In 2021, there were 214,110 TBI-related hospitalizations in 2021, and 69,000 deaths related to traumatic brain injuries. In the same year, 48 people died while skiing or snowboarding, and in 2022, 124,700 people visited emergency rooms for winter sports related accidents.
Participation in winter sports like skiing, snowboarding, ice hockey, and snowmobiling has grown in popularity over the years. These sports provide fun outdoor recreation and exercise. However, they also carry a significant risk of head injury and traumatic brain injury (TBI). Understanding the risks and taking proper safety precautions is important for anyone participating in winter sports.
In this article on winter sports and traumatic brain injury, we’ll explore the risk further.
Prevalence of TBI in Winter Sports
Studies have shown that concussions and TBIs occur frequently in many winter sports. According to research, the highest rates of concussion in organized sports occur in football, ice hockey, lacrosse, wrestling, and snowboarding/skiing. Winter sports pose particular risk factors for head injury such as high speeds, impact with hard surfaces, collision with other players/skiers, and aerial tricks.
In particular, studies have found concussion rates in youth ice hockey to be over 6 per 100 players per season. Concussions represent over 10% of all ice hockey injuries among youth athletes. Snowboarding and skiing have higher than average injury rates because helmet use is less frequent in skiing and snowboarding compared to other sports, which likely contributes to higher concussion rates.
Causes and Mechanisms of TBI
There are several ways TBIs occur in winter sports. Firstly, athletes can experience direct blows to the head from contact with other players, sticks, equipment, or the ice surface. Falls can also cause the head to directly hit the ground with significant force. Rotational acceleration of the head after impact is another mechanism that causes structural damage to brain tissue and ruptured blood vessels.
In skiing and snowboarding, severe TBIs most often occur from collisions with trees, rocks, lift equipment, and other hard objects. High speed falls and jumps without proper landing can also impart dangerous rotational forces to the brain. Lack of helmet use while skiing/snowboarding is a major risk factor for TBI.
Symptoms and Effects
The initial symptoms of concussion after a head injury in winter sports may include headache, dizziness, confusion, nausea, blurred vision, balance problems, difficulty concentrating and mental fogginess. Loss of consciousness occurs in less than 10% of concussions. Other neurological signs include dilated pupils, seizures, weakness, numbness, and slurred speech.
Repeated concussions can have cumulative effects on the brain. Post-concussion syndrome with persisting symptoms may occur after TBIs. There is also an increased risk of second impact syndrome if an athlete sustains another head injury before fully recovering from a concussion. This second injury can result in severe brain swelling, permanent brain damage, and even death. Chronic traumatic encephalopathy (CTE) is also a potential long-term consequence of repetitive TBIs.
If a TBI is suspected, the athlete must stop participating in the sport immediately and be assessed for concussion symptoms. Resting and lying still is important while medical help is called for. Moving around can make symptoms worse.
If the person loses consciousness or has a seizure, it is considered an emergency and should be treated accordingly. Stabilize the person and do not administer any fluids or medications until they have been evaluated by medical personnel.
Prevention Strategies
Education about concussion risks, mechanisms of injury, and symptoms is essential for coaches, trainers, athletes, and parents. Safety measures should aim to avoid direct head contact, minimize falls, and reduce high speed collisions. Protective equipment like helmets, face masks, and mouth guards can help reduce impact forces transmitted to the head. Safety regulations around checking, hitting, and fighting should be strictly enforced in ice hockey and other sports.
Neck strengthening may help prevent concussion by reducing head acceleration after impact. Rules limiting body checking in youth ice hockey have also successfully reduced concussion rates. Safe skiing and snowboarding habits are important, such as following the rules of trails, avoiding trees/obstacles and only jumping at supervised terrain parks. Binding release settings on skis can also be adjusted to reduce lower leg injury risk.
Return to sport should only occur after recovering completely with clearance from a healthcare provider. Neuropsychological testing is commonly used to help guide injury management and return-to-play timelines.
TBI Accident Lawyers
When traumatic brain injuries occur due to the negligence of another party, such as a ski resort, equipment manufacturer, or sports organization, the injured athlete and their family may want to consult an attorney. A brain injury lawyer Los Angeles from Karns & Karns Personal Injury and Accident Attorneys can investigate the cause of the injury and determine if grounds exist for a personal injury lawsuit. The goals are typically to receive compensation to cover medical expenses, lost wages, and other damages related to the TBI. A Los Angeles brain injury lawyer from Karns & Karns Personal Injury and Accident Attorneys can help you get compensation.
Lawsuits filed by a personal injury law firm often allege negligence in proper employee training, facility maintenance, insufficient safety rules, defective equipment design, or other preventable factors that resulted in the brain injury. Settlements for sports-related TBI cases vary widely but can exceed millions of dollars for young athletes who have suffered permanent disabilities. However, legal action cannot undo the damage or fully compensate for the impact of a severe TBI. Prevention remains the best strategy when participating in head injury-prone winter sports.
Winter sports provide great recreational activity and exercise, but also carry significant concussion risks. Education, preventative measures, and prompt injury management can help minimize traumatic brain injuries. While risks cannot be eliminated entirely, understanding and taking proper precautions can help ensure that the benefits of winter sports outweigh the potential harms. With increased awareness and safer practices, athletes and recreational participants can continue enjoying their favorite cold weather activities.
If you or a loved one have suffered a winter sports injury that led to a traumatic brain injury, call 800-4THE-WIN (800-484-3946) and speak to a top personal injury attorney today.


