Ice Hockey Injuries Michael J Stuart MD USA

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Ice Hockey Injuries Michael J. Stuart MD USA Hockey Chief Medical Officer Safety and

Ice Hockey Injuries Michael J. Stuart MD USA Hockey Chief Medical Officer Safety and Protective Equipment Committee

ICE HOCKEY INJURIES “a finesse sport that requires dexterity, speed and power”

ICE HOCKEY INJURIES “a finesse sport that requires dexterity, speed and power”

ICE HOCKEY INJURIES “a violent sport played with clubs, a bullet, and knives”

ICE HOCKEY INJURIES “a violent sport played with clubs, a bullet, and knives”

1. Have Fun 2. 3. 4. Play Hard Play Smart Play Fair

1. Have Fun 2. 3. 4. Play Hard Play Smart Play Fair

1. Have Fun 2. Play Hard 3. Play Smart 4. Play Fair

1. Have Fun 2. Play Hard 3. Play Smart 4. Play Fair

1. Have Fun 2. Play Hard 3. Play Smart 4. Play Fair

1. Have Fun 2. Play Hard 3. Play Smart 4. Play Fair

1. 2. 3. Have Fun Play Hard Play Smart 4. Play Fair

1. 2. 3. Have Fun Play Hard Play Smart 4. Play Fair

NEVER ! X X X Deliver a hit to the head Check from behind

NEVER ! X X X Deliver a hit to the head Check from behind Use your stick as a weapon Leave your feet to give a check Drop your head near the boards

INJURY RISK n level of participation n game versus practice exposure n protective equipment

INJURY RISK n level of participation n game versus practice exposure n protective equipment n player position n violent behavior n personal susceptibility (pre-existing injury and style of play)

INJURY RISK Risk of injury in games increases with each higher level of participation.

INJURY RISK Risk of injury in games increases with each higher level of participation. n Division Injuries per 1, 000 hours Mite* (n=2) Squirt (n=10) Peewee (n=44) Bantam (n=32) High School# (n=9) 9. 3 Junior A 0. 8 0. 6 3. 8 3. 0 96. 1

INJURY RISK

INJURY RISK

INJURY RISK “Injuries in Junior A Ice Hockey. A Three-Year Prospective Study” n Game

INJURY RISK “Injuries in Junior A Ice Hockey. A Three-Year Prospective Study” n Game injury rate of 96. 1 per 1000 player game-hours n Players were ? ? ? more likely to be injured in a game as compared to a practice. Stuart MJ & Smith AM, AJSM 1995

INJURY RISK “Injuries in Junior A Ice Hockey. A Three-Year Prospective Study” n Game

INJURY RISK “Injuries in Junior A Ice Hockey. A Three-Year Prospective Study” n Game injury rate of 96. 1 per 1000 player game-hours n Players were 25 x more likely to be injured in a game as compared to a practice. Stuart MJ & Smith AM, AJSM 1995

INJURY RISK 3 3 3 3 body mass strength speed size variation intensity of

INJURY RISK 3 3 3 3 body mass strength speed size variation intensity of competition violent attitudes illegal activities

INJURY RISK Prevention is the Key 3 Preseason screening examination 3 Sports-specific conditioning 3

INJURY RISK Prevention is the Key 3 Preseason screening examination 3 Sports-specific conditioning 3 Focused stretching & strength training programs

INJURY RISK 3 enforcement of existing rules 3 sportsmanship & mutual respect 3 body

INJURY RISK 3 enforcement of existing rules 3 sportsmanship & mutual respect 3 body contact & body control skills 3 post-injury evaluation

INJURY RISK 3 full facial protection 3 custom mouthpiece 3 improvement in equipment 3

INJURY RISK 3 full facial protection 3 custom mouthpiece 3 improvement in equipment 3 rink modifications l increased ice surface size l force-dissipating boards