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Ice HockeyNCT07586085

Medical Team Perspectives on Hand and Wrist Injuries in Elite Male and Female Ice Hockey Players

An observational study of Ice Hockey and Hand, run by Dalarna County Council, Sweden at 1 site in Sweden.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This is a cross-sectional survey study investigating how medical team staff in elite Swedish ice hockey perceive hand and wrist injuries in male and female players. Hand and wrist injuries are common in ice hockey and can affect both performance and participation. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Ice Hockey, Hand, Wrist
How many people
50 participants
Where
1 siteSweden
Study dates
1 Sep 2026to 31 Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Medical support staff are recruited from elite ice hockey organizations in Sweden, including teams competing in the Swedish Hockey League (SHL), HockeyAllsvenskan, and the Swedish Women's Hockey League (SDHL). The population includes individuals working in team-based medical and performance support roles such as physicians, physiotherapists, athletic trainers, and massage therapists. Participants are drawn from active staff lists within participating clubs and are invited to take part during scheduled medical or team staff meetings within the competitive season period.

Who may be able to join

  • Physiotherapists working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL)
  • Team physicians working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL)
  • Massage therapists and sports massage practitioners working with elite ice hockey teams in Sweden
  • Athletic trainers and performance staff involved in player health and injury management in elite ice hockey teams in Sweden
  • Currently active in a medical or performance support role within a participating elite ice hockey team during the study period
  • Able to understand and complete the questionnaire in Swedish or English Provides informed consent

Who cannot join

  • Refusal to participate
  • Not currently active in a medical, therapeutic, or performance support role within elite ice hockey during the study period

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Daniel Muder, MD, PhD contact

+46722027596

danielmuder@email.com

Sweden1 site
  • Center for Clinical Research Dalarna, Uppsala University

    Falun, Dalarna County, 79182

Other trials in Sweden

About this study

Official title: Medical Team Perspectives on Hand and Wrist Injuries in Elite Ice Hockey: A Cross-Sectional Survey Study in Male and Female Players

This is a cross-sectional survey study investigating how medical team staff in elite Swedish ice hockey perceive hand and wrist injuries in male and female players.

Hand and wrist injuries are common in ice hockey and can affect both performance and participation. While injury registries describe how often these injuries occur, less is known about how they are managed and prioritised in daily clinical practice, or whether there are differences in perception between medical teams working in male and female elite leagues.

Read more

In this study, medical team professionals working with teams in Swedish elite ice hockey (including SHL, HockeyAllsvenskan, and SDHL) will complete a structured questionnaire. This includes all relevant healthcare and medical support professionals within the teams. The survey examines perceptions of injury frequency, underreporting, functional impact, clinical management strategies, and return-to-play decision-making related to hand and wrist injuries.

The aim is to better understand how medical teams experience and manage these injuries in real-world elite sport settings, and to identify potential gaps between epidemiological data and clinical practice. The study may help inform future injury prevention strategies, improve clinical decision-making, and support the development of more standardized management approaches in elite ice hockey.

No interventions or treatments are performed in this study.

Read the detailed description

This is a cross-sectional survey study designed to investigate how medical team staff in elite Swedish ice hockey perceive the burden, clinical relevance, and management of hand and wrist injuries in male and female players.

Hand and wrist injuries represent a substantial proportion of injuries in ice hockey and are known to affect both short-term performance and participation. While epidemiological data from injury surveillance systems and registry-based studies provide important information on incidence, injury type, and mechanisms, these data primarily reflect medically recorded or time-loss injuries. As a result, they may not fully capture ongoing symptoms, subclinical functional limitations, or injuries managed conservatively without formal reporting. This may create a gap between observed injury epidemiology and the clinical reality experienced by team medical staff.

To explore this gap, the study targets medical team professionals working within elite Swedish ice hockey organizations, including teams from the Swedish Hockey League (SHL), HockeyAllsvenskan, and the Swedish Women's Hockey League (SDHL). Participants will complete a structured questionnaire distributed during scheduled medical staff meetings. The questionnaire is completed anonymously and individually.

The survey includes domains addressing perceived frequency and severity of hand and wrist injuries, perceived underreporting of symptoms, functional consequences during training and competition, and clinical management strategies including rehabilitation approaches and return-to-play decision-making. Additional items explore perceived variability in practice and areas where improved clinical guidelines or standardized approaches may be needed.

