Ice Hockey




Hockey Organization and Participation





  • USA Hockey, located in Colorado Springs, Colorado, is the national governing body for ice hockey in the United States (US) and the official representative of US Olympic Committee and International Ice Hockey Federation. USA Hockey works in conjunction with the National Hockey League (NHL) and the National Collegiate Athletic Association (NCAA).



  • During 1968–1969, 3800 teams were registered with USA Hockey. During 1993–1994, 21,150 teams with approximately 340,000 players were registered. Between 2005 and 2006, over 442,000 players and 58,000 coaches were registered. For 2014–2015, USA Hockey reported over 530,000 male registrants. Of these, about 36,000 are boys aged ≤18 years. According to the National Federation of High School Associations (NFSHA), 1603 boys’ teams representing 17 states and almost 36,000 players participated in interscholastic hockey.



  • Women’s hockey continues to grow in popularity. The number of female hockey players registered in 2014–2015 was almost 70,000. Of these, almost 52,000 were ≤18 years. NFHSA data show 615 girls’ high school hockey teams representing 12 states with almost 19,000 participants. Between 1995 and 1996, 38 women’s teams competed in an interscholastic competition held in Minnesota. During 2014–2015, 245 teams competed. A first state high school tournament for girls was held in Minnesota in 1995. Despite the growth in women’s hockey, in a few states, girls are still competing in boys’ youth hockey teams.



  • The NCAA has 36 women’s teams competing in Division I and 62 in Division III. For men, the NCAA reports 61 teams competing in Division I and 72 in Division III. There are no Division II ice hockey teams.



  • The Canadian Hockey Association, or Hockey Canada, represents the governing body for amateur hockey in Canada. They have over 600,000 registered players. Of these, approximately 522,000 are males.



  • Age range of organized competition: 5 to >50 years



  • Age group divisions are determined by birth date as of August 31 of each year ( Table 80.1 ).



    TABLE 80.1

    AGE GROUP DIVISIONS DETERMINED BY USA HOCKEY




































    Level Boys (Years) Girls (Years)
    Mites ≤8
    Squirts ≤10 6–12
    Pee Wees ≤12 13–15
    Bantams ≤14
    Junior Midgets ≤19 16–19
    Junior ≤19
    Senior >19 >19



  • Regarded by most as the fastest competitive team sport





Game of Ice Hockey


Structure





  • Professional, college, adult: three 20-minute periods



  • High school: three 17-minute periods



  • Youth: three 12- to 15-minute periods



Team Composition





  • Eighteen players and two goalkeepers (usual position distribution). Six players compete at one time: three forwards, two defensemen, and one goalie.



  • Goalkeeper (goalie): The player who tends the goal to catch or deflect the puck and prevent the opponent from scoring



  • Forwards (left wing, center, and right wing): Offensive-minded players who attack the opponent with an intent to score a goal; also assist defensemen in protecting their goal



  • Defensemen (left and right): Primary responsibility is to protect their goal and the goalie to prevent the opponent from advancing to the net to score



  • A substitution may occur during play (“on the fly”) or during time stoppages for violations, goals, or penalties.



Rink





  • Should be 200 by 100 feet; smallest recommended dimensions are 185 by 85 feet



  • Should be surrounded by wooden or fiberglass boards 40–48 inches high with a yellow or light-colored kickplate at bottom; it is recommended that a safety glass or another protective screen encircle the rink.



  • The goal should have dimensions of 4 feet high by 6 feet wide and should have metal goalposts and a crossbar and net surrounding the metal framework.



Special Equipment





  • The puck is vulcanized rubber, 1 inch thick and 3 inches in diameter, weighing 5.5–6 ounces.



  • Hockey stick




    • Forwards and defensemen: the blade is usually made of wood (the shaft may be made of other materials) with the shaft <63 inches, blade <12.5-inches long by 2–3-inches wide, and curve not exceeding 0.75 inches



    • Goalie: wood shaft <63 inches with the blade <15.5-inches long by 3.5-inches wide, and curve not exceeding 0.75 inches




Skills





  • The skill in skating involves three factors: angle of propulsion (angle formed by the skate blade in the direction of the skate), angle of forward inclination (body lean), and length of the stride.



