Tuesday, November 30, 2010

Youth Ice Hockey Safety Email Campaign

This is a rule change year for USA Hockey. Send them emails to help make the game safer.

There is a lot you can do in a minute. We need parents to send emails to their clubs, leagues, board members, USA Hockey, and anyone else involved in making decisions about youth ice hockey safety standards. More specifically we are asking parents to express their concern about the number of concussions and injuries occurring because of contact made to our children’s necks, heads, and backs. We understand hockey is physical sport but it is not a reckless sport. We want improved safety standards to reduce this type of contact. We don’t want explanations for why things are. We want action to change deficient safety standards as away to reduce injury in youth ice hockey. We can’t prevent injuries but we can reduce injuries.


Here are some things you might cut and paste into your emails:

Email One:
Youth ice hockey is a physical sport but it is not a reckless sport. I have noticed players getting hit in the neck, back, and head too often. The current penalties aren’t preventing this behavior. What changes are you planning to make to address this real concern?

Email Two:
There simply is not enough time being spent on teaching our children how to check and how to protect themselves when being checked. I want the club and coaches to dedicate more time toward teaching the players how to protect themselves on the ice.

Email Three:
Checking is a skill. Checking leagues are about introducing and using a new skill. I haven’t noticed skilled checking. I have noticed a lot of reckless hitting during games. What are you going to do to change this? You can’t allow children to learn to check by just sending them out on the ice to hit each other. We need more training for the players and better penalties to discourage hits to the head.

Email Four:
Everyone knows there are great discrepancies in height and weight for players between the ages of 10-16. Do you really expect a 70 pound child to get hit by a 120 pound child and not get hurt? What are you doing to address and manage this safety issue? Should a child that hasn’t hit their growth spurt be at a disadvantage? What about allowing players to stay down a level based on weight or advancing a player up a level based on weight. Age is a poor measure for defining levels of play.

Email Five:
Why do most penalties seem to be at the discretion of the referee? What about the mandatory penalties in the rules? Don’t you take hits to the head, neck, and back seriously? Don’t you think penalties should be harsh and mandatory as to significantly discourage players and prevent the hits from even happening? Assessing a penalty afterwards is not preventative. Giving a player 2 minutes, 2 and 10, 5, or 5 and 10 based on discretion and injury is not the best way to protect our children. Keep these penalties for the bench to serve and add a new penalty that removes the player that made the hit from the game. Teach them.

Email Six:
We have learned how damaging concussions can be and we have hundreds of professionals telling us to change checking. Some say remove it, some say delay it, some say modify it, and some want stronger penalties that really make a child think before they act. I have noticed very little training to teach our children how to check properly and how to protect themselves. What are you doing about this?

Email Seven:
My concern is you unknowingly tolerate hits to the head, neck, and back. I believe you have safety in mind but the culture of youth ice hockey is stale. The penalties are old and out dated. We now know how damaging concussions can be. We also know that direct head contact is the major cause of concussions and injury. The penalties are too weak. This is not the NHL, it is youth ice hockey. It is physical game but not a reckless game. Why don’t you ban hits to the neck, head, and back as a One and Done penalty? Make the penalties in youth hockey, for hits to the head, a mandatory game ejection. Save discretion for the NHL. Protect our children. Let the players that follow the rules play.

Email Eight:
I don’t care what the intention was or is. If a player hits my son in the head, I want that player out of the game to think about what he did. They can learn by not playing. We can’t tolerate any hits to the neck, head, or back. These are children. Punish them for what we know as adults to be harmful with a real penalty. NO HITS to the head - ever, or you sit the rest of the game.

Email Nine:
Checking is the most damaging aspect of youth hockey and it is the least taught. What aren’t you doing more to thoroughly teach my child how to check as not to injury a fellow player? Why aren’t you teaching my child how to protect themselves on the ice? Shouldn’t this skill be like a 6 hour serious training? Checking causes injury and I don’t see the players being adequately taught how to do it. Can you please improve the way you teach them?

Email Ten:
I paid for my child to play in a league based on specific rules I was provided via USA Hockey. The rules aren't being followed and enforced as written. There are mandatory penalty calls that aren't being made. This is not what I paid for. If you're not going to enforce the rules please create safer leagues. I would like an alternative league that is more about skills and technique then harm and hitting. I think checking has a place in hockey but I want an alterntative to a full checking league. What is wrong with only allowing shoulder to shoulder checks as a method to move the player off the puck? There must be alternative leagues that I can pay to have my child play in.  Would you be interested in forming a new type of league?

Monday, November 29, 2010

Concussions in Ice Hockey: What's the Buzz?

This is worth reading. Here is the link in PDF form. You will be able to view it in presentation format with pictures and diagrams, if you go to the above link.

Here bolded  below is the impetus to our Zero Tolerance stance. It does say 1/2 of concussions came from illegal hits to the head and back. If rule changes cuts down 50% of the above 1/2... isn't that worth it, in youth ice hockey?

The prevalence of concussions in youth hockey is surprisingly similar to concussion estimates in the NHL (23 per 1000 player game hours). (3) Concussions also frequently occur in high school and college hockey. In a recent Canadian study of 22,400 youth players, most concussions resulted from player to player contact. Half (11,200) were caused by illegal acts, such as checking from behind or hits to the head. Athletes who lost consciousness were sent for medical evaluation, but symptoms of amnesia, headache and dizziness were often ignored. According to trained observers, 71% of concussed athletes returned to play in the same game.

 BELOW is the copy of the PDF but it is best viewed in PDF form.

Concussion in Ice Hockey: What’s the Buzz?
A Medical and Psychosocial Perspective

Aynsley M. Smith, RN, PhD 1 , Michael J. Stuart, MD 2
and Dave Dodick, MD 3



1. Background of Concussions

Concussions in ice hockey have been reported since 1890, but were often viewed as minor events

described as “having your bell rung” (1) . Over time, our understanding of the mechanisms,

neurobiology and consequences of concussion has dramatically improved.

A concussion is defined as a transient neurologic dysfunction resulting from a forceful impact (2) .

The Center for Disease Control estimates between 1.6 and 3.8 million concussions occur in sport

annually, but the true incidence is likely much higher. Approximately 54% of concussed athletes

fail to report their symptoms due to a lack of recognition or fear of losing playing time. These

figures speak to the need to address the importance of recognizing and properly treating

concussions in athletes.

Forces transmitted to the head cause an electrical depolarization (the brain cells are stunned),

followed by a serious alteration in: (1) neurotransmitter function, (2) potassium and calcium

exchange, (3) glucose metabolism and (4) brain blood flow. The linear and rotational

acceleration of the brain causes the tail of neurons (axons) to stretch, tangle or die.

Diagram used with permission. "Image courtesy of Dr. Eric H. Chudler, Neuroscience

for Kids, http://faculty.washington.edu/chudler/neurok.html"

This diagram depicts a normal brain cell (neuron). After repeated concussions and rotational

acceleration the stretched, tangled, axons may lead to cognitive and behavioral changes.

1 Dr. Smith is a sport and exercise consultant and research director in the Mayo Clinic Sports Medicine Center who

has worked with ice hockey in all levels of participation.

2 Dr. Stuart is an orthopedic surgeon, codirector

of the Mayo Clinic Sports Medicine Center, and team physician for

the 2010 USA Olympic men’s ice hockey team.

3 Dr. Dodick is a neurologist at Mayo Clinic Scottsdale, AZ, a full professor of neurology, a world expert in

headache and related neurotrauma, and who has expertise in hockey and concussion.

Repetitive head trauma from participation in activities such as boxing, football and ice hockey

can lead to serious consequences such as memory loss or early Alzheimer’s disease. In recent

years, we have learned that concussion symptoms take longer to resolve in children.

2. Who Gets Concussed?

The prevalence of concussions in youth hockey is surprisingly similar to concussion estimates in

the NHL (23 per 1000 playergame

hours). (3) Concussions also frequently occur in high school

and college hockey. In a recent Canadian study of 22,400 youth players, most concussions

resulted from player to player contact. Half (11,200) were caused by illegal acts, such as

checking from behind or hits to the head. Athletes who lost consciousness were sent for medical

evaluation, but symptoms of amnesia, headache and dizziness were often ignored. According to

trained observers, 71% of concussed athletes returned to play in the same game.

Children and adolescent hockey players are more susceptible to concussion because of a larger

head size to body size ratio; weaker neck muscles and less stability on skates when checked or

pushed. Videotape analysis of Bantam players identified onice

skating characteristics that

helped explain why certain players sustain concussion. These players tended to skate with their

heads down watching the puck, positioning themselves in the “danger zone”, which is between

816

feet from the boards, and didn’t optimally position their body to receive a check. Thus,

when checked, these players were more often flung into the boards. Collisions too often occurred

when their heads were down.

