In Depth report...

• Laws and rules
• Liability
• Concussions
• Hockey vs. Shinny
• Fewer Players
• Liability
• Sports Waivers
• Canadian cities compared
  • Pleasure Skating Helmet Policy
  • Shinny Hockey Helmet Policy
• No Data
• Restore CSA

Rules and laws:

The rule requiring hockey helmets at Toronto rinks is not based on a provincial or federal law but on a management policy devised at a meeting of the directors of Toronto Parks, Forestry and Recreation in 2004. The Toronto policy says that the only acceptable helmets are hockey helmets certified by the Canadian Standards Association (CSA).

This requirement for Canadian-only helmet certification is probably illegal under article 603 of the Free Trade Agreement. The only actual law concerning helmet use in Ontario is the one requiring bike helmets for children and youth under 18. That law does not specify the CSA as the only acceptable certifier – because the legislators were told that privileging the Canadian standard could be interpreted as constituting a trade barrier under the Free Trade Agreement. The only legal exemption to “creating unnecessary barriers to trade” would be if there was concrete evidence that the CSA standard was superior to the major American standards for protecting the health of the helmet user. And the legislators were persuaded that there is no such evidence.

The concussion data:

But the real problem concerning helmet standards is bigger than contravening the Free Trade Agreement. Evidence is mounting that none of the helmets available from any country can do what they’re thought to do – protect the helmet user from getting a concussion. A good helmet can help protect a skater against a skull fracture or getting a bloody gash to the top of the head – even if the skater were to drop seven feet in free fall or run smack into a hard immovable barrier like a tree or hockey boards, at 14 miles an hour. But the story is different for brain damage caused by concussions.

As far back as the 1970s, UCLA brain researchers asked the medical community to "discard the magical notion that wearing a helmet on the head is sufficient to protect against impact brain damage." As more helmet rules came into effect, head injuries – for hockey players, for snowboarders, for football players – didn't go down. They mostly went up. The New York Times recently reported on a study at the Western Minnesota School of Medicine, on head injuries among skiers and snowboarders in the United States. “It found that the number of head injuries increased 60 percent in a seven-year period, from 9,308 in 2004 to 14,947 in 2010, even as helmet use increased by an almost identical percentage over the same period. A March 2013 study by the University of Washington concluded that the number of snow-sports-related head injuries among youths and adolescents increased 250 per cent from 1996 to 2010.”

The Mayo Clinic’s Dr.Michael Stuart, who is also the Chief Medical Officer of USA Hockey, says “There is no scientific evidence to prove that the hockey helmet reduces the risk of concussion.”

Even the Bauer helmet company has a disclaimer on its website, saying that there’s no guarantee that any of the international hockey helmet certification standards which the company applies when making helmets, will reduce the risk of concussion.

Making a better helmet (to prevent concussions):

It seems that maybe it can’t be done. Lots of companies have been trying. But engineers like Dave Halstead, the helmet chairman of the giant American Society for Testing and Materials (ASTM) say that "The likelihood of preventing concussions with a better helmet is almost zero."

Neurosurgeons describe the brain as being a bit like a bowl of Jello. When you shake it, it may develop little fissures which – in the case of a brain – can interrupt the connections between the neurons. And no helmet so far devised can prevent the brain from shaking inside its skull when there’s an impact on the head – even, sometimes, a pretty small impact.

How to reduce concussions on Toronto’s rinks:

What can be done to prevent concussions at rinks, if wearing CSA-certified hockey helmets won’t do it? More and more sports advocates are saying that wearing a helmet may give people a false sense of security. What matters more, they say, is the form of the activity. If a significant part of a game involves hitting each other or slamming into each other, or bodies moving at accelerating speeds as fast as the speed of a car, over uncertain terrain, there will surely be concussions as well as broken bones. If a game doesn’t have those elements so much, it will have fewer concussions. In order for a game to be fun and challenging, there will always be injuries. But the benefits – the pleasure of the game and the effect on bodily well-being – should outweigh the drawbacks.

In the case of hockey, there is now mounting pressure in professional hockey to reduce hits to the head and fighting, to disallow body-checking in youth hockey leagues, and to teach young hockey players techniques for protecting themselves (especially their heads) during games. Progress!

The case of shinny hockey:

For hockey there’s another remedy as well: expand opportunities for all sorts of ordinary people, of all ages and abilities, to play non-contact shinny hockey. The rules are: no checking, no raising the puck, and no body armour necessary. Many players choose to wear gloves and some add shin pads. The game is also called pond hockey, a reminder of its roots in Canada’s wintry landscape. The game works when people are careful of one another – which they have to be, since there’s no body armour and therefore no excuse for being rough. People who tend to push or hit are thrown out of the game by the other players.

