Compared with cars, motorcycles are an especially dangerous form of travel. The federal government estimates that per mile traveled, the number of deaths on motorcycles in 2006 was about 35 times the number in cars.1 Motorcyclist deaths have been rising in recent years — more than doubling by 2006 from the all-time low in 1997. Motorcycles often have excessive performance capabilities, including especially rapid acceleration and high top speeds. They are less stable than cars in emergency braking and less visible to other motorists. Motorcyclists are more prone to crash injuries than car occupants because motorcycles are unenclosed, leaving riders vulnerable to contact hard road surfaces. This is why wearing a helmet is so important. Helmets are the principal countermeasure for reducing crash-related head injuries, the leading cause of death among unhelmeted riders.2
1 | How effective are helmets?
Helmets decrease the severity of head injuries, the likelihood of death, and the overall cost of medical care. They are designed to cushion and protect riders' heads from the impact of a crash. Just like safety belts in cars, helmets cannot provide total protection against head injury or death, but they do reduce the incidence of both. The National Highway Traffic Safety Administration (NHTSA) estimates that motorcycle helmets reduce the likelihood of crash fatality by 37 percent.2 Norvell and Cummings found a 39 percent reduction in the risk of death after adjusting for age, gender, and seat position.3 Helmets are highly effective in preventing brain injuries, which often require extensive treatment and may result in lifelong disability. In the event of a crash, unhelmeted motorcyclists are three times more likely than helmeted riders to suffer traumatic brain injuries.2 While no real-world crash studies have yet evaluated the effectiveness of novelty helmets or helmets that do not meet federal performance standards in preventing injury or death, recent NHTSA laboratory tests suggest that head injuries are much more likely with these helmets than with US Department of Transportation certified ones.
2 | Are there drawbacks to helmet use?
Claims have been made that helmets increase the risk of neck injury and reduce peripheral vision and hearing, but there is no credible evidence to support these arguments. A study by J.P. Goldstein often is cited by helmet opponents as evidence that helmets cause neck injuries, allegedly by adding to head mass in a crash.5 More than a dozen studies have refuted Goldstein's findings. A study reported in the Annals of Emergency Medicine in 1994 analyzed 1,153 motorcycle crashes in four midwestern states and determined that "helmets reduce head injuries without an increased occurrence of spinal injuries in motorcycle trauma."6
Regarding claims that helmets obstruct vision, studies show full-coverage helmets provide only minor restrictions in horizontal peripheral vision. A 1994 study found that wearing helmets restricts neither the ability to hear horn signals nor the likelihood of seeing a vehicle in an adjacent lane prior to initiating a lane change. To compensate for any restrictions in lateral vision, riders increased their head rotation prior to a lane change. There were no differences in hearing thresholds under three helmet conditions: no helmet, partial coverage, and full coverage. The noise generated by a motorcycle is so loud that any reduction in hearing capability that may result from wearing a helmet is inconsequential. Sound loud enough to be heard above the engine can be heard when wearing a helmet.
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