Concussions and Hits to the Head in the National Hockey
League
Executive Summary
The National Hockey League (“NHL”) values the safety of its players. Due to
the dramatic increase in the number of head injuries and concussions suffered
by NHL players, the league must take action to prevent the dangerous hits that
cause these injuries. Currently, the league has rules prohibiting blind-side
and lateral hits to the head and retains the right to fine and suspend players
who violate this rule. However, league officials have been inconsistent in
deciding the level of discipline levied on players for dangerous hits.
This report provides data that shows the dramatic rise in concussions in
the NHL over the past 25 years. It analyzes the weaknesses and inefficiencies of
the current policy, as well as the pros and cons of the policy instituted by
the National Football League (“NFL”) in January of 2011. Based on this analysis, the report recommends
a new policy for supplemental discipline for hits to the head.
The policy includes:
·
Objective suspension scales
·
Loss of player salary
·
Team penalties
·
Video demonstrations
·
Background
Professional sports have progressed rapidly over the past decade. Athletes have grown bigger and stronger,
while advanced equipment has enabled them to better utilize their skills.
However, this improvement has come with a major drawback. Athletes have begun
to sustain serious injuries more frequently, often as the result of a collision
between these larger and faster-moving players. Most notably, athletes in
contact sports, including hockey, have seen a dramatic rise is head injuries
and concussions. Researchers have begun to discover more about harmful effects
of concussions, and it has become imperative for professional sports leagues to
take action to prevent these injuries.
Concussions result from trauma to the brain, which is caused by direct contact to the head as well as violent jarring or shaking of the head area. They result in various symptoms including nausea, headaches, sensitivity to light, and, in extreme cases, personality changes. Brain injuries are very sensitive and difficult to treat. It is also difficult to determine when the brain has recovered from the injury; therefore the injured athlete is at risk of a setback if he or she attempts to return to action too soon. Even when fully healed, the injured brain has a greater risk of sustaining another concussion in the future. Many athletes have retired from professional sports because of recurring concussions, and many others were forced to miss extended periods of time due to head injuries. Additionally, O’Keeffe (2010) reported that Boston University neuropathologist Dr. Ann McKee found a link between head trauma and amyotrophic lateral sclerosis (“ALS”), a debilitating disease also known as Lou Gehrig’s Disease. Because head injuries can cause such great damage, it is important that the NHL to protect its players from them.
Concussions result from trauma to the brain, which is caused by direct contact to the head as well as violent jarring or shaking of the head area. They result in various symptoms including nausea, headaches, sensitivity to light, and, in extreme cases, personality changes. Brain injuries are very sensitive and difficult to treat. It is also difficult to determine when the brain has recovered from the injury; therefore the injured athlete is at risk of a setback if he or she attempts to return to action too soon. Even when fully healed, the injured brain has a greater risk of sustaining another concussion in the future. Many athletes have retired from professional sports because of recurring concussions, and many others were forced to miss extended periods of time due to head injuries. Additionally, O’Keeffe (2010) reported that Boston University neuropathologist Dr. Ann McKee found a link between head trauma and amyotrophic lateral sclerosis (“ALS”), a debilitating disease also known as Lou Gehrig’s Disease. Because head injuries can cause such great damage, it is important that the NHL to protect its players from them.
The Problem
There has been a steady rise in head injuries in the NHL over the past 25
years. Solomon, Johnston, and Lovell (2006) studied the NHL concussion rate
from 1986 through 1996 and discovered that the number of concussions per season
ranged between 7 and 17. Since then, the league has reported an average of 75
concussions per year, as well as a record high of 84 concussions last season. Part
of this dramatic increase can be attributed to better reporting and diagnoses
of concussions, however, it is likely that more concussions have been sustained
as well. Haché (2002) writes that because athletes are getting bigger, they
pick up more momentum, and collisions occur with greater force. Rule changes in
2005, which gave players the ability to pick up more speed than ever before,
may also have contributed to the rise in head injuries. Violent collisions are
a part of hockey, but with these collisions growing more dangerous, the NHL
must consider steps to eliminate unsafe and unnecessary hits.
Roarke (2011) reported that 61 percent of concussions sustained through
January of the 2010-11 season occurred as a result of contact between two or
more players. Although body checking is an integral part of the game, there are
ways to check safely, without risking injury to an opposing player. Players who
wish to hit safely can target the shoulder or chest of an opponent, as opposed
to the head and neck area. Additionally, players can avoid hitting opponents
who are in prone positions along the boards and are at greater risk of
colliding awkwardly with the protective wall. In general, hits that have
resulted in concussions have been unnecessary. Klein (2010) writes that according
to a neuropsychologist Dr. Paul Comper, 75 percent of the 270 concussions
reported in the NHL between October of 2006 and January of 2010 were sustained
by a player who was not possession of the puck at the time of contact. This
data supports the claim that most concussions are caused by unnecessary contact,
and these many injuries can be avoided without affecting the necessary physical
aspect of the game.
