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Home / Equine Research Bank / J Trauma / Equestrian injury prevention efforts need more attention to ...
The Journal of trauma2007; 62(3); 735-739; doi: 10.1097/ta.0b013e318031b5d4

Equestrian injury prevention efforts need more attention to novice riders.

Abstract: Equestrian injury is commonly seen at trauma centers and the severity of injury is often high. We sought to determine the risk, incidence, and the influence of skill and experience on injury during horse-related activity (HRA). Methods: Members of horse clubs and individual equestrians in a three-state region (Oregon, Washington, and Idaho) were recruited via mailings and community advertisements to take a survey regarding their horse contact time and injuries over their entire riding career. Serious injury (SI) was defined by hospitalization, surgery, or long-term disability. Results: There were 679 equestrians with a median age of 44 years who reported a median of 20 hours of HRA per month with a mean of 24 years (1 to 75 years) experience. The cumulative risk of any injury (AI) was 81% and of SI was 21%. The incidence of AI and SI were 1.6 +/- 0.1 (SE) and 0.26 +/- 0.02 per 10,000 hours, respectively. The incidence, per 10,000 hours, of AI was 7.6 +/- 2.7, 2.4 +/- 0.2, 1.5 +/- 0.1, and 1.0 +/- 0.1 at novice, intermediate, advanced, and professional levels, respectively (p < 0.001, analysis of variance [ANOVA]) and of SI was 1.03 +/- 0.52, 0.38 +/- 0.06, 0.21 +/- 0.03, and 0.19 +/- 0.04 at the respective skill levels (p < 0.001, ANOVA). There was a sharp decline in incidence of injury between 18 and 100 hours of experience. Helmet use was 74%, 61%, 58%, and 59% at the respective skill levels (NS, chi). Conclusions: One in five equestrians will be seriously injured during their riding career. Novice riders experienced a three-fold greater incidence of injury over intermediates, a five-fold greater incidence over advanced riders, and nearly eight-fold greater incidence over professional equestrians. Approximately 100 hours of experience are required to achieve a substantial decline in injury. These findings suggest that equestrian injury prevention efforts need more attention and should focus on novice equestrians.
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Publication Date: 2007-04-07 PubMed ID: 17414356DOI: 10.1097/ta.0b013e318031b5d4Google Scholar: Lookup
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Summary

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This study investigates the risk of injury during horse-related activities, finding that novice riders are most at risk and that around 100 hours of riding experience is necessary before a significant drop in injury incidence is seen. The research suggests more focus should be placed on injury prevention strategies aimed at novice equestrians.

Understanding the Risk and Incidence of Equestrian Injuries

  • The research involved members of horse clubs and individual equestrians across Oregon, Washington, and Idaho who were asked to provide information about their horse contact time and injuries sustained during their riding careers.
  • Out of the 679 equestrians who participated in the survey, the cumulative risk of any injury (AI) was found to be 81%, while for serious injuries (SI), such as those requiring hospitalization, surgery, or causing long-term disability, the risk was 21%.
  • It calculated the incidence of AI and SI per 10,000 hours respectively, noting that the incidence varied considerably based on the skill level of the rider.

The Impact of Skill and Experience on Injury Rates

  • The study found that novice riders were most at risk, with the incidence of AI being 7.6 per 10,000 hours. This figure significantly dropped down to 1.0 for professional equestrians.
  • Similarly, the SI incidence was highest for the novice group and lowest for professionals.
  • Interestingly, the study found that the incidence of injury dropped sharply after around 100 hours of riding experience, suggesting a key milestone in a rider’s development.
  • Helmet usage did not significantly vary between the different skill levels.

Need for More Focused Injury Prevention Efforts

  • Given these findings, the researchers emphasize the need for more targeted injury prevention strategies focusing on novice equestrians.
  • They suggest that a one in five risk of sustaining a serious injury over one’s riding career is too high, particularly given that novice riders experienced injury incidence rates several times higher than more experienced riders.
  • The indication that approximately 100 hours of riding experience are needed to achieve a substantial drop in injury incidence further underscores the need for targeted interventions during this high-risk initial period.

