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    Jr a Injuries in One Season

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    7 views5 pages

    JR A Injuries in One Season

    Uploaded by

    wernsickle
    Jr a Injuries in One Season

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    tia Journal ofS Mesa 9:70-24 ‘S58 Lppnc Wine Win Pela Prospective Analysis of Ice Hockey Injuries at the Junior A Level over the Course of One Season *Mark Pinto, Mp, *John E. Kuhn, Mp, *Mary Lou V. H. Greenfield, mri, Ms, and Richard J. Hawkins, MD *MedSport, Division of Sports Medicine, Section of Orthopedic Surgery, University of Michigan Medical School, Ann Arbor, ‘Michigan, and fSteadman-Hawkins Clinic, Vail, Colorado ‘Objective: This study was conducted to identify the circum- stances, timing, frequency, and types of injures for a Junior A hockey team in an atlempt to develop injury prevention stat- pies Design: This study was a prospective review of injuries sus- tained by a hockey team during one season. Setting: Players were evalusted ina private practice clinical setting and during practices and games. Participants: Twenty-two hockey players (16-20 years old) were evaluated. An injury was defined as any event requiring the attention of a physician or trainer. The players sustained £3 injuries throughout the course of the season, Seventy-four were considered independent event Main Outcome Measures: The effects of the following. variables on injury rates were analyzed: postion, game situa- tion versus practice, and timing of injury during the game. Results: Players were 20 times more likely to injure them= tained the highest total percentage of injuries, defensemen had the highest incidence of injury in games. More injuries oc- curred in the later periods and in the later minutes of each period. Injury incidence decreased for the second half of the season compared with the first half ‘Conclusion: Our data suggest goaltenders are atthe lowest risk of sustaining an injury, but forwards appear to be at a higher risk in practice situations and defensemen in games, Game situations place players at a much greater risk of injury than practice sessions, particularly inthe later portions ofeach petiod and toward the end of the game. Given the propensity {or injury inthe early season and later in the game, endurance ‘analysis—Sports injuries. selves during & game than practice. Although forwards sus- lee hockey is an exciting and fast-paced sport requi ing players to accelerate and decelerate quickly with agility to check and avoid being checked, o obtain the pick, to neutralize the opponent, and to score. Sim et al.!? have shown that players teach skating speeds of approximately 30 miles per hour, use hockey sticks that reach speeds of 20 to 40 rad/second, and shoot pucks that travel at 120 miles per hour ona rink surrounded by rigid ‘boards on the sides, steel goalposts on the ends, and an ice surface below.*? Further, checking requires many high-speed player collisions within these confines, where players can slide at speeds of 15 miles per hour with itle to no control over the speed or direction oftheir contact within the rink.'? Sim et al.! have stated that ice hockey ‘may be the fastest and most violent team sport in the ‘world. Inuries are to be expected in such a setting; and 4s ice hockey continues to rise in popularity within the United States,!"° ice hockey-related injuries are likely Received July 15,198; accepted March 3, 1959. ‘Adress comespondence and reprint requests 10 Joba E. Kuhn, MD, Medpon, 24 Frank Lloyd Wright Dr, Box 0363, Ann Arbor, Mi 881060563, 70 (Cin J Sport Med 199939:70-14, to increase, The aim of this study was to identify the circumstances, timing, frequency, and types of injuries on one championship Junior A hockey team during one season to attempt to develop strategies for injury preven tion. PATIENTS AND METHODS ‘Twenty-two active players were on the roster of a Jeague championship Junior A hockey team in its inau- gural year, including 3 goaltenders, 8 defensemen, and 11 forwards. All were male, and ranged from 16 to 20 ‘years of age. The season, including preseason practices and postseason tournament play, lasted 7.5 months. Prac- tices averaged 1.5 hours a day, 4 days a week. There were 7 preseason games and 4 exhibition games, 48 Teague games, and 4 postseason tournament games dur- ing the course of the season. The players wore standard hockey pads during practices and games, including hel- mets; however, the use of full face shields was optional for players 18 years of age and older. ‘An injury was defined as any event that required the attention of a physician or trainer.” Data were col- ANALYSIS OF ICE HOCKEY INJURIES AT JUNIOR A LEVEL a lected on all injuries at the time the injury was reported to the team physicians or trainers on specially developed cards (see Appendix). These cards were used to evaluate the following parameters and hypotheses with regard to injury rate 1. The player's postion; our hypothesis was that for ‘wards would have a higher risk of injury than de- fensemen or goaltenders, as previous studies have demonstrated: 2. The nature of the game and practice; our hypothesis was thatthe risk of injury would be highest for play- off games, followed by league games, then exhibi- tion and preseason games, and finally, practices. 3. The timing ofthe injuries during games; our hypoth- ‘sis was that more injuries were likely to oceur in the third period, and that within each period, ‘were more likely to occur atthe end of the period. In addition, we analyzed the location, type, and severity of injuries and the circumstances surrounding each injury. At the end of the season, data were analyzed and in- Jury rates were calculated. Incidence of injury was also calculated using an athlete exposure rate that was refer- enced to player-game hours or player-practice hours, as described by Pelletier et al!” and used by previous au- thors.5* Incidence of injury was calculated by assum- ing that 6 players were on the ice during game situations and 22 players were on the ice during practice. The num- ber of players was divided by the number of specific ‘game or practice hours inthis single season. This method allowed the rate of injury to be calculated with reference to the number of players at risk so thatthe rate might be compared with those in other studies. Injuries that were Judged to be a result of a recent previous injury or not hockey related were excluded from analysis so that each injury could be considered as an independent event. Limitations in the power of the data and multiple com- parisons prevented statistical analysis; as such, the re- sults are descriptive and expressed as injury rates and percentages, with summary statistics reported, RESULTS In total, 22 players sustained 83 injuries requiring ‘medical attention, Seven injuries were not hockey re- Ited, and two were not thought to be independent. These injuries were excluded, leaving 74 independent injuries for analysis Player Position Overall, forwards were more likely to sustain injuries than defensemen or goaltenders. Forwards sustained (63% of injuries, while representing 50% of the team. Defensemen represented 36.4% of players and sustained 32.446 of the injuries. In games, the injury rte per for- ‘ward was 138 injuries per 1,000 game hours. Although

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