In recent years, professional sports leagues have undergone tremendous
scrutiny by players, fans and media regarding the treatment and prevention of
head injuries. Some leagues, including the NHL, have addressed the treatment
issue by requiring concussed players to be thoroughly examined before being
allowed to return to action. The prevention issue has been addressed through
heightened player awareness and greater discipline for dangerous hits. However,
the steps the NHL has taken to prevent concussions have been inadequate. In
2010 the league pledged to increase fines and suspensions for lateral or
blind-side hits where the head is the primary point of contact, but did not put
a ban on all hits to the head. Despite this change, concussions for the 2010-11
season are still up from the previous year.
The new policy has also created a new problem; the language of the policy
is very ambiguous. There has been a lack of consistency in the types of hits
that result in suspensions, as well as the length of suspensions imposed for
any given violation. This has caused confusion among players, officials and
fans, who cannot figure out what types of hits are illegal and what the
punishment for these hits are. As a result, supplemental discipline has not
been an effective deterrent for dangerous contact, both because of its lack of
consistency and severity. The concussion rate has continued to match last
year’s record high, and unsafe contact has continued to be a part of the game.
Objectives
In
addressing this problem, the NHL should make sure that its policy satisfies
three objectives. It should attempt to
1. .
Improve player safety. The players are the most
important part of the league, as they are the entertainers who draw the crowds.
It is in the best interest of the NHL to protect its assets from harm. If
concussions continue to rise, more players will miss games and the product on
the ice will suffer. Additionally, young athletes may choose to play a
different sport to avoid the risk of head injuries, and that would negatively
affect the talent level and entertainment level of the game. The league may
also lose fans that are turned off by the numerous injuries, which could cause
a decrease in revenue from ticket and merchandise sales.
2.
Hand out consistent discipline. In order for the
policy to be effective, the players must know exactly what is illegal and the
level of punishment for each illegal hit. If players are not aware of this,
they will continue to violate the rules out of ignorance. It is crucial that
the players see a causal relationship between specific types of dangerous
contact and punishment. Having a consistent policy will also please fans and
media who want equality and fairness throughout the league
3. Maintain
the physicality of the game. Although players and fans would be accepting of
minor shifts away from the current level of physicality, many do not want to
see drastic changes to the game. Players are used to playing a contact sport
and while they could learn to adjust to specific rule changes, a total
departure from physicality would be very difficult for them to adhere to. In
hockey, much of the contact is unavoidable and necessary, and eliminating that
would only harm the game. Only dangerous and unnecessary contact should be
illegalized and punished.
Research
In deciding the best way to approach the concussion problem, I analyzed
how the National Football League (“NFL”) dealt with the rise in concussions.
They instituted a new rule in January of 2011, making it illegal to hit a
defenseless player is when the initial force of contact is to the head or neck
area. The rule was enforced with harsh fines and suspensions. Overall, the
change elicited a positive response from players, fans and media. Some players
were unhappy with the rule changes, claiming they could not change the way they
play at this point in their careers. However, after a short adjustment period,
the general consensus among players was that the change was a necessary step.
However, according to data recorded by Fink (2011), there were more
concussions on average after the rule change than before it. Part of that can
be attributed to the fact that the rule change was implemented mid-season,
which gave players little time to adjust. However, the rise in concussions is
not necessarily reflective of the success of the changes because the rule only
bans hits to a defenseless player, not all players in all situations. It is
possible that the rise in concussions came as a result of other legal hits. The
most effective way to eliminate concussions would be to ban all contact the
head, something that is difficult to implement football, but more possible in
hockey.
Recommendations
In order to satisfy the stated objectives, the NHL should ban all hits to
the head. According to Panaccio (2011) anything less than a blanket rule will
not be successful in preventing concussions. Therefore, any hit to the head,
whether it results in an injury or not, should be given at least two-minute
minor penalty, and, at the discretion of the referee, a five-minute major
penalty and game misconduct. In order to enforce the new policy further, the
league should adopt an objective suspension scale to determine the extent of
the supplemental discipline levied upon the offending player. The scale would
organize hits into three levels, and the commissioner’s office would determine
what level the hit in question falls under. The number of games in the
suspension would then be determined by a set scale, based on the type of hit
and how many times the player committed such an offense. This system would
maximize the objectivity and consistency of the suspensions that are handed
out.
