Understanding the resistance to creating safer ice hockey: essential points for injury prevention

Todd, Ryan A; Soklaridis, Sophie; Treen, Alice K; Bhalerao, Shree; Cusimano, Michael D.

doi:10.1136/injuryprev-2016-042272

Cited by 3 publications

(2 citation statements)

References 54 publications

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“…In response, Carless and Douglas have suggested that team managers, coaches, league governing bodies, other athletes and researchers need to support alternative narratives that support athletes' long-term development and well being, even once their athletic career ends [31,32]. According to Todd et al, the majority of concussions in hockey are caused by body checking [47]. Despite the known negative outcome, there is a resistance to removing body checking from hockey.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…48 Moreover, to our knowledge, only 1 study has assessed differences in head impact exposures during games and practices among youth flag football athletes. 29 As there are observed differences between practice and games in athlete and coach behavior, such as reduced concussion reporting by athletes and greater use of aggressive actions during games, 11,12,45 further investigation is warranted. 22 The goal of this study was to expand upon what is currently known about head impact exposure among youth tackle and flag football athletes during both practices and games.…”

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confidence: 99%

Differences in Head Impact Exposures Between Youth Tackle and Flag Football Games and Practices: Potential Implications for Prevention Strategies

Sarmiento

Waltzman

Devine³

et al. 2021

Am J Sports Med

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Background: Interventions designed to reduce the risk for head impacts and concussion in youth football have increased over the past decade; however, understanding of the role of regular game play on head impact exposure among youth tackle and flag football athletes is currently limited. Purpose: To explore head impact exposure among youth tackle and flag football athletes (age range, 6-14 years) during both practices and games. Study Design: Cohort study; Level of evidence, 2. Methods: Using the Vector MouthGuard sensor, the authors collected head impact data from 524 tackle and flag youth football athletes over the course of a football season. Quantities of interest were estimated from regression models using Bayesian methods. Results: For impacts ≥10 g, a tackle football athlete had an estimated 17.55 (95% CI, 10.78-28.96) times more head impacts per practice compared with a flag football athlete (6.85 [95% CI, 6.05-7.76] and 0.39 [95% CI, 0.24-0.62] head impacts, respectively). Additionally, a tackle football athlete had an estimated 19.48 (95% CI, 12.74-29.98) times more head impacts per game compared with a flag football athlete (13.59 [95% CI, 11.97-15.41] and 0.70 [95% CI, 0.46-1.05] head impacts, respectively). Among tackle football athletes, the estimated average impact rate was 6.51 (95% CI, 5.75-7.37) head impacts during a practice and 12.97 (95% CI, 11.36-14.73) impacts during a game, resulting in 2.00 (95% CI, 1.74-2.29) times more ≥10 g head impacts in games versus practices. Tackle football athletes had 2.06 (95% CI, 1.80-2.34) times more high-magnitude head impacts (≥40 g) during a game than during a practice. On average, flag football athletes experienced an estimated 0.37 (95% CI, 0.20-0.60) head impacts during a practice and 0.77 (95% CI, 0.53-1.06) impacts during a game, resulting in 2.06 (95% CI, 1.29-3.58) times more ≥10 g head impacts in games versus practices. Because of model instability caused by a large number of zero impacts for flag football athletes, a comparison of high-magnitude head impacts is not reported for practices or games. Conclusion: This study provides a characterization of the head impact exposure of practices and games among a large population of youth tackle and flag football athletes aged 6 to 14 years. These findings suggest that a greater focus on game-based interventions, such as fair play interventions and strict officiating, may be beneficial to reduce head impact exposures for youth football athletes.

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