Cite This Article

APA
Mayberry JC, Pearson TE, Wiger KJ, Diggs BS, Mullins RJ. (2007). Equestrian injury prevention efforts need more attention to novice riders. J Trauma, 62(3), 735-739. https://doi.org/10.1097/ta.0b013e318031b5d4

Publication

The Journal of trauma
ISSN: 0022-5282
NlmUniqueID: 0376373
Country: United States
Language: English
Volume: 62
Issue: 3
Pages: 735-739

Researcher Affiliations

Mayberry, John C
  • Department of Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA. mayberrj@ohsu.edu
Pearson, Tuesday E
    Wiger, Kerry J
      Diggs, Brian S
        Mullins, Richard J

          MeSH Terms

          • Adolescent
          • Adult
          • Aged
          • Aged, 80 and over
          • Animals
          • Athletic Injuries / epidemiology
          • Athletic Injuries / pathology
          • Child
          • Female
          • Horses
          • Humans
          • Male
          • Middle Aged
          • Risk

          Citations

          This article has been cited 27 times.
          1. Hoffmann MF, Bernstorff M, Kreitz N, Roetman B, Schildhauer TA, Wenning KE. Horse-related injury patterns: a single center report. J Orthop Surg Res 2023 Feb 2;18(1):83.
            doi: 10.1186/s13018-023-03549-3pubmed: 36732813google scholar: lookup
          2. Meyer HL, Scheidgen P, Polan C, Beck P, Mester B, Kauther MD, Dudda M, Burggraf M. Injuries and Overuse Injuries in Show Jumping-A Retrospective Epidemiological Cross-Sectional Study of Show Jumpers in Germany. Int J Environ Res Public Health 2022 Feb 17;19(4).
            doi: 10.3390/ijerph19042305pubmed: 35206487google scholar: lookup
          3. Mutore K, Lim J, Fofana D, Torres-Reveron A, Skubic JJ. Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA. Trauma Surg Acute Care Open 2021;6(1):e000728.
            doi: 10.1136/tsaco-2021-000728pubmed: 34595353google scholar: lookup
          4. Maśko M, Domino M, Jasiński T, Witkowska-Piłaszewicz O. The Physical Activity-Dependent Hematological and Biochemical Changes in School Horses in Comparison to Blood Profiles in Endurance and Race Horses. Animals (Basel) 2021 Apr 14;11(4).
            doi: 10.3390/ani11041128pubmed: 33920044google scholar: lookup
          5. Guinnefollau L, Gee EK, Norman EJ, Rogers CW, Bolwell CF. Horses Used for Educational Purposes in New Zealand: A Descriptive Analysis of Their Use for Teaching. Animals (Basel) 2020 Sep 1;10(9).
            doi: 10.3390/ani10091547pubmed: 32882976google scholar: lookup
          6. Stier R, Tavassol F, Dupke C, Rüter M, Jehn P, Gellrich NC, Spalthoff S. Retrospective analysis of 15 years of horse-related maxillofacial fracture data at a major German trauma center. Eur J Trauma Emerg Surg 2022 Aug;48(4):2539-2546.
            doi: 10.1007/s00068-020-01450-wpubmed: 32699917google scholar: lookup
          7. Adler CR, Hopp A, Hrelic D, Patrie JT, Fox MG. Retrospective analysis of equestrian-related injuries presenting to a level 1 trauma center. Emerg Radiol 2019 Dec;26(6):639-645.
            doi: 10.1007/s10140-019-01718-8pubmed: 31435897google scholar: lookup
          8. 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.
            doi: 10.1136/bmjsem-2018-000426pubmed: 30555716google scholar: lookup
          9. Krüger L, Hohberg M, Lehmann W, Dresing K. Assessing the risk for major injuries in equestrian sports. BMJ Open Sport Exerc Med 2018;4(1):e000408.
            doi: 10.1136/bmjsem-2018-000408pubmed: 30364519google scholar: lookup
          10. Abdulkarim A, Juhdi A, Coffey P, Edelson L. Equestrian Injury Presentations to a Regional Trauma Centre in Ireland. Emerg Med Int 2018;2018:7394390.
            doi: 10.1155/2018/7394390pubmed: 29971165google scholar: lookup
          11. O'Connor S, Hitchens PL, Fortington LV. Hospital-treated injuries from horse riding in Victoria, Australia: time to refocus on injury prevention?. BMJ Open Sport Exerc Med 2018;4(1):e000321.
            doi: 10.1136/bmjsem-2017-000321pubmed: 29464106google scholar: lookup
          12. Weber CD, Nguyen AR, Lefering R, Hofman M, Hildebrand F, Pape HC. Blunt injuries related to equestrian sports: results from an international prospective trauma database analysis. Int Orthop 2017 Oct;41(10):2105-2112.
