The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Michael J Stuart - One of the best experts on this subject based on the ideXlab platform.
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concussion in Ice Hockey current gaps and future directions in an objective diagnosis
Clinical Journal of Sport Medicine, 2017Co-Authors: Aynsley M Smith, Michael J Stuart, David W Dodick, Jonathan T Finnoff, William O Roberts, Janelle K Jorgensen, David A KrauseAbstract:Objective:This review provides an update on sport-related concussion (SRC) in Ice Hockey and makes a case for changes in clinical concussion evaluation. Standard practIce should require that concussions be objectively diagnosed and provide quantitative measures of the concussion injury that will ser
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injuries in world junior Ice Hockey championships between 2006 and 2015
British Journal of Sports Medicine, 2017Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Jari ParkkariAbstract:Background Detailed injury data are not available for international Ice Hockey tournaments played by junior athletes. We report the incidence, type, mechanism and severity of injuries in males under ages 18 and 20 at junior Ice Hockey World Championships during 2006–2015. Methods All injuries in the International Ice Hockey Federation World Junior under-20 (WJ U20) Championship and under-18 (WJ U18) Championship were collected over a 9-year period using a strict injury definition, a standardised injury reporting system and diagnoses made by a team physician. Results 633 injuries were recorded in 1326 games over a 9-year period, resulting in an injury rate (IR) of 11.0 per 1000 player-games and 39.8/1000 player-game hours. The IRs in all tournaments were 4.3/1000 player-games for the head and face, 3.2 for the upper body, 2.6 for the lower body and 1.0 for the spine and trunk. A laceration was the most common injury type followed by a sprain. Lacerations accounted for 80% (IR 3.6) of facial injuries in WJ U20 tournaments. The shoulder was the most common injury site (IR 2.0) in WJ U18 tournaments. Board contact was the mechanism for 59% of these shoulder injuries. Concussion was the most common head and face injury (46%; IR 1.2) in WJ U18 tournaments. Conclusions and recommendations The risk of injury among male junior Ice Hockey players was lower than the reported rates in adult men but higher than that in women. Facial lacerations were common in U20 junior players (WJ U20) since most wear only partial facial protection (visor). The IR for shoulder injuries was high in U18 junior players (WJ U18). Suggested strategies for injury prevention include full facial protection for all players and flexible board and glass for all junior tournaments.
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injuries in women s international Ice Hockey an 8 year study of the world championship tournaments and olympic winter games
British Journal of Sports Medicine, 2016Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Kari Tokola, Jari ParkkariAbstract:Background We report the incidence, type, mechanism and severity of Ice Hockey injuries in women9s international Ice Hockey championships. Methods All injuries in the International Ice Hockey Federation World Women9s Championship, World Women9s under-18 Championship and Olympic Winter Games tournaments were analysed over an 8-year period using a strict injury definition, standardised reporting and team physician diagnosis. Results 168 injuries were recorded in 637 games over an 8-year period resulting in an injury rate (IR) of 6.4 per 1000 player-games and 22.0/1000 player-game hours. The IRs were 2.7/1000 player-games for the lower body, 1.4 for the upper body, 1.3 for the head and face and 0.9 for the spine and trunk. Contusion was the most common injury followed by a sprain. The most commonly injured site was the knee (48.6% of lower body injuries; IR 1.3/1000 player-games). The Medial collateral ligament sprain occurred in 37.1% and ACL rupture in 11.4% of knee injuries. A concussion (74.3%; IR 1.0/1000 player-games) was the most common head injury. Conclusions and recommendations The risk of injury to female Ice Hockey players at World Championship and Olympic tournaments was about half of that observed in the men9s Championships. Full facial protection decreases the risk of lacerations and should be continued in all future female tournaments. More effective prevention strategies for knee, ankle and shoulder injuries are needed in women9s Ice Hockey. Improved concussion education is necessary to promote more consistent diagnosis and return to play protocols.