  • Shooting




    • Types of shots: standing wrist shot (sweeping action with the stick terminating in wrist snap and follow-through), skating wrist shot (similar to a standing wrist shot except that a player has forward momentum while skating; most accurate), standing slap shot (the stick and blade are brought back a variable distance, followed by a vigorous forward motion, and “slapping” at the puck like a golf swing; least accurate), and skating slap shot (greatest velocity)



    • Maximal velocity is the result of the strength of arm and shoulder muscles and full trunk rotation.




  • Passing



  • Stick handling: Ability to advance the puck while maneuvering on ice



  • Checking: Intentional contact with an opponent who is in possession of the puck, using the hip or shoulder; a player may check from the side, diagonally or frontally, approaching with no more than two skating strides. In 2011, USA Hockey changed the age at which checking could be introduced from PeeWee to Bantam based on injury data showing decreased injury and concussion rates at the PeeWee level.



  • Goal tending: The goalkeeper (goalie) tends the goal and is protected by special equipment and pads to catch or deflect the puck from the goal.



Safety and Protection


Protective Equipment





  • Goalie: helmet, mask, throat protector, chest protector, cup, thick padded shin guards, blocker (worn on one hand), trapper (device to catch the puck, worn on the opposite hand), skates that are unique to protect the goal and goalie



  • Forward and defense: helmet, shoulder pads, elbow pads, padded gloves, cup, breezers (padded hockey pants to protect the sacrum, coccyx, and pelvis), shin guards, and skates



  • Face masks




    • Full face masks required at youth and high school levels in 1975; Eastern Collegiate Athletic Conference mandated use in 1977; NCAA required use in 1980; helmets required in NHL; visors (half face shields) were required for all players new to the NHL as of the 2013–2014 season. For players entering the NHL before 2013–2014, face masks (visors) remain optional.



    • Effects of full and half face shields (college level, Canada):




      • Full shield: 61.6% had at least one injury



      • Half shield: 63.2% had at least one injury



      • Risk of facial, dental injury: 2.3 times greater with half shield



      • Risk of concussion: Concussion rates are higher in those wearing the half shield compared to those wearing the full face mask.





Rules to Protect Players





  • Penalties: 2 minute (minor), 5 minute (major), 10 minute (major), or a combination




    • Offending player must sit in a designated penalty box and his or her team must play with one less player on ice (“shorthanded”). If two penalties are assessed against the team, it must play two players short. Team never has to play more than two players short.



    • For 10-minute penalties, offending team does not have to play shorthanded. They lose services of that player for that time interval.



    • Single or multiple game disqualifications may be assessed, depending on severity of infraction.




  • Goaltender protection: no unnecessary body contact with goalie; the “crease” is the goalie-protected area in front of goal where opposing players cannot enter without a puck. If a goaltender loses his helmet, the play is immediately stopped.



  • Common penalties enforced for protection of players:




    • Cross-checking: using shaft of stick with both hands to check opponent



    • Hooking: using blade of stick on opponent’s body to block or impede opponent’s progress



    • Slashing: striking or attempting to strike opponent by swinging stick



    • Spearing: poking or attempting to poke opponent with blade of stick



    • Interference: impeding progress of opponent not in control of the puck



    • Charging: using more than two skating strides to check the opponent



    • Checking from behind




  • Officiating: Three to four officials enforce rules, assess penalties, and award goals





Physiology of Ice Hockey


Skating Stride





  • Three phases: Glide during single-support propulsion; during single-support propulsion; and during double support



  • Propulsion: When extending knee joint in skating thrust, quadriceps develop largest contractile force. Hamstrings and gastrocnemius stabilize knee during weight shift and push-off.



  • Stride rate is related to skating velocity. Stride length is unrelated except in young hockey players.



  • Faster skaters show better timing in push-off mechanics with resultant push-off in the direction perpendicular to the skating direction. Elite skaters sustain the gliding phase longer.



  • In players aged 8–15 years, increases in velocity are accompanied by increases in stride length and no significant change in the stride rate.