3. What are the Symptoms and Signs of a Concussion?

Parents and coaches may witness a deliberate or accidental “impact” between players, a player

and the boards, ice, or a goal post. They should be alert to a players complaints or problems that

range in time of onset and severity.

· Symptoms: headache, nausea, dizziness, fatigue, sleep disturbances, feeling slow

· Physical signs: loss of consciousness, amnesia (loss of memory), vomiting, balance

problems, visual disturbances, light or noise disturbances

· Behavioral changes: irritability, nervousness, drowsiness, sadness

· Cognitive impairment: slowed reaction times, fogginess

We should all be particularly cognizant of the player with a concussion who sustains additional

minor head trauma and reports an escalation of symptoms. More information is available on the

CDC website: http://www.cdc.gov/ncip3/tbi/getoolkit/coaches (6) .

4. What to do when a Concussion Occurs?

Should concussed players return to the game or practice? No! The following recommendations

emanated from a recent International Symposium on Concussion in Sport conference (or of

medical experts, neurosurgeons?) in Zurich in 2008. (2)

If a player shows ANY symptoms of a concussion:

· The player should be medically evaluated on site using standard emergency management

principles, excluding an associated neck (cervical spine) injury.

· The player should be safely removed from the practice or game, evaluated by a health

care provider on site and/or referred to a physician.

ü Assessment is made using a sideline protocol to evaluate factors such as cognition

and balance.

ü The player is monitored every 1530

minutes for the first several hours after injury.

Concussion symptoms may not appear for several hours after the injury and worsening of

symptoms requires an emergent medical consultation. A more detailed evaluation with

neuropsychological (ImPACT) (7) and balance testing (8) is also helpful, especially if preseason

baseline data is available for comparison.

Obtaining Baseline Data

In the Mayo Clinic Sports Medicine Center, baseline data has been obtained for Rochester, MN

male varsity and junior varsity football and ice hockey players and female varsity ice hockey

players for the past four years. Baseline assessment includes neurocognitive

testing (ImPACT)

(7) and balance testing (8) that provides a reference point in the event players experience head

trauma during the season. In the absence of baseline data, obtaining input from the parents and/or

significant others as promptly as possible is helpful to obtain input on signs or symptoms that

differ from the player’s norm. Parents should consider establishing a baseline for their children

prior to starting any physical activity or contact sport as it may be helpful in diagnosing and

treating a concussion.

6. Educational Programs to Prevent Concussions

a. Hockey Education Program (HEP) (9)

Minnesota Hockey and the Mayo Clinic Sports Medicine Center developed a program to

decrease violence in youth hockey while promoting sportsmanship and skill development. HEP

incorporates Fair Play, a program that rewards sportsmanlike behavior with a point in each game

for teams that do not exceed a specified number of penalty minutes. The teams’ Fair Play point is

forfeited if players, coaches or team parents behave in an unsportsmanlike manner. After the first

four years, statewide

analysis of HEP data revealed approximately a 30% reduction in

potentially dangerous infractions such as checking from behind and hits to the head.

Total Major PenaltiesPer

100 Games:

A Four year Comparison

0

2

4

6

8

10

12

14

16

18

Fighting

Spearing

5" Roughing

High Sticking

Check/Behind

Head Contact

Kicking

D.Q.

0708

Data represents 2210

scoresheets. A 25% sample

from 8839

b. Heads Up Hockey

Heads Up Hockey has long been promoted by USA Hockey in an attempt to reduce the risk of

cervical spine injury (www.usahockey.com ). The Rochester Youth Hockey Association

(RYHA) produced a video in 2008, to instruct players to keep their head up when sliding into the

boards. (http://ryha.pucksystems2.com)

c. Larger Ice Surfaces

A recent study of ice hockey injuries, including concussions in World Junior Ice Hockey

Championships compared risk according to the size of the ice surface. Injuries were less frequent

on the larger ice surface when players of similar age, size and skill competed under otherwise

identical rules and regulations.

d. High School Hockey Concussion Task Force

Concussions in youth and high school hockey are frequent enough and the consequences so

grave that medical professionals felt obligated to take action. A task force of sports medicine

physicians and sport scientists organized by Dr.Aynsley Smith and Dr. Michael Stuart, recently

participated in a teleconference to discuss the necessary steps to reduce concussion occurrences.

Members of the task force included Drs. Joel Boyd, Rob LaPrade, Bill Roberts, Diane WeiseBjornstal

and Maureen Weiss. The Task Force’s initial efforts will be directed toward

accountability and enforcement of existing rules in high school hockey for the 20092010

season.

The prevalence of concussions will be tracked in specific areas and the results will be considered

following the hockey season.

7. Congratulations to MN Hockey and the MN Wild

The action being taken jointly by Minnesota Hockey, under the leadership of Executive Director

Mike Snee, and the Minnesota Wild in developing and implementing the Respect and Protect

Program is to be applauded. Hopefully, players will grow up playing a safer game, knowing that

their respectful behavior is supported by their youth hockey association, the Minnesota Wild and

all of us who love the great game of hockey.

The Tournament: Neck, Head, and Back Hits & High Sticking

What was most interesting about our three games was how the referees were able to set the tone. After hearing the families of NJ repeatedly say, "in Jersey the refs put their whistles away and let the boys play." I had to ask if they were from Jersey because I was from Jersey too. The hitting wasn't so bad. In fact there was more skilled checking. It was done fairly well.  It was mostly physical and not reckless. The real issue was interference. It wasn't called consistently. Although the checks were more check-like, they were just delivered late.

One referee set the tone, after the coach yelled at him about a penalty. The referee said something like, "boys get killed by hits like that. It won't be happening in my game."  And you know what... the coach never said another word and the reckless hits never came again. Referees can manage a game and referees can lose control of a game. I am not willing to risk injury to my son or players because of a stray NJ referee that might relocate from Jersey to Maryland. Although all NJ referees don't put their whistles away, the familes from Jersey told me they did. Why would they lie to me? I'm from Jersey too.

An interesting piece of information for the debate on reckless hitting... I saw one of our defensemen follow through on a clearing attempt and slightly touch the face mask of an opposing player with his blade. He was called for high sticking. I think it was a good call. Unintentional, but the rule book states you must be in control of your stick. He got two minutes for that. This call was simple. Stick to face - two minutes. There was no discretion there. This is what we need for hits to the neck, head, and back. No discretion. Mandatory calls which I believe should be suspension of immediate game play. Set the tone, like the referee above did. Hitting players in the neck, head, and back won't be tolerated because it puts players at the greatest risk for harm. One and done.

In the tournament, perhaps one player would have been suspended for a game. Maybe two, if you count my son's hit. Of course the referee called it interference versus hitting in the back.  It occurred in the center of the ice versus along the boards. But location shouldn't matter. You might argue, why do you need such a harsh penalty of an in-game suspension, if the players mostly played fairly and cleanly. The answer is easy... most kids respect the rules but the ones that don't harm players. The players that follow rules, will have little trouble adapting to the One and Done rule change. You must have mandatory strict penalties for the most harmful hits in the game. These hits to the neck, head, and back aren't checking. The players need to be taught how to check and punished when it is done wrong. Intent does not matter.

If you can write a rule that gives a two minutes non-discretionary penalty for a stick hitting the neck or head of a player then you can make a better mandatory rule for any contact to the head, neck, and back of a player. This isn't the NHL. Youth players are learning the skill of checking and how to have a physical aspect in their game. They players need to be thoroughly taught and penalized while they learn. Sitting the rest of the game for a potentially harmful hit, is the best way to teach them not to do it.

Silver Sticks Ends and the Huskies Competed

The weekend can be summed up as exciting. We were in contention for a playoff spot going into the third game. With a first game loss, we shook off the sluggishness and beat the Bandits 3-1 in our second game. The boys played fast and hard and Lizzy came up big with two saves on break-a-ways for the win. We fought in the third game to remove a 2-0 deficit in the third. We lost 3-2 and that ended an exciting run of 3 games. The Bandits made it into the championship game after they knocked off Navy. I don't know who won.

