Effectiveness of safety vests in pediatric horseback riding.
Abstract: Despite the benefit of safety vests to the reduction of torso injuries in children and adolescents is unclear, its' use is recommended. The aim of the present study is to determine the effectiveness of safety vests actually used in pediatric equestrian activities. Methods: In this case-control-study, we analyzed the accidents of 92 riders aged 18 or younger who fell off a horse onto his/her torso during a period of 18 months. Data were gathered from the clinical records. Additionally, a questionnaire was administered on the day of trauma by the patients and/or their parents. Results: The cases comprised 31 patients who sustained torso injuries. The controls were 61 riders with injuries of other body parts than to the torso. Safety vest use was not associated with a lower risk of torso injuries (OR=1.18, 95% CI (0.50, 2.81), p=0.707). Post hoc power analysis revealed that within such a setting an odds ratio of 0.266 could be found with a power of 80%. Conclusions: This study is not able to show an association between wearing a torso protector and protection from torso injuries, probably due to confounding. We did not detect a high effect of safety vest usage in our study population. Whether the development of a new generation of safety vests might be more effective remains unclear. An effective vest should be adapted to the requirements of children and adolescents and should protect the thorax and abdomen, but also the cervical and the lumbar spine.
© Georg Thieme Verlag KG Stuttgart · New York.
Publication Date: 2012-10-15 PubMed ID: 23070863DOI: 10.1055/s-0032-1327621Google Scholar: Lookup
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- Journal Article
Summary
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This research examined the effectiveness of safety vests in preventing torso injuries among children and adolescents participating in horse-riding activities. Despite recommendations, the study found no significant association between wearing a safety vest and a lower risk of torso injuries.
Research Methodology
- The study was a case-control study which analyzed incidences where riders 18 years or younger fell off a horse onto their torso over a period of 18 months.
- Incident data were obtained from clinical health records of the participants, complemented by questionnaires completed by the riders or their parents on the day of the trauma.
- The research sample was made up of 92 riders, with 31 having experienced torso injuries (cases) and 61 experiencing non-torso injuries (controls).
Research Findings
- The use of safety vests was found not to be significantly associated with a lower risk of torso injuries. The calculated odds ratio of 1.18, together with a wide 95% confidence interval of 0.50 to 2.81 and p=0.707 indicates no statistical significance.
- A post hoc power analysis revealed that an odds ratio of 0.266 could have been obtained with a power of 80%, implying that the sample size may have been insufficient to detect a smaller effect.
Study Conclusion and Recommendations
- The study could not conclusively establish a correlation between the use of safety vests and protection from torso injuries, likely due to confounding variables not accounted for in the study.
- The researchers did not identify a strong effect of safety vest usage in their sample of young horse riders.
- Future developments of safety vests should consider wider protection covering not just the torso, but also other vulnerable areas such as the cervical and lumbar spine, and should be designed to specifically meet the needs of children and adolescents in equestrian activities.
Cite This Article
APA
Hessler C, Eckert V, Vettorazzi E, Meenen N, Jürgens C, Schult M, Flamme C, Herberhold HJ, Madert J, Ekkernkamp A, Lockemann U, Püschel K, Pohlenz P.
(2012).
Effectiveness of safety vests in pediatric horseback riding.
Klin Padiatr, 224(7), 443-447.
https://doi.org/10.1055/s-0032-1327621 Publication
Researcher Affiliations
- Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
MeSH Terms
- Accidental Falls / statistics & numerical data
- Adolescent
- Animals
- Athletic Injuries / epidemiology
- Athletic Injuries / prevention & control
- Case-Control Studies
- Child
- Child, Preschool
- Craniocerebral Trauma / epidemiology
- Cross-Sectional Studies
- Emergency Service, Hospital / statistics & numerical data
- Equipment Design
- Extremities / injuries
- Female
- Horses
- Humans
- Logistic Models
- Male
- Multiple Trauma / epidemiology
- Multiple Trauma / prevention & control
- Multivariate Analysis
- Protective Clothing
- Torso / injuries
Citations
This article has been cited 6 times.- Andres SA, Bushau-Sprinkle AM, Brier ME, Seger YR. Effects of body protection vests and experience levels in prevention of equestrian injuries. BMJ Open Sport Exerc Med 2018;4(1):e000426.
- Ikinger CM, Baldamus J, Spiller A. Factors Influencing the Safety Behavior of German Equestrians: Attitudes towards Protective Equipment and Peer Behaviors. Animals (Basel) 2016 Feb 18;6(2).
- Carmichael SP 2nd, Davenport DL, Kearney PA, Bernard AC. On and off the horse: mechanisms and patterns of injury in mounted and unmounted equestrians. Injury 2014 Sep;45(9):1479-83.
- Loder RT, Walker AL, Blakemore LC. Spinal Injuries from Equestrian Activity: A US Nationwide Study. J Clin Med 2025 Jun 26;14(13).
- Loder RT, Walker AL, Blakemore LC. Injury Patterns and Associated Demographic Characteristics in Children with a Fracture from Equines: A US National Based Study. Children (Basel) 2024 Nov 27;11(12).
- Meyer C, Gabriel F, Schrum K, Hollis M, Short M, Gould S. Airbag Vests in Equestrian Sports: Is Use Associated with Harm?. Ann Biomed Eng 2024 Nov;52(11):2916-2922.
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