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Re: Helmet Poll: First Hand Experience

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UK and Europe
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10 May 2006
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7 June 2006
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jtaylor
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  1. "Stuart Lynne" <[email hidden]> wrote in message
    news:Yuh8g.146218$WI1.120506@pd7tw2no...

    Quoted message said:


    I suspect that helmets, if nothing else, reduce the number of injuries and
    concussions that need medical attention.

    But how can you say this when populations-level studies fail to show this?

  2. "jtaylor" <[email hidden]> wrote in message
    news:[email hidden]!nnrp1.uunet.ca...

    Quoted message said:


    "Stuart Lynne" <[email hidden]> wrote in message
    news:Yuh8g.146218$WI1.120506@pd7tw2no...

    Quoted message said:


    I suspect that helmets, if nothing else, reduce the number of injuries


    and

    Quoted message said:
    Quoted message said:

    concussions that need medical attention.

    But how can you say this when populations-level studies fail to show this?

    All this talk of helmets: It is a matter of personal choice. If any
    convincing needs doing it must be to law makers in the first instance to
    prevent it becoming law to wear one.

    I can understand many parents getting their child to wear one on the basis
    that kids often fall off and it MAY prevent a head bang at lower speeds from
    a fall. As long as people do not expect it to prevent injury from stupid
    acts and fast speeds - education is needed.

    I can understand cyle hirers, competition and event organisers making a
    ruling on helmets as surely a good lawyer will argue hard for their client
    either way - and I would guess that it would be difficult to prove either
    way but organisers have to be seen to be doing something. Advising someone
    is not considered good enough by a court.

    In answer to some comments I could say that if I had a helmet on I could go
    and bang my head on a brick wall and it MAY not hurt (I am not stupid enough
    to try) but I would be even more stupid to try without a helmet.

    People need educating to the point that a helmet MAY in some circumstances
    be good or MAY be bad but ride like an idiot with or without and you are
    more likely to get injurred.

    Dave

  3. "Dave" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    I can understand cyle hirers, competition and event organisers making a
    ruling on helmets as surely a good lawyer will argue hard for their client
    either way - and I would guess that it would be difficult to prove either
    way but organisers have to be seen to be doing something. Advising someone
    is not considered good enough by a court.

    Why should these people feel they have to force riders to wear helmets? The
    evidence seems to be that they don't actually help, so surely there's no
    reason why they need to be mandated?

    cheers,
    clive

  4. Dave said:

    All this talk of helmets: It is a matter of personal choice.

    For some, not for those who prefer to be law abiding in legislatures
    with MHLs.

    Quoted message said:

    convincing needs doing it must be to law makers in the first instance to
    prevent it becoming law to wear one.

    And the place to convince the law makers in a democracy is to start with
    the people who are represented to give a groundswell of opinion.

    Quoted message said:

    I can understand many parents getting their child to wear one on the basis
    that kids often fall off and it MAY prevent a head bang at lower speeds from
    a fall.

    Though understandable, if this had any useful effect then you'd think
    the Dutch would be /very/ keen on helmets since so many people cycle in
    NL and of course the kids learning are just as susceptible to falls as
    those in any other country. But in actuality you see very few Dutch
    kids in helmets and similarly unconcerned parents, and the lowest rates
    of head injuries you'll find anywahere. So why is it an issue
    elsewhere? Paranoia, or are the laws of physics really different
    outside NL to in it?

    Quoted message said:

    In answer to some comments I could say that if I had a helmet on I could go
    and bang my head on a brick wall and it MAY not hurt (I am not stupid enough
    to try) but I would be even more stupid to try without a helmet.

    But as is often pointed out, that isn't a useful reason to wear one. Or
    you should wear one walking or driving as well.

    Quoted message said:

    People need educating to the point that a helmet MAY in some circumstances
    be good or MAY be bad but ride like an idiot with or without and you are
    more likely to get injurred.

    Indeed. But as that's also the case with walking and running and
    driving (all things which are happily done without helmets) without
    paying attention to your surroundings, some education as to the true
    levels of relative risk for road-going cyclists wouldn't go amiss either.

    Pete.
    --
    Peter Clinch Medical Physics IT Officer
    Tel 44 1382 660111 ext. 33637 Univ. of Dundee, Ninewells Hospital
    Fax 44 1382 640177 Dundee DD1 9SY Scotland UK
    net [email hidden] http://www.dundee.ac.uk/~pjclinch/

  5. Peter Clinch said:

    So why is it an issue
    elsewhere? Paranoia, or are the laws of physics really different
    outside NL to in it?

