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Like many sports in adolescence, junior hockey is organized by age groups. Typically, players born after December 31st are placed in the subsequent age cohort and as a result, will have an age advantage over those players born closer to the end of the year. While this relative age effect (RAE) has been well-established in junior hockey and other professional sports, the long-term impact of this phenomenon is not well understood. Using roster data on North American National Hockey League (NHL) players from the 2008-2009 season to the 2015-2016 season, we document a RAE reversal-players born in the last quarter of the year (October-December) score more and command higher salaries than those born in the first quarter of the year. This reversal is even more pronounced among the NHL \"elite.\" We find that among players in the 90th percentile of scoring, those born in the last quarter of the year score about 9 more points per season than those born in the first quarter. Likewise, elite players in the 90th percentile of salary who are born in the last quarter of the year earn 51% more pay than players born at the start of the year. Surprisingly, compared to players at the lower end of the performance distribution, the RAE reversal is about three to four times greater among elite players.

Classifying athletes based on estimates of biological maturation (i.e., bio-banding) as a supplement to traditional age grouping has been shown to be a potential tool for enriching player development in team sports; however, bio-banding has not yet been evaluated in ice hockey. The primary aim was to investigate player experiences and coaches' selection preferences in bio-banding versus age-banding in a group of 12-13-year-old (early growth spurt) male elite players (n = 69). We also examined the relationship between somatic maturity, expressed as a % predicted adult height (%PAH), and fitness performance. Bio-banding was assessed using a questionnaire and 29 coaches selected their top players in each game based on age or bio-bands. %PAH correlated with grip strength (r = .57, p>0.001) and jumping power (r = .63, p<0.001), but not with vertical jump height, sprint time or endurance. Players who played against more mature players in bio-bands than in age groups experienced higher demands, while players who played against less mature players were able to utilize their skills to a greater extent. Coaches generally favored later-than-average maturing players who performed better on performance tests and chronologically older players in bio-banding. We conclude that bio-banding in youth ice hockey has some promising effects and warrants further evaluation.

PurposeTo examine the test-retest reliability and reliable change of the Sports Concussion Assessment Tool-6 (SCAT6®) cognitive and tandem gait components in a large sample of multi-cultural professional ice hockey players.MethodsNational Hockey League (NHL) and American Hockey League (AHL) players undergoing medical evaluations prior to the 2023/2024 (time 1) and 2024/2025 (time 2) seasons completed the NHL Modified SCAT (n=1388), which includes an expanded digits backward and tandem gait with an option to wear skates. Data were extracted from an existing clinical database of players. Test-retest reliability was examined with Pearson correlations and reliable change metrics (RCI) were developed. Regression-based norms were created for the Total Cognitive Score.ResultsPlayers were assessed on average 353.69±46.01 days following their baseline. A regression-based reliable change model incorporating baseline scores and word list form explained 40% of the variance in time two SCAT6® Total Cognitive performance (r=.64). Test-retest reliabilities and practice-corrected .90 RCIs denoting decline included: English-language preference concentration (r=.56; reliable decline=-2), tandem gait fastest time with skates (r=.69; reliable decline=+3.60), tandem gait average time with skates (r=.72; reliable decline=+3.53), tandem gait fastest time without skates (r=.51; reliable decline=+4.20), and tandem gait average time without skates (r=.44; reliable decline=+4.68).ConclusionsThese findings highlight the importance of considering practice effects when determining reliable change from baseline on the new SCAT6® components in professional hockey players. These findings also provide initial evidence that test-retest reliability of new SCAT6® components is improved compared to prior research and earlier iterations of the SCAT®.

For over two decades, the Concussion in Sport Group has held meetings and developed five international statements on concussion in sport. This 6th statement summarises the processes and outcomes of the 6th International Conference on Concussion in Sport held in Amsterdam on 27–30 October 2022 and should be read in conjunction with the (1) methodology paper that outlines the consensus process in detail and (2) 10 systematic reviews that informed the conference outcomes. Over 3½ years, author groups conducted systematic reviews of predetermined priority topics relevant to concussion in sport. The format of the conference, expert panel meetings and workshops to revise or develop new clinical assessment tools, as described in the methodology paper, evolved from previous consensus meetings with several new components. Apart from this consensus statement, the conference process yielded revised tools including the Concussion Recognition Tool-6 (CRT6) and Sport Concussion Assessment Tool-6 (SCAT6, Child SCAT6), as well as a new tool, the Sport Concussion Office Assessment Tool-6 (SCOAT6, Child SCOAT6). This consensus process also integrated new features including a focus on the para athlete, the athlete’s perspective, concussion-specific medical ethics and matters related to both athlete retirement and the potential long-term effects of SRC, including neurodegenerative disease. This statement summarises evidence-informed principles of concussion prevention, assessment and management, and emphasises those areas requiring more research.

ObjectiveTo compare rates of injury and concussion among non-elite (lowest 60% by division of play) Bantam (ages 13–14 years) ice hockey leagues that disallow body checking to non-elite Bantam leagues that allow body checking.MethodsIn this 2-year cohort study, Bantam non-elite ice hockey players were recruited from leagues where policy allowed body checking in games (Calgary/Edmonton 2014–2015, Edmonton 2015–2016) and where policy disallowed body checking (Kelowna/Vancouver 2014–2015, Calgary 2015–2016). All ice hockey game-related injuries resulting in medical attention, inability to complete a session and/or time loss from hockey were identified using valid injury surveillance methodology. Any player suspected of having concussion was referred to a study physician for diagnosis and management.Results49 body checking (608 players) and 33 non-body checking teams (396 players) participated. There were 129 injuries (incidence rate (IR)=5.52/1000 hours) and 54 concussions (IR=2.31/1000 hours) in the body checking teams in games. After policy change, there were 31 injuries (IR=2.50/1000 hours) and 17 concussions (IR=1.37/1000 hours) in games. Policy disallowing body checking was associated with a lower rate of all injury (adjusted incidence rate ratio (IRR)=0.45; 95% CI: 0.27 to 0.76). The point estimate showed a lower rate of concussion (adjusted IRR=0.59; 95% CI: 0.30 to 1.17), but this was not statistically significant.ConclusionPolicy change disallowing body checking in non-elite Bantam ice hockey resulted in a 55% lower rate of injury. There is growing evidence that disallowing body checking in youth ice hockey is associated with fewer injuries.