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Ice Hockey summit ii zero tolerance for head hits and fighting
Clinical Journal of Sport Medicine, 2015Co-Authors: Anthony A Smith, Michael J Stuart, Brian W Benson, William O Roberts, David William Dodick, Patrick W Alford, Alan B Ashare, Mark Aubrey, Chip J Burke, Randall W DickAbstract:OBJECTIVE: To present currently known basic science and on-Ice influences of sport-related concussion (SRC) in Hockey, building on the Ice Hockey Summit I action plan (2011) to reduce SRC. METHODS: The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure, for the science and discussion held during Summit II (Mayo Clinic, Rochester MN, October 2013). Summit II focused on (1) Basic Science of Concussions in Ice Hockey: Taking Science Forward; (2) Acute and Chronic Concussion Care: Making a Difference; (3) Preventing Concussions via Behavior, Rules, Education and Measuring Effectiveness; (4) Updates in Equipment: their Relationship to Industry Standards; and (5) Policies and Plans at State, National and Federal Levels to reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were subsequently voted on for purposes of prioritization. The following proceedings include knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. RESULTS: The Summit II evidence-based action plan emphasizes the rapidly evolving scientific content of Hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. CONCLUSIONS: The highest priority action items identified from the Summit includes the following: (1) eliminate head hits from all levels of Ice Hockey, (2) change body-checking policies, and (3) eliminate fighting in all amateur and professional Hockey. Language: en
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Ice Hockey summit ii zero tolerance for head hits and fighting
Pm&r, 2015Co-Authors: Anthony A Smith, Michael J Stuart, Brian W Benson, William O Roberts, David William Dodick, Patrick W Alford, Alan B Ashare, Mark Aubrey, Chip J Burke, Randall W DickAbstract:Abstract Objective To present currently known basic science and on-Ice influences of sport related concussion (SRC) in Hockey, building upon the Ice Hockey Summit I action plan (2011) to reduce SRC. Methods The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure, for the science and discussion held during Summit II (Mayo Clinic, Rochester MN, October, 2013). Summit II focused on Basic Science of Concussions in Ice Hockey: Taking Science Forward; (2) Acute and Chronic Concussion Care: Making a Difference; (3) Preventing Concussions via Behavior, Rules, Education and Measuring Effectiveness; (4) Updates in Equipment: their Relationship to Industry Standards and (5) Policies and Plans at State, National and Federal Levels to reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were subsequently voted on for purposes of prioritization. The following proceedings include the knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. Results The Summit II evidence based action plan emphasizes the rapidly evolving scientific content of Hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. Conclusions The highest priority action items identified from the Summit include: 1) eliminate head hits from all levels of Ice Hockey, 2) change body checking policies, and 3) eliminate fighting in all amateur and professional Hockey.
Jari Parkkari - One of the best experts on this subject based on the ideXlab platform.
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injuries in world junior Ice Hockey championships between 2006 and 2015
British Journal of Sports Medicine, 2017Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Jari ParkkariAbstract:Background Detailed injury data are not available for international Ice Hockey tournaments played by junior athletes. We report the incidence, type, mechanism and severity of injuries in males under ages 18 and 20 at junior Ice Hockey World Championships during 2006–2015. Methods All injuries in the International Ice Hockey Federation World Junior under-20 (WJ U20) Championship and under-18 (WJ U18) Championship were collected over a 9-year period using a strict injury definition, a standardised injury reporting system and diagnoses made by a team physician. Results 633 injuries were recorded in 1326 games over a 9-year period, resulting in an injury rate (IR) of 11.0 per 1000 player-games and 39.8/1000 player-game hours. The IRs in all tournaments were 4.3/1000 player-games for the head and face, 3.2 for the upper body, 2.6 for the lower body and 1.0 for the spine and trunk. A laceration was the most common injury type followed by a sprain. Lacerations accounted for 80% (IR 3.6) of facial injuries in WJ U20 tournaments. The shoulder was the most common injury site (IR 2.0) in WJ U18 tournaments. Board contact was the mechanism for 59% of these shoulder injuries. Concussion was the most common head and face injury (46%; IR 1.2) in WJ U18 tournaments. Conclusions and recommendations The risk of injury among male junior Ice Hockey players was lower than the reported rates in adult men but higher than that in women. Facial lacerations were common in U20 junior players (WJ U20) since most wear only partial facial protection (visor). The IR for shoulder injuries was high in U18 junior players (WJ U18). Suggested strategies for injury prevention include full facial protection for all players and flexible board and glass for all junior tournaments.
