Injuries in Hockey Athletes: A Clinical Commentary

Kelly,

Secomb

2024

International Journal of Sports Physical Therapy

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Femoroacetabular impingement (FAI), particularly cam morphology, is highly prevalent among elite hockey athletes. Moreover, hip and groin pain has become a common issue in hockey, with approximately 50% of European professional athletes reported to experience a hip or groin problem during a season. While most athletes will not miss training or competition due to this, restricted competitive performance and increased risk of reduced physical and psychological well-being are likely. Recent research suggests that the development of cam morphology is related to the repetitive shear stresses experienced at the hip joint during adolescence from skating. This condition likely increases the potential for intra-articular and extra-articular injuries in these athletes later in their careers. Research also indicates that the hip joint mechanics during forward skating substantially increase the possibility of sustaining a labral tear compared to other sports. Such an injury can increase femoral head movement within the joint, potentially causing secondary damage to the iliofemoral ligament, ligamentum teres and joint capsule. These injuries and the high density of nociceptors in the affected structures may explain the high prevalence of hip and groin pain in hockey athletes. Compensatory adaptations, such as reduced hip strength, stability, and range-of-motion (ROM) likely increase the opportunity for core muscle injuries and hip flexor and adductor injuries. Specifically, the limited hip ROM associated with cam morphology appears to exacerbate the risk of these injuries as there will be an increase in pubic symphysis stress and transverse strain during rotational movements. It is hoped that this article will assist practitioners currently working with hockey athletes to develop evidence-informed monitoring strategies and training interventions, aimed at reducing the incidence and severity of hip and groin problems, ultimately enhancing athlete performance and well-being. Therefore, the purpose of this clinical commentary was to examine current evidence on common hip pathologies in hockey athletes, exploring potential associations between hip and groin pain and the biomechanics of hockey activities. Level of Evidence 5

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Epidemiology of Injuries in National Collegiate Athletic Association Men's Ice Hockey: 2014–2015 Through 2018–2019

Cited by 6 publications

References 33 publications

Epidemiology of sport-related concussion rates in female contact/collision sport: a systematic review

Epidemiology of sport-related concussion rates in female contact/collision sport: a systematic review

Two Minutes for Roughing: A National Analysis of Ice Hockey Injuries from American Trauma Centers

Associations Between Hip Pathology, Hip and Groin Pain, and Injuries in Hockey Athletes: A Clinical Commentary

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