Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
Division of Pediatric Critical Care Medicine, Mass General for Children, Boston, Massachusetts.
Pediatrics. 2022 Sep 1;150(3). doi: 10.1542/peds.2022-058877.
Recreational activities and sports are a common and popular way for youth to enjoy physical activity; however, there are risks related to physical injury. Injuries can potentially result in death and long-term disability, especially from traumatic brain injury. Helmet use can significantly decrease the risk of fatal and nonfatal head injury, including severe traumatic brain injury and facial injuries when participating in recreational sports. The most robust evidence of helmet effectiveness has been demonstrated with bicycling and snow sports (eg, skiing, snowboarding). Despite this evidence, helmets are not worn consistently with all recreational sports. A multipronged approach is necessary to increase helmet use by children and youth participating in recreational sports. This approach includes legislation and enforcement, public educational campaigns, child education programs, and anticipatory guidance from clinicians. This policy statement guides clinicians, public health advocates, and policymakers on best practices for increasing helmet use in recreational sports, including bicycling and snow sports.
娱乐活动和运动是年轻人享受身体活动的常见和流行方式;然而,它们也存在与身体受伤相关的风险。受伤可能会导致死亡和长期残疾,尤其是创伤性脑损伤。使用头盔可以显著降低参与娱乐运动时致命和非致命性头部受伤的风险,包括严重的创伤性脑损伤和面部损伤。头盔有效性的最有力证据是在骑自行车和冰雪运动(例如,滑雪、单板滑雪)中得到的。尽管有这些证据,但并非所有的娱乐运动都始终佩戴头盔。需要采取多管齐下的方法来增加儿童和青少年在参与娱乐运动时戴头盔的比例。这种方法包括立法和执法、公众教育活动、儿童教育计划以及临床医生的预期指导。本政策声明为临床医生、公共卫生倡导者和政策制定者提供了指导,以确定在包括骑自行车和冰雪运动在内的娱乐运动中增加头盔使用的最佳实践。