Straight from the horse's mouth: neurological injury in equestrian sports

Srinivasan, Vasisht; Pierre, Clifford; Plog, Benjamin A.; Srinivasan, Kaushik; Petraglia, Anthony L.; Huang, Jason H.

doi:10.1179/1743132814y.0000000373

Cited by 15 publications

(10 citation statements)

References 27 publications

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“…In the research of Srinivasan, Pierre, Plog, Srinivasan, Petraglia, Huang (2014) the percentage of women who suffered neurological injury associated with equestrian sport is higher and equal to 54%, with younger women being more at risk.…”

Section: Discussionmentioning

confidence: 98%

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Injuries and Contusions in Recreational and Sports Horse Riding

Karaś

Matłosz

et al. 2021

Central European Journal of Sport Sciences and Medicine

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Horse riding is a satisfying and exciting sport and recreation activity. However, it is not without risk. A large percentage of riders experience accidents of varying degrees of severity during their professional and recreational careers. Any injury, even one that appears to be harmless, may turn out to be serious and exclude a competitor from sport for a long period of time. The purpose of the following research was to analyse the presence and incidence of contusions and injuries among novice and professional riders. The material for this study was collected using a research questionnaire conducted on a group of 1,973 people. Participants were chosen at random and belonged to an equestrian community from different age groups. The research was carried out all over Poland. Equestrianism is definitely an injurious physical activity, which is confirmed by the answer of 75% of respondents who consider this sport to have been harmful and have suffered an injury related to horse riding. Most respondents suffered hand contusions (45.5%), concussion (25.4%) and hand fractures (16.4%). The strength of the study was the number of respondents (1,973) and feedback on, among others, various types of injuries. These injuries can be easily avoided due to increased knowledge, practice, and education.

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Section: Discussionmentioning

confidence: 98%

“…Often the primary reason for falling from a horse is that the horse was afraid or was surprised and reacted in a way that caused injury to the rider (Srinivasan, Pierre, Plog, Srinivasan, Petraglia, Huang, 2014). Riders must always remain aware of the animal's unpredictable nature.…”

Section: Discussionmentioning

confidence: 99%

Injuries and Contusions in Recreational and Sports Horse Riding

Karaś

Matłosz

et al. 2021

Central European Journal of Sport Sciences and Medicine

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“…23 Equestrian athletes are at substantial risk of a concussion due to falls or being bucked from a horse. 27,43 Rates of concussion range from 10 to 45% of all equestrian-related injuries. 22,27,38,43,50 These estimates are conservative as rates of concussion in equestrian sports are likely underreported.…”

Section: Introductionmentioning

confidence: 99%

“…27,43 Rates of concussion range from 10 to 45% of all equestrian-related injuries. 22,27,38,43,50 These estimates are conservative as rates of concussion in equestrian sports are likely underreported. 14,27 Typically, individuals experience symptom resolution within 10 – 14 days post-concussion; 32 however 10 – 30% of individuals report persistent symptoms beyond this time frame.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation of an Adolescent Equestrian Athlete With a History of Multiple Concussions: A Case Report Describing an Adapted Return-to-Sport Protocol

Gunter¹,

Shields²,

Ott³

et al. 2018

J Orthop Sports Phys Ther

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Study Design Case report. Background Equestrian riding is a sport with a high risk of concussion. Currently, the literature guiding rehabilitation for concussions in equestrian athletes is limited, especially for directing return to sport. Case Description A 14-year-old female equestrian athlete presented to physical therapy following her third concussion in three years. Her primary complaints were headaches, dizziness, difficulty concentrating, light sensitivity, and neck pain. On examination, the patient demonstrated reproduction of symptoms during testing of vestibular-ocular reflex (VOR), showed a 3-line symptomatic loss on the Dynamic Visual Acuity Test (DVAT), and had impairments in the Joint Position Error (JPE) test (1/5 correct on the left; 4/5 correct on the right) and Balance Error Scoring System (BESS) (38/60 errors). A return to riding protocol was adapted from general return to sport guidelines and tailored to meet the unique demands of the patient's equestrian sport. The protocol included phased progression through no activity, light aerobic activity, moderate aerobic activity, sport-specific non-jumping skills, sport-specific jumping skills, full practice, and return to competition. During the protocol, the patient participated in eight physical therapy sessions over four weeks for vestibular training, aerobic conditioning, and cervical and core exercises, as well as equestrian exercises at her stables. Outcomes At the final evaluation, the patient reported no symptoms at rest, with exercise, or when testing VOR. Improvements were noted in the DVAT, JPE, and BESS, with changes in the BESS exceeding minimal detectable change. The patient completed the full return to riding protocol in eight weeks and was able to return to equestrian competition without complaints. Discussion This case report describes the physical therapy management and an adapted return to sport protocol for an equestrian athlete with a history of multiple sport-related concussions. Level of Evidence Therapy, level 5. J Orthop Sports Phys Ther, Epub 27 Jul 2018. doi:10.2519/jospt.2018.8214.

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“… 1–5 While studies have reported that head injuries account for between 13% and 48% of equestrian-related injuries, 6–11 injuries to the chest or back have been reported in 11%–54% of equestrian cases. 5–12 …”

Section: Introductionmentioning

confidence: 99%

Effects of body protection vests and experience levels in prevention of equestrian injuries

Andres

Bushau-Sprinkle

Brier

et al. 2018

BMJ Open Sport Exerc Med

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ObjectivesTo investigate the risk reduction and benefit of wearing body protection/safety vests in equestrian sports.MethodsA comparison of equestrians wearing body protective vests and those not wearing vests was performed using incident report data of 718 participants in the United States Pony Clubs during 2011–2017. Data obtained included age, gender, certification level of member, type of activity, description of incident, description of injuries, what protective equipment was worn and other possible contributing factors.ResultsWhile wearing body protective vests when riding on the flat or for show jumping was not correlated with a decrease in injuries, wearing vests for cross country was correlated with decrease in reported injuries (p=0.036) and showed a trend towards a lower incident severity level (p=0.062). Wearing body protection during cross country reduced the relative risk of injury by 56%. While the volume of incidents varied with a rider’s experience level, the number of serious injuries did not appear to correlate with lesser equestrian experience.ConclusionsWhile equestrian sports are considered to have a certain degree of risk associated with them, there are ways to make them safer. Wearing safety equipment, such as helmets and body protection, and obtaining education and experience can lessen the chance of incurring serious injuries.

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Straight from the horse's mouth: neurological injury in equestrian sports

Cited by 15 publications

References 27 publications

Injuries and Contusions in Recreational and Sports Horse Riding

Injuries and Contusions in Recreational and Sports Horse Riding

Rehabilitation of an Adolescent Equestrian Athlete With a History of Multiple Concussions: A Case Report Describing an Adapted Return-to-Sport Protocol

Effects of body protection vests and experience levels in prevention of equestrian injuries

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