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Effectiveness of Bicycle Helmets in Preventing Head Injury in Children:Case-Control Study BMJ 308:173-176, Thomas,S.,et al, 1994 See this aricle in Pubmed Article Abstract Most children(23)were injured after losing control and falling from their bicycle.Only 31 had contact with another moving vehicle.Children with head injury were significantly more likely to have made contact with a moving vehicle than control children(19[19%]vs 12[4%],p<0.001).Head injuries were more likely to occur on paved surfaces than on grass,gravel,or dirt. Wearing a helmet reduced the risk of head injury by 63%(95%confidence interval 34%to 80%)and loss of consciousness by 86%(62%to 95%).The risk of head injury in bicycle accidents is reduced among children wearing a helmet.Current helmet design maximizes protection in the type of accident most commonly occurring in this study.Legislation enforcing helmet use among children should be considered.

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