Tuesday, November 23, 2010

Youth Ice Hockey: 7 Simple Steps to Reduce the Most Dangerous Game Hits & Contact

From Pad to Blog: Still in Draft Form

Youth Ice Hockey: 7 Simple Steps to Reduce the Most Dangerous Game Hits & Contact
by Gary Pilarchik LCSW-C


To the argument this is too severe… In the 4 games I watched, 3 hits occurred that would have caused 3 players to be immediately suspended from the game. All the players would see this immediate suspension. In that 4 game span, 3 players didn’t control themselves and about a100 players did control themselves. Focus on the 97 out of 100. How is that severe? Removing 3 players is not severe. One coach would have received 1 yellow card and another coach, 2 yellow cards. No forfeits occurred. How is that severe? Well, it is not severe. If you institute a harsh immediate penalty as I outlined, you won’t change the fabric of the game. You will save 100’s of children from concussions and harm. Innovate. The numbers are in this paragraph. A harsh penalty will be a preventative penalty. This type of penalty prevents future behavior. (The above paragraph is my conclusion. Feel free to read further about how I got there.)


I have been concerned about hits to the necks, heads, and backs of youth ice hockey players. It is my belief that concussions and severe injuries can be reduced by consistently and severely penalizing all neck, head and back contacts. This sounds, well severe. But keep this mind… How often do you see hits like that? How often do these hits to the neck, head, and back cause harm? In addition to severe penalties, significant checking training is also needed in youth ice hockey to reduce concussions and injury.


Penalizing with force and frequency reduces unwanted behavior. Don’t we want to reduce the behaviors that cause the most harm to our children? That is neck, head, and back hits that cause head and neck trauma. I would also include excessive force hits because that isn’t really checking. We want to protect our children on the ice but we hesitate greatly to institute a simple severe penalty. I am a cognitive behavioral therapist. I am an experienced hockey parent. This is how I would shape behavior. The goal is to extinguish the bad behaviors and reward the good behaviors. The reward for good behavior is you get to keep playing and have a chance to score the game winning goal for your team. Youth ice hockey is about our children’s dream. They aren’t dreaming of getting hit in the face.


I did pose three questions that need to be first answered before I can provide my solution for extinguishing the unwanted behaviors of neck, head and back hits.


How often do you see hits like that?
The answer is really one is too often but if you look at several games like I did, you might say there is low occurrence. In the last four games, I watched, there were two hits to the head and one to the back. So three hits for my point, I will make further down in the article.

How often do these hits to the neck, head and back cause harm?
That is a trick question because we are trying to reduce the number of hits to the neck, head, or back. We aren’t counting harm. By reducing these hits, you lower the chance of concussions and other injuries. So the answer isn’t a number, it is a statement. Every time a player is hit in the neck, head, or back there is a greater risk of concussion or injury to the player. The player that gets hit in the head has a greater chance of harm then the player that isn’t getting hit in the head. You can try this out on yourself if you don’t believe me. At this moment you have not received contact to the head. Go bang your head on the wall. Your chances of a concussion just increased. Do it again. It just doubled. Stop.


Don’t we want to reduce the behaviors that cause the most harm to our children?
The answer is yes when we say do we want to reduce harm to our children. Who would say no? But do we as a hockey culture want to reduce the behaviors that pose the greatest risk to causing injury to our children? We do, but we get muddled with hockey being a physical sport and blah blah blah… So I won’t muddle my point.


How to Shape Behavior in Youth Ice Hockey:
Seven Simple Steps to Reducing Harm


Step One:
Introduce immediate penalties and games suspension for hits to the head, neck, and back at all levels. If a player touches the neck, head, or pushes with force the back of a player… that player is suspended from immediate game play. This is not about intent or outcome of harm. If it is done - it is penalized. All current USA Hockey penalties are still called and severed by a bench player. If the contact is severe enough, additional penalties may be added as already defined in the current rule book.


Players ages 6-10 will probably cry when suspended and will fear this penalty. You will get 4-5 years of teaching players that this type of neck, head, and back contact is unacceptable. You are shaping future behavior. You are putting it in the heads of the soon to be 10-14 year old players that will start checking one day, that hitting to the neck, head, and back is unacceptable.


The players that are already checking will be angry that they got booted out of the game but they will be out of the game to calm and compose themselves. Being angry means the punishment was significant. Other players will see this. You will be shaping all the future behavior of the players on the ice when they witness one player being immediately suspended. It is a great way to remove the most harmful contact behavior from youth ice hockey.


Step Two:
Create a poster and slogan and put it everywhere. Add it into the player, coach and parent hockey culture by giving it some good PR.
One and Done
or
Check the Wrong Way (safety & respect) You Don’t Play that Day


Step Three:
Have the players shake hands before the game. The idea is safety, respect, and good competition. They might wish each other luck and no foul. Respect is taught and practiced. They are playing a game with other kids out there. They aren’t playing objects.


Step Four:
Step One was about the individual getting the penalty. You need to have a team penalty. The best way to ensure coaches teach their players the proper way to check and behave on the ice is to punish the coach and team. One of the most powerful tools in sports is the yellow card. It is a symbol of a foul and progression to greater penalty if you don’t get your act together. Adopt the yellow and red cards from soccer. If a team receives two yellow cards for hits to the neck, head, or back… the third time is red card and game forfeit. The pressure for respectful and safe play falls on the coaches. They need to teach their players how to check and how to manage their physical play.


No player is going to want to get the third foul for neck, head, or back contact and cause the team to forfeit. Peer pressure in a good way.


Step Five:
A hockey club that has X amount of teams game forfeits has to come before the league.


Step Six:
A hockey league that has X amount of hockey clubs coming before them for review has to go (you know I don’t know where they go) before USA Hockey (?) Steps Four, Five and Six hold everyone accountable for managing the behavior we all don’t want in hockey.


Step Seven:
A player reaching X amount of immediate game suspensions will come before a review board and face further penalties.


This is my solution or seven simple steps to reduce the behaviors that lead to the most harm in youth ice hockey. The argument is often - this would be too severe and you can’t do it. That is the old hockey culture speaking and we need to get over ourselves and protect the children. All we are talking about is telling a kid you can’t play because you hit someone in the neck, head, or back. They can play tomorrow. All we are telling the coaches are, you are adults and you have to make sure the kids play safely and respectfully. If you can’t then you team won’t be allowed to play that day. It is simple.


It really isn’t that big of a deal (in the way of a new penalty) for what it will achieve. It will reduce the number of hits to the neck, head, and back drastically. By drastically reducing these types of hits you will prevent children from getting concussions, neck trauma, and other injuries. The message is clear and simple. You don’t play right; you can come back when you can play right. In this case two rights save children from getting severely harmed. Which means two rights can prevent a wrong.


To the argument this is too severe… In the 4 games I watched, 3 hits occurred that would have caused 3 players to be immediately suspended from the game. All the players would see this immediate suspension. In that 4 game span, 3 players didn’t control themselves and about a100 players did control themselves. Focus on the 97 out of 100. How is that severe? Removing 3 players is not severe. One coach would have received 1 yellow card and another coach, 2 yellow cards. No forfeits occurred. How is that severe? Well, it is not severe. If you institute a harsh immediate penalty as I outlined, you won’t change the fabric of the game. You will save 100’s of children from concussions and harm. Innovate. The numbers are in this paragraph. A harsh penalty will be a preventative penalty. This type of penalty prevents future behavior.



Youth Ice Hockey: Teaching and Penalizing Checking Versus Removing or Delaying Checking

From Pad to Blog: Still In Draft Form

Youth Ice Hockey: Teaching and Penalizing Checking versus Removing or Delaying Checking
by Gary Pilachik LCSW-C

I went to see a high school ice hockey team play last night. What I noticed, with some correlation to dental hygiene, weight, and hair bleaching products, were the repeated comments “Just hit them.” or “They’re scared. They won’t hit.” or “Hit the damn players!” The operative word was hit. It appeared to me there was little understanding about the use of a check in hockey. Now I have to say, the boys on the ice played a fast clean game. I’m not sure what the select few parents wanted. Did they mean check or truly hit? It made me think about whether or not players, parents, and coaches really understood the difference between hitting and checking. Where they thoroughly taught?

Checking and hitting are two different things. Part of the failure in lowering concussions and harm, is found in how and what youth ice hockey is teaching the players about checking.  They need to be taught about what the skill of checking is and does, how to do it, and that checking should be done with respect (another article). Checking is used to move the player off the puck so one can get the puck. It can also be used to slow or break up a play so one or someone from one’s team can get the puck. That is what checking is - when defined as a skill. There is no mention of harm or intimidation or bullying or abuse of one’s larger size over the smaller boys. Size variation in players is another topic for another article but it also relates to checking and more specifically to injury and harm. Youth ice hockey has to view checking differenlty then it has and teach it as a skill. They also have to look at hitting as a separate method to intimidate. Until USA Hockey, leagues, and clubs recognize the difference between the skill of checking and just hitting, our children will continue to get harmed with reckless hits.

