Prevention of bicycle-related injuries in children and youth: a systematic review of bicycle skills training interventions

Richmond, Sarah; Zhang, Yu Janice; Stover, Andi; Howard, Andrew; Macarthur, Colin

doi:10.1136/injuryprev-2013-040933

Cited by 57 publications

(34 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…49 In addition, although bicycling safety and skills education may increase children's bicycling safety knowledge, this does not translate into reduced injury risk. 27 Modifying the bicycling environment is a promising avenue for improving bicycling safety for children and adolescents.…”

Section: Environmental Risk Factorsmentioning

confidence: 99%

“…8 -10, 13 -17 Bicycling injury risk factors have been widely studied by using all ages data, 18 -25 and 2 recent systematic reviews have focused on child and adolescent injury risk factors. 26,27 These have revealed that child targeted bicycle helmet legislation is associated with decreases in mortality and head injuries after legislation 26 ; however, bicycle skills training interventions for children are not effective in reducing injury risk. 27 Research examining transportation infrastructure and bicycling injury risk is on the rise, and a 2009 systematic review suggests that bike-specific infrastructure such as bike lanes and bike paths reduce bicycling injury risk while major roads, multiuse trails, sidewalks, and multilane roundabouts without a separate bike lane increase risk.…”

mentioning

confidence: 99%

“…26,27 These have revealed that child targeted bicycle helmet legislation is associated with decreases in mortality and head injuries after legislation 26 ; however, bicycle skills training interventions for children are not effective in reducing injury risk. 27 Research examining transportation infrastructure and bicycling injury risk is on the rise, and a 2009 systematic review suggests that bike-specific infrastructure such as bike lanes and bike paths reduce bicycling injury risk while major roads, multiuse trails, sidewalks, and multilane roundabouts without a separate bike lane increase risk. 25 Because the 2009 review examined research on bicyclists of all ages, there is a research gap regarding transportation infrastructure (the bicycling environment) and bicycling injury risk in children and adolescents.…”

mentioning

confidence: 99%

“…The 1998 study that revealed no association between bicycling safety education and injury risk is supported by a recent systematic review that came to the same conclusion. 27 …”

mentioning

confidence: 99%

See 3 more Smart Citations

Risk Factors for Bicycling Injuries in Children and Adolescents: A Systematic Review

Embree¹,

Romanow²,

Djerboua³

et al. 2016

Pediatrics

View full text Add to dashboard Cite

CONTEXT: Child and adolescent bicycling is beneficial, but injuries occur and can be severe and costly.OBJECTIVE: To systematically review the individual and environmental factors associated with bicycling injury risk in children and adolescents.DATA SOURCES: Fourteen electronic databases were searched. STUDY SELECTION:Two authors independently assessed potentially relevant articles for eligibility. The inclusion criteria were as follows: bicyclists younger than 20 years old; examined individual and environmental characteristics of bicycling crashes; compared injured and uninjured bicyclists or bicyclists with different types or severity of injury; study designs with a predetermined comparison group; and published in English from January 1990 to May 2015. The exclusion criteria were outcomes related to helmet use, helmet legislation, or mountain biking, and comparisons of census-based injury rates.DATA EXTRACTION: Data on study design, setting, population, injury definitions, injury risk factors, and results were extracted. Risk of bias was assessed by using the NewcastleOttawa Scales. RESULTS:Fourteen articles were included. Lower socioeconomic status, riding on the road, riding in rural compared with urban areas, and riding on the sidewalk were associated with bicycling injury. Bicycling safety education did not protect children against future injury. Injuries related to a motor vehicle collision were more severe than other bicycling injuries. LIMITATIONS:Study heterogeneity prevented meta-analyses. Study quality was affected by inadequate definitions of study groups and self-reported data. CONCLUSIONS:Lower socioeconomic status and riding location were associated with bicycling injury and severity increased with motor vehicle collisions. The bicycling environment is a promising avenue for prevention. Calgary, Calgary, Alberta, Canada; and c Postgraduate Medical Education, Faculty of Medicine, Gordon and Leslie Diamond Health Care Centre, University of British Columbia, Vancouver, British Columbia, Canada Ms Embree conceptualized and designed the study selection and data extraction processes and tools, coordinated study selection, assessed articles for inclusion, extracted and analyzed data, drafted the initial manuscript, and revised the manuscript; Ms Romanow conceptualized and designed the review, carried out the literature searches, and critically reviewed the manuscript; Ms Djerboua assessed articles for inclusion, extracted and analyzed data, and critically reviewed the manuscript; Ms Morgunov conceptualized and designed the review, carried out the literature searches, assessed articles for inclusion, drafted the initial Bicycling is an excellent form of physical activity for children and adolescents and an environmentally friendly form of transportation. 1, 2 However, bicyclists constitute 2% to 8% of child road traffic-related deaths and 3% to 15% of child road traffic-related injuries worldwide. 3 In Canada, bicycling injuries are among the top 3 causes of unintentional injury hospitaliz...