    Are there many Ford F-150 trucks driven by rednecks who dislike cyclists
    in the Netherlands? Lots of 'em here in the western and southern US,
    sometimes known to toss things at riders or play chicken. Riding in the
    mountains, we also get lots of gaper tourists, often in big RVs, who
    aren't paying attention for cyclists. Our roads often have potholes,
    frost heaves, and sand along the edges. Not having been there, my
    impression is the Dutch are so cycling aware that their roads are indeed
    safer.

    Unfortunately, the studies you bring up fail to distinguish between
    commuting cyclists in and near towns versus serious road and mountain
    bikers. The first group is more likely to have a vehicle collision while
    the latter group is more likely to hit an object after a tumble or
    slide. A helmet won't help much in the first case but has a greater
    chance of helping in the latter. Most of the data ignores the avid
    cyclist and their style and associated risks. So yes, the physics are
    different.

    Also factor in that the helmet standards in Europe are weaker than
    elsewhere. Euro helmets can't be sold in the US since most can't pass
    our CPSC test (and it isn't all that great). Same goes for Euro ski
    helmets, lame. Performance standards on safety gear (cycling, climbing,
    whatever) are merely an excuse to design to the minimal requirements and
    still receive protection from lawsuits -- they really aren't for
    consumers.

    Yet another factor is that casual riders and commuters who wear helmets
    seldom adjust them properly. You often see them with straps hanging lose
    or the helmet pushed back on the forehead. Of course these aren't going
    to offer the same protection as a properly fitted and worn helmet that
    is typical on the avid cyclist. Stores that sell cheap helmets seldom
    have the staff to explain helmet fitting or take the 10-15 minutes
    needed to get them dialed in. Again, the data doesn't account for this.

  6. Peter Clinch said:


    Though understandable, if this had any useful effect then you'd think
    the Dutch would be /very/ keen on helmets since so many people cycle in
    NL and of course the kids learning are just as susceptible to falls as
    those in any other country. But in actuality you see very few Dutch
    kids in helmets and similarly unconcerned parents, and the lowest rates
    of head injuries you'll find anywahere. So why is it an issue
    elsewhere? Paranoia, or are the laws of physics really different
    outside NL to in it?

    In the time before I educated myself about helmets, our two children did
    a school exchange with two Dutch families. We insisted they wore
    helmets for the many cycle trips they did with their Dutch hosts. The
    hosts were very accommodating but the parents found it very difficult to
    comprehend why we felt it was necessary. None of them or their children
    wore helmets when cycling or saw even the slightest need to. I've since
    learnt that we were the ones with the odd ideas, not them.

    --
    Tony

    "The best way I know of to win an argument is to start by being in the
    right."
    - Lord Hailsham

  7. Dave said:

    I can understand cyle hirers, competition and event organisers making a
    ruling on helmets as surely a good lawyer will argue hard for their client
    either way - and I would guess that it would be difficult to prove either
    way but organisers have to be seen to be doing something. Advising someone
    is not considered good enough by a court.

    In this case, since, as you say, a good lawyer could argue either way,
    the choice should be left to the participant. Otherwise they could
    sue if an injury were exacerbated by a helmet they were forced to wear.

    Enforcing use of safety gear is only right if it is provable that
    there is a genuine benefit, on average. This cannot be proved with
    cycle helmets. It is not necessary to prove that there is always a
    benefit. Enforcing non-wearing of helmets would be equally wrong.

    Colin McKenzie

    --
    In Britain, there is less justification for wearing cycling helmets
    than there is for wearing walking helmets.

  8. Quoted message said:

    Are there many Ford F-150 trucks driven by rednecks who dislike cyclists
    in the Netherlands? Lots of 'em here in the western and southern US,
    sometimes known to toss things at riders or play chicken.

    And is a wobbly kid wearing a helmet going to survive any better
    when hit by a Ford F-150 piloted by said redneck?

    Quoted message said:

    mountains, we also get lots of gaper tourists, often in big RVs, who
    aren't paying attention for cyclists. Our roads often have potholes,
    frost heaves, and sand along the edges. Not having been there, my
    impression is the Dutch are so cycling aware that their roads are indeed
    safer.

    Again, how is this relevant to a kid learning to ride supervised by
    a parent who's put a lid on them?

    Quoted message said:

    Unfortunately, the studies you bring up fail to distinguish between
    commuting cyclists in and near towns versus serious road and mountain
    bikers.

    Which would be why, had you bothered following the flame war, you'd
    have noticed that nobody's been saying it's pointless for a MTBer
    to wear a hat.