Checking, defined as a skill to be used with respect is not what youth ice hockey players are fully taught when checking is introduced into the game. Hitting is often what 10, 11, 12, 13 and 14 years are taught about checking. They don’t learn it as a skill. They learn it as hitting to intimidate. Some parents and coaches reinforce this as does the NHL. The hockey culture also reinforces it. We are all the current hockey culture. Where is the teaching of a skill? The actual teaching of checking to a significant degree, is not currently in our youth hockey programs. They are children not NHL players. Intimidation is fine in the NHL but not in youth ice hockey. The skill that can do the most harm and does the most harm is not taught well. That must be corrected to reduce the number of concussions and injuries in youth ice hockey. Extensive education, teaching and training for a skill that does them most harm must be the mantra.

Right now the epidemic of head and neck injuries are caused by the failure to  fully teach checking skills and sufficiently penalize illegal hits or typically “bad checks.” The youth players are essentially sent  out on the ice and told, “you can check now… go hit 'em.” Hockey is a physical sport and sending players out to just hit without significant training, makes hockey a reckless sport. The youth players don’t know how to check and don’t know how to protect themselves. You may or may not agree with this but hundred’s of games later, I am right.

So what is the solution to reduce the number of “bad checks” or illegal hits and prevent or reduce concussions and injury? I pointed out before that the punishment has to be significant and the penalty always called when a player makes contact to the head, neck, and back. This is not about intention but behavior. If you do the behavior of hitting someone in the neck, head, or back… you sit the rest of the game. One and done. It is what works for children.

In addition to consistent calls and sufficient penalties to stop unwanted behavior, you must teach the players how to check and how to protect themselves on the ice. Having to fully teach checking to players - is why the question should not be about whether or not to remove checking from the game or postpone checking. The question should be how do we better teach checking (at all youth ice hockey levels) as a way to reduce the number of harmful reckless hits. Hockey is a physical sport that fails to truly teach the youth players how to deal with the most physical aspects of the game – both checking and hitting. Thoroughly teach and significantly penalize the players. They will learn. You have to start with the Atoms to change the player culture.


On a side note, you have to also penalize the coaches if he or she can’t control the physical play of their team. That is right – the f word or forfeit. Give the coach a yellow card each time a player hits a player in the neck, head, or back. The third one is red and the game is over. Trust me. You want change, do this. (More about this in another article) The yellow card is a great visual tool for children to see and it put pressure on them not be responsible for a team forfeit. If you want checking to be in the game and done right... the yellow card is a powerful tool. This is about innovation, not history and old school hockey. Use what works.

Checking has to be introduced at all stages and ages, along with the penalty of being sat if you hit a player in the head, neck, or back. By doing this you will prepare the younger players to become checking Peewee players. Introducing checking without teaching or without stronger penalties, just prolongs the period of time before more injuries and harm come to the game. Instead of the period of increased injury being Peewee (11-12), it just becomes Bantam (13-14) if you were to only shift the introduction of checking. That is a good thing on one hand. It just is not the best method to reduce concussions and injuries to the lowest possible level.

Other methods, besides just delaying checking, can do more to reduce injuries and harm to our children. You still have to thoroughly teach checking and significantly penalize the players be it Peewee checking or Bantam checking. You also have to teach the coaches to manage the physical play of their players. Parents… I am not sure how you can teach them. I hope they learn from seeing the game change and by seeing how checking is taught, used and penalized in the game. More effort must go into teaching players how to respect each other, check each other, and how to protect themselves from checks and even collisions. Playing smart with your head up also prevents collisions.

The most physical aspect of youth ice hockey, checking or body hits, is the most under taught skill and under penalized skill (when done wrong) in the game. You can get two minutes for just hooking someone or two minutes for strongly elbowing someone in the head. You might even get two minutes for roughing for checking someone from the side of their head into the boards. Come on! We, as adults, can do better then that. That is how my son got his concussion. He sat out two weeks and the player that did it, missed two minutes of lost game time. My son missed 2 or 3 games and 2 practices. Fair? Hmmm.





Monday, November 22, 2010

Mayo Clinic and The Concussion Summit for Ice Hockey

Below is the full copy of the article. I included the link. I wanted to highlight the follow piece of the blog:


More injuries occur in leagues that allow body checking, but Stuart believes it is because the players don't know the proper techniques to do it. It is one thing to say a player must be at least a certain age before they can participate in a checking league, but Stuart feels that education and experience is every bit as necessary.


"When it's allowed in games, players either don't know how to do it correctly, they put themselves or their opponents at risk, and it tends to result in illegal activity," he said. "Many of these injuries that occur from body checking, in my opinion, are actually boarding, high-sticking, elbowing, charging, checking from behind.

"So it's really not the fault of a legal body check, but by allowing legal body checking in games it seems to foster illegal activities."
Well here it is summed up better then I could say it. You can't just toss a kid into the fire. Teach them. Penalize them. Make sure they know how to check before you let them go out and hurt people.


Check out the original link here with all its bells and whistles.
http://bruinsblog.projo.com/2010/10/mayo-clinic-sum.html
Mayo Clinic summit to look into hockey concussions


10:50 AM Tue, Oct 19, 2010
Permalink

Mark Divver Email

By IRA PODELL

AP Hockey Writer


Dr. Michael Stuart is concerned about concussions in all levels of hockey, and he is doing something about it.


While much has been discussed about the serious injuries in the NHL and what steps the league has taken to try to limit their occurrence, Dr. Stuart and the Mayo Clinic are trying to fix the problem way before players grow up to be pros.

Stuart, the vice chair of orthopedic surgery and the co-director of sports medicine center departments at the Mayo Clinic, is spearheading a two-day summit on concussions beginning Tuesday.


Scientists, trainers, coaches, officials, and equipment manufacturers from the United States, Canada and Europe will gather at the clinic's sports medicine center for the "Ice Hockey Summit: Action on Concussion" conference.


Representatives from the NHL, USA Hockey, and youth leagues will be in attendance. The focus will be on the science of concussions, their impact on children, and how sports organizations react to the often devastating injuries. The conference will be about hockey, but the issues apply to all sports.


"We want to evaluate every possible avenue to try and reduce the risk and consequences of concussions, especially in youths and adolescents," Stuart said in a phone interview with The Associated Press. "Tomorrow is going to be a very full day of looking at the up-to-date science on everything from what goes on in the brain to how they're evaluated, to equipment issues, and behavioral modifications."


The summit will begin Tuesday with six focus groups: one to look at databases, one to look at recognizing and diagnosing and caring for concussions, one to study player equipment, one on education, and one on rule changes and enforcement.


Each group leader will then present the findings and an action plan. The audience will then vote on the plans.


"When this is done, we're not only going to have the most up-to-date information about concussions, but we're also going to have an action plan which has been prioritized by leaders in the medical community as well as the sport of hockey," Stuart said.


Stuart has more than just a casual interest in hockey concussions. Since 2001, he has served as USA Hockey's chief medical officer, and he was also the doctor for the U.S. men's Olympic team this year at the Vancouver Games.


And it doesn't stop there.

Stuart is the father of Boston Bruins defenseman Mark Stuart and forward Colin Stuart, who is in the Buffalo Sabres' organization.


Concussions in hockey are nothing new -- they ended the Hall of Fame careers of players such as Pat LaFontaine and Scott Stevens -- but the awareness is, as well as actions created to try to limit them. The NHL has introduced new rules, such as banning blindside hits to the head, that now can be penalized during games as well as with supplemental discipline.


Phoenix's Shane Doan was given a three-game suspension on Monday for delivering an illegal hit to the head of Anaheim's Dan Sexton. Doan is the third NHL player to be punished this season for such an action.


"I'm encouraged by some of the recent developments," Stuart said. "I'm still concerned as a hockey doctor and as a hockey parent because there always is an element of risk. I think that the NHL has made some strides, and I know that they are committed.


"They do have a group of physicians and neuropsychologists who are looking into reducing the risk of concussions. They've been working on it for years. The most recent rule change is a step in the right direction."


Much has to be done with youngsters from the time they first lace up their skates.


"The main thing is for youths and adolescents because that's the largest group as far as numbers in the United States, Canada and even outside North America," Stuart said. "We're concerned about professional players, as well. We hope there will be spinoffs from this summit for pro hockey and other sports."


Stuart is stressing that education be given to young players about respecting the boards around the rink, respecting their opponents, and learning the proper ways to give -- and receive -- contact before they are allowed to do it in a game.


More injuries occur in leagues that allow body checking, but Stuart believes it is because the players don't know the proper techniques to do it. It is one thing to say a player must be at least a certain age before they can participate in a checking league, but Stuart feels that education and experience is every bit as necessary.


