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Arif Karmali
Ali Walizada
Kent Stuber


Concussion, Hockey, Sports


Objective: Concussion is a common injury in ice hockey and numerous misconceptions surround it among players. Effective educational interventions are needed to address these misconceptions, improve the management of concussion in ice hockey, and potentially reduce the incidence of concussion-related sequelae. The purpose of this study was to assess the knowledge of and attitude toward concussion among elite junior-level male ice hockey players in Canada.

Methods: An information letter was distributed to the medical and administrative leads of 4 junior hockey teams, and to each subject for review and consent. The survey was administered in a locker room setting at each of the teams’ home arenas. The survey consisted of demographic information and the Rosenbaum Concussion Knowledge and Attitudes Survey (RoCKAS) instrument. A descriptive analysis of the results was undertaken.

Results: A total of 50 players completed the survey, consisting of 30 forwards, 15 defensemen, and 5 goaltenders. Mean scores for the Concussion Knowledge Index and Concussion Attitudes Index, were 72.2% and 73.2% respectively. On average subjects were able to identify 85.8% of concussion symptoms.  

Conclusion: The average scores obtained by the participating elite male junior hockey players on the indices demonstrate that further efforts toward concussion educational program development and knowledge transfer remain necessary.


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