    Quoted message said:

    Also factor in that the helmet standards in Europe are weaker than
    elsewhere.

    But if you factor in that not wearing one at all does not cause one
    any particularly great degree of harm, and that those accidents
    that do happen are not especially productive of head injuries to
    start with, then you can see that wearing a helmet of any standard
    for the utility cyclist is irrelevant. If I'd been wearing a Magic
    Hat That Prevented All Injuries over my cycling career I'd not be
    any more alive than I am today.

    Pete.
    --
    Peter Clinch Medical Physics IT Officer
    Tel 44 1382 660111 ext. 33637 Univ. of Dundee, Ninewells Hospital
    Fax 44 1382 640177 Dundee DD1 9SY Scotland UK
    net [email hidden] http://www.dundee.ac.uk/~pjclinch/

  9. Quoted message said:
    Peter Clinch said:

    So why is it an issue
    elsewhere? Paranoia, or are the laws of physics really different
    outside NL to in it?

    Are there many Ford F-150 trucks driven by rednecks who dislike cyclists
    in the Netherlands? Lots of 'em here in the western and southern US,
    sometimes known to toss things at riders or play chicken. Riding in the
    mountains, we also get lots of gaper tourists, often in big RVs, who
    aren't paying attention for cyclists. Our roads often have potholes,
    frost heaves, and sand along the edges. Not having been there, my
    impression is the Dutch are so cycling aware that their roads are indeed
    safer.

    The CSPC standards are designed to protect against redneck-driven
    pickups and dopey tourist driven RV's? Where can I get one of these
    magic vhicle deflector beanies?

    Or maybe I can interest you in this cardboard bullet proof vest?

    ...d

  10. Quoted message said:

    Our roads often have potholes,
    frost heaves, and sand along the edges.

    Why on earth would you be cycling down the edge of such a road? Good
    practice is that you adopt the secondary or primary position, rather
    than skulk along the gutter.

    R.

  11. Peter Clinch said:
    Quoted message said:

    Are there many Ford F-150 trucks driven by rednecks who dislike cyclists
    in the Netherlands? Lots of 'em here in the western and southern US,
    sometimes known to toss things at riders or play chicken.

    And is a wobbly kid wearing a helmet going to survive any better
    when hit by a Ford F-150 piloted by said redneck?

    Sure, when they're run off the road into a ditch. Heck if they get hit
    by a Smart car, the bike might win ;-) We Am'rcuns like our vehicles BIG
    and we drive like we own the road.

    Quoted message said:
    Quoted message said:

    mountains, we also get lots of gaper tourists, often in big RVs, who
    aren't paying attention for cyclists. Our roads often have potholes,
    frost heaves, and sand along the edges. Not having been there, my
    impression is the Dutch are so cycling aware that their roads are indeed
    safer.

    Again, how is this relevant to a kid learning to ride supervised by
    a parent who's put a lid on them?

    What's the biggest hill in that entire country? Said kid has to peddle
    to attain any speed so they are self-limiting. And a country the size of
    a postage stamp can take better care of its roads than one that's half a
    continent. They don't have pointless war to finance either, priorities
    you know.

    Quoted message said:
    Quoted message said:

    Unfortunately, the studies you bring up fail to distinguish between
    commuting cyclists in and near towns versus serious road and mountain
    bikers.

    Which would be why, had you bothered following the flame war, you'd
    have noticed that nobody's been saying it's pointless for a MTBer
    to wear a hat.

    Like the studies, those wars seldom make the distinction between types
    of riding. Usually just labeling all helmets as useless, end of story.
    Always the same people singing the same song so this war is the same as
    the ones last year, and the year before, and....

    Quoted message said:
    Quoted message said:

    Also factor in that the helmet standards in Europe are weaker than
    elsewhere.

    But if you factor in that not wearing one at all does not cause one
    any particularly great degree of harm, and that those accidents
    that do happen are not especially productive of head injuries to
    start with, then you can see that wearing a helmet of any standard
    for the utility cyclist is irrelevant.

    Well they don't cause additional harm by wearing them -- risk
    compensation has yet to be proven a significant factor for cycling
    helmets. Beyond that, the weakness and bias of all the research to date
    makes it impossible to draw useful conclusions on effectiveness. Anyone
    who uses a helmet as an excuse for not riding will find some other
    equally lame excuse to drive their car.

  12. Quoted message said:

    Well they don't cause additional harm by wearing them

    A demonstrably false assertion.

