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Elite Ice Hockey Goalkeepers Have a High Prevalence of Hip and Groin Problems Associated With Decreased Sporting Function : A Single-Season Prospective Cohort Study

Wörner, Tobias LU ; Clarsen, Benjamin ; Thorborg, Kristian and Eek, Frida LU (2019) In Orthopaedic Journal of Sports Medicine 7(12). p.2325967119892586-2325967119892586
Abstract

Background: The modern style of goalkeeping in ice hockey is thought to predispose athletes to hip and groin problems. However, little is known about the magnitude of these problems in elite goalkeepers.

Purpose: To describe the incidence, prevalence, and severity of hip and groin problems in elite ice hockey goalkeepers over the course of a single season.

Study Design: Descriptive epidemiology study.

Methods: We invited all elite Swedish ice hockey goalkeepers (n = 128) to participate in this prospective cohort study. Every second week, players reported hip and groin problems experienced within the past 14 days on the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O), classifying problems into... (More)

Background: The modern style of goalkeeping in ice hockey is thought to predispose athletes to hip and groin problems. However, little is known about the magnitude of these problems in elite goalkeepers.

Purpose: To describe the incidence, prevalence, and severity of hip and groin problems in elite ice hockey goalkeepers over the course of a single season.

Study Design: Descriptive epidemiology study.

Methods: We invited all elite Swedish ice hockey goalkeepers (n = 128) to participate in this prospective cohort study. Every second week, players reported hip and groin problems experienced within the past 14 days on the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O), classifying problems into "all" and "substantial" hip and groin problems. Three times during the season (pre-, mid-, and end-season), players reported hip and groin function on the Hip and Groin Outcome Score (HAGOS) as well as on the OSTRC-O.

Results: A total of 101 goalkeepers participated in the study (83.3% male [seniors, 44.1%; juniors, 39.2%], 16.7% female). The cumulative incidences of all hip and groin problems and substantial hip and groin problems were 69% (95% CI, 59%-79%) and 36% (95% CI, 26%-46%), respectively. The average biweekly prevalence for all hip and groin problems and substantial hip and groin problems was 28.1% (95% CI, 25.0%-31.3%) and 10% (95% CI, 8.7%-11.4%), respectively. Among all the reported hip and groin problems, 16.9% (n = 70) were acute, 83.1% (n = 343) were because of overuse, and 15.5% (n = 64) led to time loss. HAGOS did not differ in the pre-, mid-, or end-season. Players reporting hip and groin problems on the OSTRC-O had significantly worse HAGOS scores than players without problems (P < .01).

Conclusion: Hip and groin problems are highly prevalent in elite ice hockey goalkeepers. During a competitive season, 69% of players experienced hip and groin problems and 36% of players suffered from substantial problems. The vast majority of problems were because of overuse, not leading to time loss but related to reduced self-reported hip and groin function.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Orthopaedic Journal of Sports Medicine
volume
7
issue
12
pages
2325967119892586 - 2325967119892586
publisher
SAGE Publications
external identifiers
  • pmid:31897413
  • scopus:85077095097
ISSN
2325-9671
DOI
10.1177/2325967119892586
project
Hip and groin problems in professional and semi-professional Swedish ice hockey players
language
English
LU publication?
yes
id
3f7c4f1b-26b1-4c5b-b6ff-cf321d001681
date added to LUP
2020-09-19 11:34:01
date last changed
2024-08-08 02:05:10
@article{3f7c4f1b-26b1-4c5b-b6ff-cf321d001681,
  abstract     = {{<p>Background: The modern style of goalkeeping in ice hockey is thought to predispose athletes to hip and groin problems. However, little is known about the magnitude of these problems in elite goalkeepers.</p><p>Purpose: To describe the incidence, prevalence, and severity of hip and groin problems in elite ice hockey goalkeepers over the course of a single season.</p><p>Study Design: Descriptive epidemiology study.</p><p>Methods: We invited all elite Swedish ice hockey goalkeepers (n = 128) to participate in this prospective cohort study. Every second week, players reported hip and groin problems experienced within the past 14 days on the Oslo Sports Trauma Research Center Overuse Injury Questionnaire (OSTRC-O), classifying problems into "all" and "substantial" hip and groin problems. Three times during the season (pre-, mid-, and end-season), players reported hip and groin function on the Hip and Groin Outcome Score (HAGOS) as well as on the OSTRC-O.</p><p>Results: A total of 101 goalkeepers participated in the study (83.3% male [seniors, 44.1%; juniors, 39.2%], 16.7% female). The cumulative incidences of all hip and groin problems and substantial hip and groin problems were 69% (95% CI, 59%-79%) and 36% (95% CI, 26%-46%), respectively. The average biweekly prevalence for all hip and groin problems and substantial hip and groin problems was 28.1% (95% CI, 25.0%-31.3%) and 10% (95% CI, 8.7%-11.4%), respectively. Among all the reported hip and groin problems, 16.9% (n = 70) were acute, 83.1% (n = 343) were because of overuse, and 15.5% (n = 64) led to time loss. HAGOS did not differ in the pre-, mid-, or end-season. Players reporting hip and groin problems on the OSTRC-O had significantly worse HAGOS scores than players without problems (P &lt; .01).</p><p>Conclusion: Hip and groin problems are highly prevalent in elite ice hockey goalkeepers. During a competitive season, 69% of players experienced hip and groin problems and 36% of players suffered from substantial problems. The vast majority of problems were because of overuse, not leading to time loss but related to reduced self-reported hip and groin function.</p>}},
  author       = {{Wörner, Tobias and Clarsen, Benjamin and Thorborg, Kristian and Eek, Frida}},
  issn         = {{2325-9671}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{2325967119892586--2325967119892586}},
  publisher    = {{SAGE Publications}},
  series       = {{Orthopaedic Journal of Sports Medicine}},
  title        = {{Elite Ice Hockey Goalkeepers Have a High Prevalence of Hip and Groin Problems Associated With Decreased Sporting Function : A Single-Season Prospective Cohort Study}},
  url          = {{http://dx.doi.org/10.1177/2325967119892586}},
  doi          = {{10.1177/2325967119892586}},
  volume       = {{7}},
  year         = {{2019}},
}