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Prevalence and Functional Impact of Hand and Wrist Symptoms in Ice Hockey Players

22. mai 2026 oppdatert av: Daniel Muder, Dalarna County Council, Sweden

Prevalence and Functional Impact of Hand and Wrist Symptoms in Ice Hockey Players: A Cross-Sectional Survey Study

Ice hockey places high physical demands on the hands and wrists due to frequent shooting, passing, and physical contact. This study aims to understand how common hand and wrist pain or symptoms are among ice hockey players in Sweden, and how these symptoms affect training, participation, and performance.

Players from different competitive levels (elite, junior, and amateur) and both sexes will complete a structured questionnaire based on the validated Oslo Sports Trauma Research Centre (OSTRC) tool, along with questions about pain intensity, symptom characteristics, and functional impact.

The goal is to describe the prevalence and severity of hand and wrist symptoms across different groups of players and to identify potential differences between sex, playing level, and position. No treatment or intervention is involved.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Detaljert beskrivelse

This cross-sectional observational survey study investigates the prevalence, severity, and functional impact of hand and wrist symptoms among ice hockey players in Sweden. Ice hockey is characterized by high mechanical loading of the upper extremities due to repeated stick handling, shooting, passing, and frequent body contact, which may result in both acute injuries and chronic or overuse-related symptoms affecting the hand and wrist.

Despite the recognized importance of upper-limb function in ice hockey performance, the burden of non-time-loss symptoms remains poorly described in epidemiological injury surveillance systems. Traditional injury registries primarily capture time-loss injuries and may therefore underestimate the true functional impact of hand and wrist complaints that do not necessarily result in absence from play.

To address this gap, players from multiple competitive levels-including elite, junior elite, and amateur ice hockey teams in Sweden-will complete a structured questionnaire during the competitive or pre-season period. The survey is based on the validated Oslo Sports Trauma Research Centre (OSTRC) Overuse Injury Questionnaire, supplemented with additional items capturing pain intensity (numeric rating scale), symptom characteristics (location, duration, and triggers), and perceived impact on training, participation, and performance.

The study population includes both male and female athletes across different competitive tiers, allowing stratified analyses by sex, playing level, and playing position. The primary objective is to estimate the prevalence of hand and wrist symptoms, while secondary objectives include quantifying symptom severity and functional consequences, as well as exploring associations with player characteristics such as age, playing experience, and prior injury history.

All data are collected at a single time point, and no interventions or treatments are administered as part of the study. The results are intended to improve understanding of the functional burden of hand and wrist symptoms in ice hockey and to inform future injury prevention, load management, and rehabilitation strategies.

Studietype

Observasjonsmessig

Registrering (Antatt)

800

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Barn
  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Active male and female ice hockey players recruited from Swedish ice hockey teams across elite, junior elite, and amateur levels. Teams are selected from professional leagues (SHL and SDHL), second-tier leagues (HockeyAllsvenskan and NDHL where applicable), junior U18/U20 teams, and amateur clubs. Participants are drawn from active rosters during the competitive season or pre-season period and complete a structured questionnaire assessing hand and wrist symptoms, pain, and functional impact.

Beskrivelse

Inclusion Criteria:

  • Active ice hockey players currently registered on a participating team roster in Sweden.
  • Male or female players competing at elite, junior elite, or amateur level.
  • Participation in one of the included competition levels during the current season.
  • Able to understand and complete the questionnaire.
  • Provides written informed consent.

Exclusion Criteria:

  • Declines participation.
  • Inability to complete the survey due to language barriers or cognitive limitations.
  • Acute severe upper-limb injury at time of data collection preventing meaningful survey completion, if deemed necessary for context-specific exclusion.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

Gruppe / Kohort
Ice Hockey Players
Active male and female ice hockey players from elite, junior, and amateur teams in Sweden participating in a cross-sectional survey assessing hand and wrist symptoms.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Prevalence of Hand and Wrist Pain Under Load in Ice Hockey Players
Tidsramme: Baseline (cross-sectional survey at enrollment)

Proportion of ice hockey players reporting hand or wrist pain occurring during hockey-specific load-bearing activities (e.g., shooting, stick handling, body contact), assessed using a structured cross-sectional survey including OSTRC-based symptom items.

