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Occasional Essay

Bodychecking and concussions in ice hockey: Should our youth pay the price?

Anthony Marchie and Michael D. Cusimano
CMAJ July 22, 2003 169 (2) 124-128;
Anthony Marchie
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  • Limit checking thru high school?
    arthur g tallas
    Posted on: 25 November 2009
  • Too Young For Body Checking
    Joel M. Warsh
    Posted on: 18 March 2008
  • Stop the Checking
    Leslie Marino
    Posted on: 17 September 2003
  • hockey helmets
    Marc Smith
    Posted on: 29 August 2003
  • Hockey Checking
    Miles I Tompkins
    Posted on: 31 July 2003
  • Media has misrepresented study
    Robert R.
    Posted on: 28 July 2003
  • Bodychecking and Violence.
    Neal H Shaw
    Posted on: 23 July 2003
  • Posted on: (25 November 2009)
    Limit checking thru high school?
    • arthur g tallas, cincinnati, ohio

    this article resonates strongly with me -a grandfather of three boys living in the Boston MA area all of whom play hockey as their father(who still plays) and I have done - the oldest - 13 years of age and undersize, playing bantam was recently "leveled" by a clean body check by a boy 40lbs heavier - he sustained a concussion (verified by a physician) - his parents are now questioning whether to let him and his brothers c...

    Show More

    this article resonates strongly with me -a grandfather of three boys living in the Boston MA area all of whom play hockey as their father(who still plays) and I have done - the oldest - 13 years of age and undersize, playing bantam was recently "leveled" by a clean body check by a boy 40lbs heavier - he sustained a concussion (verified by a physician) - his parents are now questioning whether to let him and his brothers continue playing hockey - I LOVE the sport having started at age 4 and continuing until the age of 70 until knee and back problems ended my "career" - the child and his brothers also love the sport - but,reluctantly I would opt to take them out of hockey, for it is not worth the very real risk to their future well being - while checking is an integral part of the game I do not believe anything would be lost developmentally by eliminating it until the college level as skating,shooting,and passing are much more important - a possible compromise to the "Don Cherry types" would be to limit checking to the defensive end thru high school

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
  • Posted on: (18 March 2008)
    Too Young For Body Checking
    • Joel M. Warsh

    I have been a coach and a player in hockey for over 15 years and have now worked on several research projects on body checking injuries in children and I couldn’t agree more with this article. It is infuriating to see 9-year-old kids, dressed up like warriors and sent on the battlefield to bash each other around before they have any idea of the consequences. I am glad to hear that the age for body checking in Ontario is...

    Show More

    I have been a coach and a player in hockey for over 15 years and have now worked on several research projects on body checking injuries in children and I couldn’t agree more with this article. It is infuriating to see 9-year-old kids, dressed up like warriors and sent on the battlefield to bash each other around before they have any idea of the consequences. I am glad to hear that the age for body checking in Ontario is now being moved up to atom (10-11) age but the question still remains, “Is that too early”. Are we exposing children to unnecessary dangers? The fact that the age was changed in the first place due to flawed research poses the question of who is looking out for the children? It is time for the powers in hockey to take a closer look at this article and the other quality hockey articles in the literature and re-evaluate their position on body checking in hockey for the safety of the children.

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
  • Posted on: (17 September 2003)
    Stop the Checking
    • Leslie Marino

    My son is playing Atom AA in the GTHL. Last season two players on my son's team went to the hospital, each twice. Both had broken a broken collarbone on one occasion. In an earlybird tournament semifinal yesterday morning, another player on our team went to hospital but was okay thankfully; however, at the final game yesterday afternoon, a fourth player on our team was sent to the hospital during the game and he has a...

    Show More

    My son is playing Atom AA in the GTHL. Last season two players on my son's team went to the hospital, each twice. Both had broken a broken collarbone on one occasion. In an earlybird tournament semifinal yesterday morning, another player on our team went to hospital but was okay thankfully; however, at the final game yesterday afternoon, a fourth player on our team was sent to the hospital during the game and he has a separated shoulder. I may be the minority but I think this has to stop. At the least it discourages some kids from playing, at the worst it undoubtedly and does frequently (more than most care to admit)causes serious injury! Europeans have got it right by not body checking until the kids are much older. Kids can't get a driver's licence until they are 16, they shouldn't have body checking until that age as well. And the goon mentality on the ice is unbelievable and very much alive, it's just disgusting, especially at such a young age. I'm a parent and I can't stand watching young boys laid out on the ice going to the hospital any longer! I am pleading with whoever can end this madness and keep our children having fun and staying healthy!!

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
  • Posted on: (29 August 2003)
    hockey helmets
    • Marc Smith

    Most concussions are caused by the head hitting the ice. So why not improve the helmets? I played football for 4 years and have coached for 5 years. In my time I have not seen any concussions. Kids start at the age of 5-6. Thier heads bash each others and hit the turf/grass really hard. The helmets are a stronger plastic and are foarmed fitted to thier heads. There is foam padding with air inflated pockets in all footbal...