Responses consist of categorical and ordinal variables and are analyzed descriptively. The study is exploratory in nature and aims to characterize patterns in clinical perception rather than test predefined hypotheses.

All data are collected at a single time point, and no follow-up assessments, interventions, or clinical procedures are performed. Data are fully anonymized, and no identifiable team- or individual-level information is recorded. The study is intended to complement existing epidemiological and registry-based research by providing insight into clinical decision-making and perception within elite ice hockey medical teams.

Keywords
ice hockey, hand, wrist, medical staff perception, cross-sectional survey
Medical subject headings
Wounds and Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07586085
Study groupRoleWhat they receive
Medical Team Staff in Elite Ice HockeyMedical team professionals working with elite ice hockey teams in Sweden (SHL, HockeyAllsvenskan, SDHL), completing a cross-sectional survey on perceptions and management of hand and wrist injuries in ice hockey players.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Perceived Injury Burden Based on Time-Loss Ranking of Injury Locations

    Ranking of injury locations based on perceived contribution to total time-loss in elite ice hockey, as reported by medical staff. Injury locations include head/face, shoulder, knee, groin, hand/wrist, and other specified regions.

    Unit of Measure:

    Ordinal ranking (1 = highest burden, 2 = second highest, 3 = third highest)

    Measured: Baseline (cross-sectional survey at enrollment)

Secondary outcomes (10)
  1. Frequency of Playing With Hand and Wrist Symptoms

    Self-reported frequency of players participating in training or matches despite hand or wrist symptoms, as perceived by medical staff.

    Unit of Measure:

    5-point ordinal scale:

    1. = Never
    2. = Rarely
    3. = Sometimes
    4. = Often
    5. = Very Often

    Higher scores indicate greater frequency of players participating while symptomatic.

    Measured: Baseline (cross-sectional survey at enrollment)

  2. Frequency of Hand and Wrist Symptoms Without Formal Diagnosis

    Description:

    Self-reported frequency of observed hand and wrist symptoms in players that are not formally diagnosed, as perceived by medical staff.

    Unit of Measure:

    5-point ordinal scale:

    1. = Never
    2. = Rarely
    3. = Sometimes
    4. = Often
    5. = Very Often

    Higher scores indicate greater frequency of symptoms occurring without formal diagnosis.

    Measured: Baseline (cross-sectional survey at enrollment)

  3. Perceived Extent of Underreporting of Hand and Wrist Injuries

    Description:

    Self-reported perception of the extent to which hand and wrist injuries are underreported in elite ice hockey, as assessed by medical staff.

    Unit of Measure:

    5-point ordinal scale:

    1. = Not at all
    2. = To a small extent
    3. = To a moderate extent
    4. = To a large extent
    5. = To a very large extent

    Higher scores indicate greater perceived underreporting.

    Measured: Baseline (cross-sectional survey at enrollment)

  4. Type of Hand and Wrist Problems Perceived as Underreported

    Description:

    Type of hand and wrist injury or symptom most commonly perceived as being underreported in elite ice hockey, as reported by medical staff.

    Unit of Measure:

    Categorical (single choice):

    Fractures Ligament injuries Tendon or muscle injuries Non-specific pain or overuse Uncertain

    Measured: Baseline (cross-sectional survey at enrollment)

  5. Functional Impact of Hand and Wrist Injuries

    Description:

    Functions most commonly perceived as affected by hand and wrist injuries in ice hockey players, as reported by medical staff.

    Unit of Measure:

    Categorical (multiple selection, up to 2 choices):

    Grip strength Stick handling Shooting Face-offs Physical play / board play

    Measured: Baseline (cross-sectional survey at enrollment)

  6. Consistency of Return-to-Play Decisions

    Description:

    Self-reported consistency of return-to-play decisions for players with hand and wrist injuries, as perceived by medical staff.

    Unit of Measure:

    5-point ordinal scale:

    1. = Very inconsistent
    2. = Inconsistent
    3. = Variable
    4. = Consistent
    5. = Very consistent

    Higher scores indicate greater consistency in return-to-play decision-making.

    Measured: Baseline (cross-sectional survey at enrollment)

  7. Presence of Standardized Management Approach for Hand and Wrist Injuries

    Description:

    Whether a standardized approach is used for assessment and management of hand and wrist injuries within the team medical staff structure.