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injuries in women s international Ice Hockey an 8 year study of the world championship tournaments and olympic winter games
British Journal of Sports Medicine, 2016Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Kari Tokola, Jari ParkkariAbstract:Background We report the incidence, type, mechanism and severity of Ice Hockey injuries in women9s international Ice Hockey championships. Methods All injuries in the International Ice Hockey Federation World Women9s Championship, World Women9s under-18 Championship and Olympic Winter Games tournaments were analysed over an 8-year period using a strict injury definition, standardised reporting and team physician diagnosis. Results 168 injuries were recorded in 637 games over an 8-year period resulting in an injury rate (IR) of 6.4 per 1000 player-games and 22.0/1000 player-game hours. The IRs were 2.7/1000 player-games for the lower body, 1.4 for the upper body, 1.3 for the head and face and 0.9 for the spine and trunk. Contusion was the most common injury followed by a sprain. The most commonly injured site was the knee (48.6% of lower body injuries; IR 1.3/1000 player-games). The Medial collateral ligament sprain occurred in 37.1% and ACL rupture in 11.4% of knee injuries. A concussion (74.3%; IR 1.0/1000 player-games) was the most common head injury. Conclusions and recommendations The risk of injury to female Ice Hockey players at World Championship and Olympic tournaments was about half of that observed in the men9s Championships. Full facial protection decreases the risk of lacerations and should be continued in all future female tournaments. More effective prevention strategies for knee, ankle and shoulder injuries are needed in women9s Ice Hockey. Improved concussion education is necessary to promote more consistent diagnosis and return to play protocols.
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sport concussion assessment tool 3rd edition normative reference values for professional Ice Hockey players
Journal of Science and Medicine in Sport, 2016Co-Authors: Timo Hanninen, Matti Vartiainen, Juha Ohman, Markku Tuominen, Jari Parkkari, Grant L. Iverson, Teemu M LuotoAbstract:Abstract Objectives To determine normative reference values for the Sport Concussion Assessment Tool—3rd Edition (SCAT3) using a large sample of professional male Ice Hockey players. Design A descriptive cross-sectional study. Methods Preseason baseline testing was administered individually to 304 professional male Ice Hockey players. Results The participants were aged between 16 and 40 with a mean ( M ) age of 25.3 years. Over 60% of the athletes reported previous concussion, almost 20% had been hospitalized or medically imaged following a head trauma. Of the players, 48% reported no symptoms. The symptom score median (Md) was 1.0 ( M =1.5) and severity median was 1.0 ( M =2.3). The median of the SAC score was 27.0 ( M =27.0). The median of the M-BESS was 1.0 ( M =2.0). The Tandem gait median was 10.9s ( M =10.8s). The most common baseline symptom was neck pain (24%). Delayed recall was the most difficult component of the SAC (Md=4); only 24% performed it flawlessly. All athletes completed the double-leg stance of the M-BESS without errors, but there was performance variability in the tandem stance (Md=0, M =0.6, range=0–10) and single-leg stance (Md=1.0, M =1.4, range=0–10). Conclusions Representative normative reference values for the SCAT3 among professional male Ice Hockey players are provided.
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injuries in men s international Ice Hockey a 7 year study of the international Ice Hockey federation adult world championship tournaments and olympic winter games
British Journal of Sports Medicine, 2015Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Jari ParkkariAbstract:Background Information on Ice Hockey injuries at the international level is very limited. The aim of the study was to analyse the incidence, type, mechanism and severity of Ice Hockey injuries in men’s international Ice Hockey tournaments. Methods All the injuries in men’s International Ice Hockey Federation World Championship tournaments over a 7-year period were analysed using a strict definition of injury, standardised reporting strategies and an injury diagnosis made by a team physician. Results 528 injuries were recorded in games resulting in an injury rate of 14.2 per 1000 player-games (52.1/ 1000 player-game hours). Additionally, 27 injuries occurred during practIce. For WC A-pool Tournaments and Olympic Winter Games (OWG) the injury rate was 16.3/1000 player-games (59.6/1000 player-game hours). Body checking, and stick and puck contact caused 60.7% of the injuries. The most common types of injuries were lacerations, sprains, contusions and fractures. A laceration was the most common facial injury and was typically caused by a stick. The knee was the most frequently injured part of the lower body and the shoulder was the most common site of an upper body injury. Arenas with flexible boards and glass reduced the risk of injury by 29% (IRR 0.71, (95% CI 0.56 to 0.91)). Conclusions The incidence of injury during international Ice Hockey competition is relatively high. Arena characteristics, such as flexible boards and glass, appeared to reduce the risk of injury.
