title: Ice Hockey Summit II: zero tolerance for head hits and fighting.
abstract: This study aimed to present currently known basic science and on-ice influences of sport-related concussion (SRC) in hockey, building upon the Ice Hockey Summit I action plan (2011) to reduce SRC. The prior summit proceedings included an action plan intended to reduce SRC. As such, the proceedings from Summit I served as a point of departure for the science and discussion held during Summit II (Mayo Clinic, Rochester, MN, October 2013). Summit II focused on (1) Basic Science of Concussions in Ice Hockey: Taking Science Forward, (2) Acute and Chronic Concussion Care: Making a Difference, (3) Preventing Concussions via Behavior, Rules, Education, and Measuring Effectiveness, (4) Updates in Equipment: Their Relationship to Industry Standards, and (5) Policies and Plans at State, National, and Federal Levels To Reduce SRC. Action strategies derived from the presentations and discussion described in these sectors were voted on subsequently for purposes of prioritization. The following proceedings include the knowledge and research shared by invited faculty, many of whom are health care providers and clinical investigators. The Summit II evidence-based action plan emphasizes the rapidly evolving scientific content of hockey SRC. It includes the most highly prioritized strategies voted on for implementation to decrease concussion. The highest-priority action items identified from the Summit include the following: (1) eliminate head hits from all levels of ice hockey, (2) change body checking policies, and (3) eliminate fighting in all amateur and professional hockey.
authors.affiliation: 1Sports Medicine Center, Mayo Clinic, Rochester, MN; 2Department of Neurology, Mayo Clinic, Scottsdale, AZ; 3Department of Family Medicine and Community Health, University of Minnesota- Twin Cities, Minneapolis, MN; 4Department of Biomedical Engineering, University of Minnesota-Twin Cities, Minneapolis, MN; 5Department of Radiology, St. Elizabeth's Medical Center, Boston, MA; 6International Ice Hockey Federation and Hockey Canada and Ottawa Sport Medicine Centre, Ottawa, Ontario, Canada; 7Sport Medicine Centre, University of Calgary, Calgary, Alberta, Canada; 8Department of Orthopedics, University of Pittsburg Medical Center-St. Margaret, Pittsburg, PA; 9National Collegiate Athletic Association, Indianapolis, IN; 10Department of Psychiatry, Geisel School of Medicine at Dartmouth, Dartmouth College, Hanover, NH; 11Division of Pediatric Neurology, Mattel Children's Hospital and David Geffen School of Medicine at UCLA, Los Angeles, CA; 12Simbex, LLC, Lebanon, NH; 13Department of Family Medicine, University of Washington, Seattle, Washington; 14School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada; 15Department of Psychiatry, University of Vermont Medical Center, Burlington, VT; 16Department of Radiology, Mayo Clinic, Rochester, MN; 17School of Kinesiology, University of Minnesota-Twin Cities, Minneapolis, MN; 18USA Hockey, Colorado Springs, CO; 19Department of Orthopaedics, University of New York at Buffalo, Buffalo, NY; 20School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada; 21Center for the Study of Traumatic Encephalopathy, Boston University School of Medicine, Boston, MA; 22Department of Exercise and Sport Science, The University of North Carolina, Chapel Hill, NC; 23Department of Nursing, Mayo Clinic, Rochester, MN; 24Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada; 25Department of Athletic Medicine, Princeton University, Princeton, New Jersey; 26
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mesh_terms: D000374:Aggression; D001265:Athletic Injuries / Q000209:etiology / Q000517:prevention & control; D001924:Brain Concussion / Q000517:prevention & control*; D006688:Hockey / Q000293:injuries* / Q000331:legislation & jurisprudence* / Q000592:standards; D006801:Humans; D008910:Minnesota