Incidental Hit
If contact between two players is clearly accidental, even if one player
is hit in the head, there will be no supplemental discipline. Seeing as the
entire hit was unintentional, any discipline would serve no purpose. The game
of hockey is played on a very crowded surface at great speeds so some level of
error must be tolerated.
Malicious Hit
The most stringent suspension scale will be imposed when the offending
player clearly targets the head area of an opponent. This type of hit is fairly
uncommon among most players, but the few players who display such behavior must
be harshly punished, as they are a danger to all those around them. A first
offense will warrant a 15 game suspension, the second a half-season suspension
of 41 games, and the third a full-season suspension of 82 games. In the event
of a fourth offense, it would be left to the discretion of the commissioner’s
office to suspend the player indefinitely. The players need to be aware that
such wanton behavior will not be tolerated in this league.
Gray Area
In the event that a hit cannot be conclusively identified as incidental
or malicious, a different suspension scale would be used. This scale would also
be used for when a player intentionally initiates contact with another player
but accidentally makes contact with his opponent’s head. The first offense will
warrant a 3 game suspension, the second an 8 game suspension, and the third a
20 game suspension. In the event of a fourth offense, it would be left to the
discretion of the commissioner’s office to suspend the player for up to a year.
Historically the NHL has not handed out suspensions for this type of hit;
however, the goal of this proposal is to eliminate all unnecessary hits to the
head, not just vicious ones. This suspension scale will encourage players to be
safe when they engage in physical contact with opponents
Simply suspending players, however, is not enough. Many NHL players have
been suspended multiple times in the past, yet continue to play in a fashion
that is dangerous to those around them. Stricter measures need to be
implemented to assure the rehabilitation of hazardous players. One such measure
would be the forfeit of salary. Player salary is spread out evenly over the
number of days in the season. The player would forfeit the salary of every day
he is suspended for. The money would instead go to a fund that would be set up
to assist retired players with long-term head injuries. A monetary loss, in
addition to the games missed, would send a stronger message to the players.
The offending player’s team should also be penalized. Normally teams are
allowed to carry 23 players on the roster, three of which sit out for any given
game. This allows flexibility for teams that want the extra players in case of
injuries or favorable matchups. If a player is suspended for a hit to the head,
his team would lose his roster spot for the duration of his suspension. The
knowledge that dangerous hits can hurt the entire team would discourage players
from committing them. Additionally, teams would have less tolerance for players
that receive suspensions, and as a result players will find that if they do not
play safely, they will have trouble finding employment.
The implementation of this policy
requires education of the players regarding the new rules and types of hits.
The commissioner’s office should create a video showing examples of the three
levels of hits, as well as examples of legal body checks. The video should be
shown to players, coaches, team management, and officiating crews. Coaches
should also be required to teach their players the proper way to hit opponents;
that contact with the head should be avoided at all costs.
Conclusion
Head injuries are a major problem in all professional sports, including
hockey. To protect player safety and fan entertainment, the NHL must take
strong steps to discourage hits to the head. By implementing objective
penalties for players who engage in unsafe contact with opponents, the league
will effectively minimize the number of avoidable concussions. This policy will
also avoid confusion among players and fans, in addition to maintaining the
safe physical play that the game of hockey includes. Although it will take work
for the parties involved to adjust to the new guidelines, it is crucial that
the NHL takes this important step in player safety.
References
Fink,
D. (2011, January 20). NFL concussion report: Championship
week. Retrieved from
http://theconcussionblog.com
Haché,
A. (2002) The physics of hockey. Maryland: JHU Press
O’Keeffe,
M. (2010, August 17). Boston University study by Ann McKee finds
link between
concussions and Lou Gehrig's disease. The New York Daily News.
Panaccio,
T. (2011, March 19). NHL notebook: Headshots should be banned.
Retrieved from
http://www.csnphilly.com
Roarke,
S.P. (2011, March 14). Bettman discusses concussions, player safety. Retrieved from
http://www.nhl.com
Solomon,
G.S., Johnston, K.M., & Lovell, M.R. (2006). The heads-up on sport concussion.
Illinois: Human Kinetics
Klein,
J.Z. (2010, October 19). At the Mayo
Clinic: N.H.L. concussions, blow by blow.
The
New York Times
Really enjoyed the article. I have also just completed a study on the NHL Supplementary Disciplary Policy, and suggested a new objective-scale model that includes many points that you have established, as well as some other facts. Let me know if you are interested in discussing this.
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