When Toronto’s Parks and Rec directors decided to require little kids to wear hockey helmets, they decided at the same meeting that all hockey players, of any age, would have to wear CSA-certified hockey helmets too. They made no distinction between shinny hockey and full-armour hockey. It’s possible that they had so little experience of the two sports that they didn’t understand the difference. They had no data on shinny hockey injuries, just a generalized “what if” worry about risk and liability.

How mandatory helmets for shinny hockey reduced participation in the game:

When the helmet rule began to be enforced, the number of shinny hockey players plummeted, especially youth. People who play shinny want to play a different game than body-armour hockey. The small unstaffed tennis-court rinks in Etobicoke suddenly got crowds of new shinny players, while the helmet-enforcing hockey-board rinks nearby might have six players during their open-shinny time. Some rinks whose shinny numbers shrank added new explicitly “unsupervised” times. They had nightly lineups of youth waiting to go on after the rink guards left the ice. A few rinks had nasty altercations between the rink guards and shinny players. Word got around that one rink guard got two teeth knocked out by an angry shinny player who refused to leave the ice for being helmetless. That brought in the health and safety rule-makers. Rink guards were told that they should announce the helmet rule but not put themselves in danger to enforce it.

Some rink management staff were in denial about the problem, insisting that helmet compliance was almost 100% except at rogue rinks like Dufferin. But in 2009 we did some counts at a sample of rinks across the city. Rinks with hockey boards in Etobicoke and North York had near 100% helmet use for shinny. In contrast, the rinks in Toronto/East York varied from 5% to 30% helmet use for shinny. The other difference? Rinks in Toronto/East York had from four to eight times higher numbers of shinny players, compared to the rinks where helmets were enforced. Shinny players have been voting with their feet.

Liability:

Well, it’s good to have more people playing outdoor sports, but what about lawsuits against the city? In fact, there have been very few. In 2006, CELOS asked the city’s Freedom of Information staff about injury claims between amalgamation (1997) and 2006. This was the response: “The search by staff of Insurance and Risk Management, Corporate Finance, has found a list of all rink injury claims. Staff state that of the total of five claims, two occurred on indoor rinks during organized hockey games, and the other three occurred during public skating on outdoor rinks.” In other words, in nine years of mostly helmetless shinny, there were 0 claims relating to shinny hockey.

Injuries:

Everybody knows that Canadians don’t tend to go to court as much as Americans do. Maybe the absence of lawsuits is not so surprising. But what about the lost work time, and the cost to the health care system, for concussions resulting from helmetless shinny hockey? No such statistics existed, but we thought a start could be made by estimating the number of skating-related injuries at city rinks. Rink staff are required to file an incident report for each injury. In 2010, after some persuasion, the city’s recreation director assigned one of his staff to do a quick count. First she went through the rink census numbers for 2008 and 2009, to find out the approximate number of skating visits. According to the city’s census, in those two years Torontonians went skating at their city-owned ice rinks just under 1.5 million times – about half a million times for registered skating programs, and almost a million times for drop-ins (shinny hockey or just pleasure-skating). Then she pulled the incidence reports off the shelf. There were only 217 injuries reported for those skating visits. 17 of the injuries required an ambulance. And only 13 of the 217 injury reports involved shinny hockey. In other words, the shinny hockey injury rate measured by the city’s incident reports was tiny -- about .0013%.

(:announce-block:)

Two very different examples of sports waivers

On the one hand: a shinny waiver letter, from the Town of Banff in Alberta. The town requires full hockey equipment to be worn for shinny hockey, but obviously they don’t think that’s enough. This is what you have to sign to be allowed to play shinny:

Editor’s note: Maybe oil painting would be a better free-time activity, or chess....

On the other hand: here is some good sense, in the Ski and Snowboard Helmet policy, City of Toronto, approved Dec 2009 (and a surprising contrast to Toronto’s Skating and Rinks policy):

Editor’s note: This is the policy on paper. But when we asked at the ski hill, none of the on-site staff had ever heard of the helmet waiver. However, for skiing or snowboarding outside of lessons, wearing a helmet is only “recommended,” not mandatory. Why not the same for skating, starting now?

[#canadian]

Municipal helmet policies for skating at (mostly) outdoor rinks, across Canada

The important distinction is “helmets recommended” (your own choice of what kind of helmet to wear, or no helmet) and “mandatory” which at Canadian rinks seems to mean only a helmet approved by the Canadian Standards Association – no U.S. or European helmet certification accepted.

Pleasure skating:

Follow-up calls to other cities across Canada turned up the information that Toronto and Halifax are the only cities that require helmets to be worn for pleasure-skating at Municipal outdoor rinks. (Halifax has only one outdoor rink and helmets are free to borrow on-site.)

In indoor or outdoor rinks in Vancouver, Calgary, Edmonton, Regina, Winnipeg, Montreal, and Fredericton, helmets are recommended, which means that if the kids are wearing a bike helmet, or a snowboard helmet, or the hood of their snowsuit, that’s fine. That’s true for indoor rinks in Ottawa too.