"When it's allowed in games, players either don't know how to do it correctly, they put themselves or their opponents at risk, and it tends to result in illegal activity," he said. "Many of these injuries that occur from body checking, in my opinion, are actually boarding, high-sticking, elbowing, charging, checking from behind.

"So it's really not the fault of a legal body check, but by allowing legal body checking in games it seems to foster illegal activities."


http://bruinsblog.projo.com/2010/10/mayo-clinic-sum.html

Two Team Victories and Good Luck in the Tournament!

My son’s team won two games this weekend. The victories are always nice since the games were within their league. What stood out for me, however, was my old theory that it takes the number 3 to see change in a team. It isn’t a scientific theory, mostly common sense, but if you give the players 3 opportunities to practice something new (extensively), it will arrive in their play (as a team) after 3 games. This could be 3 weeks or 6 weeks depending on their game and practice schedules.

This week I saw the Cannon Play work as designed. The goalie had no clue it was coming and was stunned. They had about 3 formal practices with it. They had more than 3 games since the full 3 practices. They mostly dabbled getting the cannon loaded but now it is part of the team’s routine.


I saw the defensemen pass the puck back and forth to themselves (to control the offensive zone) with better precision and more consistency. Again formal 3, on Saturday the defense were told to do it. On Sunday it was pretty fluent.


I saw the defensemen fire pucks on the net. They went from serving toast (just a few weeks ago) to serving biscuits to the goalie. Pretty soon hotcakes will be flying into the net. This was a bit more than 3 but it has arrived.


I saw many of the forwards drop stick handling in the neutral zone and move to flipping the puck in. They were faster on their attack because of the flip in and it showed. The defense would turn to get the puck but the forwards were moving at full speed. They were able to continue taking the puck to the net.


I saw many of the players angling to pick up the puck on the boards and this lead to them getting checked less often and they maintained better speed sweeping up the puck. A formal 1 hour training from Heads Up Hockey this past Monday helped a lot.


The 3 isn’t about individual skill it’s about the entire team. You know it has arrived because you visually can see the team rise to the next level. That is what I saw this weekend. Their puck movement, attack speed, and ice awareness as a team has stepped up to the next level. Hopefully, this bodes well for the tournament. Great job Huskies. Good luck in the tournament. Teams win tournaments and you certainly have one.

Friday, November 19, 2010

Youth Hockey versus Adult Hockey: Cognitive Capacities and Punishment

Youth Hockey versus Adult Hockey: Cognitive Capacities and Punishment
by Gary Pilarchik LCSW-C



I don’t skate. I don’t play hockey. But I help my son learn how to play and I help teach him the mental aspects of a great sport. I am a cognitive behavior therapist and have been in the field of mental health for over 20 years.

My son loves ice hockey and I help him keep his passion alive by using my profession or my pocket. He is having a great time and that is what truly matters. He has been in checking hockey now for 2 years and has played nearly 75 games. He is a great kid. And that is the operative word. He and his fellow players are kids, not adults.


One major difference between kids and adults is their cognitive capacity or level of cognitive maturity. The brain and all its abilities, matures just like the body does. It develops in stages. At 10, 11, 12, 13 and 14 you see kids of different physical size. The youth hockey players are little, big, medium – short, tall, giant – solid, fat, skinny and everything else between. That is also about how much they vary in their cognitive maturity and cognitive capacities.


With the weak way checking is introduced as a skill to move a player off the puck, it arrives and is translated in a kid’s mind to, “I get to hit them” or “I will get hit.” It is also taught by coaches to hit the player hard. The only thing on and in their mind is Step A or hit them. It isn’t really hit them and get the puck or to use checking in a skillful manner. It is just - hit them. Different kids will also express Step A differently. Some might hit lightly, some firmly and some just recklessly. Why are all these reckless hits and concussions occuring in youth hockey? Because the skill framework of checking, as a method to move a player off the puck isn’t really being taught or penalized. The kids are only learning two things: “I get to hit” or “I get to be hit.” Checking is introduced and penalized as if the kids were adults. This has to change. They don't know how to check. Teach them well and penalize them firmly.

One problem with teaching checking is the principle of cause and effect in a kid's mind. As an adult, your brain has matured and you can better process cause and effect. You use future punishment and penalty to shape your present behavior. You realize if I take Step A, not only will B happen but there is potential for C, D, E, and F to happen and a long shot risk that G could happen. Kids can’t get passed A and B (if B at all). With time their cognitive capacities mature and they fully or better understand cause and effect. I said punishment and penalty because this is hockey. At higher levels of cognitive maturity you can also recognize harm and pain you could cause others. Cause and effect is the same as action and consequence.


Kids often react and don’t think about consequences. They just act and do. They are often surprised by the outcome of their actions. Most kids, 99 out of 100, don’t plan to give someone a concussion and don’t realize the potential harm of hitting someone recklessly. The consequence of their act/behavior is not their intention. But they are still acting or hitting players. They aren’t really checking, they are hitting in a game and at practice. They learn to say, “It was a legal check." when someone gets hurt. We as adults teach them that. The key here is as adults we can teach them and shape their behavior. We can teach them how to hurt or harm or we can teach them how to properly check and protect themselves on the ice. It isn’t up to the kids. It is up to us as adults. We have to recognize the youth players vary in cognitive capacity as much as they vary in size.

The punishments of 2 minutes, 2 and10, 5 minutes or 5 and 10 carry little corrective value for 10, 11, 12, 13 and 14 year olds. The penalties in youth ice hockey are made for the adult mind. We need to look at what type of penalties work for kids or youth hockey players. The penalty must be a penalty that is called every time. The punishment must be severe in a kid’s mind. If you give a kid a 2, 2 and 10 or a 5, all that is saying to them is they will be back in the game shortly. There is little corrective value in the penalty/punishment for these types of hits that we all want out of the game. Remove (greatly reduce) the hits and behavior that are the highest risk to harm the head and necks of the youth players. Give them a time out. Sit them and they can play the next day.

If you give them a 10 minute game misconduct/ejection, well typically someone already got hurt. And therefore that possible effect of getting a 10 minute game misconduct/ejection for hitting someone recklessly really did little to shape their behavior or prevent a player from being harmed. To be clear, I am talking about penalties for neck, head, and back hits. For things like tripping and hooking, the adult penalties are fine.


Remember Step A is the cause or the hit and kids are lucky if they get to B or the first possible effect of their action of hitting. A possible 10 minute game misconduct and ejection is like G in the above paragraph. It is not anywhere in their mind. It does little to teach them and prevent unwanted behavior. It does nothing to protect the kid that probably got hurt and got a concussion from the hit. The current youth ice hockey penalties are made for adults. That must be changed.


As adults we don’t want the kids to get harmed. We all agree on that. We know that hits to the head, neck, and back are what cause the most harm in youth ice hockey. We don’t want these hits in youth hockey and we have deemed them illegal. Yet, we do little to penalize 10, 11, 12, 13, and 14 year olds in a manner that is effective for their current level of cognitive maturity. The punishment/penalty has to be at the kid’s level of understanding not an adult’s level. It has to be within their capacity of understanding for truly shaping their behavior.


There is a very simple solution that will reduce illegal hits and injuries. Change the penalties from adult penalties to kid penalties. If you hit in the neck, head, or back you are penalized every time. If you hit in the neck, head, or back you are suspended from playing immediately and can try again next game.

The two penalty principles for kids:

Consistent:  Always penalized for neck, head and back contact
Harsh in a kid’s mind:  You can’t play anymore that day

Checking is a skill and it must be taught in steps and if done improperly punished with immediate severe penalties. Anything less in youth ice hockey, is just prolonging and maintaining risk for improper hits and harm to our children.

Teaching Heads Up Hockey: Silver Peewee Huskies

USA Hockey developed the Heads Up Hockey program to help players learn techniques to prevent major and minor head and neck injuries. You can print out the packet here:  USA Hockey Heads Up Hockey Packet

Here is a cut of NHL’s Ron Wilson’s opening statement that sums up beautifully the need for Heads Up Hockey training.


“My players are some of the best skaters in the world –
professional athletes in top physical and mental condition. I
think my job is a little easier than yours. Your players haven’t
yet developed their reflexes and skating skills to this level, and
don’t have the experience they need to
make smart on-the-fly judgments.”


Our children have to learn how to make decision to protect themselves or as he put it “smart on-the-fly-judgments.” Young players aren’t experienced NHL players. They are still learning to keep their head up and be aware. The Heads Up Hockey techniques often take the back seat to the young player looking down and concentrating on handling the puck. They are often more worried about scoring then protecting themselves. As parents, coaches and educators we need to prioritize the teaching of hockey skills. Heads Up Hockey should be taught right after they learn to skate and well before they play a contact game.