    Even if you dismiss (by assertion) the plausible mechanisms involving
    risk compensation and diffuse axonal injury, for example, and dismiss
    (by assertion) the Rogers study which showed that helmet wearers were
    positively correlated with increased injury and death rates, you are
    still left with incidents such as those described here:

    http://www.cpsc.gov/cpscpub/prerel/prhtml99/99065.html

    R.

  13. Per Richard:

    Quoted message said:
    Quoted message said:

    Our roads often have potholes,
    frost heaves, and sand along the edges.

    Why on earth would you be cycling down the edge of such a road? Good
    practice is that you adopt the secondary or primary position, rather
    than skulk along the gutter.

    If "secondary or primary position" means riding in the same place that many
    people are driving 15-20 mph over the speed limit while talking on cell phones,
    doing email on Blackberries, or text messaging... I think I may know the reason
    why.
    --
    PeteCresswell

  14. (PeteCresswell) said:

    Per Richard:

    Quoted message said:
    Quoted message said:

    Our roads often have potholes,
    frost heaves, and sand along the edges.

    Why on earth would you be cycling down the edge of such a road? Good
    practice is that you adopt the secondary or primary position, rather
    than skulk along the gutter.

    If "secondary or primary position" means riding in the same place that many
    people are driving 15-20 mph over the speed limit while talking on cell phones,
    doing email on Blackberries, or text messaging... I think I may know the reason
    why.

    Fear of being rear-ended? In fact, that sort of crash comprises only
    about 2% of crashes. By being more visible, by making drivers think
    about overtaking you rather than sweeping past without a thought, by
    giving yourself two escape routes rather than one, by keeping further
    away from the gutter full of broken glass and sand, by keeping further
    away from the sidewalks where pedestrians occasionally wander out
    unexpectedly, you are in fact safer than if you skulk in the gutter.
    But don't take my word for it, read "Cyclecraft", published by a branch
    of the UK government and written by an expert authority.

    R.

  15. In article <[email hidden]>, [email hidden]
    says...

    Quoted message said:
    Quoted message said:

    Well they don't cause additional harm by wearing them

    A demonstrably false assertion.

    Even if you dismiss (by assertion) the plausible mechanisms involving
    risk compensation and diffuse axonal injury, for example, and dismiss
    (by assertion) the Rogers study which showed that helmet wearers were
    positively correlated with increased injury and death rates, you are
    still left with incidents such as those described here:

    http://www.cpsc.gov/cpscpub/prerel/prhtml99/99065.html


    It may be false, but it's not demonstrably false. The studies showing
    correlations between increased injury and death rates don't demonstrate
    whether riding while wearing a helmet is safer or less safe than cycling
    bareheaded. Those who cite studies on either side of this question as
    demonstrations of a causal relationship are grasping.

    Likewise, there are many anecdotes on both sides of the helmet debate,
    and they're equally tantalizing but not conclusive.

    About all one can glean from the stats is that, on average, mandatory
    helmet laws haven't yielded the hoped-for result. To extrapolate those
    studies to the question of whether you or I am safer with or without a
    helmet takes the data somewhere it isn't suited to go.

    Rick

  16. Espressopithecus (Java Man) said:

    About all one can glean from the stats is that, on average, mandatory
    helmet laws haven't yielded the hoped-for result. To extrapolate those
    studies to the question of whether you or I am safer with or without a
    helmet takes the data somewhere it isn't suited to go.

    Oy! You there! Is it not written "thou shalt not speak rationally
    in a religious war"?

    My contribution to the poll: an accident described at
    http://groups.google.com/group/uk.rec.cycling/browse_thread/thread/2a8da89c01427b3/1c0a24a3788497af

    --
    not me guv

  17. in message <[email hidden]>, (PeteCresswell)

    (') said:

    Per Richard:

    Quoted message said:
    Quoted message said:

    Our roads often have potholes,
    frost heaves, and sand along the edges.

    Why on earth would you be cycling down the edge of such a road? Good
    practice is that you adopt the secondary or primary position, rather
    than skulk along the gutter.

    If "secondary or primary position" means riding in the same place that
    many people are driving 15-20 mph over the speed limit while talking on
    cell phones, doing email on Blackberries, or text messaging...

    Which is precisely why you want to be in the centre of their vision and
    not its periphery; and also why you want to have two or three metres of
    safe clear pavement on your inside to dive into when idiots do get too
    close.

    --
    [email hidden] (Simon Brooke) http://www.jasmine.org.uk/~simon/

    ;; All in all you're just another hick in the mall
    -- Drink C'lloid

  18. in message <[email hidden]>,

    Espressopithecus (Java Man) (') said:

    It may be false, but it's not demonstrably false. The studies showing
    correlations between increased injury and death rates don't demonstrate
    whether riding while wearing a helmet is safer or less safe than
    cycling
    bareheaded. Those who cite studies on either side of this question as
    demonstrations of a causal relationship are grasping.

