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Updated: Nov 6, 2025

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
Published on: September 21, 2017
Helmet use in equestrian athletes: opportunities for intervention
Ansley Grimes Stanfill1, Kayla Wynja1, Xueyuan Cao1
1Department of Acute & Tertiary Care, University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN 38163, USA.
Background:
Equestrian athletes (horse riders) are at high risk for head injury, including concussions.
Materials & Methods:
Adults riders were recruited via social media posting to complete a branching survey collecting data on demographics, riding experience, helmet use, injury history and concussion symptom knowledge. Results are reported as frequencies and percentages, with associations tested using chi-square with significance level p < 0.05.
Results:
Of the 2598 subjects, about 75% reported always wearing a helmet. Of those who did not, the most common reasons were that helmets are unnecessary (57.4%) or do not fit well (48.6%). Many indicated improper storage conditions and/or did not follow manufacturer's replacement recommendations. Most (75.4%) reported a high level of comfort with recognizing concussion signs, with half experiencing a prior head injury.
Conclusion:
This information suggests opportunities for intervention to improve helmet use through increased fit, while the responses indicate a need for further education on proper helmet use.
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