Skip to main content
Log in

Head Impact Biomechanics in Youth Hockey: Comparisons Across Playing Position, Event Types, and Impact Locations

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

Abstract

The age at which young hockey players should safely body check is unknown. We sought to determine if playing position (defensemen vs. forwards), event type (practice vs. game), or head impact location (top vs. back vs. front vs. sides) had an effect on head impact biomechanics in youth hockey. A total of 52 Bantam (13–14 years old) and Midget (15–16 years old) ice hockey players wore accelerometer-instrumented helmets for two seasons. Biomechanical data were captured for 12,253 head impacts during 151 games and 137 practices. Random intercepts general mixed linear models were employed to analyze differences in linear acceleration, rotational acceleration, and HITsp by player position, event type, and head impact location. Head impacts sustained during games resulted in greater rotational acceleration and HITsp than those sustained during practices. No event type or playing position differences in linear acceleration were observed. Impacts to the top of the head resulted in greater linear acceleration, but lower rotational acceleration and HITsp, than impacts to back, front, or side of the head. Side head impacts yielded greater rotational acceleration and HITsp compared to the other head impact locations. Since linear and rotational accelerations were observed in all impacts, future hockey helmet design standards should include rotational acceleration limits in addition to the current linear acceleration standards.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Agel, J., R. Dick, B. Nelson, S. W. Marshall, and T. P. Dompier. Descriptive epidemiology of collegiate women’s ice hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 2000–2001 through 2003–2004. J. Athl. Train. 42:249–254, 2007.

    PubMed  Google Scholar 

  2. Agel, J., T. P. Dompier, R. Dick, and S. W. Marshall. Descriptive epidemiology of collegiate men’s ice hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J. Athl. Train. 42:241–248, 2007.

    PubMed  Google Scholar 

  3. Broglio, S. P., B. Schnebel, J. J. Sosnoff, S. Shin, X. Feng, X. He, and J. Zimmerman. Biomechanical properties of concussions in high school football. Med. Sci. Sports Exerc. 42:2064–2071, 2010.

    Article  PubMed  Google Scholar 

  4. Broglio, S. P., J. J. Sosnoff, S. Shin, X. He, C. Alcaraz, and J. Zimmerman. Head impacts during high school football: a biomechanical assessment. J. Athl. Train. 44:342–349, 2009.

    Article  PubMed  Google Scholar 

  5. Brolinson, P. G., S. Manoogian, D. McNeely, M. Goforth, R. Greenwald, and S. Duma. Analysis of linear head accelerations from collegiate football impacts. Curr. Sports Med. Rep. 5:23–28, 2006.

    PubMed  Google Scholar 

  6. Crisco, J. J., R. Fiore, J. G. Beckwith, J. J. Chu, P. G. Brolinson, S. Duma, T. W. McAllister, A. C. Duhaime, and R. M. Greenwald. Frequency and location of head impact exposures in individual collegiate football players. J. Athl. Train. 45:549–559, 2010.

    Article  PubMed  Google Scholar 

  7. Duma, S. M., S. J. Manoogian, W. R. Bussone, P. G. Brolinson, M. W. Goforth, J. J. Donnenwerth, R. M. Greenwald, J. J. Chu, and J. J. Crisco. Analysis of real-time head accelerations in collegiate football players. Clin. J. Sport Med. 15:3–8, 2005.

    Article  PubMed  Google Scholar 

  8. Emery, C., J. Kang, I. Shrier, C. Goulet, B. Hagel, B. Benson, A. Nettel-Aguirre, J. McAllister, and W. Meeuwisse. Risk of injury associated with bodychecking experience among youth hockey players. Can. Med. Assoc. J. 183:1249–1256, 2011.

    Article  Google Scholar 

  9. Emery, C. A., J. Kang, I. Shrier, C. Goulet, B. E. Hagel, B. W. Benson, A. Nettel-Aguirre, J. R. McAllister, G. M. Hamilton, and W. H. Meeuwisse. Risk of injury associated with body checking among youth ice hockey players. JAMA 303:2265–2272, 2010.

    Article  PubMed  CAS  Google Scholar 

  10. Eucker, S. A., C. Smith, J. Ralston, S. H. Friess, and S. S. Margulies. Physiological and histopathological responses following closed rotational head injury depend on direction of head motion. Exp. Neurol. 227:79–88, 2011.

    Article  PubMed  Google Scholar 

  11. Greenwald, R. M., J. T. Gwin, J. J. Chu, and J. J. Crisco. Head impact severity measures for evaluating mild traumatic brain injury risk exposure. Neurosurgery 62:789–798, 2008.

    Article  PubMed  Google Scholar 

  12. Guskiewicz, K. M., and J. P. Mihalik. Biomechanics of sport concussion: quest for the elusive injury threshold. Exerc. Sport Sci. Rev. 39:4–11, 2011.

