Paediatricians propose policy changes to reduce concussion rates in youth hockey

OTTAWA – Traumatic brain injury (TBI) is a leading cause of paediatric trauma death and disability worldwide, with concussions accounting for 80-90% of all TBIs. Drawing on recent data, new guidance from the Canadian Paediatric Society says all individuals involved in youth sports and recreation should know the risks, signs and symptoms of concussion. Any youth suspected of sustaining a concussion should be removed from play immediately to prevent secondary injury, evaluated by qualified medical personnel, and take a staggered approach to return-to-play.

The CPS is also calling for a policy-shift in Canadian youth hockey with regards to bodychecking.

“We need to ask ourselves, what does bodychecking add to the sport that justifies the injuries it causes? Simple changes to policies in youth hockey leagues could significantly reduce the rate of concussions without taking away from the fun or health benefits,” said Dr. Kristian Goulet, a paediatric sports medicine specialist and the lead author of the new guidelines.

Hockey is one of the most popular sports in Canada, with over 460,000 youth registered in the 2019/20 season. While there are many health benefits from playing sports, hockey-related injuries – especially concussions – are on the rise.

“Although most children and youth will recover well from a concussion, some will suffer from persistent symptoms that can impact all areas of their life, including their mental health,” said Dr. Goulet. “Preventing concussions from occurring in the first place should be our primary goal.”

To reduce the burden of TBIs in Canadian youth, the CPS recommends that:

• health care providers regularly update their knowledge of concussion management and be aware of the steps and timing of return-to-learn and return-to-play following a concussion
• schools and youth sports organizations be mandated to establish and enforce policies to prevent, identify, and manage concussions
• bodychecking be eliminated from non-competitive hockey leagues at every age
• bodychecking be eliminated from competitive hockey leagues for players under 15 years of age.
  
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