Heads Up Hockey is only valuable if it is used and taught. Here is the link to a video we recommend the parents and players of the Silver Peewee watch several times. Taking time to review Heads Up Hockey with your child will help them learn an important set of skills. Skills they don’t have or have not mastered. Skill that are probably more valuable than a goal.


Video Link:

Thursday, November 18, 2010

Youth Ice Hockey Rule Changes: A Letter from a Parent

Here is my letter that will be sent today to memebers of USA Hockey. This is rule change year for USA Hockey. This is the time to express your voice. Feel free to use parts of my letter to send to clubs, leagues and USA Hockey. The more parents that speak up, the safer youth ice hockey will become.



For the Attention of USA Hockey

Dear Dave Ogrean, Nancy Chase, Michele Amidon, Joe Doyle, Marc Boxer and Keith Gizzi

With deep respect, I write to you because I am concerned about my son’s safety and the safety of every child, teen and young adult that participates in youth ice hockey. I know you share this concern. Hockey is a skilled sport and it is a physical sport, but it is not a reckless sport. We know more today than we did yesterday about the impact of checking and reckless hits on our children and the damage any neck, head, and back contact can cause them. USA Hockey has the opportunity to raise the safety standards for youth ice hockey and reduce harm to our children. We know we can not prevent injuries but we can strive to reduce them.


My son is in his 2nd year of Peewee hockey. He has played in over 75 games since checking was introduced. I know the difference between physical play and reckless play. Reckless play is not an intention; it is behavior that must be managed through the use of safety standards, rules and firm penalties. Current rules and penalties are inadequate or antiquated. They can be improved based on what we now know as a culture today. I know this is a rule change year for USA Hockey. I applaud you for being open to change. It is badly needed.

I am a cognitive behavioral therapist working out of a major hospital in Baltimore, Maryland. My 20 years of experience supports my statements about the weakness in the current rules and penalties for youth ice hockey. I hope you use my expertise and others, such as the Mayo Clinic, to change the rules and better protect our children and youth players.

The current rules are made for adults and they are based on an adult’s capacity to understand and reason. We need rules based on what works for youth players and children. Their cognitive development and capacities are different then adults and change as they mature. Current rules are inconsistently called and carry very little corrective punishment to prevent and reduce reckless unwanted behaviors such as head hits and boarding.

As the leaders of USA Hockey, I am sure you understand the basic principles for extinguishing or removing unwanted (reckless) behaviors. That is, the punishment must be mandatory and consistently given and the consequence must be severe, in the case of any youth player, that breaks the rules. The punishment must be immediate and perceived as severe in the mind of youth players in order to better reduce unwanted reckless player behavior in youth hockey. This will help them learn and improve their game play. Better rules will lead to a decrease in concussions and other injuries.

The key is not only to address rule changes but insure all the mandatory penalties (as already defined by USA Hockey) get called. You already have many mandatory/zero tolerance penalties that are not called frequently or consistently by any stretch. For example, Rule 601 has behavior standards for players that use obscene language, argue or bang their stick once called for a penalty. Consistently calling these zero tolerance/mandatory penalties will shape behavior and lead to removing a player from the game, if they can not compose themselves. You must have composed players on the ice or children will get hurt. You know you could add an off-ice referee that focuses on 601 violations and dangerous player contact. Parents would pay to have that as an option.


Players


A penalty (Zero Tolerance) shall be assessed whenever a player
(please refer to Rule 601 for appropriate penalty):
1. Openly disputes or argues any decision by an official.
2. Uses obscene or vulgar language at any time, including any
swearing, even if it is not directed at a particular person.
3. Visually demonstrates any sign of dissatisfaction with an official’sdecision.
Any time that a player persists in any of these actions, additional
penalties shall be assessed per the penalty progression established under Rule 601.


You put great effort in creating a zero tolerance web-site link that describes what zero tolerance is and it clearly defines behavior standards. It isn’t fully followed or enforced when youth players break those rules. USA Hockey must focus on methods for fully and harshly penalizing the 5% of reckless players and for better protecting the 95% of players that play with respect. Remove the 5% of reckless players from the game, immediately that day. Why tolerate the few? Build a set of rules for the 95% of respectful players. What exactly do I mean by 5% of reckless players? It is only a handful of repeat offenders that are continued problems during games and pose high risks to other players on the game ice.

Yes, injuries and reckless hits occur from the other 95%. That is why hockey is a physical sport. Create rules that immediately remove both reckless players and reckless play from the ice for neck, head, and back contact. They can play again tomorrow. This will work for the 100% of the youth players. It will reduce reckless behavior. It will reduce injury and harm to our children.


Check the Wrong the Way (safety & respect) You Don’t Play Again That Day

Your zero tolerance behavior standards are not discretionary penalties. It states a penalty shall be called. I know two children that would have not received concussions if these additional penalties were assessed. Two players had multiple penalties for head related contact and cursed the referee’s calls relentlessly while in the penalty box on several occasions. The other twenty eight players on the ice were playing with respect. You have rules and penalties to protect the players. You must improve your standards for having these penalties called consistently. We, as parents, are no longer going to tolerate the argument that the penalty is there but the referee has discretion. No. Not for youth ice hockey.

I ask you deeply to look at penalties from an alternative perspective. The players that already play with skill, respect and safety in mind, take the rules seriously. There are players that play with skill but have little concern for respectful and safe play (the reason is unimportant). You have coaches that fall on both ends of the spectrum. Don’t risk the well being of 95% of the youth hockey players because of the 5% of reckless players and coaches. You don’t need the 5% that can’t adjust to rule changes.

Strengthen the rules by including a mandatory immediate in-game suspension for neck, head, and back contact. It will decrease the number of head, neck, and dangerous back hits. The 95% that already follow the rules will be even more careful, the 5% that have little worry about a 2 and 10 will be removed from the ice. In either case, the new penalty is not about intentions; it is about what won’t be tolerated. Any youth player will learn more quickly to change and regulate their behavior if they have to immediately sit. They will have to learn to change their behavior if they want to continue to play youth ice hockey. Put the pain on the reckless players, not the victimized players.

Penalties are not about giving players another chance to try again in a few minutes. They are about discouraging unwanted reckless behavior and protecting children. At the NHL level, discretionary oversight by the referees is a good thing. In youth ice hockey leagues, it is a plague. Dangerous hits to the neck, head, and back should not be left to the discretion of the referees and the coaches. Coaches need to recognize they are responsible and accountable for managing reckless player behavior or face game penalties and loss.

A penalty for coaches that fail to manage reckless team behavior should come in the form of a new rule. A team that has been called for three penalties for contact to a player’s neck, head, or back will forfeit the game. Not unlike the use of yellow and red cards in soccer. Remove discretion from the referees and coaches when it comes to dangerous reckless contact. Make penalties that behaviorally work. I would be glad to discuss behavioral principles with you to help remove the most dangerous types of contact from a wonderfully skilled and physical sport.


Finally, if you feel I am or parents are asking too much by changing safety standards across the board, please adopt a 2nd set of rules for leagues and clubs that want to follow safety standards for a Fair Play youth ice hockey alternative. This Fair Play alternative would include the above “new” penalties for head, neck, and back contact. It would include modifications for checking. It would add scoring components for teams that exhibit respectful and safe play during the game. There are few if any alternatives for our youth ice hockey players in the US. The Fair Play alternative is a way to meet the needs of everyone. We can be innovative and creative.


I have communicated with hundreds of parents. They would all chose the Fair Play alternative to the standard youth league. You know why? They just want their children to be as safe as possible while they play a game they love. We know our children aren’t going to the NHL. We just want to help them dream and help them keep their dreams alive as long as we can. Hockey culture change is within your hands and influence. Innovation and change is good.


Please Help Us & Our Children,


Gary Pilarchik, LCSW-C


Please visit by blog for more information about this matter.

We are planning to launch a web-site for parents in December.


Youth Ice Hockey: Safety Email Campaign

This page will be up by November 22nd.

Contact Emails For USA Hockey: The Beginning of an Email Campaign

This is a rule change year for USA Hockey. The deadline for submissions was Nov 1. I began pursuing change about a week late. I did get to talk with several members below via email and they said my concerns are strongly shared by many and that the rule changes I presented are being well represented.

Our voice as parents is best carried in numbers. I will be designing an email campaign to politely and strongly send our concerns and desire for change to clubs, leagues, referee associations and USA Hockey. I hope you support recognizing that Hockey is a physical sport but not a reckless sport. We can do more to remove neck, head and back hits in our children's games. We can't prevent injuries but we can reduce injuries.



