Reducing Injury Risk From Body Checking in Boys' Youth Ice Hockey

Brooks, Alison; Loud, Keith J.; Brenner, Joel S.; Demorest, Rebecca A.; Halstead, Mark; Kelly, Amanda K. Weiss; Koutures, Chris; LaBella, Cynthia R.; LaBotz, Michele; Martin, Stephanie S.; Moffatt, Kody

doi:10.1542/peds.2014-0692

Cited by 33 publications

(16 citation statements)

References 37 publications

(41 reference statements)

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“…Previous investigators [14][15][16][17] evaluated rule modifications in youth ice hockey that aimed to minimize checking-and other contact-related injuries. In contrast, research focused on rule modifications associated with checking and contact in lacrosse is lacking.…”

Section: Rule Modificationsmentioning

confidence: 99%

Rule Modifications to Reduce Checking-Related Injuries in High School Boys' Lacrosse

Guillaume

Lincoln

Hepburn

et al. 2021

Journal of Athletic Training

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Context The National Federation of State High School Associations previously implemented 2 lacrosse rule modifications: Rule 5.4 in the 2012–2013 academic year to heighten the penalty for a head or neck hit to the head, face, or neck (HFN) and Rule 5.3.5 in the 2013–2014 academic year to minimize body checking. Objective To determine if the rates of overall injury, HFN injuries, and concussions due to intentional contact (checking) differed for boys' high school lacrosse players after Rule 5.4 and 5.3.5 modifications were enacted. Design Descriptive epidemiology study. Setting Web-based online surveillance system. Patients or Other Participants Boys' high school lacrosse players during the 2008–2009 to 2016–2017 seasons whose teams involved athletic trainers participating in the High School Reporting Information Online sports injury-surveillance system. Intervention(s) Rule 5.4 in the 2012–2013 academic year increased the penalty for any intentional hits to the HFN, and Rule 5.3.5 in the 2013–2014 year eliminated body checking to a player in a defenseless position. Main Outcome Measure(s) Overall, HFN, and concussion injury rate ratios (IRRs) by checking mechanism; overall and checking-related injury ratios by competitions and practices. Results A decrease was shown in checking-related HFN injuries (IRR = 0.29, 95% CI = 0.13, 0.65) and checking-related concussions (IRR = 0.29, 95% CI = 0.12, 0.70) during practices in the seasons after both rule modifications were imposed, but no decreases occurred in any checking-related injuries during competitions. By injury mechanism, no decreases were evident after the Rule 5.4 modification. When both rule modifications (Rules 5.4 and 5.3.5) were enacted together, concussion rates due to delivering body checks (IRR = 0.51, 95% CI = 0.29, 0.91) and overall injury risk due to being body checked (IRR = 0.72, 95% CI = 0.53, 0.97) decreased. Conclusions When both Rule 5.4 and 5.3.5 modifications were in effect, concussion and overall injury risks decreased for the body checker and the player being body checked, respectively.

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Section: Rule Modificationsmentioning

confidence: 99%

Rule Modifications to Reduce Checking-Related Injuries in High School Boys' Lacrosse

Guillaume

Lincoln

Hepburn

et al. 2021

Journal of Athletic Training

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“…There has been considerable controversy over the proper age at which to introduce checking into the sport of ice hockey 1,25,26. Recent rule changes have now raised the minimum age at which checking is permitted to the Bantam level (13–14 years old) (Table 1).…”

Section: Risk Of Injury From Body Checkingmentioning

confidence: 99%

“…Ice hockey is becoming one of the most popular sports played in North America 1,2. Already being the national sport in Canada, it continues to spread in the US as 358,000 players under the age of 18 were registered with the USA Hockey in 2014–2015 3.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation, management and prevention of lower extremity youth ice hockey injuries

Popkin

Schulz

Park

et al. 2016

OAJSM

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Ice hockey is a fast-paced sport played by increasing numbers of children and adolescents in North America and around the world. Requiring a unique blend of skill, finesse, power and teamwork, ice hockey can become a lifelong recreational activity. Despite the rising popularity of the sport, there is ongoing concern about the high frequency of musculoskeletal injury associated with participation in ice hockey. Injury rates in ice hockey are among the highest in all competitive sports. Numerous research studies have been implemented to better understand the risks of injury. As a result, rule changes were adopted by the USA Hockey and Hockey Canada to raise the minimum age at which body checking is permitted to 13–14 years (Bantam level) from 11–12 years (Pee Wee). Continuing the education of coaches, parents and players on rules of safe play, and emphasizing the standards for proper equipment use are other strategies being implemented to make the game safer to play. The objective of this article was to review the evaluation, management and prevention of common lower extremity youth hockey injuries.

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“…Such rules targeting collision reduction are essential to injury prevention. The American Academy of Pediatrics Council on Sports Medicine recommends delaying introduction of body checking until age 15 with strict reinforcement of rules promoting player safety [ 5 ]. Adoption of additional rules, policies and educational interventions to decrease unsafe tactics may further reduce the incidence of collisions that have been shown to lead to concussions, especially for youth participating in competitive hockey.…”

mentioning

confidence: 99%