Concussion in Ice Hockey—A Cohort Study Across 29 Seasons

Pauelsen, Mascha; Nyberg, Gusten; Tegner, Cecilia; Tegner, Yelverton

doi:10.1097/jsm.0000000000000347

Cited by 19 publications

(22 citation statements)

References 29 publications

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“…In retired NFL American football players, studies 23,24 have demonstrated a correlation between previous history of concussion and an increased incidence of lower extremity musculoskeletal injury including osteoarthritis. Cohort studies have demonstrated an increased risk of subsequent musculoskeletal injury following a concussive injury in professional sports including rugby union, 25 ice hockey, 26 Australian Rules Football 27 and soccer, 28 alongside a similar trend in US collegiate athletes 29,30 . A recent study 31 has also examined this relationship in adolescent high‐school athletes across various sports.…”

Section: Discussionmentioning

confidence: 99%

Injury patterns in U15 rugby players in Ulster schools: A Rugby Injury Surveillance (RISUS) Study

Archbold

Rankin²,

Webb

et al. 2021

Transl Sports Med

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Participation in collision sports such as rugby union has inherent risk of injury. The aim of this study was to examine injury patterns and risk factors in adolescent rugby players (U15 years). A prospective injury surveillance study was undertaken involving 26 schools (599 male rugby players, mean age 14.7years). Data were collected over the 2016/17 playing season, with injuries classified by body part and diagnosis. We explored the association between risk factors (demographic/biometric; injury history, protective equipment, training profile, level of play) using cox proportional hazard models with time to injury as the dependent variable. Nearly, 30% of players (178/599) suffered at least one injury. Injury incidence is estimated at 14.7 injuries/1000 match hours. Most injuries occurred in the tackle situation (64.6%, 135/209). Common injury sites were head/face (n = 95, 45.5%), ankle (n = 21, 10.0%), or wrist/hand (n = 15, 7.2%). Concussion (n = 79, 37.8%), wrist/ hand fractures (n = 19, 9.1%), or ankle sprains (n = 16, 7.6%) were the most common diagnoses. Seven concussions (8.9%) resulted in more than 28 days absence from play. A higher risk of injury was associated with: previous concussion (AHR 1.45; 95% CI 1.02 to 2.06), and any previous injury (AHR 1.85; 95% CI 1.23 to 2.78). One in three U15 rugby players sustained an injury over a single playing season. Concussion remains a concern in this age group and should be prioritized in future research.

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Section: Discussionmentioning

confidence: 99%

Injury patterns in U15 rugby players in Ulster schools: A Rugby Injury Surveillance (RISUS) Study

Archbold

Rankin²,

Webb

et al. 2021

Transl Sports Med

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“…In general, participants dreamed about becoming better, finding worthwhile activities, becoming able to work full-time and being independent: "I've come to realise that I will live a life with troubles for the rest of my life. It's been 3…”

Section: ] People Generally Don't Really Understand; They See [A Concussion] As a Blow [ ] But I've Really Felt That It's Interfered Wimentioning

confidence: 99%

Losing the identity of a hockey player: the long-term effects of concussions

et al. 2020

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Aim: To describe what suffering multiple concussions meant for former semi-professional or professional hockey players who were forced to end their career. Results: Nine former Swedish hockey players, who once played on national or professional teams were interviewed. The interviews were analyzed with reference to hermeneutic phenomenology to interpret and explain their experiences. The theme of losing one’s identity as a hockey player was constructed from five subthemes: being limited in everyday life, returning to the hockey stadium as soon as possible, forming a post career identity, lacking understanding and support, and preventing injuries by respecting other players. Conclusion: The former hockey players struggled with developing their off-the-ice identities and with finding other sources of meaning for their lives.

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“…Sports-related concussions (SRCs) are common in contact sports such as football, soccer, rugby and ice hockey [ 1 , 2 ]. The incidence has increased in many sports, including ice hockey [ 3 , 4 ]. The majority of SRCs lead to relatively short-lived symptoms, and most athletes return to play (RTP) within a couple of weeks [ 5 , 6 ].…”

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confidence: 99%

“…In recent decades, SRC has become an growing problem in Swedish ice hockey [ 3 ], and improved treatments are urgently needed. In this study, our aim was to investigate whether early selective head–neck cooling treatment improves outcome in Swedish professional ice hockey players.…”

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confidence: 99%

Selective head–neck cooling after concussion shortens return-to-play in ice hockey players

et al. 2021

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We aimed to investigate whether selective head–neck cooling could shorten recovery after sports-related concussions (SRCs). In a nonrandomized study of 15 Swedish professional ice hockey teams, 29 concussed players received immediate head and neck cooling for ≥30 min (initiated at 12.3 ± 9.2 min post-SRC by a portable cooling system), and 52 SRC controls received standard management. Players receiving head–neck cooling had shorter time to return-to-play than controls (7 vs 12.5 days, p < 0.0001), and 7% in the intervention group versus 25% in the control group were out of play for ≥3 weeks (p = 0.07). Immediate selective head–neck cooling is a promising option in the acute management of SRC that should be addressed in larger cohorts.

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Concussion in Ice Hockey—A Cohort Study Across 29 Seasons

Abstract: This study showed a significant increase of concussion IR and a trend toward longer rehabilitation periods due to concussion. Possible risk factors were discussed. Risk behavior and rehabilitation protocols should be prioritized areas in the research of concussion in ice hockey.

Cited by 19 publications

References 29 publications

Injury patterns in U15 rugby players in Ulster schools: A Rugby Injury Surveillance (RISUS) Study

Injury patterns in U15 rugby players in Ulster schools: A Rugby Injury Surveillance (RISUS) Study

Losing the identity of a hockey player: the long-term effects of concussions

Selective head–neck cooling after concussion shortens return-to-play in ice hockey players

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