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Medical Team Perspectives on Hand and Wrist Injuries in Elite Male and Female Ice Hockey Players

21 août 2026 mis à jour par: Daniel Muder, Dalarna County Council, Sweden

Medical Team Perspectives on Hand and Wrist Injuries in Elite Ice Hockey: A Cross-Sectional Survey Study in Male and Female Players

This is a cross-sectional survey study investigating how medical team staff in elite Swedish ice hockey perceive hand and wrist injuries in male and female players.

Hand and wrist injuries are common in ice hockey and can affect both performance and participation. While injury registries describe how often these injuries occur, less is known about how they are managed and prioritised in daily clinical practice, or whether there are differences in perception between medical teams working in male and female elite leagues.

In this study, medical team professionals working with teams in Swedish elite ice hockey (including SHL, HockeyAllsvenskan, and SDHL) will complete a structured questionnaire. This includes all relevant healthcare and medical support professionals within the teams. The survey examines perceptions of injury frequency, underreporting, functional impact, clinical management strategies, and return-to-play decision-making related to hand and wrist injuries.

The aim is to better understand how medical teams experience and manage these injuries in real-world elite sport settings, and to identify potential gaps between epidemiological data and clinical practice. The study may help inform future injury prevention strategies, improve clinical decision-making, and support the development of more standardized management approaches in elite ice hockey.

No interventions or treatments are performed in this study.

Aperçu de l'étude

Statut

Pas encore de recrutement

Les conditions

Description détaillée

This is a cross-sectional survey study designed to investigate how medical team staff in elite Swedish ice hockey perceive the burden, clinical relevance, and management of hand and wrist injuries in male and female players.

Hand and wrist injuries represent a substantial proportion of injuries in ice hockey and are known to affect both short-term performance and participation. While epidemiological data from injury surveillance systems and registry-based studies provide important information on incidence, injury type, and mechanisms, these data primarily reflect medically recorded or time-loss injuries. As a result, they may not fully capture ongoing symptoms, subclinical functional limitations, or injuries managed conservatively without formal reporting. This may create a gap between observed injury epidemiology and the clinical reality experienced by team medical staff.

To explore this gap, the study targets medical team professionals working within elite Swedish ice hockey organizations, including teams from the Swedish Hockey League (SHL), HockeyAllsvenskan, and the Swedish Women's Hockey League (SDHL). Participants will complete a structured questionnaire distributed during scheduled medical staff meetings. The questionnaire is completed anonymously and individually.

The survey includes domains addressing perceived frequency and severity of hand and wrist injuries, perceived underreporting of symptoms, functional consequences during training and competition, and clinical management strategies including rehabilitation approaches and return-to-play decision-making. Additional items explore perceived variability in practice and areas where improved clinical guidelines or standardized approaches may be needed.

Responses consist of categorical and ordinal variables and are analyzed descriptively. The study is exploratory in nature and aims to characterize patterns in clinical perception rather than test predefined hypotheses.

All data are collected at a single time point, and no follow-up assessments, interventions, or clinical procedures are performed. Data are fully anonymized, and no identifiable team- or individual-level information is recorded. The study is intended to complement existing epidemiological and registry-based research by providing insight into clinical decision-making and perception within elite ice hockey medical teams.

Type d'étude

Observationnel

Inscription (Estimé)

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Nom: Daniel Muder, MD, PhD
Numéro de téléphone: +46722027596
E-mail: danielmuder@email.com

Lieux d'étude

Suède
- Dalarna County
  - Falun, Dalarna County, Suède, 79182
    - Center for Clinical Research Dalarna, Uppsala University

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

Adulte
Adulte plus âgé

Accepte les volontaires sains

Non

Méthode d'échantillonnage

Échantillon non probabiliste

Population étudiée

Medical support staff are recruited from elite ice hockey organizations in Sweden, including teams competing in the Swedish Hockey League (SHL), HockeyAllsvenskan, and the Swedish Women's Hockey League (SDHL). The population includes individuals working in team-based medical and performance support roles such as physicians, physiotherapists, athletic trainers, and massage therapists. Participants are drawn from active staff lists within participating clubs and are invited to take part during scheduled medical or team staff meetings within the competitive season period.

La description

Inclusion Criteria:

Physiotherapists working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL)
Team physicians working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL)
Massage therapists and sports massage practitioners working with elite ice hockey teams in Sweden
Athletic trainers and performance staff involved in player health and injury management in elite ice hockey teams in Sweden
Currently active in a medical or performance support role within a participating elite ice hockey team during the study period
Able to understand and complete the questionnaire in Swedish or English Provides informed consent

Exclusion Criteria:

Refusal to participate
Not currently active in a medical, therapeutic, or performance support role within elite ice hockey during the study period

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

Nombre de groupes / cohortes

Cohortes et interventions

Groupe / Cohorte
Medical Team Staff in Elite Ice Hockey Medical team professionals working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL), completing a cross-sectional survey on perceptions and management of hand and wrist injuries in ice hockey players.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats	Description de la mesure	Délai
Perceived Injury Burden Based on Time-Loss Ranking of Injury Locations Délai: Baseline (cross-sectional survey at enrollment)	Ranking of injury locations based on perceived contribution to total time-loss in elite ice hockey, as reported by medical staff. Injury locations include head/face, shoulder, knee, groin, hand/wrist, and other specified regions. Unit of Measure: Ordinal ranking (1 = highest burden, 2 = second highest, 3 = third highest)	Baseline (cross-sectional survey at enrollment)