Here is the direct link to a web ready page at USA Hockey. You can easily find who to email at this page.
All Contact Emails for USA Hockey

National Staff Directory
CONTACT US:

USA Hockey, Inc.
1775 Bob Johnson Dr.
Colorado Springs, CO 80906-4090
Phone: (719) 576-USAH (8724)
Fax: (719) 538-1160


Executive Office (719) 576-8724
Nancy Chase Executive Assistant nancyc@usahockey.org

 Dave Ogrean Executive Director daveo@usahockey.org

Hockey Operations

Michele Amidon Regional Manager, American Development Model michelea@usahockey.org

Art Berglund International Department Consultant artb@usahockey.org

Barbara Borginis Administrative Assistant, International Admin. and ADM barbarab@usahockey.org

Judie Bowers Coordinator, Resource Center judieb@usahockey.org

Marc Boxer Manager, Youth and Junior Hockey marcb@usahockey.org

Dan Brennan Manager, Ice & Inline Coaching Education Program danb@usahockey.org

Reagan Carey Director, Women's Ice Hockey reaganc@usahockey.org

Matt Cunningham Coordinator, Coaching Education Program matthewc@usahockey.org

Joe Doyle Regional Manager, American Development Model joed@usahockey.org

Helen Fenlon Manager, Officiating Administration helenf@usahockey.org

Kim Folsom Manager, International Administration kimf@usahockey.org

Marissa Halligan Coordinator,Women's Hockey marissah@usahockey.org

Jim Johannson Assistant Executive Director, Hockey Operations jimj@usahockey.org

Matt Leaf Director, Officiating Education Program mattl@usahockey.org

Ken Martel Director, American Development Model kenm@usahockey.org

Kevin McLaughlin Senior Director, Hockey Development kevinm@usahockey.org

Jodie Penn Administrative Assistant, Youth Ice Hockey jodiep@usahockey.org

Alison Raines Administrative Assistant, Coaching Program alisonr@usahockey.org

Kenny Rausch Manager, Youth Hockey kenr@usahockey.org

B.J. Ringrose Coordinator, Officiating Education Program bjr@usahockey.org

Mark Tabrum Director, Coaching Education Program markt@usahockey.org

Lou Vairo Director, Special Projects louv@usahockey.org


Complete American Development Model Contacts Member Services

Debbie Anderson Regional Specialist debbiea@usahockey.org

Rae Briggle Assistant Executive Director raeb@usahockey.org

Paulette DiGiacomo Regional Specialist pauletted@usahockey.org

Susan Hunt Member Services Administrator susanh@usahockey.org

Julie Rebitski Regional Specialist julier@usahockey.org

Debbie Riggleman Administrative Assistant debbier@usahockey.org


Membership Development

Scott Aldrich Manager, Adult Hockey scotta@usahockey.org

Ashley Bevan Director,Adult Ice Hockey ashleyb@usahockey.org

Kevin Erlenbach Manager, Program Services kevine@usahockey.org

Katie Holmgren Coordinator, Women's Adult Hockey katieh@usahockey.org

Kevin Kavanagh Manager, Membership Development kevink@usahockey.org

Pat Kelleher Assistant Executive Director, Membership Development patk@usahockey.org

Jeremy Kennedy Manager, Inline Hockey jeremyk@usahockey.org

Stefanie Metcalf Coordinator, Inline Hockey stefaniem@usahockey.org

Justin Murch Coordinator, Adult Hockey justinm@usahockey.org

Courtney Welch Manager, Program Services courtneyw@usahockey.org

Tanner Williams Coordinator Adult Hockey tannerw@usahockey.org


Finance & Administration

Kevin Buckner Shipping & Receiving Clerk kevinb@usahockey.org

Yvette Dodge Bookkeeper/Admin. Assistant, Finance & Administration yvetted@usahockey.org

Pam Gibson Accountant pamg@usahockey.org

Karen Hackman Coordinator, Insurance & Employee Benefits karenh@usahockey.org

Tom Hackman Building Services Administrator tomh@usahockey.org

Norman Hayward PC/Mac Maintenance Technician II & Digital Media Specialist, MIS normanh@usahockey.org

Ralph Heffter Manager, Database Applications & Programming, MIS ralphh@usahockey.org

Jeffe Ivany Network Administrator, MIS jeffei@usahockey.org

Brad Kauhane Manager, Facilities Operations bradk@usahockey.org

Pam McCraw Manager, Accounting pamm@usahockey.org

Susan Peterson Accounts Payable Specialist susanp@usahockey.org

Chris Smith Manager, Network & Security, MIS chriss@usahockey.org

Bob Weldon Assistant Executive Director, Finance & Administration robertw@usahockey.org


Marketing & Communications
Dana Ausec Production Manager danaa@usahockey.org

Mike Bertsch Assistant Executive Director, Marketing & Communications mikeb@usahockey.org

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Wednesday, November 17, 2010

Youth Ice Hockey: “I just want to play a game dad.”

Youth Ice Hockey: “I just want to play a game dad.”


My son was recovering from a concussion and to our good fortune, it gave us an opportunity to talk about his game. He got it with about 6 minutes left in the third period. His team was up 5-2. They got the big win by the way. A player came up to check him as my son was coming up the boards. It appeared they were both doing fine. Alec was against the boards moving up the ice and the other player was angling to his shoulder. Right as he came up to my son’s shoulder, he raised his arm and plowed my son’s head into the boards. Alec sat the rest of the game. The boy got 2 minutes for elbowing or roughing and was back on the ice to finish the game while my boy sat out. One of those hockey things we all accept as business as usual. What can you do? Boys will be boys. The kid who breaks the rule is fine and out playing a few minutes later. The kid that gets a concussion is out 2 weeks minimum. I’m sure the 2 minute penalty will stop the boy from doing that again. Ah well. While my son was recovering all he could say was, “I can’t wait to play again.”


I witnessed the penalty and it wasn’t ferocious. It wasn’t much of anything. It didn’t influence the game. Like I said I whipped them 5-2. He whipped them that is. It didn’t check my boy off the puck. The player coming to check him didn’t even make a play for the puck. He just ran his forearm into my son’s head. I suppose it was his opportunity to work on checking and master a skill he could use to hurt someone later. On a fair check of course. Where else is he going to learn but in a game. The current hockey rules and penalties worked for that boy. He got to mess up checking my son, he injured my son and got his 2 minutes in the penalty box. He got to work on his timing and Alec set himself up right. He was against the boards so he wouldn’t be thrown into them. They both learned two important key concepts in youth ice hockey. If they didn’t have that time together, they would be missing out on their youth ice hockey experience. And they would not have had a chance to learn. While recovering my son said, “I have this new move I want to try out on the ice.”

We got to teach Alec how a brain heals and why hockey rules are really based on the discretion of the referee and not really on the written rule. He asked me a lot of questions like, “if I get hit in the head shouldn’t that be considered wrong.” I let him know that checking is essential to hockey and if you penalize the players too much, they won’t try it. He told me he thought it was mostly fair because that player was the same size as him. I yelled at him a told him size is not the issue. If a large boy comes at you, he should be able to use his early growth spurt to full advantage and take you out of the game. I told him not to make excuses on the ice. He apologized for not understanding the importance of checking. He thought about it and said, “maybe it was my fault for not protecting myself.” I laughed and told him he is doing great.

As the week went by Alec was able to better concentrate and went to support his team and watched them play. Alec sat in the back of the bench with his helmet on. The whole ride there he kept saying, “I can’t wait to get back on the ice.” I told him head injuries and concussions are part of the game and that he was healing like a NHLer. He smiled and said, “I just rather play the game and have fun. Maybe score a goal. I don’t want to hurt anyone. I just want to play a game dad.” I looked at him and said, “this isn’t a game, it’s about winning and losing.” He looked at me and said again, “I just want to play a game dad.” I got that deep down sickening feeling in my stomach like when you know something is wrong. I thought to myself that my boy just doesn't have what it takes to make it in the YHL, youth hockey league. I guess I can come to terms with that.


Sarcasm we live everyday in youth ice hockey. It is time to change hockey culture so my son can just play a game.

*Several emails asking if this was a true story. It is not a true story. It is a story that I hope makes a point about the current culture of youth ice hockey.

Fair-Play Rules and Injury Reduction in Ice Hockey: Alternative Tournament

This article is about a Fair Play Tournament alternative to standard youth hockey tournaments. It is very interesting and shows you alternatives exist. Below is a cut of the article with an interesting conclusion.

http://archpedi.highwire.org/cgi/reprint/150/2/140.pdf

Objective: To determine the rate, type, and severity of

injuries incurred and penalties assessed during the qualifying
fair-play (points for playing without excessive penalties)
and championship "regular" rules (winner advances)
portions of a 1994 Junior Gold ice hockeytournament.