In Toronto (with one important exception) children under six are required to wear a hockey helmet approved by the Canadian Standards Association (CSA) – no U.S. or European helmet certification accepted. The exception: Harbourfront's Natrel Rink, not run by the City, has no helmet requirement for pleasure-skaters of any age.

The head of a helmet advocacy institute in Washington DC sent us links to a page from the U.S. Federal Government’s Consumer Product Safety Commission (CPSC) website. They’ve posted a table that lists the different kinds of helmets and what they’re designed for. Hockey helmets are designated as “Team sport helmets...designed to protect against multiple head impacts typically occurring in the sport (e.g., ball, puck, or stick impacts; player contact; etc.), and, generally, can continue to be used after such impacts.” There is no certified pleasure-skating helmet category in either Canada or the U.S., so the CPSC recommends certified bike helmets for pleasure-skating.

In other words, requiring hockey helmets for pleasure-skating only makes sense where the little pleasure-skaters will be sharing the ice with hockey players who may be shooting pucks at them, or hitting their heads with sticks, or body-checking them. But for a fall on a hard surface like ice or a sidewalk, bike helmets are just as protective as hockey helmets – that is, neither can prevent an unlucky concussion, but both will keep a goose egg or a gash to a reasonable size.

The supervisor of the city’s leisure and instructional skate programs in Etobicoke has agreed to meet in early February. We’ll swap information about the requirement for little kids in Toronto to wear hockey helmets when they go pleasure-skating. He says he’ll bring along a recreation staff who is a helmet specialist. Watch the newsletter for follow-up. update This meeting was recently cancelled by the supervisor - we were informed that our concerns would be addressed by upper management.

Shinny hockey:

We asked only about outdoor rinks. Toronto (with 51 city-run outdoor rinks) and Mississauga (with three city-run outdoor rinks) were the only cities we could find where helmets are mandatory for outdoor shinny hockey. There are a lot of outdoor rinks in cities across Canada. Calgary has 5 city-run rinks plus upwards of 190 community-run outdoor rinks, Edmonton has 5 city-run rinks plus over 20 run by community groups, Regina has 42 city-run rinks, Winnipeg has 40 city-run rinks plus an unspecified number run by community groups, Ottawa has just over 250 community-run rinks, Montreal has just under 250 city-run rinks, and Fredericton has 8 city-run rinks. (Halifax and Vancouver have no outdoor hockey rinks.) All of these rinks, including those that are supervised at times, either recommend helmets for shinny hockey or have no signs up at all.

The Toronto “Skating and rinks policy” from 2004

This policy justifies its mandatory helmets requirement as applying only to “programs where there are higher risk of injury.” But that’s where some better research could really help. A more thorough revisiting of the city’s outdoor rink “incidence reports,” improving on the city’s back-of-the-envelope calculations in 2010, can answer the question – what do these reports show us about the actual injury risk in non-contact shinny hockey and for little kids learning to skate? Such an analysis might be helpful right across the country – because, without exception, none of the cities we contacted had based their helmet decisions (including mandatory helmet use for indoor skating and shinny hockey) on any actual injury data that they could pass on to us. Not on any lawsuit counts either. Just guesswork.

Re-opening the conversation:

We think that the city’s injury measurement is probably a little too low. More thorough research could be fairly easily done using existing city data. In general, though, if CSA-certified hockey helmets don’t prevent concussions any more than other helmets do, and if the injury rates are vanishingly small for both little kids and shinny players, and if the helmet rules are reducing the number of skaters, the city should revisit the helmet rules now. This time they could welcome wide-ranging rink user input instead of just making a decision at a closed meeting at City Hall.

Jim Hart, general manager of Parks, Forestry and Recreation.'''

On January 9, we sent Mr.Hart a copy of the “Special Helmets issue” with a cover letter asking him to revisit the helmet rules now, welcoming the wide-ranging rink-user input that was missing the first time. By the time this update went to print (Jan.30), he had not answered.

update: On January 31st, 2014, we received this response from the general manager. He retired two weeks later. Recreation manager Kelvin Seow sent a more detailed response on February 26, 2014. His list of references for head injury studies included 14 broken links out of a total of 19. His summary of helmet and head injury research included injury lawyer ads and academic articles that were missing the data attributed to them. The most notable instance was a death rate figure and an emergency room visit rate both of which appeared to be hugely inflated and could not be located by the Brain Injury Association of Canada (supposedly the source of these numbers). This association had a hard time following up because their director is also their only employee, so it was hard for him to even find the time for searching their data.

Restore CSA

A Calgary group called RestoreCSA has filed a Request for Investigation' with the relevant departments of NAFTA signatory governments and the designated Investigating Authorities of the NAFTA Secretariat. They say that the CSA’s monopoly on hockey helmet certification in Canada “appears to be in violation of multiple sections of the North American Free Trade Agreement (NAFTA).”''

See their section on this at restorecsa.com

References/sources

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Content last modified on May 25, 2014, at 11:03 AM EST