Concussions in youth hockey

Concussions in youth hockey are more likely to occur during illegal hits.

Concussions in youth ice hockey are as common as in youth football and soccer, and often occur when players break the rules of the game, a new study finds.

While the concussion rates in youth ice hockey are no greater than in other contact sports, more than 40 percent are caused by illegal hits, especially from behind, researchers said.

And younger players were at higher risk, according to the report.

"These findings highlight the importance of providing medical assistance, not only during ice hockey games, but also during practices, where more concussions occurred than expected," said Anthony Kontos, the study's lead author. Kontos is research director of the University of Pittsburgh Medical Center's Sports Medicine Concussion Program.

According to the USA Hockey Coaching Education Program, illegal moves include hitting from behind, crossing arms to hit a player in the neck and jumping on a player to push him into the wall.

Kontos suggested that training kids to obey the rules and enforcing penalties may reduce the number of concussions.

"Better enforcement of existing penalties for illegal hits -- especially those from behind when players are less able to protect themselves -- may help to limit concussions in youth ice hockey," he said.

The report was published online Jan. 8 in the journal Pediatrics.

For the study, the researchers followed nearly 400 ice hockey players aged 12 to 18 who took part in more than 23,000 games and practices during the 2012-13 and 2013-14 seasons.

There were 37 diagnosed concussions, all of which involved player-to-player contact, such as checking or collision. Illegal plays resulting in penalties accounted for 43 percent of the concussions, Kontos and colleagues found.

Concussions were three times more likely to happen during games than practices. However, ice hockey players were more likely to get a concussion during practice than kids in other sports practices, including football, the investigators found.

Most youth ice hockey concussions were suffered by players aged 12 to 14, rather than older players, the findings showed. This is in contrast to other youth sports, such as football, where concussion rates increase as players get older.

"Younger players may be at higher risk for concussion than older players, possibly due to unfamiliarity with checking and disparities in body size and strength, which highlights the need for concussion awareness and clinical care in this at-risk age group," Kontos said.

Symptoms of a concussion include severe headache, dizziness, blurred vision, sensitivity to light and, in severe cases, recurrent vomiting, the researchers said.

When a concussion occurs, the player should be taken out of the game and not be allowed to play again until all the symptoms are gone and a doctor has been consulted, Kontos added.

But if the symptoms are serious, such as a severe headache or recurrent vomiting or dizziness to the point of having trouble walking, then the player should go to the emergency room, he advised.

Dr. John Kuluz, director of traumatic brain injury and neurorehabilitation at Nicklaus Children's Hospital in Miami, said kids should play sports for all the positive things the games can do for children.

"But follow the rules," he added.

"A lot of improvement is needed in terms of the players and how they play the game within the rules," Kuluz said. "Make sure your kid plays for a coach and a team that appreciates the seriousness of concussion."

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Study: Most NHL and Youth Hockey Helmets are Unsafe

A study shows that most helmets used in the NHL and by youth hockey players are not safe.

A new independent study has found that hockey players, ranging across the National Hockey League, or NHL to the youth leagues, are at the risk of concussion from hits during matches due to a lack of protection thanks to poor quality helmets.

The study, conducted by Virginia Polytechnic Institute and State University, tested 32 helmets available in the market on their ability to protect the players from concussion. The study aimed to rank the helmets on a scale of five stars. It was not funded by the NHL, cost $500,000 and took three years to complete.

According to the study, published publicly last Monday, none of the helmets got a 4-star or 5-star rating. Only one helmet, made by Warrior Sports, got a 3-star rating. Nine helmets failed to get even a single star, and the rest got a 1-star or 2-star rating.

"We don't think anybody should be playing in these helmets," Stefan Duma, the head of Virgina Tech’s biomedical engineering department said, as reported by ESPN.

Players wearing the poorly rated could be at risk of anywhere between six to eight concussions per season, the report claimed. The two most expensive helmets available in the market, made by Bauer and CCM, received just one star.

The report raises questions over the testing methods used to certify hockey helmets, as it claims all 32 helmets were approved by the Hockey Equipment Certification Council. The report raises questions as to whether more can be done to improve the safety standards of a sport played by millions in the United States.  

Steps are, however, being taken to reduce the risk of concussions. These include coaching players to avoid head-on clashes, safer techniques to tackle, avoiding fights, among others. 

"There will never be a perfect helmet that will prevent all concussions. It's about risk reduction. The reality is when you look at the bottom and the top helmets, you're talking about massive reductions in acceleration, over half. I think almost all biomechanical engineers would agree that that's a significant difference," Duma said.

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