Medical Team Perspectives on Hand and Wrist Injuries in Elite Male and Female Ice Hockey Players
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.
調査の概要
状態
詳細な説明
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.
研究の種類
入学 (推定)
連絡先と場所
研究連絡先
- 名前:Daniel Muder, MD, PhD
- 電話番号:+46722027596
- メール:danielmuder@email.com
研究場所
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Dalarna County
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Falun、Dalarna County、スウェーデン、79182
- Center for Clinical Research Dalarna, Uppsala University
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
説明
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
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
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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.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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Perceived Injury Burden Based on Time-Loss Ranking of Injury Locations
時間枠:Baseline (cross-sectional survey at enrollment)
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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)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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Frequency of Playing With Hand and Wrist Symptoms
時間枠:Baseline (cross-sectional survey at enrollment)
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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:
Higher scores indicate greater frequency of players participating while symptomatic. |
Baseline (cross-sectional survey at enrollment)
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Frequency of Hand and Wrist Symptoms Without Formal Diagnosis
時間枠:Baseline (cross-sectional survey at enrollment)
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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:
Higher scores indicate greater frequency of symptoms occurring without formal diagnosis. |
Baseline (cross-sectional survey at enrollment)
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Perceived Extent of Underreporting of Hand and Wrist Injuries
時間枠:Baseline (cross-sectional survey at enrollment)
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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:
Higher scores indicate greater perceived underreporting. |
Baseline (cross-sectional survey at enrollment)
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Type of Hand and Wrist Problems Perceived as Underreported
時間枠:Baseline (cross-sectional survey at enrollment)
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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)
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Functional Impact of Hand and Wrist Injuries
時間枠:Baseline (cross-sectional survey at enrollment)
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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)
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Consistency of Return-to-Play Decisions
時間枠:Baseline (cross-sectional survey at enrollment)
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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:
Higher scores indicate greater consistency in return-to-play decision-making. |
Baseline (cross-sectional survey at enrollment)
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Presence of Standardized Management Approach for Hand and Wrist Injuries
時間枠:Baseline (cross-sectional survey at enrollment)
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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)
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Perceived Performance Impact Ranking of Injury Locations
時間枠:Baseline (cross-sectional survey at enrollment)
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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)
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Frequency of Participation With Hand and Wrist Symptoms
時間枠:Baseline (cross-sectional survey at enrollment)
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Perceived frequency of players participating in training or matches while experiencing hand or wrist symptoms. Unit of Measure: 5-point ordinal scale:
Higher scores indicate greater frequency of participation while symptomatic. |
Baseline (cross-sectional survey at enrollment)
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Frequency of Hand and Wrist Symptoms Without Formal Diagnosis
時間枠:Baseline (cross-sectional survey at enrollment)
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Perceived frequency of hand and wrist symptoms in players that are not formally diagnosed by medical staff. Unit of Measure: 5-point ordinal scale:
Higher scores indicate greater frequency of symptoms occurring without formal diagnosis. |
Baseline (cross-sectional survey at enrollment)
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協力者と研究者
捜査官
- 主任研究者:Daniel Muder, MD, PhD、Center for Clinical Research Dalarna, Uppsala University, Sweden
出版物と役立つリンク
一般刊行物
- Clarsen B, Myklebust G, Bahr R. Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br J Sports Med. 2013 May;47(8):495-502. doi: 10.1136/bjsports-2012-091524. Epub 2012 Oct 4.
- Worner T, Kauppinen S, Eek F. Injury patterns in Swedish elite female and male ice hockey - A cross-sectional comparison of past-season's injuries. Phys Ther Sport. 2024 Jan;65:83-89. doi: 10.1016/j.ptsp.2023.12.001. Epub 2023 Dec 8.
- Aman M, Forssblad M, Henriksson-Larsen K. Incidence and severity of reported acute sports injuries in 35 sports using insurance registry data. Scand J Med Sci Sports. 2016 Apr;26(4):451-62. doi: 10.1111/sms.12462. Epub 2015 Apr 8.
- Gotlin MJ, Minhas SV, Buchalter DB, Feder OI, Alaia MJ, Jazrawi LM. Performance and Return to Sport After Hand, Wrist, and Forearm Fractures in the National Hockey League. Arthrosc Sports Med Rehabil. 2020 Sep 25;2(5):e505-e510. doi: 10.1016/j.asmr.2020.05.013. eCollection 2020 Oct.
- Tuominen M, Stuart MJ, Aubry M, Kannus P, Parkkari J. Injuries in men's international ice hockey: a 7-year study of the International Ice Hockey Federation Adult World Championship Tournaments and Olympic Winter Games. Br J Sports Med. 2015 Jan;49(1):30-6. doi: 10.1136/bjsports-2014-093688. Epub 2014 Oct 7.
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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