JOUSTOKAUKALON VAIKUTUS VAMMOJEN EHKÄISYYN Markku Tuominen Suomen jääkiekkoliitto International Ice Hockey Federation
IIHF:N VAMMAREKISTERÖINTI IIHF:n turnaksissa vuodesta 1998 M vuodesta 2006 10 kautta Medhockey
VAMMAN MÄÄRITELMÄ any injury sustained in a practice or a game that prevented the player from returning to the same practice or game a laceration which required medical attention any injury sustained in a practice or a game that caused the player to miss a subsequent practice or game all dental injuries all concussions all fractures
VAMMALOMAKKEET The Team Medical Personnel Meeting Team Physicians Game Injury Report Form Individual Injury Report Form The IIHF Medical Supervisors
VAMMARISKI The injury rate was calculated using the following formula: # injuries /( # players (team) x # games x 2) x 1,000 = the number of injuries per 1,000 player-games.
Original articles: INJURIES IN MEN S INTERNATIONAL ICE HOCKEY A 7-year study of the International Ice Hockey Federation Adult World Championship Tournaments and Olympic Winter Games Markku Tuominen 1, Michael J. Stuart 2, Mark Aubry 3, Pekka Kannus 4, Jari Parkkari 5 Br J Sports Med 2015;49:1 30-36 Published Online First: 7 October 2014 doi:10.1136/bjsports-2014-093688 INJURIES IN WOMEN S INTERNATIONAL ICE HOCKEY An 8-year study of the International Ice Hockey Federation Women s World Championship Tournaments and Olympic Winter Games Markku Tuominen 1, Michael J. Stuart 2, Mark Aubry 3, Pekka Kannus 4, Kari Tokola, Jari Parkkari 5 Br J Sports Med 2016 Nov;50(22):1406-1412. doi:10.1136/bjsports-2015-094647. Epub 2015 Jul 7.
Original articles: INJURIES IN WORLD JUNIOR ICE HOCKEY CHAMPIONSHIPS BETWEEN 2006 AND 2015 Markku Tuominen 1, Michael J. Stuart 2, Mark Aubry 3, Pekka Kannus 4, Jari Parkkari 5 Br J Sports Med. 2017;51:36 43. doi: 10.1136/bjsports-2016-095992. Epub 2016 Jun 8. CONCUSSION IN THE INTERNATIONAL ICE HOCKEY WORLD CHAMPIONSHIPS AND OLYMPIC WINTER GAMES BETWEEN 2006 AND 2015 Markku Tuominen 1, Timo Hänninen, Jari Parkkari 5, Michael J. Stuart 2, Teemu Luoto, Pekka Kannus 4, Mark Aubry 3 Br J Sports Med 2017;51:244 252. doi:10.1136/bjsports-2016-097119. Epub 2017 Feb 1.
TURNAUKSET 32 Men s World Championships, 1 Olympic Winter Games, and 8 Olympic Qualification Tournaments 41 tournaments, 844 games (436 in A-pool), and 555 injuries (329 in A-pool) 23 Women s World Championships, 2 Olympic Winter Games, and 14 World Women U18 Championships 39 tournaments, 637 games (244 in WWC U18), and 168 injuries (75 in WWC U18) 36 Male World Junior U20 Championships and 33 Male World Junior U18 Championships 69 tournaments, 1326 games (631 in WJ U18), and 633 injuries (272 in WJ U18) 9 A-pool tournaments in both age groups
TURNAUKSET AIVOTÄRÄHDYSTUTKIMUS 54 Male WS Championships and OWG 10 A-pool Tournaments and 2 Olympic Winter Games 8 Olympic Qualification Tournaments 70 Male WJ Championships 14 A-pool Tournaments and 2 Olympic Winter Games 19 A-pool Tournaments 45 World Women s Championships 15 WW U18 Championships 3293 games 163 concussions 160 concussions in games
VAMMARISKI (IR) PER 1000 PELAAJAN PELAAMAA OTTELUA WWC WWC U18 all WWC WJ U18 A-pool WJ U18 WJ U20 A-pool WJ U20 All WS A-pool All WS 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0
VAMMARISKI (IR) VARTALON ALUEIDEN MUKAAN 8 7 6 5 4 3 2 1 0 all men's WC Men's WC WJ U20 WJ U18 WW Head and face Upper body Lower body spine and trunk
VAMMARISKI (IR) PÄÄ- JA KASVOVAMMOISSA WWC WWC U18 all WWC WJ U18 A-pool WJ U18 WJ U20 A-pool WJ U20 All WS A-pool All WS 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0
VAMMARISKI (IR) KASVOVAMMOISSA WWC WWC U18 all WWC WJ U18 A-pool WJ U18 WJ U20 A-pool WJ U20 All WS A-pool All WS 0.0 1.0 2.0 3.0 4.0 5.0 6.0
VAMMARISKI (IR) OLKAPÄÄVAMMOISSA WW U18 WW WJ U18 A WJ U18 WJ U20 A WJ U20 WS A-pool WS 0.0 0.5 1.0 1.5 2.0 2.5 3.0
OLKAPÄÄVAMMAT WS WJ 40,4 % Glenohumeral injuries Gr. III most common 50,9 % AC injuries Gr I most common 5,3 % SC injuries 3,5 % No info WW 33,3 % Glenohumeral injuries 50,0 % AC injuries Gr I most common 16,7 % No info 28,3 % Glenohumeral injuries 59,4 % AC injuries Gr I most common 1,9% SC injuries 10,4 % No info
