{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T12:18:06Z","timestamp":1770293886393,"version":"3.49.0"},"reference-count":39,"publisher":"National Athletic Trainers' Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,8,1]]},"abstract":"<jats:sec><jats:title>Context:\u2003<\/jats:title><jats:p>Ice hockey is a high-speed, full-contact sport with a high risk of head\/face\/neck (HFN) injuries. However, men's and women's ice hockey differ; checking is allowed only among men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives:\u2003<\/jats:title><jats:p>To describe the epidemiology of HFN injuries in collegiate men's and women's ice hockey during the 2009\u22122010 through 2013\u22122014 academic years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design:\u2003<\/jats:title><jats:p>Descriptive epidemiology study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting:\u2003<\/jats:title><jats:p>Ice hockey data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program during the 2009\u22122010 through 2013\u22122014 academic years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients or Other Participants:\u2003<\/jats:title><jats:p>Fifty-seven men's and 26 women's collegiate ice hockey programs from all NCAA divisions provided 106 and 51 team-seasons of data, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s):\u2003<\/jats:title><jats:p>Injury rates per 1000 athlete-exposures and rate ratios with 95% confidence intervals (CIs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:\u2003<\/jats:title><jats:p>The NCAA Injury Surveillance Program reported 496 and 131 HFN injuries in men's and women's ice hockey, respectively. The HFN injury rate was higher in men than in women (1.75 versus 1.16\/1000 athlete-exposures; incidence rate ratio = 1.51; 95% CI = 1.25, 1.84). The proportion of HFN injuries from checking was higher in men than in women for competitions (38.5% versus 13.6%; injury proportion ratio = 2.82; 95% CI = 1.64, 4.85) and practices (21.9% versus 2.3%; injury proportion ratio = 9.41; 95% CI = 1.31, 67.69). The most common HFN injury diagnosis was concussion; most concussions occurred in men's competitions from player contact while checking (25.9%). Player contact during general play comprised the largest proportion of concussions in men's practices (25.9%), women's competitions (25.0%), and women's practices (24.0%). While 166 lacerations were reported in men, none were reported in women. In men, most lacerations occurred from player contact during checking in competitions (41.8%) and player contact during general play in practices (15.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:\u2003<\/jats:title><jats:p>A larger proportion of HFN injuries in ice hockey occurred during checking in men versus women. Concussion was the most common HFN injury and was most often due to player contact. Lacerations were reported only among men and were mostly due to checking. Injury-prevention programs should aim to reduce checking-related injuries.<\/jats:p><\/jats:sec>","DOI":"10.4085\/1062-6050-52.4.03","type":"journal-article","created":{"date-parts":[[2017,6,29]],"date-time":"2017-06-29T21:29:37Z","timestamp":1498771777000},"page":"776-784","source":"Crossref","is-referenced-by-count":20,"title":["Injury Surveillance of Head, Neck, and Facial Injuries in Collegiate Ice Hockey Players, 2009\u20132010 Through 2013\u20132014 Academic Years"],"prefix":"10.4085","volume":"52","author":[{"given":"Molly MacMhathan","family":"Simmons","sequence":"first","affiliation":[{"name":"VA Center for Health Organization and Implementation Research, Bedford, MA, and Boston University School of Public Health, MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David I.","family":"Swedler","sequence":"first","affiliation":[{"name":"Pacific Institute for Research and Evaluation, Calverton, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary Y.","family":"Kerr","sequence":"first","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"issue":"5","key":"2020060411440730200_i1062-6050-52-8-776-b01","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/00001199-200609000-00001","article-title":"The epidemiology and impact of traumatic brain injury: a brief overview","volume":"21","author":"Langlois","year":"2006","journal-title":"J Head Trauma Rehabil"},{"issue":"11","key":"2020060411440730200_i1062-6050-52-8-776-b02","doi-asserted-by":"crossref","first-page":"2654","DOI":"10.1177\/0363546515599634","article-title":"Epidemiology of sports-related concussion in NCAA athletes from 2009\u22122010 to 2013\u22122014: incidence, recurrence, and mechanisms","volume":"43","author":"Zuckerman","year":"2015","journal-title":"Am J Sports Med"},{"issue":"4","key":"2020060411440730200_i1062-6050-52-8-776-b03","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1177\/0363546511435626","article-title":"Epidemiology of concussions among United States high school athletes in 20 sports","volume":"40","author":"Marar","year":"2012","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060411440730200_i1062-6050-52-8-776-b04","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1177\/0363546515610537","article-title":"Epidemiology of sports-related concussions in National Collegiate Athletic Association athletes from 2009\u22122010 to 2013\u22122014: symptom prevalence, symptom resolution time, and return-to-play time","volume":"44","author":"Wasserman","year":"2016","journal-title":"Am J Sports Med"},{"issue":"4","key":"2020060411440730200_i1062-6050-52-8-776-b05","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1177\/036354659502300415","article-title":"Injuries in Junior A ice hockey: a three-year prospective study","volume":"23","author":"Stuart","year":"1995","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060411440730200_i1062-6050-52-8-776-b06","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jbiomech.2013.10.004","article-title":"Head impact exposure in male and female collegiate ice hockey players","volume":"47","author":"Wilcox","year":"2014","journal-title":"J Biomech"},{"issue":"2","key":"2020060411440730200_i1062-6050-52-8-776-b07","first-page":"311","article-title":"Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives","volume":"42","author":"Hootman","year":"2007","journal-title":"J Athl Train"},{"issue":"2","key":"2020060411440730200_i1062-6050-52-8-776-b08","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1249\/MSS.0b013e31822b0ab4","article-title":"Gender differences in head impacts sustained by collegiate ice hockey players","volume":"44","author":"Brainard","year":"2012","journal-title":"Med Sci Sports Exerc"},{"issue":"5","key":"2020060411440730200_i1062-6050-52-8-776-b09","first-page":"319","article-title":"7-year review of men's and women's ice hockey injuries in the NCAA","volume":"53","author":"Agel","year":"2010","journal-title":"Can J Surg"},{"issue":"11","key":"2020060411440730200_i1062-6050-52-8-776-b10","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1503\/cmaj.101540","article-title":"Risk of injury associated with bodychecking experience among youth hockey players","volume":"183","author":"Emery","year":"2011","journal-title":"CMAJ"},{"issue":"6","key":"2020060411440730200_i1062-6050-52-8-776-b11","doi-asserted-by":"crossref","first-page":"E4","DOI":"10.3171\/2012.10.FOCUS12305","article-title":"A prospective study of physician-observed concussion during a varsity university hockey season: metabolic changes in ice hockey players. 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