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British journal of sports medicine1991; 25(2); 105-110; doi: 10.1136/bjsm.25.2.105

Hazards of horse-riding as a popular sport.

Abstract: The increasing incidence of horse-riding accidents, which are often severe in nature, prompted a pilot study of a questionnaire designed to elucidate the cause of such accidents. It was hoped that, on a larger scale, the information gleaned would highlight possible preventative measures which might improve the safety of an important recreational pursuit enjoyed by young and old from many walks of life. A retrospective study of riders sustaining serious spinal injuries admitted to Stoke Mandeville Hospital was compared with riders sustaining minor but significant injuries as the accidents came to the attention of the authors. The detailed analysis paid particular attention to the setting and to the experience and task of horse and rider. It was found that 70% of the 20 accidents could be thought attributable to the behaviour of the horse at the time, and seven of these were in the spinal injuries group. Rider error was a significant contribution in seven cases, and in two instances the rider was under instruction at the time. There was also inadequate experience of the rider in seven cases, of which five were thought to show inadequate supervision. The limited number of cases studied precludes significant observations, but, as the majority of accidents seemed preventable, a larger study has been initiated in collaboration with the British Horse Society.
Publication Date: 1991-06-01 PubMed ID: 1751891PubMed Central: PMC1478823DOI: 10.1136/bjsm.25.2.105Google Scholar: Lookup
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Summary

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This research article is a preliminary investigation into the causes of accidents related to horse-riding, with a specific focus on severe spinal injuries. The aim was to identify possible preventative measures to increase the safety of this popular sport.

Study Design and Participants

  • The study was retrospective in nature, examining previous incidents of horse-riding accidents leading to major or minor injuries.
  • Participants consisted of riders suffering serious spinal injuries who were admitted to Stoke Mandeville Hospital, as well as riders who experienced minor but significant injuries that came to the researchers’ attention.

Analysis and Findings

  • The authors conducted a detailed analysis of each accident, focusing on the context or setting, the behavior of the horse and rider at the time of the incident, and the level of experience or expertise of both the horse and rider.
  • The study found that 70% of the 20 accidents examined could be attributed to the behavior of the horse. Seven of these incidents led to severe spinal injuries in the riders.
  • Rider error contributed significantly in seven cases, with two of these cases occurring when the rider was under instruction.
  • In seven cases, the rider lacked adequate experience; five of these cases were believed to also involve inadequate supervision.

Limitations and Further Research

  • Due to the small number of cases studied, the authors note that they could not make significant observations.
  • However, because the majority of accidents appeared to be preventable, the authors suggested that a larger-scale study is needed. They are partnering with the British Horse Society for this follow-up study.

Conclusion

  • The initial findings of the study suggest that both the behavior of the horse and rider error play significant roles in horse-riding accidents.
  • Furthermore, lack of rider experience and inadequate supervision seem to be considerable factors in these incidents.
  • The study underscores the need for improved safety measures, better training, and increased vigilance during horse-riding to prevent accidents and enhance the enjoyment of this sport for participants.

Cite This Article

APA
Silver JR, Parry JM. (1991). Hazards of horse-riding as a popular sport. Br J Sports Med, 25(2), 105-110. https://doi.org/10.1136/bjsm.25.2.105

Publication

ISSN: 0306-3674
NlmUniqueID: 0432520
Country: England
Language: English
Volume: 25
Issue: 2
Pages: 105-110

Researcher Affiliations

Silver, J R
  • National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, UK.
Parry, J M

    MeSH Terms

    • Adult
    • Animals
    • Athletic Injuries / etiology
    • Athletic Injuries / prevention & control
    • Child
    • Female
    • Horses
    • Humans
    • Male
    • Pilot Projects
    • Retrospective Studies
    • Spinal Injuries / etiology
    • Surveys and Questionnaires
    • United Kingdom

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    This article includes 5 references
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    Citations

    This article has been cited 8 times.
    1. 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
    2. 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
    3. McCrory P, Turner M, LeMasson B, Bodere C, Allemandou A. An analysis of injuries resulting from professional horse racing in France during 1991-2001: a comparison with injuries resulting from professional horse racing in Great Britain during 1992-2001. Br J Sports Med 2006 Jul;40(7):614-8.
      doi: 10.1136/bjsm.2006.028449pubmed: 16687479google scholar: lookup
    4. Turner M, McCrory P, Halley W. Injuries in professional horse racing in Great Britain and the Republic of Ireland during 1992-2000. Br J Sports Med 2002 Dec;36(6):403-9.
      doi: 10.1136/bjsm.36.6.403pubmed: 12453834google scholar: lookup
    5. O'Farrell DA, Irshad F, Thorns BS, McElwain JP. Major pelvic injuries in equestrian sports. Br J Sports Med 1997 Sep;31(3):249-51.
      doi: 10.1136/bjsm.31.3.249pubmed: 9298563google scholar: lookup
    6. Watt GM, Finch CF. Preventing equestrian injuries. Locking the stable door. Sports Med 1996 Sep;22(3):187-97.
    7. Silver JR. Spinal injuries in sports in the UK. Br J Sports Med 1993 Jun;27(2):115-20.
      doi: 10.1136/bjsm.27.2.115pubmed: 8358582google scholar: lookup
    8. Chapman M, Fenner K, Thomas MJW. Lessons learnt from horse-related human fatalities: Accident analysis using HFACS-Equestrianism. Heliyon 2025 Feb 15;11(3):e42276.
      doi: 10.1016/j.heliyon.2025.e42276pubmed: 39991252google scholar: lookup