    Unit of Measure:

    Categorical (single choice):

    Yes No Partially

    Measured: Baseline (cross-sectional survey at enrollment)

  8. Perceived Performance Impact Ranking of Injury Locations

    Ranking of injury locations based on perceived impact on player performance during participation despite symptoms, as reported by medical staff. Injury locations include head/face, shoulder, knee, groin, hand/wrist, and other specified regions.

    Unit of Measure:

    Ordinal ranking (1 = highest performance impact, 2 = second highest, 3 = third highest)

    Measured: Baseline (cross-sectional survey at enrollment)

  9. Frequency of Participation With Hand and Wrist Symptoms

    Perceived frequency of players participating in training or matches while experiencing hand or wrist symptoms.

    Unit of Measure:

    5-point ordinal scale:

    1. = Never
    2. = Rarely
    3. = Sometimes
    4. = Often
    5. = Very often

    Higher scores indicate greater frequency of participation while symptomatic.

    Measured: Baseline (cross-sectional survey at enrollment)

  10. Frequency of Hand and Wrist Symptoms Without Formal Diagnosis

    Perceived frequency of hand and wrist symptoms in players that are not formally diagnosed by medical staff.

    Unit of Measure:

    5-point ordinal scale:

    1. = Never
    2. = Rarely
    3. = Sometimes
    4. = Often
    5. = Very often

    Higher scores indicate greater frequency of symptoms occurring without formal diagnosis.

    Measured: Baseline (cross-sectional survey at enrollment)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 May 2026
  2. Study start1 Sep 2026 (estimated)
  3. Primary completion30 Sep 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Cross-sectional
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07586085
Sponsor's protocol ID
EPM 2026-03227-01
Status last verified
May 2026
First submitted
30 Apr 2026
Last updated
24 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Any data shared with colleagues or collaborating researchers will be fully anonymized or pseudonymized to protect participant privacy in accordance with GDPR regulations. Data transfers will occur under strict confidentiality agreements, and all parties will adhere to applicable data protection laws to ensure the security and privacy of personal information. We will act in accordance with the ethical approval granted by the Swedish Ethical Review Authority (EPM) and comply with all relevant local policies regarding data protection.

Publications

  • Clarsen B, Myklebust G, Bahr R. Development and validation of a new method for the registration of overuse injuries in sports injury epidemiology: the Oslo Sports Trauma Research Centre (OSTRC) overuse injury questionnaire. Br J Sports Med. 2013 May;47(8):495-502. doi: 10.1136/bjsports-2012-091524. Epub 2012 Oct 4.

    PubMed 23038786
  • Aman M, Forssblad M, Henriksson-Larsen K. Incidence and severity of reported acute sports injuries in 35 sports using insurance registry data. Scand J Med Sci Sports. 2016 Apr;26(4):451-62. doi: 10.1111/sms.12462. Epub 2015 Apr 8.

    PubMed 25850826
  • Gotlin MJ, Minhas SV, Buchalter DB, Feder OI, Alaia MJ, Jazrawi LM. Performance and Return to Sport After Hand, Wrist, and Forearm Fractures in the National Hockey League. Arthrosc Sports Med Rehabil. 2020 Sep 25;2(5):e505-e510. doi: 10.1016/j.asmr.2020.05.013. eCollection 2020 Oct.

    PubMed 33134987
  • Tuominen M, Stuart MJ, Aubry M, Kannus P, Parkkari J. Injuries in men's international ice hockey: a 7-year study of the International Ice Hockey Federation Adult World Championship Tournaments and Olympic Winter Games. Br J Sports Med. 2015 Jan;49(1):30-6. doi: 10.1136/bjsports-2014-093688. Epub 2014 Oct 7.

    PubMed 25293341
  • Worner T, Kauppinen S, Eek F. Injury patterns in Swedish elite female and male ice hockey - A cross-sectional comparison of past-season's injuries. Phys Ther Sport. 2024 Jan;65:83-89. doi: 10.1016/j.ptsp.2023.12.001. Epub 2023 Dec 8.

    PubMed 38091928

Questions about this trial

What is this clinical trial studying?

An observational study of Ice Hockey and Hand, run by Dalarna County Council, Sweden at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 24 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Daniel Muder, MD, PhD (+46722027596, danielmuder@email.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Perceived Injury Burden Based on Time-Loss Ranking of Injury Locations (time frame: Baseline (cross-sectional survey at enrollment)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07586085, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2026.

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