LOUKKAANTUMISET LAITAKONTAKTISSA (WS) 70,00 % 60,00 % 50,00 % 40,00 % 30,00 % 20,00 % 10,00 % 0,00 % No contact Contact No info
LOUKKAANTUMISET LAITAKONTAKTISSA (WW) 70,00 % 60,00 % 50,00 % 40,00 % 30,00 % 20,00 % 10,00 % 0,00 % No contact Contact No info
LAITAKONTAKTIVAMMAT WS (WJ) Shoulder injuries 27,3 % WW Knee injuries 18,6 % 63,2 % of the shoulder injuries Head injuries 16,9 % Face injuries 11,0 % occurred contact with board 55,8 % of the head injuries occurred without board contact Head injuries 18,6 % Ankle injuries 22,9 % of the head injuries occurred with board contact
LOUKKAANTUMISET LAITAKONTAKTISSA (WJ)
VAMMARISKI AC-NIVELEN JA OLKAPÄÄN VAMMOILLE: perinteinen vs. joustokaukalo flexible board No flexible board 0.0 0.5 1.0 1.5 2.0 2.5 AC shoulder
VAMMARISKI AC-NIVELEN JA OLKAPÄÄN VAMMOILLE: perinteinen vs. joustokaukalo flexible board No flexible board 0.0 0.5 1.0 1.5 2.0 2.5 AC shoulder
VAMMARISKI (IR) AIVOTÄRÄHDYKSILLE WW U18 WW WJ U18 A WJ U18 WJ U20 A WJ U20 WS A-pool WS 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80
VUOSITTAINEN AIVOTÄRÄHDYSRISKI 3.00 4.00 2.50 2.00 1.50 1.00 0.50 3.50 3.00 2.50 2.00 1.50 1.00 0.50 0.00 11 15 13 21 14 26 19 20 14 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 WS U20 U18 all WW WS A 0.00
VUOSITTAINEN AIVOTÄRÄHDYSRISKI (WS AND WS A-pool) 4.00 3.50 3.00 2.50 2.00 1.50 1.00 0.50 0.00 11 15 13 21 14 26 19 20 14 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 WS WS A
VUOSITTAINEN AIVOTÄRÄHDYSRISKI (WJ U18 AND WJ U20) 3.00 2.50 2.00 1.50 1.00 0.50 0.00 11 15 13 21 14 26 19 20 14 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 U20 U18
VUOSITTAINEN AIVOTÄRÄHDYSRISKI (WW) 2.00 1.80 1.60 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 11 15 13 21 14 26 19 20 14 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 WW
AIVOTÄRÄHDYKSEN YLEISIMMÄT AIHETTAJAT WW U18 WW A-pool all WW WJ U18 A-pool WJ U18 WJ U20 A-pool WJ U20 WS A-pool WS 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 Check From Behind Unintended Collision Body Check Check to the Head
AIVOTÄRÄHDYSRISKI PELIPAIKAN MUKAAN WW U18 WW A-pool all WW WJ U18 A-pool WJ U18 WJ U20 A-pool WJ U20 WS A-pool [RR 4.1, (95% CI 2.0 to 8.4)] [RR 2.9, (95% CI 1.4 to 6.0)] [RR 2.3, (95% CI 1.2 to 4.5)] WS 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 Goalie Center Wing Defence
VUOSITTAINEN AIVOTÄRÄHDYSRISKI laitakontakti vs ei laitakontaktia 1.20 1.00 0.80 0.60 0.40 0.20 0.00 11 15 13 21 14 26 19 20 14 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 non-contact contact
VUOSITTAINEN AIVOTÄRÄHDYSRISKI (WS) laitakontakti vs ei laitakontaktia 1.60 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 non-contact contact
AIVOTÄRÄHDYSRISKI LAITAKONTAKTISSA WW U18 WW A-pool all WW WJ U18 A-pool WJ U18 WJ U20 A-pool WJ U20 WS A-pool WS 0.00 0.20 0.40 0.60 0.80 1.00 1.20 No info No contact Contact
AIVOTÄRÄHDYSRISKI: sääntöjen mukaiset vs sääntöjen vastaiset syyt (all WC) 1.20 1.00 0.80 0.60 0.40 0.20 0.00 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 IR-illegal IR-legal Linear (IR-illegal) Linear (IR-legal)
AIVOTÄRÄHDYSRISKI: sääntöjen mukaiset vs sääntöjen vastaiset syyt (WS) 1.80 1.60 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 IR-illegal WS IR-legal WS
AIVOTÄRÄHDYSRISKI: sääntöjen mukaiset vs sääntöjen vastaiset syyt (WJ) 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 1 2 3 4 5 6 7 8 9 IR-illegal WJ IR-legal WJ Linear (IR-illegal WJ) Linear (IR-legal WJ)
LAITAKONTAKTISSA SYNTYNEET AIVOTÄRÄHDYKSET- perinteinen vs. joustokaukalo 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 Contact with board Flexible board No flexible board Without board contact
LAITAKONTAKTISSA SYNTYNEET AIVOTÄRÄHDYKSET- perinteinen kaukalo vs. joustokaukalo 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 Contact with board Flexible board No flexible board Without board contact
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