Pediatric equestrian injuries.
Abstract: Using data from four sources, horse-related injuries are summarized for persons younger than 25 years of age. Head injury caused 57% of deaths. The upper extremity was the most common area injured, with the next most frequent areas the lower extremity (National Park Service data) and the head (United States Pony Clubs [USPC] data). Injured females outnumbered injured males and had a greater percentage of participants injured (USPC data). Injuries occurred at home in 41% (National Electronic Injury Surveillance System data). USPC figures suggest that greater knowledge may reduce the severity of horse-related injuries. Previous horse-related injury had occurred in 1 of 4 of those injured (USPC data). One third of accidents occurred during lessons (USPC data). Riding instructors should be certified by a recognized organization, and parents should evaluate an instructor's personal riding and their safety records with students. The pediatrician's role should be in counseling parents with children who ride and in offering recommendations for safety to governing boards of youth horse activities.
Publication Date: 1992-06-01 PubMed ID: 1594372
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- Journal Article
Summary
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This research explores horse-related injuries among individuals under 25 years old, drawing on data from four sources. The study identified that head injury accounted for 57% of deaths and that injuries predominantly occurred to the upper extremity. It was also found that greater knowledge may reduce the severity of injuries, and that riding instructors should be certified to enhance safety.
Study Particulars
- The researchers relied on four different sources to gather data on horse-related injuries on young persons, namely those below the age of 25 years.
- The research aimed to provide a comprehensive view of the circumstances surrounding these injuries, as well as the nature and extent of the injuries themselves.
Injury Details
- The study found that the most dangerous injuries inflicted by horses were those to the head, with these accounting for a worrying 57% of total deaths.
- Beyond fatal injuries, the most common type of injury suffered was to the upper extremities – the arms and hands, followed by injuries to the lower extremities – the legs, as per National Park Service data.
- In contrast, the United States Pony Club (USPC) data shows that after the upper extremities, the next common area of injury was the head.
Gender and Environmental Factors
- The research also provided interesting insights into the gender distribution of injuries, with females not only outnumbering males in terms of the total number injured, but also in terms of the percentage of participants injured. This was according to USPC data.
- In terms of location, the research revealed that a significant 41% of injuries occurred at home, as identified by National Electronic Injury Surveillance System data.
Prevention and Mitigation of Injuries
- Interestingly, the study indicated that increased knowledge could be instrumental in reducing the severity of injuries. This conclusion was based on USPC data which showed that a previous horse-related injury occurred in one of every four persons injured.
- Additionally, a considerable one third of accidents had taken place during lessons according to USPC data, hinting at the importance of professional supervision.
Recommendations and the Role of Pediatricians
- From these observations, the researchers recommended that parents should ensure their child’s riding instructor is certified by a reputable organization. They should also scrutinize the instructor’s personal riding safety record and their safety record with students.
- Further, they suggested that pediatricians should be proactive in providing guidance to parents whose children participate in horse riding. They can also make safety recommendations to governing boards of youth horse activities.
Cite This Article
APA
Bixby-Hammett DM.
(1992).
Pediatric equestrian injuries.
Pediatrics, 89(6 Pt 2), 1173-1176.
Publication
Researcher Affiliations
- Safety Committee, United States Pony Clubs, Inc, West Chester, PA.
MeSH Terms
- Accident Prevention
- Adolescent
- Adult
- Animals
- Athletic Injuries / epidemiology
- Athletic Injuries / mortality
- Athletic Injuries / prevention & control
- Child
- Data Collection
- Female
- Head Protective Devices
- Horses
- Humans
- Male
- Morbidity
- Pediatrics
- Physician's Role
- Protective Clothing
- United States / epidemiology
Citations
This article has been cited 13 times.- Chapman M, Thomas M, Thompson K. What People Really Think About Safety around Horses: The Relationship between Risk Perception, Values and Safety Behaviours. Animals (Basel) 2020 Nov 26;10(12).
- 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.
- 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.
- 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.
- 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.
- Thomas KE, Annest JL, Gilchrist J, Bixby-Hammett DM. Non-fatal horse related injuries treated in emergency departments in the United States, 2001-2003. Br J Sports Med 2006 Jul;40(7):619-26.
- Toth C, McNeil S, Feasby T. Central nervous system injuries in sport and recreation: a systematic review. Sports Med 2005;35(8):685-715.
- 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.
- 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.
- Watt GM, Finch CF. Preventing equestrian injuries. Locking the stable door. Sports Med 1996 Sep;22(3):187-97.
- Burgio GR, Ottolenghi A. Adolescence and paediatrics in Europe. Eur J Pediatr 1994 Oct;153(10):706-11.
- 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).
- 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.
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