Equestrian injury prevention efforts need more attention to novice riders

John C. Mayberry, Tuesday E. Pearson, Kerry J. Wiger, Brian S. Diggs, Richard Mullins

    Research output: Contribution to journalArticle

    52 Citations (Scopus)

    Abstract

    BACKGROUND: 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, χ). CONCLUSION: 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.

    Original languageEnglish (US)
    Pages (from-to)735-739
    Number of pages5
    JournalJournal of Trauma - Injury, Infection and Critical Care
    Volume62
    Issue number3
    DOIs
    StatePublished - Mar 2007

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    Wounds and Injuries
    Incidence
    Horses
    Analysis of Variance
    Head Protective Devices
    Trauma Centers
    Hospitalization

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Equestrian injury prevention efforts need more attention to novice riders. / Mayberry, John C.; Pearson, Tuesday E.; Wiger, Kerry J.; Diggs, Brian S.; Mullins, Richard.

    In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 62, No. 3, 03.2007, p. 735-739.

    Research output: Contribution to journalArticle

    Mayberry, John C. ; Pearson, Tuesday E. ; Wiger, Kerry J. ; Diggs, Brian S. ; Mullins, Richard. / Equestrian injury prevention efforts need more attention to novice riders. In: Journal of Trauma - Injury, Infection and Critical Care. 2007 ; Vol. 62, No. 3. pp. 735-739.
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    abstract = "BACKGROUND: 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, χ). CONCLUSION: 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.",
    author = "Mayberry, {John C.} and Pearson, {Tuesday E.} and Wiger, {Kerry J.} and Diggs, {Brian S.} and Richard Mullins",
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    T1 - Equestrian injury prevention efforts need more attention to novice riders

    AU - Mayberry, John C.

    AU - Pearson, Tuesday E.

    AU - Wiger, Kerry J.

    AU - Diggs, Brian S.

    AU - Mullins, Richard

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    N2 - BACKGROUND: 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, χ). CONCLUSION: 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.

    AB - BACKGROUND: 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, χ). CONCLUSION: 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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