  • To accelerate quickly, players should attempt full extension of hip, knee, and ankle.



  • With fatigue, decrease in skating velocity is caused by decreased stride rate (slower leg extension and longer glide phase) and excessive forward lean.



  • Typical game skating behavior is a complex activity involving repeated accelerations, decelerations, turning, and stopping. Complicating skating behavior are upper body activities of stick handling, shooting, passing, and checking.



Physical Characteristics of Hockey Players





  • Professional players are taller and heavier on average than college and junior players.



  • Defensemen are taller and heavier than forwards.



  • Body composition (% fat)




    • Junior: 8.6%–13.6%



    • College: 8.6%–10.7%



    • Professional: 9.7%–14.2%



    • Forwards and defensemen have equal body compositions.



    • Goalies, on average, have higher body composition than forwards and defensemen.




Energy Expenditure


Physiology has been primarily studied in adult, elite hockey players, which underscores uncertainty of applying this science to youth hockey.


Game





  • Shifts




    • One shift averages 45–90 seconds, with an average of 2–3 play stoppages/shift, lasting an average of 27 seconds.



    • Average playing time/shift is 40 seconds with recovery of 225 seconds between shifts.



    • One shift plus recovery averages work capacity of 32 mL/kg/minute (66% of V̇O 2 max).



    • Average player plays 14–21 shifts each game with an average playing time of 21–28 minutes/game (based on usual practice of alternating three “lines”).




  • Energy requirement estimated at two-thirds anaerobic metabolism and one-third aerobic metabolism. On-ice energy requirements of college players is estimated at 70%–80% V̇O 2 max and youth hockey players is estimated in excess of 80% V̇O 2 max.



  • On-ice heart rate averages 152 beats/minute.



Time–Motion Analysis





  • Adult elite players average 6400–7200 meters/game (3.9–4.4 miles/game)



  • Forwards demonstrate more anaerobic activity than other positions; aerobic system primarily used for recovery



  • Defensemen have longer playing time (33%), more shifts (17%), and longer playing time/shift (21%) but less recovery time between shifts (35%); defensemen average approximately 62% of skating velocity of forwards



  • Goalie’s quick, explosive movements of short duration with rest periods of submaximal activity use primarily adenosine triphosphate-phosphocreatine (ATP-PC) energy system



  • However, few physiologic studies of youth hockey (older age groups) had similar findings.



  • Adult recreational hockey players tend to stay on ice much longer per shift.



  • Time–motion analyses are based on use of alternating three lines. In adult recreational leagues, only two lines may be used. At collegiate and professional levels, four lines may be used.



  • Heart-rate telemetry estimates on-ice intensity averaging 70%–80% V̇O 2 max during a 60-minute stop-time game. For 30 minutes of each game, players’ V̇O 2 max exceeds 90%. Adult recreational players average heart-rate intensity in excess of 70%.



Muscle Glycogen Stores (Energy Source)





  • Glycogen stores decline by an average of 60% for forwards and defensemen after one game.



  • All muscle fibers (types I, IIa, and IIb) contribute glycogen; type I depletes (contributes) most.



  • Two-fold increase in plasma free fatty acids suggests mild glycogen-sparing effects in the muscle.



  • Consecutive-day games usually do not allow complete repletion of glycogen stores (based on diet as desired).



Lactate Accumulation





  • Because anaerobic glycolysis is a major energy contributor, lactate accumulates over course of the game (8- to 10-fold increase). Because approximately 10 minutes are required to remove lactate from exercising muscle, there is inadequate time between shifts for full recovery. Result is mild metabolic acidosis.



  • Lactate values usually higher in first and second periods; forwards and defensemen have similar levels



  • Levels actually lower than predicted because each shift is interrupted by average of two to three play stoppages, averaging 27 seconds; this usually allows approximately 60%–65% of phosphocreatine to be resynthesized before the next shift.



Muscle Fiber Type





  • Wide range of fiber composition



  • No difference from general population; no position-to-position variation



Anaerobic Power and Endurance





  • Forwards, defensemen, and goalies have similar results in peak power and endurance.



  • Similar results occurred when younger, less-experienced players were tested.



