Int J Sports Med 2010; 31(11): 826-833
DOI: 10.1055/s-0030-1263103
Orthopedics & Biomechanics

© Georg Thieme Verlag KG Stuttgart · New York

Measurement of Head Impacts in Youth Ice Hockey Players

N. Reed1 , T. Taha2 , M. Keightley1 , C. Duggan1 , J. McAuliffe3 , J. Cubos4 , J. Baker4 , B. Faught5 , M. McPherson6 , W. Montelpare6
  • 1University of Toronto, Occupational Science and Occupational Therapy, Toronto, Canada
  • 2University of Toronto, Faculty of Physical Education and Health, Toronto, Canada
  • 3Nipissing University, Department of Physical and Health Education, North Bay, Canada
  • 4York University, School of Kinesiology and Health Science, Toronto, Canada
  • 5Brock University, Faculty of Applied Health Sciences, St. Catherines, Canada
  • 6Lakehead University, School of Kinesiology, Thunder Bay, Canada
Further Information

Publication History

accepted after revision July 13, 2010

Publication Date:
09 September 2010 (online)

Abstract

Despite growing interest in the biomechanical mechanisms of sports-related concussion, ice hockey and the youth sport population has not been studied extensively. The purpose of this pilot study was: 1) to describe the biomechanical measures of head impacts in youth minor ice hockey players; and, 2) to investigate the influence of player and game characteristics on the number and magnitude of head impacts. Data was collected from 13 players from a single competitive Bantam boy's (ages 13–14 years) AAA ice hockey team using telemetric accelerometers implanted within the players’ helmets at 27 ice hockey games. The average linear acceleration, rotational acceleration, Gadd Severity Index and Head Injury Criterion of head impacts were recorded. A significantly higher number of head impacts per player per game were found for wingers when compared to centre and defense player positions (df=355, t=3.087, p=0.00218) and for tournament games when compared to regular season and playoff games (df=355, t=2.641, p=0.086). A significant difference in rotational acceleration according to player position (F2,1812=4.9551, p=0.0071) was found. This study is an initial step towards a greater understanding of head impacts in youth ice hockey.

