On-ice and Field Performance Characteristics of Ice-hockey Players: Focusing on the Relation with Patient-reported Outcome

PURPOSE The purpose of this study was to investigate the characteristics of field and on-ice performances of ice-hockey players and the relationship of performance with subjective joint pain and dysfunction. METHODS A total of 25 male college icehockey players were evaluated for 19 items of performance. Pain and dysfunctions in the lower extremities and lower back were confirmed through the Foot and Ankle Outcome Score, Knee Injury and Osteoarthritis Outcome Score, Hip Dysfunction and Osteoarthritis Outcome Score, and Osweatry Disability Index questionnaire. Players with similar performance characteristics were classified through a cluster analysis, and differences in performance and patient-reported outcomes between clusters were analyzed with a one-way analysis of variance. RESULTS The ice-hockey players were classified into “lower muscular strength and performance (cluster 1),” “lower cardiorespiratory endurance (cluster 2),” and “high muscular strength and performance (cluster 3).” Players in cluster 1 had more frequent ankle and knee joint dysfunctions and pain compared to those in cluster 3. Several performance test items affected the subjective joint score, and the related performance items were more in the proximal joint than in the distal joint. CONCLUSIONS Ice hockey players should perform training to supplement their individual lack of on-ice and field performance. Since performance may be limited because of joint dysfunction and pain, a joint-specific intervention strategy should be applied to improve physical and athletic performances.