Aerobic Endurance





  • Although hockey is largely anaerobic, improving aerobic capacity reduces fatigue and may enhance performance. Involvement of anaerobic system may depend on efficiency of the aerobic system.



  • V̇O 2 max ranges 52–62 mL/kg/minute. Maximum aerobic capacities of youth hockey players are similar to those of adult players when adjusted for size and weight.



  • NHL players have shown consistent increase in aerobic capacities over past 15 years presumably because of more effective off- and in-season conditioning strategies.



Muscle Strength and Endurance





  • Professional players were stronger than amateurs based on each of the six tests used for comparison.



  • Comparing defensemen and forwards at similar levels, data relative to body weight showed these to be equal.



  • Compared with other sports, hockey players obtained high levels for total and relative leg force. Only elite canoeists and athletes from power events scored higher (Finnish study).



Flexibility





  • Forwards and defensemen have similar flexibility.



  • Goalies have significantly better flexibility (key element for that position).



  • In general, flexibility of hockey players exceeds that of other elite athletes in wrist, hip, knee, and ankle.



  • Other elite athletes exceed hockey players in flexibility on neck rotation, all shoulder and elbow actions, trunk extension-flexion, and lateral flexion.



Fatigue





  • Hockey players at risk of fatigue; activities of ice skating require use of all major muscle groups. Hockey has heavy metabolic demands for energy and removal of waste products of energy metabolism.



  • Studies of fatigue in hockey show failure of return of maximal muscle contractions to pre-exercise levels at 24 hours. Loss of ability to generate maximal force affects athlete’s ability to perform peak-force activities to accelerate, stop, and turn.



Detraining





  • On-ice practice and game play may not provide sufficient stimulus to maintain or improve fitness among hockey players.



  • Studies suggest that additional aerobic activities may be necessary during competitive seasons.



Practical Application of Training Studies





  • Programs that have failed to improve skating speed: leg squats using weights; pushing partner as technique of resistance skating; speed skating with instruction; skating with ankle weights



  • Six-week preseason training program consisting of continuous running, stair running, flexibility, and strength training resulted in 11% increases in V̇O 2 max. During subsequent season, gains in oxygen consumption were lost in absence of any specific in-season aerobic training program.



  • Hockey training stimulates improvement in cardiovascular conditioning similar to that of continuous training programs in untrained players. In fit elite players, there were no improvements in cardiovascular fitness over course of the season.



  • Hockey practice observations show 20 minutes of actual skating during 60-minute practice. Heart rate monitoring, however, provided sufficient stimulus for aerobic training effects.



  • Anaerobic endurance improved over course of the season by approximately 16% but not associated with increases in glycolytic enzymes



  • Muscular fatigue over 6-day routine of practices and games showed decrements in maximal voluntary muscle contractions, implying fatigue. Levels decreased through first 3 days, then reached plateau at a level lower than the baseline. After hockey practice, muscle output remains diminished over the practice–game cycle.



Nutrition of Hockey Players





  • Dietary composition: protein, 14%–20.5%; carbohydrate, 38%–44%; and fat, 34%–43%



  • Average daily intake is 2800–4900 calories.



Environmental Factors





  • Ice arenas usually have lower ambient temperatures than other athletic settings, which minimize the risk of heat-related injury.



  • Hockey protective equipment reduces the ability to dissipate heat.



  • Despite hydration between periods and shifts, hockey players lose 2–3 kg body weight through sweat each game.



Physiologic Studies and Their Implications for Shift Length





  • Shorter shifts result in higher contribution of phosphocreatine and oxidative phosphorylation to ATP (energy source) turnover, reducing contribution of anaerobic glycolysis, which reduces consumption of muscle glycogen.



  • Shorter shifts result in less lactate accumulation in exercising muscles. Lactate accumulation causes muscles to be inefficient and fatigue more readily. If lactate levels are lower, lactate clears more quickly, and muscles recover more quickly.





Injuries in Ice Hockey


Epidemiology



Jul 19, 2019 | Posted by in SPORT MEDICINE | Comments Off on Ice Hockey

Full access? Get Clinical Tree

Get Clinical Tree app for offline access