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THE EFFECTIVENESS OF A NATIONAL BODY CHECKING POLICY CHANGE ON REDUCING INJURY RISK IN YOUTH ICE HOCKEY

2017· article· en· W2744886889 on OpenAlexaffabout
Amanda M. Black, Brent Hagel, Luz Palacios‐Derflingher, Kathryn Schneider, Carolyn A. Emery

Bibliographic record

VenueBritish Journal of Sports Medicine · 2017
Typearticle
Languageen
FieldMedicine
TopicDiverse Approaches in Healthcare and Education Studies
Canadian institutionsHotchkiss Brain InstituteAlberta Children's HospitalUniversity of Calgary
Fundersnot available
KeywordsIce hockeyConcussionLeagueInjury preventionPoison controlSuicide preventionPoisson regressionMedicinePsychologyPhysical therapyDemographyPhysical medicine and rehabilitationMedical emergencyEnvironmental health

Abstract

fetched live from OpenAlex

Background In 2013, Hockey Canada introduced an evidence-informed policy change delaying the earliest age of introduction to body checking in hockey until Bantam (ages 13–14) nationwide. Objective To determine if the risk of injury, including concussions, differs for Pee Wee (11–12 years) ice hockey players in the hockey season following a national policy change disallowing body checking (2013–2014) compared with a season (2011–2012) when body checking was allowed. Design Historical cohort study. Setting Ice hockey rinks (Alberta, Canada). Participants Pee Wee players (all divisions of play) in 2011/12 Alberta prior to the rule change (59 teams, n=883) and 2013/14 following the rule change (73 teams, n=617). Assessment of Risk Factors Exposure to a Pee Wee league where policy change disallowed body checking. Main Outcome Measurements Injuries were identified by a safety designate or team therapist if players: 1) required medical attention, 2) were unable to complete the session and/or 3) were unable to participate in sporting activity for one day. Any player with a suspected concussion was referred to a study sport medicine physician. Results There were 163 game-related injuries [incidence rate (IR)=4.37/1000 game-hours], and 104 concussions (IR=2.79/1000 game-hours) prior to the rule change and 48 injuries (IR=2.16/1000 game-hours) and 24 concussions (IR=1.08/1000 game-hours) after the rule change. Based on a multivariable Poisson regression model adjusting for player size, age, body checking attitudes, previous injury, level of play, and position, accounting for clustering by team, the rate of injury and concussions significantly declined following policy change [IRR=0.50 (95% CI; 0.33 to 0.75)] and [IRR=0.34 (95% CI; 0.21 to 0.56), respectively]. Conclusions Introduction of the 2013 national body checking policy change disallowing body checking in Pee Wee had a significant public health impact resulting in a 50% reduction in injury risk and a 66% reduction in concussion risk in Alberta, Canada.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.026
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.481
Threshold uncertainty score0.955

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.026
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0010.000
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.088
GPT teacher head0.382
Teacher spread0.294 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2017
Admission routes2
Has abstractyes

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