Brian W Benson - One of the best experts on this subject based on the ideXlab platform.
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proceedings from the Ice Hockey summit iii action on concussion
Clinical Journal of Sport Medicine, 2021Co-Authors: Aynsley M Smith, Alison Brooks, Mark Aubry, Brian W Benson, David W Dodick, Patrick A Alford, Charles Burke, Amanda M Black, Ryan Dʼarcy, Michael EavesAbstract:Objectives The Ice Hockey Summit III provided updated scientific evidence on concussions in Hockey to inform these 5 objectives: (1) describe sport related concussion (SRC) epidemiology; (2) classify prevention strategies; (3) define objective, diagnostic tests; (4) identify treatment; and (5) integrate science and clinical care into prioritized action plans and policy. Methods Our action plan evolved from 40 scientific presentations. The 155 attendees (physicians, athletic trainers, physical therapists, nurses, neuropsychologists, scientists, engineers, coaches, and officials) voted to prioritize these action items in the final Summit session. Results To (1) establish a national and international Hockey database for SRCs at all levels; (2) eliminate body checking in Bantam youth Hockey games; (3) expand a behavior modification program (Fair Play) to all youth Hockey levels; (4) enforce game ejection penalties for fighting in Junior A and professional Hockey leagues; (5) establish objective tests to diagnose concussion at point of care; and (6) mandate baseline testing to improve concussion diagnosis for all age groups. Conclusions Expedient implementation of the Summit III prioritized action items is necessary to reduce the risk, severity, and consequences of concussion in the sport of Ice Hockey.
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proceedings from the Ice Hockey summit iii action on concussion
Current Sports Medicine Reports, 2019Co-Authors: Aynsley M Smith, Alison Brooks, Mark Aubry, Brian W Benson, David W Dodick, Patrick A Alford, Charles Burke, Amanda M Black, Ryan C N Darcy, Michael EavesAbstract:The Ice Hockey Summit III provided updated scientific evidence on concussions in Hockey to inform these five objectives: 1) describe sport-related concussion (SRC) epidemiology, 2) classify prevention strategies, 3) define objective, diagnostic tests, 4) identify treatment, and 5) integrate science and clinical care into prioritized action plans and policy. Our action plan evolved from 40 scientific presentations. The 155 attendees (physicians, athletic trainers, physical therapists, nurses, neuropsychologists, scientists, engineers, coaches, and officials) voted to prioritize these action items in the final Summit session. 1) Establish a national and international Hockey data base for SRC at all levels, 2) eliminate body checking in Bantam youth Hockey games, 3) expand a behavior modification program (Fair Play) to all youth Hockey levels, 4) enforce game ejection penalties for fighting in Junior A and professional Hockey leagues, 5) establish objective tests to diagnose concussion at point of care (POC), and 6) mandate baseline testing to improve concussion diagnosis for all age groups. Expedient implementation of the Summit III prioritized action items is necessary to reduce the risk, severity, and consequences of concussion in the sport of Ice Hockey.