            doi: 10.1007/s00264-017-3592-1pubmed: 28801837google scholar: lookup
          13. Majeedkutty NA, Khairulanuar NA. Prevalence, patterns, and correlates of equestrian injuries in Malaysia: A cross-sectional study. J Family Community Med 2017 Jan-Apr;24(1):18-22.
            doi: 10.4103/2230-8229.197177pubmed: 28163571google scholar: lookup
          14. Chapman M, Thompson K. Preventing and Investigating Horse-Related Human Injury and Fatality in Work and Non-Work Equestrian Environments: A Consideration of the Workplace Health and Safety Framework. Animals (Basel) 2016 May 6;6(5).
            doi: 10.3390/ani6050033pubmed: 27164148google scholar: lookup
          15. 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).
            doi: 10.3390/ani6020014pubmed: 26901229google scholar: lookup
          16. DeAraugo J, McLaren S, McManus P, McGreevy PD. Improving the Understanding of Psychological Factors Contributing to Horse-Related Accident and Injury: Context, Loss of Focus, Cognitive Errors and Rigidity. Animals (Basel) 2016 Feb 15;6(2).
            doi: 10.3390/ani6020012pubmed: 26891333google scholar: lookup
          17. Young JD, Gelbs JC, Zhu DS, Gallacher SE, Sutton KM, Blaine TA. Orthopaedic Injuries in Equestrian Sports: A Current Concepts Review. Orthop J Sports Med 2015 Sep;3(9):2325967115603924.
            doi: 10.1177/2325967115603924pubmed: 26535400google scholar: lookup
          18. Haigh L, Thompson K. Helmet Use Amongst Equestrians: Harnessing Social and Attitudinal Factors Revealed in Online Forums. Animals (Basel) 2015 Jul 17;5(3):576-91.
            doi: 10.3390/ani5030373pubmed: 26479375google scholar: lookup
          19. 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.
            doi: 10.1016/j.injury.2014.03.016pubmed: 24767580google scholar: lookup
          20. Srinivasan V, Pierre C, Plog B, Srinivasan K, Petraglia AL, Huang JH. Straight from the horse's mouth: neurological injury in equestrian sports. Neurol Res 2014 Oct;36(10):873-7.
            doi: 10.1179/1743132814Y.0000000373pubmed: 24725290google scholar: lookup
          21. Sandiford N, Buckle C, Alao U, Davidson J, Ritchie J. Injuries associated with recreational horse riding and changes over the last 20 years: a review. JRSM Short Rep 2013 May;4(5):2042533313476688.
            doi: 10.1177/2042533313476688pubmed: 23772313google scholar: lookup
          22. Hessler C, Eckert V, Meiners J, Jürgens C, Reicke B, Matthes G, Ekkernkamp A, Püschel K. [Causes, injuries, therapy and possibilities of prevention of equine-related accidents. Results of a 2-center-study]. Unfallchirurg 2014 Feb;117(2):123-7.
            doi: 10.1007/s00113-012-2275-zpubmed: 23307431google scholar: lookup
          23. Hasler RM, Gyssler L, Benneker L, Martinolli L, Schötzau A, Zimmermann H, Exadaktylos AK. Protective and risk factors in amateur equestrians and description of injury patterns: A retrospective data analysis and a case - control survey. J Trauma Manag Outcomes 2011 Feb 4;5:4.
            doi: 10.1186/1752-2897-5-4pubmed: 21294862google scholar: lookup
          24. Boije Af Gennäs K, Jungmalm J. Youth horse-related injuries (2014-2024): a scoping review of epidemiological and disciplinary insights. BMJ Open Sport Exerc Med 2025;11(3):e002589.
            doi: 10.1136/bmjsem-2025-002589pubmed: 40922806google scholar: lookup
          25. Maloney B, Jung MS, Kearns G, Bowe C. Equestrian-related maxillofacial injuries-a five-year retrospective review. Ir J Med Sci 2025 Aug;194(4):1339-1346.
            doi: 10.1007/s11845-025-03995-4pubmed: 40650793google scholar: lookup
          26. Crawford AE, Picken LK, Gabriel FD, Quade J, Gould S. CNS and Thorax Injury and Associated Risks Factors in Equestrian Sports. Sports Health 2025 Jul;17(4):697-702.
            doi: 10.1177/19417381241275655pubmed: 39206526google scholar: lookup
          27. Davies M, Lawrence T, Edwards A, McKay C, Lecky FE, Stokes KA, Williams S. Sport-related major trauma incidence in young people and adults in England and Wales: a national registry-based study. Inj Prev 2024 Jan 25;30(1):60-67.
            doi: 10.1136/ip-2023-044887pubmed: 37875378google scholar: lookup
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