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Head injuries

Horseback riding is one of the most dangerous sports, especially in relation to head injury. Statistics from the United States, for example, indicate that about 30 million people ride horses annually. On average, about 67,000 people are admitted to the hospital each year from injuries sustained while working with horses. 15,000 of those admittances are from traumatic brain injuries. Of those, about 60 die each year from their brain injuries. Studies have found horseback riding to be more dangerous than several sports, including skiing, auto racing and football. Horseback riding has a higher hospital admittance rate per hours of riding than motorcycle racing, at 0.49 per thousand hours of riding and 0.14 accidents per thousand hours, respectively.

Head injuries are especially traumatic in horseback riding. About two-thirds of all riders requiring hospitalization after a fall have sustained a traumatic brain injury. Falling from a horse without wearing a helmet is comparable to being struck by a car. Most falling deaths are caused by head injury.

The use of riding helmets substantially decreases the likelihood and severity of head injuries. When a rider falls with a helmet, he or she is five times less likely to experience a traumatic brain injury than a rider who falls without a helmet. Helmets work by crushing on impact and extending the length of time it takes the head to stop moving. Despite this, helmet usage rates in North America are estimated to be between eight and twenty percent.

Once a helmet has sustained an impact from falling, that part of the helmet is structurally weakened, even if no visible damage is present. Helmet manufacturers recommend that a helmet that has undergone impact from a fall be replaced immediately. In addition, helmets should be replaced every three to five years; specific recommendations vary by manufacturer.