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Ice Hockey summit ii zero tolerance for head hits and fighting
Clinical Journal of Sport Medicine, 2015Co-Authors: Anthony A Smith, Michael J Stuart, Brian W Benson, William O Roberts, David William Dodick, Patrick W Alford, Alan B Ashare, Mark Aubrey, Chip J Burke, Randall W DickAbstract:OBJECTIVE: To present currently known basic science and on-Ice influences of sport-related concussion (SRC) in Hockey, building on the Ice Hockey Summit I action plan (2011) to reduce SRC. METHODS: The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure, for the science and discussion held during Summit II (Mayo Clinic, Rochester MN, October 2013). Summit II focused on (1) Basic Science of Concussions in Ice Hockey: Taking Science Forward; (2) Acute and Chronic Concussion Care: Making a Difference; (3) Preventing Concussions via Behavior, Rules, Education and Measuring Effectiveness; (4) Updates in Equipment: their Relationship to Industry Standards; and (5) Policies and Plans at State, National and Federal Levels to reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were subsequently voted on for purposes of prioritization. The following proceedings include knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. RESULTS: The Summit II evidence-based action plan emphasizes the rapidly evolving scientific content of Hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. CONCLUSIONS: The highest priority action items identified from the Summit includes the following: (1) eliminate head hits from all levels of Ice Hockey, (2) change body-checking policies, and (3) eliminate fighting in all amateur and professional Hockey. Language: en
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Ice Hockey summit ii zero tolerance for head hits and fighting
Pm&r, 2015Co-Authors: Anthony A Smith, Michael J Stuart, Brian W Benson, William O Roberts, David William Dodick, Patrick W Alford, Alan B Ashare, Mark Aubrey, Chip J Burke, Randall W DickAbstract:Abstract Objective To present currently known basic science and on-Ice influences of sport related concussion (SRC) in Hockey, building upon the Ice Hockey Summit I action plan (2011) to reduce SRC. Methods The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure, for the science and discussion held during Summit II (Mayo Clinic, Rochester MN, October, 2013). Summit II focused on Basic Science of Concussions in Ice Hockey: Taking Science Forward; (2) Acute and Chronic Concussion Care: Making a Difference; (3) Preventing Concussions via Behavior, Rules, Education and Measuring Effectiveness; (4) Updates in Equipment: their Relationship to Industry Standards and (5) Policies and Plans at State, National and Federal Levels to reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were subsequently voted on for purposes of prioritization. The following proceedings include the knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. Results The Summit II evidence based action plan emphasizes the rapidly evolving scientific content of Hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. Conclusions The highest priority action items identified from the Summit include: 1) eliminate head hits from all levels of Ice Hockey, 2) change body checking policies, and 3) eliminate fighting in all amateur and professional Hockey.
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proceedings from the Ice Hockey summit on concussion a call to action
American Journal of Physical Medicine & Rehabilitation, 2011Co-Authors: Anthony A Smith, Michael J Stuart, Jason P Mihalik, Richard M Greenwald, Brian W Benson, David W Dodick, Carolyn A Emery, Jonathan T Finnoff, William O Roberts, Carol Anne SullivanAbstract:OBJECTIVE: : The objective of this proceeding was to integrate the concussion in sport literature and sport science research on safety in Ice Hockey to develop an action plan to reduce the risk, incidence, severity, and consequences of concussion in Ice Hockey. DESIGN: : A rationale paper outlining a collaborative action plan to address concussions in Hockey was posted for review 2 mos before the "Ice Hockey Summit: Action on Concussion." Focused presentations devoted specifically to concussion in Ice Hockey were presented during the summit, and breakout sessions were used to develop strategies to reduce concussion in the sport. The proceedings and a detailed scientific review (a matrix of solutions) were written to disseminate the evidence-based information and resulting concussion reduction strategies. The manuscripts were reviewed by the authors, advisors, and contributors to ensure that the opinions and recommendations reflect the current level of knowledge on concussion in Hockey. RESULTS: : Six components of a potential solution were articulated in the "Rationale" paper and became the topics for breakout groups that followed the professional scientific lectures. Topics that formed the core of the action plan were metrics and databases; recognizing, managing, and return to play; Hockey equipment and Ice arenas; prevention and education; rules and regulations; and expedient communication of the outcomes. The attendees in the breakout sessions identified the action items for each section. The most highly ranked action items were brought to a vote in the open assembly, using an Audience Response System. The strategic planning process was conducted to assess the following: "Where are we at?" "Where must we get to?" "What strategies are necessary to make progress on the prioritized action items?" CONCLUSIONS: : Three prioritized action items for each component of the solution and the percentage of the votes received are listed in the body of this proceeding. Language: en
Markku Tuominen - One of the best experts on this subject based on the ideXlab platform.
