Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-17T10:06:35.443Z Has data issue: false hasContentIssue false

Canadian Minor Hockey Participants’ Knowledge about Concussion

Published online by Cambridge University Press:  02 December 2014

Michael D. Cusimano*
Affiliation:
Division of Neurosurgery, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
Mary L. Chipman
Affiliation:
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Richard Volpe
Affiliation:
Department of Human Development and Applied Psychology, University of Toronto, Toronto, Ontario, Canada
Peter Donnelly
Affiliation:
Faculty of Physical Education and Health, University of Toronto, Toronto, Ontario, Canada
*
Injury Prevention Research Office, St. Michael’s Hospital, University of Toronto30 Bond Street, Toronto, Ontario, M5B 1W8, Canada
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Background and Objectives:

In Canada and the USA, ice hockey is a cause of traumatic brain injury. Post-concussive symptoms are the most important feature of the diagnosis of concussion in sports and it is recommended that athletes not return to play while still symptomatic. Lack of knowledge of concussions could therefore be one of the main detriments to concussion prevention in hockey. The purpose of this research is to describe what minor league hockey players, coaches, parents and trainers know about concussion and its management.

Methods:

A questionnaire to assess concussion knowledge and return to play guidelines was developed and administered to players at different competitive levels (n = 267), coaches, trainers and parents (total adults n = 142) from the Greater Toronto Area.

Results:

Although a majority of adults and players could identify mechanisms responsible for concussion, about one-quarter of adults and about a quarter to a half of children could not recall any symptoms or recalled only one symptom of a concussion. A significant number of players and some adults did not know what a concussion was or how it occurred. Almost half of the players and a fifth of the adults incorrectly stated that concussion was treated with medication or physical therapy. Nearly one quarter of all players did not know if an athlete experiencing symptoms of concussion should continue playing.

Conclusions:

This study demonstrated that a significant number of people held misconceptions about concussion in hockey which could lead to serious health consequences and creates a need for better preventive and educational strategies.

Type
Original Article
Copyright
Copyright © The Canadian Journal of Neurological 2009

References

1. Kelly, KD, Lissel, HL, Rowe, BH, Vincenten, JA, Voaklander, DC. Sport and recreation related head injuries treated in the emergency department. Clin J Sport Med. 2001; 11:7781.CrossRefGoogle ScholarPubMed
2. Sturmi, JE, Smith, C, Lombardo, JA. Mild brain trauma in sports. Diagnosis and treatment guidelines. Sports Med. 1998; 25(6): 3518.CrossRefGoogle ScholarPubMed
3. Honey, CR. Brain injury in ice hockey. Clin J Sport Med. 1998; 8(1): 4346.CrossRefGoogle ScholarPubMed
4. Marchie, A, Cusimano, MD. Bodychecking and concussions in ice hockey: Should our youth pay the price? Can Med Assoc J. 2003; 169(2): 1248.Google ScholarPubMed
5. Kerr, Grant. Body-checking age raised after minor-hockey storm. The Globe and Mail [Toronto]. 2003. [cited 2008 Jan 25] Available from: http://www.theglobeandmail.com/servlet/story/LAC.20030520UBODYN/TPStory/?qery=CHA+body-checking Google Scholar
6. Wojtys, EM, Hovda, D, Landry, G, Boland, A, Lovell, M, McCrea, M, et al. Current concepts. Concussions in sports. Am J Sports Med. 1999; 27: 67687.CrossRefGoogle ScholarPubMed
7. Colorado Medical Society: Sports Medicine Committee. Guidelines for the management of concussion in sports. Denver: The Society; 1991.Google Scholar
8. Roos, R. Guidelines for the management of concussion in sport: a persistent headache. Phys Sportsmed. 1996; 24: 6774.CrossRefGoogle Scholar
9. Leclerc, S, Lassone, M, Delaney, JS, Lacroix, VJ, Johnston, KM. Recommendations for grading of concussion in athletes. Sports Med. 2001; 31: 62936.CrossRefGoogle ScholarPubMed
10. Johnston, KM. New investigative tools in concussion. International symposium on concussion in sport. Br J Sports Med. 2001; 35(5): 36777.Google Scholar
11. Canadian Academy of Sport Medicine Concussion Committee. Guidelines for assessment and management of sport-related concussion. Clin J Sport Med. 2000; 10:20911.CrossRefGoogle Scholar
12. Cantu, RC, Voy, R. Second Impact Syndrome: A risk in any contact sport. Physician Sports Med. 1995; 23(6):2781.CrossRefGoogle Scholar
13. Sports related recurrent brain injuries - United States. MMWR Wkly Rep. 1997; 46(10):2247.Google Scholar
14. Collins, MW, Lovell, MR, Iverson, GL, Cantu, RC, Maroon, JC, Field, M. Cumulative effects of concussion in high school athletes. Neurosurgery. 2002; 51(5):15.CrossRefGoogle ScholarPubMed
15. Rabadi, MH, Jordan, BD. The cumulative effect of repetitive concussion in sports. Clin J Sport Med. 2001; 11:1948.CrossRefGoogle ScholarPubMed
16. Laurer, HL, Bareyre, FM, Lee, VM, Trojanowski, JQ, Longhi, L, Hoover, R, et al. Mild head injury increasing the brain’s vulnerability to a second concussive impact. J Neurosurgery. 2001; 95:85970.CrossRefGoogle ScholarPubMed
17. Zemper, ED. Two-year prospective study of relative risk of a second cerebral concussion. Am J Phys Med Rehabil. 2003; 82(9): 6539.CrossRefGoogle ScholarPubMed
18. Guskiewicz, KM, Weaver, NL, Padua, DA, Garrett, WE Jr. Epidemiology of concussion in collegiate and high school football players. Am J Sports Med. 2000; 28(5):64350.CrossRefGoogle ScholarPubMed
19. Guskiewicz, KM, McCrea, M, Marshall, SW, Cantu, RC, Randolph, C, Barr, W, et al. Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. JAMA. 2003; 290(19):254955.CrossRefGoogle ScholarPubMed
20. Fick, DS. Management of concussion in collision sports. Guidelines for the sidelines. Postgrad Med. 1995; 97(2):5360.CrossRefGoogle ScholarPubMed
21. Genuardi, FJ, King, WD. Inappropriate discharge instructions for youth athletes hospitalized for concussion. Pediatrics. 1995; 95:2168.CrossRefGoogle ScholarPubMed
22. McCrea, M, Hammeke, T, Olsen, G, Leo, P, Guskiewicz, K. Unreported concussion in high school football players: implications for prevention. Clin J Sport Med. 2004; 14(1): 1317.CrossRefGoogle ScholarPubMed
23. Wennberg, RA, Tator, CH. National Hockey League reported concussions, 1986-87 to 2001-02. Can J Neurol Sci. 2003; 30(3): 2069.CrossRefGoogle ScholarPubMed
24. Goodwin-Gerberich, S, Priest, JD, Boen, JR, Straub, CP, Maxwell, RE. Concussion incidences and severity in secondary school varsity football players. Am J Public Health. 1983; 73:13705.CrossRefGoogle Scholar
25. Akers, RL. Social learning and social structure: a general theory of crime and deviance. Boston: Northeastern University Press; 1998.Google Scholar
26. Nash, JE, Learner, JE. Learning violence from the pros: violence in youth hockey. Youth and Society. 1981; 13:22944.CrossRefGoogle Scholar