Economic burden of time lost due to injury in NHL hockey players

Donaldson, Laura; Li, Bing; Cusimano, Michael D.

doi:10.1136/injuryprev-2013-041016

Cited by 54 publications

(58 citation statements)

References 14 publications

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“…1 Thus, the high rate of injuries is not surprising, with more than half of all National Hockey League (NHL) players missing at least 1 game per season because of injury. 2 National Hockey League concussion rates are 5.8 to 6.1 per 100 games, with forwards experiencing disproportionally more concussions (65%) than defensemen (32%) or goalies (3%), with a median time loss of 6 days. 3,4 Furthermore, concussions most frequently occur during the first period (47%), in the defensive zone (45%), and along the perimeter (53%) after player-to-player contact (85%) involving the shoulder (42%) and impacts to the lateral side of the head (74%).…”

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confidence: 99%

“…However, heightened awareness and more conservative concussion-management strategies may partly explain the elevated rates. 2,6,7 Most concussed athletes return to premorbid levels of functioning on common clinical examinations within 7 to 10 days 8 ; yet these assessments have numerous limitations, including suboptimal test-retest reliability and an inability to identify subtle neurologic deficits, suggesting that athletes may be returning to participation before complete neurologic recovery. 9,10 Indeed, deficits persisting beyond clinical recovery have been identified using a variety of laboratory, neuroimaging, electrophysiological, and biomarker protocols, but the clinical meaningfulness of these deficits remains unresolved.…”

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confidence: 99%

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Concussion and National Hockey League Player Performance: An Advanced Hockey Metrics Analysis

Buckley

Bryk

Pelt

et al. 2019

Journal of Athletic Training

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Context: Postconcussion deficits in neurocognitive performance and postural control may persist at the time of return to sport participation. How these deficits, if present, affect athletic performance is largely unknown, with prior studies showing mixed results.Objective: To evaluate postconcussion National Hockey League player performance using advanced hockey metrics over short-(5 games), medium-(10 games), and long-term (remainder of the season) seasonal performance.Design: Retrospective cohort study. Patients or Other Participants: National Hockey League players who sustained a sport-related concussion (SRC; n ¼ 93) and returned during the same season and players (n ¼ 51) who missed time for non-injury-related reasons.Main Outcome Measure(s): Six performance metrics were used: (1) points per 60 minutes, (2) Corsi percentage, (3) personal Fenwick shooting percentage, (4) scoring chances per 60 minutes, (5) penalty difference, and (6) PDO (not an acronym but sometimes referred to as SVSP% [save percentage shooting percentage]). Performance was compared using 2 (group) 3 2 (time) repeated-measures analyses of variance for 3 time windows: (1) 65 games, (2) 610 games, and (3) the remainder of the season postconcussion. Alpha values were set at a conservative .01 to account for the lack of independence among dependent variables.Results: No significant interactions were present for any of the 6 dependent variables at any of the 3 time windows. Overall, none of the secondary variables differed.Conclusions: Using advanced, sport-specific metrics, we found that National Hockey League players did not display worse seasonal performance during 3 postinjury time frames after they sustained an SRC. Whereas laboratory studies have identified lingering neurologic deficits after concussion, our results suggest that these deficits, if present, either do not translate to worse athletic performance or were not captured by these 44 metrics. Further, prospective efforts are needed to accurately quantify performance after SRC among professional hockey players.

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confidence: 99%

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confidence: 99%

Concussion and National Hockey League Player Performance: An Advanced Hockey Metrics Analysis

Buckley

Bryk

Pelt

et al. 2019

Journal of Athletic Training

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“…The risk of concussion has been well documented [1][2][3][4][5][6][7] and potential sequelae, including chronic traumatic encephalopathy (CTE), are alarming. [8][9][10][11][12][13] The Ice Hockey Summit III: Action on Concussion brought together physicians, researchers, athletic trainers, sports scientists and engineers to describe sport related concussion (SRC) epidemiology, classify prevention strategies, define objective, diagnostic tests, identify treatment and integrate science and clinical care into prioritized action plans and policy. Presentations and discussion panels were organized to address the objectives before attendees selected the most highly prioritized action items.…”

Section: Introductionmentioning

confidence: 99%

“…Studies looking at injury rates, including concussion, show a decrease in these injuries in tournaments played under FP rules [49]. In assessing injury rates there is evidence suggesting that teams forfeiting their FP point (suggesting a less disciplined style of play) experience a higher injury rate compared to teams that earn their FP point [8,[50][51][52][53].…”

Section: (Iii) Fair Play: In 1979 Vaz Introduced Fair Play (Fp) Inmentioning

confidence: 99%

Proceedings from the Ice Hockey Summit III: Action on Concussion

Smith

Alford

Aubry³

et al. 2019

Exerc Med

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History:Objectives: 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. 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:(1) establish a national and international hockey data base 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 (POC); 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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“…In particular, hip-related injuries not only comprise a large proportion of reported musculoskeletal injuries but also have increased in occurrence and contribute significantly to game-time loss in ice hockey. [3][4][5][6] These injuries can be chronic or acute and extra-articular, intra-articular, or "hip mimicking," which can complicate the diagnosis and management of ice hockey players presenting with groin pain. 7 Understanding the incidence, causes, and outcomes of these injuries is crucial to improving established preventive strategies and treatment plans.…”

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confidence: 99%