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injuries in world junior Ice Hockey championships between 2006 and 2015
British Journal of Sports Medicine, 2017Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Jari ParkkariAbstract:Background Detailed injury data are not available for international Ice Hockey tournaments played by junior athletes. We report the incidence, type, mechanism and severity of injuries in males under ages 18 and 20 at junior Ice Hockey World Championships during 2006–2015. Methods All injuries in the International Ice Hockey Federation World Junior under-20 (WJ U20) Championship and under-18 (WJ U18) Championship were collected over a 9-year period using a strict injury definition, a standardised injury reporting system and diagnoses made by a team physician. Results 633 injuries were recorded in 1326 games over a 9-year period, resulting in an injury rate (IR) of 11.0 per 1000 player-games and 39.8/1000 player-game hours. The IRs in all tournaments were 4.3/1000 player-games for the head and face, 3.2 for the upper body, 2.6 for the lower body and 1.0 for the spine and trunk. A laceration was the most common injury type followed by a sprain. Lacerations accounted for 80% (IR 3.6) of facial injuries in WJ U20 tournaments. The shoulder was the most common injury site (IR 2.0) in WJ U18 tournaments. Board contact was the mechanism for 59% of these shoulder injuries. Concussion was the most common head and face injury (46%; IR 1.2) in WJ U18 tournaments. Conclusions and recommendations The risk of injury among male junior Ice Hockey players was lower than the reported rates in adult men but higher than that in women. Facial lacerations were common in U20 junior players (WJ U20) since most wear only partial facial protection (visor). The IR for shoulder injuries was high in U18 junior players (WJ U18). Suggested strategies for injury prevention include full facial protection for all players and flexible board and glass for all junior tournaments.
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injuries in women s international Ice Hockey an 8 year study of the world championship tournaments and olympic winter games
British Journal of Sports Medicine, 2016Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Kari Tokola, Jari ParkkariAbstract:Background We report the incidence, type, mechanism and severity of Ice Hockey injuries in women9s international Ice Hockey championships. Methods All injuries in the International Ice Hockey Federation World Women9s Championship, World Women9s under-18 Championship and Olympic Winter Games tournaments were analysed over an 8-year period using a strict injury definition, standardised reporting and team physician diagnosis. Results 168 injuries were recorded in 637 games over an 8-year period resulting in an injury rate (IR) of 6.4 per 1000 player-games and 22.0/1000 player-game hours. The IRs were 2.7/1000 player-games for the lower body, 1.4 for the upper body, 1.3 for the head and face and 0.9 for the spine and trunk. Contusion was the most common injury followed by a sprain. The most commonly injured site was the knee (48.6% of lower body injuries; IR 1.3/1000 player-games). The Medial collateral ligament sprain occurred in 37.1% and ACL rupture in 11.4% of knee injuries. A concussion (74.3%; IR 1.0/1000 player-games) was the most common head injury. Conclusions and recommendations The risk of injury to female Ice Hockey players at World Championship and Olympic tournaments was about half of that observed in the men9s Championships. Full facial protection decreases the risk of lacerations and should be continued in all future female tournaments. More effective prevention strategies for knee, ankle and shoulder injuries are needed in women9s Ice Hockey. Improved concussion education is necessary to promote more consistent diagnosis and return to play protocols.
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sport concussion assessment tool 3rd edition normative reference values for professional Ice Hockey players
Journal of Science and Medicine in Sport, 2016Co-Authors: Timo Hanninen, Matti Vartiainen, Juha Ohman, Markku Tuominen, Jari Parkkari, Grant L. Iverson, Teemu M LuotoAbstract:Abstract Objectives To determine normative reference values for the Sport Concussion Assessment Tool—3rd Edition (SCAT3) using a large sample of professional male Ice Hockey players. Design A descriptive cross-sectional study. Methods Preseason baseline testing was administered individually to 304 professional male Ice Hockey players. Results The participants were aged between 16 and 40 with a mean ( M ) age of 25.3 years. Over 60% of the athletes reported previous concussion, almost 20% had been hospitalized or medically imaged following a head trauma. Of the players, 48% reported no symptoms. The symptom score median (Md) was 1.0 ( M =1.5) and severity median was 1.0 ( M =2.3). The median of the SAC score was 27.0 ( M =27.0). The median of the M-BESS was 1.0 ( M =2.0). The Tandem gait median was 10.9s ( M =10.8s). The most common baseline symptom was neck pain (24%). Delayed recall was the most difficult component of the SAC (Md=4); only 24% performed it flawlessly. All athletes completed the double-leg stance of the M-BESS without errors, but there was performance variability in the tandem stance (Md=0, M =0.6, range=0–10) and single-leg stance (Md=1.0, M =1.4, range=0–10). Conclusions Representative normative reference values for the SCAT3 among professional male Ice Hockey players are provided.