    Article  PubMed  Google Scholar 

  13. Guskiewicz, K. M., J. P. Mihalik, V. Shankar, S. W. Marshall, D. H. Crowell, S. M. Oliaro, M. F. Ciocca, and D. N. Hooker. Measurement of head impacts in collegiate football players: relationship between head impact biomechanics and acute clinical outcome after concussion. Neurosurgery 61:1244–1252, 2007.

    Article  PubMed  Google Scholar 

  14. Hodgson, V.R., L.M. Thomas, and T.B. Khalil, The role of impact location in reversible cerebral concussion. In: Proceedings of the 27th Stapp Car Crash Conference 1983, Warrendale, PA: Society of Automotive Engineers, Inc., 1983, pp. 225–240.

  15. Holbourn, A. H. S. The mechanics of brain injuries. British Medical Bulletin 3:147–149, 1945.

    Google Scholar 

  16. Mihalik, J. P., D. R. Bell, S. W. Marshall, and K. M. Guskiewicz. Measurement of head impacts in collegiate football players: an investigation of positional and event-type differences. Neurosurgery 61:1229–1235, 2007.

    Article  PubMed  Google Scholar 

  17. Mihalik, J. P., J. T. Blackburn, R. M. Greenwald, R. C. Cantu, S. W. Marshall, and K. M. Guskiewicz. Collision type and player anticipation affect head impact severity among youth ice hockey players. Pediatrics 125:e1394–e1401, 2010.

    Article  PubMed  Google Scholar 

  18. Mihalik, J. P., R. M. Greenwald, J. T. Blackburn, R. C. Cantu, S. W. Marshall, and K. M. Guskiewicz. Effect of infraction type on head impact severity in youth ice hockey. Med. Sci. Sports Exerc. 42:1431–1438, 2010.

    Article  PubMed  Google Scholar 

  19. Mihalik, J. P., K. M. Guskiewicz, J. A. Jeffries, R. M. Greenwald, and S. W. Marshall. Characteristics of head impacts sustained by youth ice hockey players. Proc. Inst. Mech. Engrs., Part P: J. Sports Eng. Technol. 222:45–52, 2008.

    Google Scholar 

  20. Ommaya, A. K., and T. A. Gennarelli. Cerebral concussion and traumatic unconsciousness. Correlation of experimental and clinical observations of blunt head injuries. Brain 97:633–654, 1974.

    Article  PubMed  CAS  Google Scholar 

  21. Ommaya, A. K., W. Goldsmith, and L. Thibault. Biomechanics and neuropathology of adult and paediatric head injury. Br. J. Neurosurg. 16:220–242, 2002.

    Article  PubMed  CAS  Google Scholar 

  22. Reed, N., T. Taha, M. Keightley, C. Duggan, J. McAuliffe, J. Cubos, J. Baker, B. Faught, M. McPherson, and W. Montelpare. Measurement of head impacts in youth ice hockey players. Int. J. Sports Med. 31:826–833, 2010.

    Article  PubMed  CAS  Google Scholar 

  23. Rowson, S., and S. M. Duma. Development of the STAR evaluation system for football helmets: Integrating player head impact exposure and risk of concussion. Ann. Biomed. Eng. 39:2130–2140, 2011.

    Article  PubMed  Google Scholar 

  24. Schnebel, B., J. T. Gwin, S. Anderson, and R. Gatlin. In vivo study of head impacts in football: a comparison of National Collegiate Athletic Association Division I versus high school impacts. Neurosurgery 60:490–495; discussion 495–6, 2007.

    Article  PubMed  Google Scholar 

  25. Stuart, M. J., A. M. Smith, J. J. Nieva, and M. G. Rock. Injuries in youth ice hockey: a pilot surveillance strategy. Mayo Clin. Proc. 70:350–356, 1995.

    Article  PubMed  CAS  Google Scholar 

  26. USA Hockey. Membership statistics. 2011 [cited 2011 August 24]. http://www.usahockey.com//Template_Usahockey.aspx?NAV=ME_03&ID=29074.

Download references

Acknowledgments

This study was supported in part by a grant from the Ontario Neurotrauma Foundation to The University of North Carolina at Chapel Hill Injury Prevention Research Center (Grant #2005-PREV-BANT-387). The USA Hockey Foundation and the National Operating Committee on Standards for Athletic Equipment (NOCSAE) also provided financial support. We would also like to thank the engineering team at Simbex for their continued support of this project. Dr. Greenwald has a financial interest in the HIT System technology used to collect data for this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jason P. Mihalik.

Additional information

Associate Editor Stefan M. Duma oversaw the review of this article.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mihalik, J.P., Guskiewicz, K.M., Marshall, S.W. et al. Head Impact Biomechanics in Youth Hockey: Comparisons Across Playing Position, Event Types, and Impact Locations. Ann Biomed Eng 40, 141–149 (2012). https://doi.org/10.1007/s10439-011-0405-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10439-011-0405-3

Keywords

Navigation