Body-checking rules and childhood injuries in ice hockey
Body-checking rules and childhood injuries in ice hockey
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DOI：
10.1542/peds.2005-1163
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发表时间：
2006-02-01
期刊：
影响因子：
8
通讯作者：
Howard, A
中科院分区：
文献类型：
--
作者：
Macpherson, A;Rothman, L;Howard, A
背景身体检查是青少年冰球运动损伤的主要机制。加拿大曲棍球协会允许12岁至13岁（少年水平）及以上的身体检查。加拿大的一个省（安大略）在竞技联赛中对10至11岁（原子级）的学生进行身体检查，而在魁北克，只允许对14至15岁（矮脚鸡级）的学生进行身体检查。本研究的目的是比较身体检查的伤害，骨折，和脑震荡，在男孩的未成年人曲棍球管辖区之间的检查是允许的和管辖区的身体检查是不允许的。从加拿大医院伤害报告和预防计划（CHIRPP）的数据被用来描述儿童的冰球受伤，从1995年9月至2002年8月底。在CHIRPP医院接受治疗的儿童在允许检查的地区与不允许检查的地区进行了比较。在4736例曲棍球受伤中，3006例（63%）发生在安大略，1730例（37%）发生在魁北克。大多数伤害发生在允许检查的地区（2824人[59.6%]）。在10至13岁，运动员在允许检查的情况下遭受检查性损伤的几率显著更大（比值比[OR]：1.86; 95%置信区间[CI]：1.6 - 2.11）。在允许检查的情况下，该年龄组的运动员也更容易遭受脑震荡（OR：1.42; 95% CI：0.98 - 2.05）或骨折（OR：1.25; 95% CI：1.06 - 1.47）。在年龄较大的运动员中，当两个省都允许检查时，在较年轻时引入检查的省份中接受检查损伤的几率更高（OR：1.90; 95%CI：1.36 - 2.66），这表明早期学习检查没有保护作用。在允许检查的地方，观察到检查造成的伤害增加。这项研究支持禁止身体检查以减少儿童冰球受伤的政策。
BACKGROUND. Body checking is the predominant mechanism of youth ice hockey injuries. The Canadian Hockey Association has allowed body checking from ages 12 to 13 (peewee level) and up. One Canadian province (Ontario) introduced body checking at ages 10 to 11 (atom level) in the competitive leagues, whereas in Quebec body checking has only been allowed at ages 14 to 15 (bantam Level). The purpose of this study was to compare body-checking injuries, fractures, and concussions in boys' minor hockey between jurisdictions in which checking is allowed and jurisdictions in which body checking is not allowed.METHODS. Data from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) were used to characterize children's ice hockey injuries from September 1995 to the end of August 2002. Children treated at CHIRPP hospitals in areas in which checking was allowed were compared with children in areas in which checking was not allowed.RESULTS. Of the 4736 hockey injuries, 3006 (63%) were in Ontario and 1730 (37%) were in Quebec. Most of the injuries occurred in areas in which checking was allowed (2824 [59.6%]). At ages 10 to 13, players had significantly greater odds of suffering a checking injury where checking was allowed (odds ratio [OR]: 1.86; 95% confidence interval [CI]: 1.6 - 2.11). Players in this age group were also more likely to suffer a concussion (OR: 1.42; 95% CI: 0.98 - 2.05) or fracture (OR: 1.25; 95% CI: 1.06 - 1.47) where checking was allowed. Among older players, when checking was allowed in both provinces, there were higher odds (OR: 1.90; 95% CI: 1.36 - 2.66) of receiving a checking injury in the province that had introduced checking at a younger age, suggesting that there is no protective effect from learning to check earlier.CONCLUSIONS. Increased injuries attributable to checking were observed where checking was allowed. This study supports policies that disallow body checking to reduce ice hockey injuries in children.