References

  • 1 Barnsley R, Thompson A. Birthdate and success in minor hockey: the key to the NHL.  Can J Behav Sci. 1988;  20 167-176
  • 2 Benz B, Ritz A, Kiesow S. Influence of age-related factors on long-term outcome after traumatic brain injury (TBI) in children: A review of recent literature and some preliminary findings.  Restor Neurol Neurosci. 1999;  14 135-141
  • 3 Brolinson PG, Manoogian S, McNeely D, Goforth M, Greenwald R, Duma S. Analysis of linear head accelerations from collegiate football impacts.  Curr Sports Med Rep. 2006;  5 23-28
  • 4 Broglio SP, Pontifex MB, O’Connor P, Hillman CH. The persistent effects of concussion on neuroelectric indices of attention.  J Neurotrauma. 2009;  26 1463-1470
  • 5 Browne GJ, Lam LT. Concussive head injury in children and adolescents related to sports and other leisure physical activities.  Br J Sports Med. 2006;  40 163-168
  • 6 Chu JJ, Beckwith JG, Crisco JJ, Greenwald RM. A novel algorithm to measure linear and rotational head acceleration using single-axis accelerometers. In Abstracts of the 5th World Congress of Biomechanics.  J Biomech. 2006;  39 S153
  • 7 Collins MW, Lovell MR, Iverson GL, Cantu RC, Maroon JC, Field M. Cumulative effects of concussion in high school athletes.  Neurosurgery. 2002;  51 1175-1179 discussion 1180–1181
  • 8 Collins M, Lovell MR, Iverson GL, Ide T, Maroon J. Examining concussion rates and return to play in high school football players wearing newer helmet technology: a three-year prospective cohort study.  Neurosurgery. 2006;  58 275-286
  • 9 Cook DJ, Cusimano MD, Tator CH, Chipman ML. Evaluation of the ThinkFirst Canada, Smart Hockey, brain and spinal cord injury prevention video.  Inj Prev. 2003;  9 361-366
  • 10 Crawley MJ. The R Book.  Chichester, England: John Wiley & Sons Ltd. 2007;  449-527
  • 11 Crisco JJ, Chu JJ, Greenwald RM. An algorithm for estimating acceleration magnitude and impact location using multiple nonorthogonal single-axis accelerometers.  J Biomech Eng. 2004;  126 849-854
  • 12 Crisco JJ, Hendee SP, Greenwald RM. The influence of baseball modulus and mass on head and chest impacts: a theoretical study.  Med Sci Sports Exerc. 1997;  29 26-36
  • 13 van Donkelaar P, Langan J, Rodriguez E, Drew A, Halterman C, Osternig LR, Chou LS. Attentional deficits in concussion.  Brain Inj. 2005;  19 1031-1039
  • 14 Duma SM, Manoogian SJ, Bussone WR, Brolinson PG, Goforth MW, Donnenwerth JJ, Greenwald RM, Chu JJ, Crisco JJ. Analysis of real-time head accelerations in collegiate football players.  Clin J Sport Med. 2005;  15 3-8
  • 15 Eckner JT, Kutcher JS. Concussion symptom scales and sideline assessment tools: a critical literature update.  Curr Sports Med Rep. 2010;  9 8-15
  • 16 Emery CA, Meeuwisse WH. Injury rates, risk factors, and mechanisms of injury in minor hockey.  Am J Sports Med. 2006;  34 1960-1969
  • 17 Field M, Collins MW, Lovell MR, Maroon J. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes.  J Pediatr. 2003;  142 546-553
  • 18 Gadd CW. Use of a weighted-impulse criterion for estimating injury hazard. In: Proceedings of 10th Stapp Car Crash Conference, Society of Automotive Engineers, New York 1966: 164-174
  • 19 Gaetz M, Goodman D, Weinberg H. Electrophysiological evidence for the cumulative effects of concussion.  Brain Inj. 2000;  14 1077-1088
  • 20 Goldstrohm SL, Arffa S. Preschool children with mild to moderate traumatic brain injury: an exploration of immediate and post-acute morbidity.  Arch Clin Neuropsychol. 2005;  20 675-695
  • 21 Goodman D, Gaetz M, Meichenbaum D. Concussions in hockey: there is cause for concern.  Med Sci Sports Exerc. 2001;  33 2004-2009
  • 22 Greenwald RM, Gwin JT, Chu JJ, Crisco JJ. Head impact severity measures for evaluating mild traumatic brain injury risk exposure.  Neurosurgery. 2008;  62 789-798
  • 23 Guskiewicz KM, McCrea M, Marshall SW, Cantu RC, Randolph C, Barr W, Onate JA, Kelly JP. Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study.  JAMA. 2003;  290 2549-2555
  • 24 Gwin JT, Chu JJ, Greenwald RM. Head impact telemetry system for measurement of head acceleration in ice hockey In: Abstracts of the 5th World Congress of Biomechanics. J Biomech 2006 39: S153
  • 25 Harriss DJ, Atkinson G. International Journal of Sports Medicine – Ethical Standards in Sport and Exercise Science Research.  Int J Sports Med. 2009;  30 701-702
  • 26 Honey CR. Brain injury in ice hockey.  Clin J Sport Med. 1998;  8 43-46
  • 27 Hudspeth WJ, Pribram KH. Stages of brain and cognitive maturation.  J Educ Psychol. 1990;  82 880-883
  • 28 Iverson GL, Brooks BL, Collins MW, Lovell MR. Tracking neuropsychological recovery following concussion in sport.  Brain Inj. 2006;  20 245-252