    Show More

    Most concussions are caused by the head hitting the ice. So why not improve the helmets? I played football for 4 years and have coached for 5 years. In my time I have not seen any concussions. Kids start at the age of 5-6. Thier heads bash each others and hit the turf/grass really hard. The helmets are a stronger plastic and are foarmed fitted to thier heads. There is foam padding with air inflated pockets in all football helmets. They put the helmet on the player, pump in air to fit the head comfortly. This way it fits all head sizes and shapes. Not all heads are the same shape and size, so the air makes it fit perfectly.Unlike hockey helmets. They are thinner and not as padded so the head is less protected from the ice. So why not have a better designed hockey helmet for kids? Make it mandatory, by the manufactures to produce better helmets! Even if we get rid of body checking at the youth level, kids still fall and heads still hit the ice. So let's stop bashing are national sport and give the kids the protection they need and deserve to play hockey safely!

    THANK YOU! Marc Smith

    Show Less
    Competing Interests: None declared.
  • Posted on: (31 July 2003)
    Hockey Checking
    • Miles I Tompkins, physiotherapist

    I have been involved at the Minor hockey level for 14 years, and have been very outspoken in regards to body checking at a young age, and especially in regards to concussions and its ramifications. This article is wonderful, but I would also add that the actual head size in young people in relation to the relative size of their bodies , and the poorly developed shoulder girdle and cervical musculature in children at that...

    Show More

    I have been involved at the Minor hockey level for 14 years, and have been very outspoken in regards to body checking at a young age, and especially in regards to concussions and its ramifications. This article is wonderful, but I would also add that the actual head size in young people in relation to the relative size of their bodies , and the poorly developed shoulder girdle and cervical musculature in children at that age will add to the risk.

    Until this country , or the provinces, implement a sports science centre to coordinate research and implement it in programs as they relate to minor sports , we will be continue to skate through the minor system with more emotion then science.

    Keep up the good work.

    Show Less
    Competing Interests: None declared.
  • Posted on: (28 July 2003)
    Media has misrepresented study
    • Robert R., student

    Your article reported that the author stated that the Lakehead Study was flawed. This statement has been taken out of context. The author stated that the self reporting data set did not meet the criteria of the study and therefore that data set was a flawed data set. The data set that reported no significant difference was a completely different data set that was submitted by the insurance company. This study was submitte...

    Show More

    Your article reported that the author stated that the Lakehead Study was flawed. This statement has been taken out of context. The author stated that the self reporting data set did not meet the criteria of the study and therefore that data set was a flawed data set. The data set that reported no significant difference was a completely different data set that was submitted by the insurance company. This study was submitted for peer review and publication. I suggest that you find out from academic sources the validity of the study instead of the media! This study does not promote body checking but does contain many data sets that help in the understanding of the influence of body checking on the game.

    According to Neil Seaman of CANSTATS the media has misrepresented this study!

    (www.canstats.org) What the CBC did not Say

    o What the CBC has not said is that independent investigation has confirmed the lack of a statistically significant increase in the rate of injuries at the atom level. Dr. Montelpare’s substantive conclusions were based on data involving insurance rate claims. The anomaly unearthed by Disclosure related to self-reported data, which are unreliable. Even before the numbers were recalculated, the self-reported data revealed the same higher rate of injury in the body-checking group.

    Show Less
    Competing Interests: None declared.
  • Posted on: (23 July 2003)
    Bodychecking and Violence.
    • Neal H Shaw, teacher

    Kudos to Anthony Marchie and Michael D. Cusimano for their article, Bodychecking and concussions in ice hockey: Should our youth pay the price? They presented an informative and valuable article regarding an issue which personally affects many Canadian families. I must however point out one erroneous extrapolation made by the authors. While examining violent acts perpetrated by hockey teams in the Stanley Cup final, they...

    Show More

    Kudos to Anthony Marchie and Michael D. Cusimano for their article, Bodychecking and concussions in ice hockey: Should our youth pay the price? They presented an informative and valuable article regarding an issue which personally affects many Canadian families. I must however point out one erroneous extrapolation made by the authors. While examining violent acts perpetrated by hockey teams in the Stanley Cup final, they state that “teams playing with less violence were more likely to win. Compared with more violent teams, they had on average over 7 more shots on goal per game and 53 more shots on goal over a 7-game series”. This point that victory resulted from less violence in this case is a fallacy. Teams can play in an extremely violent fashion yet contain their actions to that which is within the rules, thus no penalty is incurred yet significance violence is used. Also the less skilled teams will resort to a more physical and thus violent strategy in an attempt to win the game. One cannot conclude that this is cause and effect, or effect and cause.

    Cheers Neal Shaw BPhEd,BEd,MSc(oxon) 291 Royal Albert ct Oakville On L6H 3A7 905 338-1787

    Show Less
    Competing Interests: None declared.
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Canadian Medical Association Journal: 169 (2)
CMAJ
Vol. 169, Issue 2
22 Jul 2003
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Bodychecking and concussions in ice hockey: Should our youth pay the price?
Anthony Marchie, Michael D. Cusimano
CMAJ Jul 2003, 169 (2) 124-128;

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Bodychecking and concussions in ice hockey: Should our youth pay the price?
Anthony Marchie, Michael D. Cusimano
CMAJ Jul 2003, 169 (2) 124-128;
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  • Effectiveness of interventions to reduce aggression and injuries among ice hockey players: a systematic review
  • Risk of injury and concussion associated with team performance and penalty minutes in competitive youth ice hockey
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