warthog1 wrote: ↑Fri Aug 21, 2020 4:18 pm
Comedian wrote: ↑Fri Aug 21, 2020 12:44 pm
I should have qualified.. there is no actual evidence that helmets reduce actual brain injury for any activity. (sorry). But I don't think there is any doubt they offer protection from superficial scalp injuries which are painful and unpleasant (but not usually life threatening). That's why you'll hear it said that helmets reduce head injury (not brain injury). It's for this reason I would wear one on the roadie regardless of the law.
Dunno what you think of this one.
https://pubmed.ncbi.nlm.nih.gov/27450862/
I am sure someone has attempted to pull it apart somewhere.
The purpose of the cranial vault is largely to protect the fragile brain matter within.
Anything that protects injury to the cranial vault it would stand to reason is likely to also reduce injury to the brain within.
Anyway here I am sucked into this stupid thread again despite the fact I disagree with mandating helmet use.
I just disagee there is no injury reduction from them
Edit;
And another
https://pubmed.ncbi.nlm.nih.gov/31519669/
Cycle helmet use was also associated with a reduction in severe traumatic brain injury (TBI) 19.1% (780, 18.0%-20.4%) versus 47.6% (1211, 45.6%-49.5%) (p<0.001), intensive care unit requirement 19.6% (797, 18.4%-20.8%) versus 27.1% (691, 25.4%-28.9%) (p<0.001) and neurosurgical intervention 2.5% (103, 2.1%-3.1%) versus 8.5% (217, 7.5%-9.7%) (p<0.001).
I'm sorry... I didn't mean to drag you into it.
To the first study.. I know there has been criticism of it. There have been several controversies with aspects of it. None the less .. lets look at the conclusion.
Conclusions: Bicycle helmet use was associated with reduced odds of head injury, serious head injury, facial injury and fatal head injury. The reduction was greater for serious or fatal head injury. Neck injury was rare and not associated with helmet use. These results support the use of strategies to increase the uptake of bicycle helmets as part of a comprehensive cycling safety plan.
Can you see anywhere in there where it says reduction in
brain injury? I can't. That's because helmets don't really help with that. They do protect you from all sorts of other scuffs and cuts which are unpleasant but rarely life threatening. That is what they call "head injuries". Those injuries are also probably much more common in sports cycling too.
Why don't they actually reduce brain injury? Well.. million dollar question but my belief is that the helmets that meet the regulations.. due to their nature don't compress. It's just EPS.. and the grade they have to use is hard and brittle for durability. So since they don't absorb shocks, the only function they actually perform in relation to the brain would be in the case of impact with a pointed object where thy might spread the load and stop the object puncturing the skull.
There is good evidence that motorcycle helmets reduce brain injury - but they are a solid outer shell with soft shock absorbing interior. But even if you could bear to wear one they wouldn't be legal for bicycle riding either so you would could get a fine just like not wearing one.
Like I say regardless of the law I'd wear one for sports cycling, commuting etc. I would try and get one with "mips" and that doesn't have protrusions that might exacerbate DAI.
I will try and look at the English study next week.