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injuries in men s international Ice Hockey a 7 year study of the international Ice Hockey federation adult world championship tournaments and olympic winter games
British Journal of Sports Medicine, 2015Co-Authors: Markku Tuominen, Michael J Stuart, Mark Aubry, Pekka Kannus, Jari ParkkariAbstract:Background Information on Ice Hockey injuries at the international level is very limited. The aim of the study was to analyse the incidence, type, mechanism and severity of Ice Hockey injuries in men’s international Ice Hockey tournaments. Methods All the injuries in men’s International Ice Hockey Federation World Championship tournaments over a 7-year period were analysed using a strict definition of injury, standardised reporting strategies and an injury diagnosis made by a team physician. Results 528 injuries were recorded in games resulting in an injury rate of 14.2 per 1000 player-games (52.1/ 1000 player-game hours). Additionally, 27 injuries occurred during practIce. For WC A-pool Tournaments and Olympic Winter Games (OWG) the injury rate was 16.3/1000 player-games (59.6/1000 player-game hours). Body checking, and stick and puck contact caused 60.7% of the injuries. The most common types of injuries were lacerations, sprains, contusions and fractures. A laceration was the most common facial injury and was typically caused by a stick. The knee was the most frequently injured part of the lower body and the shoulder was the most common site of an upper body injury. Arenas with flexible boards and glass reduced the risk of injury by 29% (IRR 0.71, (95% CI 0.56 to 0.91)). Conclusions The incidence of injury during international Ice Hockey competition is relatively high. Arena characteristics, such as flexible boards and glass, appeared to reduce the risk of injury.
Richard M Greenwald - One of the best experts on this subject based on the ideXlab platform.
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biomechanics of head impacts associated with diagnosed concussion in female collegiate Ice Hockey players
PMC, 2015Co-Authors: Bethany J Wilcox, Richard M Greenwald, Jonathan G Beckwith, Jeffrey J Chu, Thomas W Mcallister, Laura A Flashman, Arthur C Maerlender, Annchristine Duhaime, Neha P Raukar, Joseph J CriscoAbstract:Epidemiological evidence suggests that female athletes may be at a greater risk of concussion than their male counterparts. The purpose of this study was to examine the biomechanics of head impacts associated with diagnosed concussions in a cohort of female collegiate Ice Hockey players. Instrumented helmets were worn by 58 female Ice Hockey players from 2 NCAA programs over a three year period. Kinematic measures of single impacts associated with diagnosed concussion and head impact exposure on days with and without diagnosed concussion were evaluated. Nine concussions were diagnosed. Head impact exposure was greater in frequency and magnitude on days of diagnosed concussions than on days without diagnosed concussion for individual athletes. Peak linear accelerations of head impacts associated with diagnosed concussion in this study are substantially lower than those previously reported in male athletes, while peak rotational accelerations are comparable. Further research is warranted to determine the extent to which female athletes' biomechanical tolerance to concussion injuries differs from males.
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head impact mechanisms in men s and women s collegiate Ice Hockey
Journal of Athletic Training, 2014Co-Authors: Bethany J Wilcox, Richard M Greenwald, Jason T Machan, Jonathan G Beckwith, Emily Burmeister, Joseph J CriscoAbstract:Context: Concussion injury rates in men's and women's Ice Hockey are reported to be among the highest of all collegiate sports. Quantification of the frequency of head impacts and the magnitude of ...