show abstract

Section: Environmental Risk Factorsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

“…The 1998 study that revealed no association between bicycling safety education and injury risk is supported by a recent systematic review that came to the same conclusion. 27 …”

mentioning

confidence: 99%

See 2 more Smart Citations

Risk Factors for Bicycling Injuries in Children and Adolescents: A Systematic Review

Embree¹,

Romanow²,

Djerboua³

et al. 2016

Pediatrics

View full text Add to dashboard Cite

show abstract

“…They are manifested, among others, by motor restlessness, infantilism, behavioural outbursts of anger, depressed mood, and fear. Additionally to these disorders are learning difficulties associated with rapid mental fatigability, impaired concentra-Medical Studies/Studia Medyczne 2017; 33/2 tion and memory, and some children also show posttraumatic disorders of speech [15,16,21]. Children involved in traffic accidents usually are characterised by head and neck injuries -approximately 60% of children involved in accidents [1,3,5,22].…”

Section: Characteristics Of the Causes And Consequences Of Road Accidmentioning

confidence: 99%

Risk of road traffic accidents in children

Goniewicz¹,

Goniewicz²,

Pawłowski³

et al. 2017

View full text Add to dashboard Cite

Injuries resulting from road accidents are the most common cause of death among children, more common even than cancer and birth defects. There were 135,438 accidents involving children aged 0-14 years in the years 2000-2014 in Poland. A total of 4334 children died and 141,009 were injured. Most fatalities were recorded among children between the ages of 7 and 14 years. The research presents the main problems of road safety and the nature of the causes and consequences of accidents among children in Poland. Injuries to children are one of the biggest problems in modern medicine, which requires vigorous and preventive actions. Children of all ages should be intensively covered by educational activities related to road safety. Raising awareness of the risks associated with participation of children in traffic, with parents and carers, can greatly reduce the number of accidents. StreszczenieUrazy wynikające z wypadków drogowych są najczęstszą przyczyną śmierci wśród dzieci, częstszą niż nowotwory i wady wrodzone. W Polsce w latach 2000-2014 miało miejsce 135 438 wypadków z udziałem dzieci w wieku 0-14 lat. Łącznie w wypadkach drogowych zginęło 4334 dzieci, a 141 009 zostało rannych. Większość zgonów zarejestrowano wśród dzieci w wieku od 7-14 lat. W pracy poruszono główne problemy bezpieczeństwa ruchu drogowego oraz charakter, przyczyny i skutki wypadków drogowych wśród dzieci w Polsce. Urazy u dzieci są jednym z największych problemów współczesnej medycyny, które wymagają energicznego działania mającego jednocześnie charakter zapobiegawczy. Dzieci w każdym wieku powinny być objęte intensywnymi działaniami edukacyjnymi związanymi z bezpieczeństwem ruchu drogowego. Zwiększenie świadomości zagrożeń związanych z udziałem dzieci w ruchu drogowym wśród najmłodszych uczestników oraz rodziców i opiekunów może znacznie ograniczyć liczbę wypadków.

show abstract

School-based education programmes for the prevention of unintentional injuries in children and young people

Orton

Whitehead

Mhizha-Murira

et al. 2016

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Prevention of bicycle-related injuries in children and youth: a systematic review of bicycle skills training interventions

Cited by 57 publications

References 19 publications

Risk Factors for Bicycling Injuries in Children and Adolescents: A Systematic Review

Risk Factors for Bicycling Injuries in Children and Adolescents: A Systematic Review

Risk of road traffic accidents in children

School-based education programmes for the prevention of unintentional injuries in children and young people

Contact Info

Product

Resources

About