Falls and injuries to Polo players: risk perception, mitigation and risk factors

Polo, one of the world's oldest sports, is played in over 80 countries. It is unique in combining the skills of a person with the agility and performance of an animal in a contact sport. There is only one report of the frequency and type of injuries in this population. Here we report risk perception, mitigation and risk factors for injuries and falls in UK polo players. Data were collected retrospectively from a random sample of 112 UK polo players by telephone questionnaire. Injuries (commonly to a shoulder or wrist) requiring a hospital visit were sustained by 17.3% (95% confidence interval [CI] 9.1-25.5) of players. Falls (odds ratio [OR] 6.6, 95% CI 1.4-31.9) and higher self-assessed fitness levels increased the risk (OR 1.7, CI 1.2-2.4). Use of wrist supports (OR 0.2, CI 0.03-0.9) and gym exercise (OR 0.1, CI 0.02-0.9) reduced it. Falls were reported by 58% (CI 47.3-68.8) of players. Women were less at risk than men (OR 0.3, CI 0.1-0.9). Aiming for a better handicap increased the risk (OR 8.4, CI 1.2-57.0). Pre-season rider and horse training were also risk factors. Helmets are compulsory, but players reported that safety certification was not their most important criterion for helmet selection; 49.4% (CI 38.5-60.3) chose appearance. Attendance of a doctor at polo games was not considered important by 65.4% (CI 55.1-75.8) of players; attendance of paramedics and ambulances was volunteered as being of greater consequence. The findings of this study suggest that the protective effect of wrist supports needs testing, helmet manufacturers should incorporate both style and safety into their designs, and paramedics and ambulances should attend polo games.