Unit of Measure:

Percentage of participants (%)
Baseline (cross-sectional survey at enrollment)

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Severity of Hand and Wrist Symptoms in Ice Hockey Players
Tidsramme: Baseline (cross-sectional survey at enrollment)

Overall severity of hand and wrist symptoms during hockey participation, assessed using a structured questionnaire based on OSTRC overuse injury principles and a 0-10 numeric rating scale for pain intensity.

Unit of Measure:

OSTRC-based severity score (ordinal scale) Numeric Rating Scale (0-10), where 0 = no pain and 10 = worst imaginable pain (higher score = worse outcome)
Baseline (cross-sectional survey at enrollment)
Functional Impact of Hand and Wrist Symptoms on Participation and Performance
Tidsramme: Baseline (cross-sectional survey at enrollment)

Self-reported impact of hand and wrist symptoms on participation in training and competition, training volume, and on-ice performance, assessed using structured OSTRC-based items.

Unit of Measure:

Ordinal scale responses (5-level categories) assessing:

participation limitation training reduction performance impairment

Higher scores indicate greater functional impact.
Baseline (cross-sectional survey at enrollment)
Characteristics of Hand and Wrist Pain in Ice Hockey Players
Tidsramme: Baseline (cross-sectional survey at enrollment)

Distribution and pattern of self-reported hand and wrist pain during hockey participation, including anatomical location, triggering actions, and duration of symptoms.

Unit of Measure:

Categorical responses (multiple response options), including:

anatomical location (e.g., radial wrist, ulnar wrist, fingers, thumb) triggering mechanisms (e.g., shooting, stick handling, body contact) symptom duration (e.g., during activity, minutes, hours, persistent)

Results will be reported as frequencies and percentages.
Baseline (cross-sectional survey at enrollment)
History of Hand and Wrist Injuries and Associated Characteristics in Ice Hockey Players
Tidsramme: Baseline (cross-sectional survey at enrollment)

Self-reported history of prior hand and wrist injuries, including injury type, timing, and current treatment status, as potential background factors associated with current symptom burden.

Unit of Measure:

Categorical variables reported as frequencies and percentages, including:

presence of previous hand/wrist injury (yes/no) injury type (e.g., fracture, ligament injury, tendon injury) timing of most recent injury (year) current treatment status (yes/no; type of treatment)
Baseline (cross-sectional survey at enrollment)
Clinical Management and Reporting Behaviour Related to Hand and Wrist Symptoms in Ice Hockey Players
Tidsramme: Baseline (cross-sectional survey at enrollment)

Self-reported clinical management strategies and reporting behaviour related to hand and wrist symptoms, including communication with medical staff, reasons for non-reporting, return-to-play modifications, and use of protective or symptomatic treatments during participation.

Unit of Measure:

Categorical responses reported as frequencies and percentages, including:

reporting to medical staff (yes/no) reasons for non-reporting changes in playing style due to symptoms (yes/no) use of protective measures or treatments (e.g., tape, brace, medication)
Baseline (cross-sectional survey at enrollment)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Dalarna County Council, Sweden

Etterforskere

  • Hovedetterforsker: Daniel Muder, MD, PhD, Centre for Clinical Research Dalarna, Uppsala University, Sweden

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. september 2026

Primær fullføring (Antatt)

31. desember 2026

Studiet fullført (Antatt)

31. desember 2026

Datoer for studieregistrering

Først innsendt

30. april 2026

Først innsendt som oppfylte QC-kriteriene

10. mai 2026

Først lagt ut (Faktiske)

14. mai 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

27. mai 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

22. mai 2026

Sist bekreftet

1. april 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 2026-02210-01A

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

Individual participant data (IPD) including de-identified questionnaire responses will be shared. This includes OSTRC-derived symptom and severity scores, pain intensity ratings (NRS), reported symptom characteristics (location, duration, triggers), and functional impact on training, participation, and performance, as well as basic demographic and playing characteristics such as age, sex, playing position, playing level, years of experience, dominant hand, and prior hand/wrist injury history.

IPD-delingstidsramme

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

Tilgangskriterier for IPD-deling

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.

IPD-deling Støtteinformasjonstype

  • STUDY_PROTOCOL
  • SEVJE
  • ICF

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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