Proceedings From the Ice Hockey Summit III: Action on Concussion

Smith, Aynsley M.; Alford, Patrick A.; Aubry, Mark; Benson, Brian W.; Black, Amanda M.; Brooks, Alison; Burke, Charles J.; D’Arcy, Ryan C.N.; Dodick, David W.; Eaves, Michael; Eickhoff, Chad; Erredge, Kristen; Farrell, Kyle; Finnoff, Jonathan T.; Fraser, Douglas D.; Giza, Christopher C.; Greenwald, Richard M.; Hoshizaki, Blaine; Huston, John; Jorgensen, Janelle; Joyner, Michael J.; Krause, David A.; LaVoi, Nicole M.; Leaf, Matthew; Leddy, John J.; Margarucci, Kevin; Margulies, Susan S.; Mihalik, Jason P.; Munce, Thayne A.; Oeur, Anna; Prideaux, Cara; Roberts, William O.; Shen, Francis X.; Soma, David; Tabrum, Mark; Stuart, Michael; Wethe, Jennifer; Whitehead, James; Wiese‐Bjornstal, Diane M.; Stuart, Michael J.

doi:10.1097/jsm.0000000000000745

Cited by 4 publications

(3 citation statements)

References 102 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…USA hockey began the "Heads Up, Don't Duck" program in 1995 to prevent checking positions that risked generating an axial load to the top of the head. 15 The Fair Play Program was also established to prevent injuries 16 and utilized a point system to reward teams who committed minimal penalties. 17 Fair Play was shown to reduce penalties and had some evidence that it reduced injuries as well.…”

Section: History Of Preventative Measuresmentioning

confidence: 99%

Cervical Spine Injuries in the Ice Hockey Player: Current Concepts in Epidemiology, Management and Prevention

Morrissette

Park

Lehman

et al. 2020

Global Spine Journal

View full text Add to dashboard Cite

Study Design: This review article examines the biomechanics that underly hockey-related cervical spine injuries, the preventative measures to curtail them, optimal management strategies for the injured player and return to play criteria. Objective: Hockey is a sport with one of the highest rates of cervical spine injury, but by understanding the underlying pathophysiology and context in which these injuries can occur, it is possible to reduce their incidence and successfully manage the injured player. Methods: Multiple online databases including PubMed, Google Scholar, Columbia Libraries Catalog, Cochrane Library and Ovid MEDLINE were queried for original articles concerning spinal injuries in ice hockey. All relevant papers were screened and subsequently organized for discussion in our subtopics. Results: Cervical fractures in ice hockey most often occur due to an increased axial load, with a check from behind the most common precipitating event. Conclusions: Despite the recognized risk for cervical spine trauma in ice hockey, further research is still needed to optimize protocols for both mitigating injury risk and managing injured players.

show abstract

Section: History Of Preventative Measuresmentioning

confidence: 99%

Cervical Spine Injuries in the Ice Hockey Player: Current Concepts in Epidemiology, Management and Prevention

Morrissette

Park

Lehman

et al. 2020

Global Spine Journal

View full text Add to dashboard Cite

show abstract

“…Identification of a suspected concussion requires removal from play and assessment by a qualified medical provider. 4 A variety of tools aid in making an objective concussion diagnosis. 5…”

Section: Introductionmentioning

confidence: 99%

“…Identification of a suspected concussion requires removal from play and assessment by a qualified medical provider. 4 A variety of tools aid in making an objective concussion diagnosis. 5 The King-Devick (KD) test uses rapid number naming to assess oculomotor function, cognitive function, and attention as a component of an objective concussion screen.…”

Section: Introductionmentioning

confidence: 99%

Validity Indices of the King-Devick Concussion Test in Hockey Players

Krause

Hollman

Breuer

et al. 2021

Clinical Journal of Sport Medicine

Self Cite

View full text Add to dashboard Cite

Objective:To compare the validity indices of the King-Devick (KD) test in hockey players using any increase in test time over baseline to a 6-second increase as a positive concussion test. We hypothesized the KD test using the 6-second change would yield greater validity indices.Design:Prospective observational cohort study.Setting:Sports complex.Participants:Sixty-five male hockey players aged 13 to 20 years.Independent Variable:Concussion diagnosis.Main Outcome Measures:Time to complete the KD test. Sensitivity (SN), specificity (SP), and the positive likelihood ratios (LRs+) were calculated using 2 thresholds for a positive test: (1) any increase in time and (2) an increase of 6 seconds or greater.Results:Eighteen players (27.7%) were diagnosed with a concussion. Using any increase in time as a positive test yielded the following: SN 72.2%, SP 78.7%, LR+ 3.4, and LR− 0.4. Using the 6-second threshold yielded the following: SN 44.4%, SP 93.6%, LR+ 7.0, and LR− 0.6. A receiver operator curve analysis confirmed 6.40 seconds or greater maximized the LR+.Conclusions:A 6-second or greater increase in the KD test performance provides greater validity in diagnosing concussion as compared with any increase in performance time.

show abstract

Sport-related concussion and bodychecking in children and youth: Evaluation, management, and policy implications

Goulet

Beno

2023

Paediatrics &Amp; Child Health

View full text Add to dashboard Cite

Concussions are a common injury both within and outside sport and recreational settings, and they remain a serious concern for children and youth. Any young person suspected of sustaining a concussion should be medically evaluated as soon as possible, and when the injury occurs during sport, the individual must be removed from play immediately to avoid secondary injury. A brief initial period of physical and cognitive rest is followed by supervised, stepwise return-to-learn and return-to-play protocols. All individuals involved in child and youth sports and recreation must be able to recognize risk for, and signs and symptoms of, concussion. They must also ensure that any participant suspected of sustaining a concussion is properly evaluated and managed by qualified medical personnel. Evolving data and literature have strengthened both our pathophysiological understanding of concussion and guidance for clinical management, especially related to acute care, persistent symptoms, and prevention. This statement also re-examines the relationship between bodychecking in hockey and injury rates, and advocates for a change in policy in youth hockey.

show abstract

Proceedings From the Ice Hockey Summit III: Action on Concussion

Cited by 4 publications

References 102 publications

Cervical Spine Injuries in the Ice Hockey Player: Current Concepts in Epidemiology, Management and Prevention

Cervical Spine Injuries in the Ice Hockey Player: Current Concepts in Epidemiology, Management and Prevention

Validity Indices of the King-Devick Concussion Test in Hockey Players

Sport-related concussion and bodychecking in children and youth: Evaluation, management, and policy implications

Contact Info

Product

Resources

About