Hip and groin function and strength in male ice hockey players with and without hip and groin problems in the previous season- a prospective cohort study

Background: The modern style of goalkeeping in ice hockey is thought to predispose athletes to hip and groin problems. However, little is known about the magnitude of these problems in elite goalkeepers. Purpose: To describe the incidence, prevalence, and severity of hip and groin problems in elite ice hockey goalkeepers over the course of a single season. Study Design: Descriptive epidemiology study. Methods: We invited all elite Swedish ice hockey goalkeepers (n = 128) to participate in this prospective cohort study. Every second week, players reported hip and groin problems experienced within the past 14 days on the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O), classifying problems into “all” and “substantial” hip and groin problems. Three times during the season (pre-, mid-, and end-season), players reported hip and groin function on the Hip and Groin Outcome Score (HAGOS) as well as on the OSTRC-O. Results: A total of 101 goalkeepers participated in the study (83.3% male [seniors, 44.1%; juniors, 39.2%], 16.7% female). The cumulative incidences of all hip and groin problems and substantial hip and groin problems were 69% (95% CI, 59%-79%) and 36% (95% CI, 26%-46%), respectively. The average biweekly prevalence for all hip and groin problems and substantial hip and groin problems was 28.1% (95% CI, 25.0%-31.3%) and 10% (95% CI, 8.7%-11.4%), respectively. Among all the reported hip and groin problems, 16.9% (n = 70) were acute, 83.1% (n = 343) were because of overuse, and 15.5% (n = 64) led to time loss. HAGOS did not differ in the pre-, mid-, or end-season. Players reporting hip and groin problems on the OSTRC-O had significantly worse HAGOS scores than players without problems ( P < .01). Conclusion: Hip and groin problems are highly prevalent in elite ice hockey goalkeepers. During a competitive season, 69% of players experienced hip and groin problems and 36% of players suffered from substantial problems. The vast majority of problems were because of overuse, not leading to time loss but related to reduced self-reported hip and groin function.

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Injury Rates and Profiles in Female Ice Hockey Players

The American Journal of Sports Medicine ◽

10.1177/03635465030310011901 ◽

2003 ◽

Vol 31 (1) ◽

pp. 47-52 ◽

Cited By ~ 54

Author(s):

Deanna M. Schick ◽

Willem H. Meeuwisse

Keyword(s):

Cohort Study ◽

Prospective Cohort ◽

Injury Rate ◽

Adductor Muscle ◽

Ice Hockey ◽

Ankle Sprains ◽

Severe Injuries ◽

Body Checking ◽

Injury Rates ◽

Hockey Players

Background Little data exist on injury rates and profiles in female ice hockey players. Objective To examine the incidence of injury in female ice hockey players and compare injury rates with those of male players. Study Design Prospective cohort study. Methods Six male and six female teams from the Canada West Universities Athletic Association were followed prospectively for one varsity season. Preseason medical history forms were completed by each player. Injury report forms and attendance records for each team session were submitted by team therapists. Results Male players reported 161 injuries, whereas female players reported 66 injuries. However, the overall injury rates for male (9.19 injuries per 1000 athlete-exposures) and female (7.77 injuries per 1000 athlete-exposures) players did not differ significantly. Ninety-six percent of injuries in female players and 79% in male players were related to contact mechanisms, even though intentional body checking is not allowed in female ice hockey. Women were more likely than men to be injured by contacting the boards or their opponent. Men sustained more severe injuries than women and missed about twice as many sessions (exposures) because of injury. Concussions were the most common injury in female players, followed by ankle sprains, adductor muscle strains, and sacroiliac dysfunction. Conclusion Although the injury rate in female ice hockey players was expected to be lower than that in male players because of the lack of intentional body checking, the injury rates were found to be similar.

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Incidence, prevalence, severity, and risk factors for hip and groin problems in Swedish male ice hockey – A one-season prospective cohort study

Journal of Athletic Training ◽

10.4085/1062-6050-0522.20 ◽

2021 ◽

Author(s):

Tobias Wörner ◽

Kristian Thorborg ◽

Benjamin Clarsen ◽

Frida Eek

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Cohort Study ◽

Cumulative Incidence ◽

Ice Hockey ◽

Time Loss ◽

Previous Season ◽

Gradual Onset ◽

Hockey Players ◽

Abduction Strength

ABSTRACT Context: The epidemiological focus on time loss may underestimate the true magnitude of hip and groin problems in male ice hockey players. Objective: To describe the prevalence, incidence and severity of hip and groin problems (time loss and non-time-loss) in Swedish ice hockey players over the course of a season and to explore potential pre-season risk factors for these problems. Design: Prospective one-season cohort study Setting: Professional and semi-professional Swedish ice hockey Patients or other participants: Twelve professional and semi-professional male ice hockey teams were invited to participate. Nine teams agreed to participate, and 163 players were included in analyses. Main outcome measures: Hip and groin problems in the previous season (time loss; non-time-loss), isometric adduction and abduction strength, and five-second squeeze test were recorded prior to the season and served as independent variables in the risk factor analysis. Main outcome measures were cumulative incidence of hip and groin problems, average prevalence, and odds ratios for groin problems in-season Results: Cumulative incidence for all problems was 45.4 % (95% CI 37.6–53.4) and 19% (13.3–25.9) for substantial problems. Average prevalence was 14.1% (10.8–17.5) for all and 5.7% (4.3–7.2) for substantial problems. Among reported problems, 69.2% had gradual onset; where only 17% lead to time loss. Players with non-time-loss problems in the previous season had significantly higher odds for new problems [All: OR 3.3 (1.7–6.3); Substantial: OR 3.6 (1.8–8.4)]. Pre-season strength was not significantly associated with the odds for subsequent problems. Conclusion: Hip and groin problems are common in ice hockey and may lead to substantial impairments in performance. Only one in five problems led to time loss and 7 out of 10 had gradual onset. Non-time-loss problems in the previous season were found to be a significant risk factor for new problems whereas preseason hip adduction and abduction strength was not.

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