Title: Principles of Research
1Ice Hockey Injuries
Michael J. Stuart MD USA Hockey Chief Medical
Officer Safety and Protective Equipment
Committee ,
2ICE HOCKEY INJURIES
a finesse sport that requires dexterity,
speed and power
3ICE HOCKEY INJURIES
a violent sport played with clubs, a bullet,
and knives
41. Have Fun 2. Play Hard 3. Play Smart 4.
Play Fair
51. Have Fun 2. Play Hard 3. Play Smart 4.
Play Fair
61. Have Fun 2. Play Hard 3. Play Smart 4.
Play Fair
71. Have Fun 2. Play Hard 3. Play Smart 4.
Play Fair
8NEVER !
X Deliver a hit to the head X Check from
behind X Use your stick as a weapon X Leave
your feet to give a check X Drop your head near
the boards
9INJURY 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)
10INJURY RISK
n Risk of injury in games increases with each
higher level of participation.
Division Injuries per 1,000
hours Mite (n2) 0.8 Squirt
(n10) 0.6 Peewee (n44) 3.8 Bantam
(n32) 3.0 High School (n9) 9.3
Junior A 96.1
11INJURY RISK
12INJURY 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
13INJURY 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 25x more likely to
be injured in a game as compared to a practice.
Stuart MJ Smith AM, AJSM 1995
14INJURY RISK
3 body mass 3 strength 3 speed 3 size
variation 3 intensity of competition 3 violent
attitudes 3 illegal activities
15INJURY RISK
Prevention is the Key
3 Preseason screening examination 3
Sports-specific conditioning 3 Focused stretching
strength training programs
16INJURY RISK
3 enforcement of existing rules 3 sportsmanship
mutual respect 3 body contact body control
skills 3 post-injury evaluation
17INJURY RISK
3 full facial protection 3 custom mouthpiece 3
improvement in equipment 3 rink modifications l
increased ice surface size l force-dissipating
boards