CNS and Thorax Injury and Associated Risks Factors in Equestrian Sports.
Abstract: Equestrian sports continue to gain popularity in the United States and are associated with a high injury rate, especially involving the central nervous system and thorax. Due to this high rate of injury and the potential for long-term consequences associated with participation, an understanding of the unique risks of this sport is needed. Unassigned: To describe severe injury in equestrian sports and review the role that protective gear plays in injury mitigation. Unassigned: The PubMed Database was searched using the search terms "equestrian" and "horse" combined with "spinal cord injury," "head injury," "traumatic brain injury," "experience levels," and "demographics." Unassigned: A total of 53 papers were selected based on their relevance of epidemiology, risk factors, and management of injuries sustained during equestrian activities. Case studies, randomized controlled trials, prospective studies, and retrospective studies were all included for further review. Unassigned: Systematic review. Unassigned: Level 4. Unassigned: None. Unassigned: Injuries to the thorax, including fractures, pneumothoraces, internal organ contusions, and crush injuries, have been cited in multiple national and international trauma registries as the most prevalent injury location in equestrians; however, head and neck injuries, high cervical spine fractures, and closed head injuries are reported to be associated with the highest rates of mortality. Helmets provide protection against skull fracture and traumatic brain injury. Vests were not associated with diminished rates of spinal cord injuries; however, they may provide protection to the thorax. Riding experience also plays a role in reducing the prevalence of injury. Unassigned: Equestrian-related activities are associated with a high risk of injury despite protective measures. Protective gear can mitigate some injury risk but does not protect against spinal injury. Continued investigation into improving protective equipment, rider education, and preventative strategies to mitigate this risk is needed.
Publication Date: 2024-08-29 PubMed ID: 39206526DOI: 10.1177/19417381241275655Google Scholar: Lookup
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Summary
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The research discusses the high rate of injury in equestrian sports, particularly injuries to the central nervous system and thorax. It explores the impact and effectiveness of protective gear and the role of experience in mitigating injuries, with a focus on spinal cord injuries, head injuries, and traumatic brain injuries.
Research Methodology
- The team conducted a systematic review of existing research on injuries related to equestrian sports. To do this, they used the PubMed Database and selected specific search terms such as “equestrian”, “horse”, “spinal cord injury”, “head injury”, “traumatic brain injury”, “experience levels”, and “demographics”.
- They screened and reviewed 53 papers for relevance to the topic. The selected papers discussed the epidemiology, risk factors, and management of injuries from equestrian activities. The studies reviewed covered a range of research types including case studies, randomized controlled trials, prospective studies, and retrospective studies.
Findings
- Various trauma registries, on both national and international levels, cited the thorax as the most prevalent injury location for equestrians. Injuries to this area varied from fractures to internal organ contusions and crush injuries.
- While thorax injuries were the most common, the research found that injuries to the head and neck, particularly high cervical spine fractures and closed head injuries, had the highest mortality rates.
- The use of protective helmets offers a level of protection against skull fractures and traumatic brain injuries, which can be life-threatening.
- The efficacy of wearing vests to prevent spinal cord injuries wasn’t established. Nonetheless, there’s evidence suggesting that vests might offer protection against thorax injuries.
- The research highlighted the role of experience in reducing the likelihood of sustaining an injury in equestrian sports.
Conclusion
- Equestrian sports pose a high risk of injury despite the use of protective measures. Although gear such as helmets and vests can reduce some risks, they do not offer full protection, particularly against spinal injuries.
- The study suggests further research is needed. Upcoming investigations should aim at improving protective equipment, providing better rider education, as well as designing and implementing effective preventative strategies to help mitigate the risk of injury.
Cite This Article
APA
Crawford AE, Picken LK, Gabriel FD, Quade J, Gould S.
(2024).
CNS and Thorax Injury and Associated Risks Factors in Equestrian Sports.
Sports Health, 19417381241275655.
https://doi.org/10.1177/19417381241275655 Publication
Researcher Affiliations
- University of Alabama at Birmingham Marnix E. Heersink School of Medicine, Birmingham, Alabama.
- University of Alabama at Birmingham Marnix E. Heersink School of Medicine, Birmingham, Alabama.
- University of Alabama at Birmingham School of Engineering, Birmingham, Alabama.
- University of Alabama at Birmingham Department of Orthopaedic Surgery, Birmingham, Alabama.
- University of Alabama at Birmingham Department of Orthopaedic Surgery, Birmingham, Alabama.
Conflict of Interest Statement
The authors report no potential conflicts of interest in the development and publication of this article.
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