Design: A prospective evaluation of injuries by certified
athletic trainers at the tournament site.

Setting: A community-organized, 3-day, 31-game tournament
in Minnesota.

Participants: Two hundred seventy-three male players,
younger than 20 years and in high school.

Measurements/Main Results: Injuries were recorded
by an on-site certified athletic trainer, and the penalties
were tallied from the score sheets. The injury rates
for the total number of injuries were 26.4 injuries per 1000
athlete exposures and 273.8 injuries per 1000 player
hours. When only notable injuries (concussion, facial laceration,
or moderate level of severity and above) were considered,
the injury rates were 10 per 1000 athlete exposures
and 103.9 per 1000 player hours. The ratio of notable
fair-play to notable regular-rules injuries was 1:4.8. The
number of penalties assessed per game averaged 7.1
penalties during fair-play rules and 13 penalties during
the regular-rules competition. Penalties related to
rough play and injury occurred four times more frequently
during games with regular rules than those with fair-play rules.

Conclusions: The fair-play concept can reduce injury
rates, penalty rates, and severity of penalties and should
be considered for ice hockey at all levels of play. The fair
play concept could be applied to other contact sports to
reduce injury rates and rules infractions.

(Arch Pediatr Adolesc Med. 1996;150:140-145)

10 Years Ago A Panel of Pediatrics Said: Limit Checking for U-15

Here is where things get silly and make me angry. The below article is 10 years old. Here is the link to enjoy it in its full glory. At some point negligence might be the right world to use. Here is paragraph from the article:

A more recent US study reported injuries in youth hockey players 9 to 15 years old.1 Head and neck injuries accounted for 23% of the total number of injuries. Body checking accounted for 86% of all injuries that occurred during games. Fifty-five percent of the players thought that their helmets and face masks protected them from injuries. Of particular interest is that size differences among players in this series increased with age, with bantam-level players (ages 14 and 15 years) showing the most variation, with reported differences between the smallest and largest players of 53 kg in body weight and 55 cm in height. The bantam-level players sustained the most injuries (54%).


PEDIATRICS Vol. 105 No. 3 March 2000, pp. 657-658


PEDIATRICS Vol. 105 No. 3 March 2000, pp. 657-658
AMERICAN ACADEMY OF PEDIATRICS:

Safety in Youth Ice Hockey: The Effects of Body Checking


Ice hockey is a sport enjoyed by many young people. The occurrence of injury can offset what may otherwise be a positive experience. A high proportion of injuries in hockey appear to result from intentional body contact or the practice of checking. The American Academy of Pediatrics recommends limiting checking in hockey players 15 years of age and younger as a means to reduce injuries. Strategies such as the fair play concept can also help decrease injuries that result from penalties or unnecessary contact.



Ice hockey is played by approximately 200 000 children in the United States1 and a similar number in Canada. It is classified as a collision sport by the American Academy of Pediatrics because of the intentional body contact, called body checking, that occurs. Because collisions in this sport may occur at high speeds, participants are at risk for serious injury. In recent years, an increase in the number of serious head and neck injuries related to body checking has alarmed the hockey community and has led to a reassessment of the role of body checking in the various classifications of youth hockey2-4: miteages 8 and 9 years; squirtages 10 and 11 years; peeweeages 12 and 13 years; and bantamages 14 and 15 years.


In the 1960s, an alarming number of facial injuries in youth hockey players led to the mandatory use of helmets with a face mask.5 The acceptance and use of the combination helmet-face mask was remarkably successful in virtually eliminating facial trauma. However, shortly after the introduction of the helmet-face mask, an increase in the number of neck and spinal injuries was noted.4 The improvement in equipment with the helmet-face mask1,6 was believed to create a false sense of protection from serious injury. A similar situation was observed in football. With additional protection afforded by improved helmets and face masks in the 1950s, there was an increase in cervical spine injuries. The number of spinal injuries did not start decreasing until rule changes in the 1970s prohibited head-first contact. Rule changes instituted in the mid-1970s substantially decreased, but did not eliminate, these tragic injuries. The ice hockey community wanted to learn from the experience in football and avoid a paradoxical increase in injury as a response to wearing protective equipment. This concern led to investigations of the incidence and causes of head, neck, and spine injuries.7-9


A Canadian study in 19842 revealed 42 spinal injuries in hockey players reported to the Committee on Prevention of Spinal Injuries. The median age of the injured players was 17 years. Of the 42 players, 28 had spinal cord injuries, of which 17 had complete paralysis below the vertebral level of the injury. Being body checked from behind, resulting in a collision with the boards, was the most common mechanism of injury. A 1987 study7 of high school hockey players revealed that head and neck injuries accounted for 22% of the total number of injuries. The same study showed that body checking was associated with 38% of the total number of injuries. Sixty-six percent of the players surveyed believed that the requirement of a face mask allowed them to be more aggressive in their style of play. The authors of this study recommended rule changes to limit or eliminate body checking to reduce injuries.


A more recent US study reported injuries in youth hockey players 9 to 15 years old.1 Head and neck injuries accounted for 23% of the total number of injuries. Body checking accounted for 86% of all injuries that occurred during games. Fifty-five percent of the players thought that their helmets and face masks protected them from injuries. Of particular interest is that size differences among players in this series increased with age, with bantam-level players (ages 14 and 15 years) showing the most variation, with reported differences between the smallest and largest players of 53 kg in body weight and 55 cm in height. The bantam-level players sustained the most injuries (54%).


Another Canadian study10 compared peewee-level players (ages 12 and 13 years) from a league that allowed body checking with another league that did not. Players in the league that allowed body checking had a fracture rate 12 times higher than the rate of the other league. Body checking in combination with substantial differences in size and strength among players was believed to contribute to the high injury rate, with some players being nearly twice as heavy and twice as strong as other players. Players in the same age group could vary significantly in the amount of force they could impart on another player and/or withstand from another player. In 1990, the Canadian Academy of Sports Medicine reported that although the incidence of serious injuries at the mite and squirt level was quite low, serious injuries were noted at the peewee level. Therefore, they recommended banning body checking at the peewee level (ages 12 and 13 years) and below.11


An innovative, unique concept for improved sportsmanship and injury reduction in youth hockey called fair-play has been introduced recently.12 The fair-play concept of scoring ice hockey games, seasons, or tournaments was developed in response to the perceived increase in violence in youth hockey. The system rewards teams and individual players with few penalties and punishes teams and players with larger numbers of penalties. The authors of this concept believe that the system decreases penalties, intimidation, and violence during hockey and creates a climate that promotes fun and player development.


The potential benefits for the fair-play concept are demonstrated in a recent study13 involving a youth hockey tournament. The participants were high school students younger than 20 years old, who played the qualifying rounds of the tournament using fair-play guidelines (points are awarded for playing without excessive penalties) and the championship round following regular rules. When the fair-play and regular rules portions of the tournament were compared, the injury rate was 4 times higher during the regular rules portion of the tournament. A doubling of the number of penalties and injury rate during the championship round occurred when fair-play rules were suspended.


CONCLUSION

Top

Abstract

Conclusion

Recommendation

References

Studies have shown that a high proportion of youth hockey injuries are attributable to checking and that limiting checking can reduce injuries. Disparities in size and strength can further increase the risk for serious injury from checking and other collisions. Variations in size and strength are present in all age groups but are most pronounced among the bantam-level players (ages 14 to 15 years). Therefore, minimizing checking and other high-impact collisions in this age group could further reduce injuries.

RECOMMENDATIONS

Top

Abstract

Conclusion

Recommendation

References

In the interest of enhancing safety in youth ice hockey, the American Academy of Pediatrics recommends the following.
Body checking should not be allowed in youth hockey for children age 15 years or younger.

Good sportsmanship programs, such as the fair-play concept, have been shown to reduce injury and penalty rates and should be adopted for all levels of youth hockey.

Youth hockey programs need to educate players, coaches, and parents about the importance of knowing and following the rules as well as the dangers of body checking another player from behind.


COMMITTEE ON SPORTS MEDICINE & FITNESS, 1999-2000

Steven J. Anderson, MD, Chairperson

Bernard A. Griesemer, MD

Miriam D. Johnson, MD

Thomas J. Martin, MD

Larry G. McLain, MD

Thomas W. Rowland, MD

Eric Small, MD





LIAISON REPRESENTATIVES

Claire LeBlanc, MD

Canadian Pediatric Society

Carl Krein, AT, PT

National Athletic Trainers Association

Robert Malina, PhD

Institute for the Study of Youth Sports

Judith C. Young, PhD

National Association for Sport & Physical Education





SECTION LIAISONS

Frederick E. Reed, MD

Section on Orthopaedics

Reginald L. Washington, MD