  • 29 Iverson GL, Gaetz M, Lovell MR, Collins MW. Cumulative effects of concussion in amateur athletes.  Brain Inj. 2004;  18 433-443
  • 30 Killam C, Cautin RL, Santucci AC. Assessing the enduring residual neuropsychological effects of head trauma in college athletes who participate in contact sports.  Arch Clin Neuropsychol. 2005;  20 599-611
  • 31 Kirkwood MW, Yeates KO, Wilson PE. Pediatric sport-related concussion: a review of the clinical management of an oft-neglected population.  Pediatrics. 2006;  117 1359-1371
  • 32 Lehr E, Savage R. Community and school integration from a developmental perspective. In: Kreutzer J, Wehman P, (eds) Community integration following traumatic brain injury. Baltimore: Brookes Publishing; 1990
  • 33 Majerske CW, Mihalik JP, Ren D, Collins MW, Reddy CC, Lovell MR, Wagner AK. Concussion in sports: postconcussive activity levels, symptoms, and neurocognitive performance.  J Athl Train. 2008;  43 265-274
  • 34 Manoogian S, McNeely D, Duma S, Brolinson G, Greenwald R. Head acceleration is less than 10 % of helmet acceleration in football impacts.  Biomed Sci Instrum. 2006;  42 383-388
  • 35 McCaffrey MA, Mihalik JP, Crowell DH, Shields EW, Guskiewicz KM. Measurement of head impacts in collegiate football players: clinical measures of concussion after high- and low-magnitude impacts.  Neurosurgery. 2007;  61 1236-1243
  • 36 McCrory P, Collie A, Anderson V, Davis G. Can we manage sport related concussion in children the same as in adults?.  Br J Sports Med. 2004;  38 516-519
  • 37 McCrory P, Johnston K, Meeuwisse W, Aubry M, Cantu R, Dvorak J, Graf-Baumann T, Kelly J, Lovell M, Schamasch P. Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague 2004.  Br J Sports Med. 2005;  39 196-204
  • 38 McCrory P, Meeuwisse W, Johnston K, Dvorak J, Aubry M, Molloy M, Cantu R. Consensus statement on Concussion in Sport 3rd International Conference on Concussion in Sport held in Zurich, November 2008.  Clin J Sport Med. 2009;  19 185-200
  • 39 Mihalik JP, Bell DR, Marshall SW, Guskiewicz KM. Measurement of head impacts in collegiate football players: an investigation of positional and event-type differences.  Neurosurgery. 2007;  61 1229-1235
  • 40 Mihalik J, Guskiewicz K, Jeffries J, Greenwald R, Marshall S. Characteristics of head impacts sustained by youth ice hockey players.  J Sports Eng Technol. 2008;  222 45-52
  • 41 Moser RS, Schatz P. Enduring effects of concussion in youth athletes.  Arch Clin Neuropsychol. 2002;  17 91-100
  • 42 Moser RS, Schatz P, Jordan BD. Prolonged effects of concussion in high school athletes.  Neurosurgery. 2005;  57 300-306
  • 43 Naunheim RS, Standeven J, Richter C, Lewis LM. Comparison of impact data in hockey, football, and soccer.  J Trauma. 2000;  48 938-941
  • 44 Pellman EJ, Viano DC, Withnall C, Shewchenko N, Bir CA, Halstead PD. Concussion in professional football: helmet testing to assess impact performance – part 11.  Neurosurgery. 2006;  58 78-96
  • 45 Roberts WO, Brust JD, Leonard B. Youth ice hockey tournament injuries: rates and patterns compared to season play.  Med Sci Sports Exerc. 1999;  31 46-51
  • 46 Rowson S, Brolinson G, Goforth M, Dietter D, Duma S. Linear and angular head acceleration measurements in collegiate football.  J Biomech Eng. 2009;  131 061016-1-06106-7
  • 47 Schnebel B, Gwin JT, Anderson S, Gatlin R. In vivo study of head impacts in football: a comparison of National Collegiate Athletic Association Division I versus high school impacts.  Neurosurgery. 2007;  60 490-495
  • 48 Shuttleworth-Edwards AB, Radloff SE. Compromised visuomotor processing speed in players of Rugby Union from school through to the national adult level.  Arch Clin Neuropsychol. 2008;  23 511-520
  • 49 Versace J. A review of the severity index.  Proc. 15th Stapp Car Crash Conf. Society of Automotive Engineers; New York. 1971;  771-796
  • 50 Wattie N, Cobley S, Macpherson A, Howard A, Montelpare WJ, Baker J. Injuries in Canadian youth ice hockey: the influence of relative age.  Pediatrics. 2007;  120 142-148
  • 51 Willer B, Kroetsch B, Darling S, Hutson A, Leddy J. Injury rates in house league, select, and representative youth ice hockey.  Med Sci Sports Exerc. 2005;  37 1658-1663
  • 52 Williamson IJS, Goodman D. Converging evidence for the under-reporting of concussions in youth ice hockey.  Br J Sports Med. 2006;  40 128-132; discussion 128–132
  • 53 Zhang L, Yang KH, King AI. A proposed injury threshold for mild traumatic brain injury.  J Biomech Eng. 2004;  126 226-236

Correspondence

Nicholas Reed

University of Toronto

Occupational Science and

Occupational Therapy

160-500 University Avenue

M5G 1V7 Toronto

Canada

Phone: +1/416/978 8591

Fax: +1/416/946 8570

Email: nick.reed@utoronto.ca

    >