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head impact exposure in male and female collegiate Ice Hockey players
Journal of Biomechanics, 2014Co-Authors: Bethany J Wilcox, Richard M Greenwald, Jonathan G Beckwith, Jeffrey J Chu, Thomas W Mcallister, Laura A Flashman, Arthur C Maerlender, Annchristine Duhaime, Joseph J CriscoAbstract:The purpose of this study was to quantify head impact exposure (frequency, location and magnitude of head impacts) for individual male and female collegiate Ice Hockey players and to investigate differences in exposure by sex, player position, session type, and team. Ninety-nine (41 male, 58 female) players were enrolled and 37,411 impacts were recorded over three seasons. Frequency of impacts varied significantly by sex (males: 287 per season, females: 170, p Language: en
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gender differences in head impacts sustained by collegiate Ice Hockey players
Medicine and Science in Sports and Exercise, 2012Co-Authors: Lindley L Brainard, Jonathan G Beckwith, Joseph J Crisco, Jeffrey J Chu, Thomas W Mcallister, Arthur C Maerlender, Annchristine Duhaime, Richard M GreenwaldAbstract:Purpose: This study aimed to quantify the frequency, magnitude, and location of head impacts sustained by male and female collegiate Ice Hockey players during two seasons of play. Methods: During two seasons, 88 collegiate athletes (51 females, 37 males) on two female and male National Collegiate Athletic Association varsity Ice Hockey teams wore instrumented helmets. Each helmet was equipped with six single-axis accelerometers and a miniature data acquisition system to capture and record head impacts sustained during play. Data collected from the helmets were postprocessed to compute linear and rotational accelerations of the head as well as impact location. The head impact exposure data (frequency, location, and magnitude) were then compared between genders. Results: Female Hockey players experienced a significantly lower (P 0.278) for all locations except the right side of the head, where males received fewer impacts than females (P = 0.031). Female Hockey players were 1.1 times more likely than males to sustain an impact less than 50g, whereas males were 1.3 times more likely to sustain an impact greater than 100g. Similarly, males were 1.9 times more likely to sustain an impact with peak rotational acceleration greater than 5000 rad·s-2 and 3.5 times more likely to sustain an impact greater than 10,000 rad·s-2. Conclusions: Although the incidence of concussion has typically been higher for female Hockey players than male Hockey players, female players sustain fewer impacts and impacts resulting in lower head acceleration than males. Further study is required to better understand the intrinsic and extrinsic risk factors that lead to higher rates of concussion for females that have been previously reported.
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proceedings from the Ice Hockey summit on concussion a call to action
American Journal of Physical Medicine & Rehabilitation, 2011Co-Authors: Anthony A Smith, Michael J Stuart, Jason P Mihalik, Richard M Greenwald, Brian W Benson, David W Dodick, Carolyn A Emery, Jonathan T Finnoff, William O Roberts, Carol Anne SullivanAbstract:OBJECTIVE: : The objective of this proceeding was to integrate the concussion in sport literature and sport science research on safety in Ice Hockey to develop an action plan to reduce the risk, incidence, severity, and consequences of concussion in Ice Hockey. DESIGN: : A rationale paper outlining a collaborative action plan to address concussions in Hockey was posted for review 2 mos before the "Ice Hockey Summit: Action on Concussion." Focused presentations devoted specifically to concussion in Ice Hockey were presented during the summit, and breakout sessions were used to develop strategies to reduce concussion in the sport. The proceedings and a detailed scientific review (a matrix of solutions) were written to disseminate the evidence-based information and resulting concussion reduction strategies. The manuscripts were reviewed by the authors, advisors, and contributors to ensure that the opinions and recommendations reflect the current level of knowledge on concussion in Hockey. RESULTS: : Six components of a potential solution were articulated in the "Rationale" paper and became the topics for breakout groups that followed the professional scientific lectures. Topics that formed the core of the action plan were metrics and databases; recognizing, managing, and return to play; Hockey equipment and Ice arenas; prevention and education; rules and regulations; and expedient communication of the outcomes. The attendees in the breakout sessions identified the action items for each section. The most highly ranked action items were brought to a vote in the open assembly, using an Audience Response System. The strategic planning process was conducted to assess the following: "Where are we at?" "Where must we get to?" "What strategies are necessary to make progress on the prioritized action items?" CONCLUSIONS: : Three prioritized action items for each component of the solution and the percentage of the votes received are listed in the body of this proceeding. Language: en
