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Type: Journal article
Title: Bicycle helmet use to reduce the impact of head injuries in ladder users
Author: Warren, L.
Harley, S.
Dutschke, J.
van den Berg, A.
Dobbins, C.
Citation: ANZ Journal of Surgery, 2017; 87(12):1026-1029
Publisher: Wiley
Issue Date: 2017
ISSN: 1445-1433
Statement of
Leigh R. Warren, Simon Harley, Jeffrey Dutschke, Andrew van den Berg, Christopher Dobbins
Abstract: Background The aim of this study was to determine if wearing a bicycle helmet during ladder use could reduce the incidence and severity of head injury in the event of a fall. Methods, A headform model with inbuilt accelerometers was used to determine the Head Injury Criterion, HIC, score of head impact by dropping, helmeted and unhelmeted headforms from eight heights. These results were compared. Results, There was a statistically significant difference between averaged HIC scores in helmeted and unhelmeted drops, P, ., . Unhelmeted HIC scores ranged from, at, .,  m to, at, .,  m. Helmeted HIC scores ranged from, at, .,  m to, at, .,  m. At a height of, .,  m, the risk of severe brain injury, AIS, from direct frontal head impact is predicted to reduce from, to, with helmet use. Conclusion, There was a significant decrease in the HIC scores when helmets are used and it is likely that the benefits would be seen in the clinical setting. These results provide an argument for the use of a bicycle helmets by all ladder users, in particular those over age, who are at increased risk of head injuries. We recommend that bicycle helmet use be incorporated into ladder injury prevention strategies.
Keywords: accidental fall
closed head injury
craniocerebral trauma
traumatic brain injury
Rights: © 2016 Royal Australasian College of Surgeons
DOI: 10.1111/ans.13447
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