    That, of course, is true.

    The truth is that we don't know whether, net, wearing a helmet has any
    safety benefit. As you indicate, the population scale data implies the
    opposite, but as you also indicate, there are so many confounding
    factors that it isn't easy to draw clear conclusions.

    There probably are circumstances in which wearing a helmet is beneficial,
    but

    (i) we don't know what they are, and
    (ii) there is a strong implication in the data that if there are, there
    are circumstances at least as common where helmet wearing is actually
    harmful.

    Insisting people wear helmets when cycling is like insisting people wear
    parachutes when flying. Occasionally, it may save a life (the air
    hostess who got sucked out of a hole in the side of a 747 bound for
    Hawaii, for example, or some of the people at Lockerbie). Most of the
    time, it's just a bloody nuisance.

    --
    [email hidden] (Simon Brooke) http://www.jasmine.org.uk/~simon/

    ;; All in all you're just another nick in the ball
    -- Think Droid

  19. Quoted message said:

    Sure, when they're run off the road into a ditch.

    Not a very common source of death, riding into ditches. Helmets are
    only specified to tackle minor impacts, not the flavour that cause
    death. Look at the specs if you don't believe that.

    Quoted message said:
    Quoted message said:
    Quoted message said:

    mountains, we also get lots of gaper tourists, often in big RVs, who
    aren't paying attention for cyclists. Our roads often have potholes,
    frost heaves, and sand along the edges. Not having been there, my
    impression is the Dutch are so cycling aware that their roads are indeed
    safer.


    Again, how is this relevant to a kid learning to ride supervised by
    a parent who's put a lid on them?

    What's the biggest hill in that entire country? Said kid has to peddle
    to attain any speed so they are self-limiting.

    You haven't actually answered my question. Kids learning under parental
    supervision won't be breaking the sound barrier, ands if they did then
    it's still the case that helmets are only specified for low speed
    impacts. Add a lot more energy and they suffer brittle failure which
    absorbs very little energy.

    Quoted message said:

    Like the studies, those wars seldom make the distinction between types
    of riding.

    That's odd, studies I've read (for example, Hewson's) make a very
    particular point of distinguishing exactly where the data comes from
    (roads, mostly) and how that means they're not much use for those places
    it doesn't come from. And similarly, helmet sceptics in flame wasr are
    generally quite careful to put definite limits on what they say, as
    you'd realise if you followed them properly.

    Quoted message said:

    Well they don't cause additional harm by wearing them

    What is your basis for that comment?

    Quoted message said:

    risk compensation has yet to be proven a significant factor for cycling
    helmets.

    And has yet to be disproved. You can't just assume no additional harm
    as a default without evidence and retain any credibility.

    Quoted message said:

    Beyond that, the weakness and bias of all the research to date
    makes it impossible to draw useful conclusions on effectiveness.

    That works both ways, and also works for possible harm they could cause.
    So in that case it makes little sense to promote them as a Good Thing.

    Quoted message said:

    who uses a helmet as an excuse for not riding will find some other
    equally lame excuse to drive their car.

    So in that case how come cycling has dropped significantly in the wake
    of any enforced MHL?

    Pete.
    --
    Peter Clinch Medical Physics IT Officer
    Tel 44 1382 660111 ext. 33637 Univ. of Dundee, Ninewells Hospital
    Fax 44 1382 640177 Dundee DD1 9SY Scotland UK
    net [email hidden] http://www.dundee.ac.uk/~pjclinch/

  20. Espressopithecus (Java Man) said:

    In article <[email hidden]>, [email hidden]
    says...

    Quoted message said:
    Quoted message said:

    Well they don't cause additional harm by wearing them

    A demonstrably false assertion.

    Even if you dismiss (by assertion) the plausible mechanisms involving
    risk compensation and diffuse axonal injury, for example, and dismiss
    (by assertion) the Rogers study which showed that helmet wearers were
    positively correlated with increased injury and death rates, you are
    still left with incidents such as those described here:

    http://www.cpsc.gov/cpscpub/prerel/prhtml99/99065.html

    It may be false, but it's not demonstrably false.

    I take it you didn't bother to look at the URL. [email hidden]
    asserted "[helmets] don't cause additional harm by wearing them." The
    URL notes two cases where a child died strangled by their own helmet.
    Thus, the assertion is demonstrably false.

    R.

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