Mesures de résultats secondaires

Mesure des résultats	Description de la mesure	Délai
Frequency of Playing With Hand and Wrist Symptoms Délai: Baseline (cross-sectional survey at enrollment)	Self-reported frequency of players participating in training or matches despite hand or wrist symptoms, as perceived by medical staff. Unit of Measure: 5-point ordinal scale: = Never = Rarely = Sometimes = Often = Very Often Higher scores indicate greater frequency of players participating while symptomatic.	Baseline (cross-sectional survey at enrollment)
Frequency of Hand and Wrist Symptoms Without Formal Diagnosis Délai: Baseline (cross-sectional survey at enrollment)	Description: Self-reported frequency of observed hand and wrist symptoms in players that are not formally diagnosed, as perceived by medical staff. Unit of Measure: 5-point ordinal scale: = Never = Rarely = Sometimes = Often = Very Often Higher scores indicate greater frequency of symptoms occurring without formal diagnosis.	Baseline (cross-sectional survey at enrollment)
Perceived Extent of Underreporting of Hand and Wrist Injuries Délai: Baseline (cross-sectional survey at enrollment)	Description: Self-reported perception of the extent to which hand and wrist injuries are underreported in elite ice hockey, as assessed by medical staff. Unit of Measure: 5-point ordinal scale: = Not at all = To a small extent = To a moderate extent = To a large extent = To a very large extent Higher scores indicate greater perceived underreporting.	Baseline (cross-sectional survey at enrollment)
Type of Hand and Wrist Problems Perceived as Underreported Délai: Baseline (cross-sectional survey at enrollment)	Description: Type of hand and wrist injury or symptom most commonly perceived as being underreported in elite ice hockey, as reported by medical staff. Unit of Measure: Categorical (single choice): Fractures Ligament injuries Tendon or muscle injuries Non-specific pain or overuse Uncertain	Baseline (cross-sectional survey at enrollment)
Functional Impact of Hand and Wrist Injuries Délai: Baseline (cross-sectional survey at enrollment)	Description: Functions most commonly perceived as affected by hand and wrist injuries in ice hockey players, as reported by medical staff. Unit of Measure: Categorical (multiple selection, up to 2 choices): Grip strength Stick handling Shooting Face-offs Physical play / board play	Baseline (cross-sectional survey at enrollment)
Consistency of Return-to-Play Decisions Délai: Baseline (cross-sectional survey at enrollment)	Description: Self-reported consistency of return-to-play decisions for players with hand and wrist injuries, as perceived by medical staff. Unit of Measure: 5-point ordinal scale: = Very inconsistent = Inconsistent = Variable = Consistent = Very consistent Higher scores indicate greater consistency in return-to-play decision-making.	Baseline (cross-sectional survey at enrollment)
Presence of Standardized Management Approach for Hand and Wrist Injuries Délai: Baseline (cross-sectional survey at enrollment)	Description: Whether a standardized approach is used for assessment and management of hand and wrist injuries within the team medical staff structure. Unit of Measure: Categorical (single choice): Yes No Partially	Baseline (cross-sectional survey at enrollment)
Perceived Performance Impact Ranking of Injury Locations Délai: Baseline (cross-sectional survey at enrollment)	Ranking of injury locations based on perceived impact on player performance during participation despite symptoms, as reported by medical staff. Injury locations include head/face, shoulder, knee, groin, hand/wrist, and other specified regions. Unit of Measure: Ordinal ranking (1 = highest performance impact, 2 = second highest, 3 = third highest)	Baseline (cross-sectional survey at enrollment)
Frequency of Participation With Hand and Wrist Symptoms Délai: Baseline (cross-sectional survey at enrollment)	Perceived frequency of players participating in training or matches while experiencing hand or wrist symptoms. Unit of Measure: 5-point ordinal scale: = Never = Rarely = Sometimes = Often = Very often Higher scores indicate greater frequency of participation while symptomatic.	Baseline (cross-sectional survey at enrollment)
Frequency of Hand and Wrist Symptoms Without Formal Diagnosis Délai: Baseline (cross-sectional survey at enrollment)	Perceived frequency of hand and wrist symptoms in players that are not formally diagnosed by medical staff. Unit of Measure: 5-point ordinal scale: = Never = Rarely = Sometimes = Often = Very often Higher scores indicate greater frequency of symptoms occurring without formal diagnosis.	Baseline (cross-sectional survey at enrollment)

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Dalarna County Council, Sweden

Les enquêteurs

Chercheur principal: Daniel Muder, MD, PhD, Center for Clinical Research Dalarna, Uppsala University, Sweden

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

1 septembre 2026

Achèvement primaire (Estimé)

30 septembre 2026

Achèvement de l'étude (Estimé)

31 décembre 2026

Dates d'inscription aux études

Première soumission

30 avril 2026

Première soumission répondant aux critères de contrôle qualité

10 mai 2026

Première publication (Réel)

14 mai 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

24 août 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

21 août 2026

Dernière vérification

1 mai 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Blessures et Blessures

Autres numéros d'identification d'étude

EPM 2026-03227-01

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

OUI

Description du régime IPD

Any data shared with colleagues or collaborating researchers will be fully anonymized or pseudonymized to protect participant privacy in accordance with GDPR regulations. Data transfers will occur under strict confidentiality agreements, and all parties will adhere to applicable data protection laws to ensure the security and privacy of personal information. We will act in accordance with the ethical approval granted by the Swedish Ethical Review Authority (EPM) and comply with all relevant local policies regarding data protection.

Délai de partage IPD

From the publication of the protocol and for 10 years thereafter.

Critères d'accès au partage IPD

Access to individual participant data is typically restricted to authorized researchers involved in the study or approved collaborators under strict confidentiality and data protection agreements.

Type d'informations de prise en charge du partage d'IPD

PROTOCOLE D'ÉTUDE
SÈVE
CIF

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .