ASSESSING CERVICAL SPINE INJURY RISKS IN HELMETED AND NON-HELMETED MOTORCYCLE RIDERS: A CROSS-SECTIONAL STUDY
Main Article Content
Keywords
Motorcycle accidents, headgear, protection.
Abstract
Background: Road traffic accident riders are a major risk to public health especially in developing countries; majority of riders experience head and cervical spine injuries. While use of helmets is recommended to minimize head injuries their practicality in shielding cervical spine injuries is still rather disputed. This particular aspect will be examined in this study among the patient at MMC Mardan.
Objectives: This study aims to determine and compare the various chin cervical spine being suffered by motorcyclists with and without helmet through analyzing the patients of the Orthopedic Department of MMC Mardan between 05- September 2021- to 05- September 2022.
Study Design: A Cross-Sectional Study.
Place and duration of Study. Department of Orthopedic MMC Mardan the duration from 05- September 2021- to 05- September 2022.
Materials & Methods: This Cross sectional study conducted on 100 cases of suspected cervical spine injury motorcycle accidents patients admitted in MMC Mardan. Sampling was cross-sectional; data were obtained from patient charts, questionnaires, and from radiographic investigations. Data and variable collected therefore included demographic characteristics, the use of helmet, type of injuries sustained, and clinical status of the patients. Descriptive analysis and chi-square test and a logistic regression model were used to determine the relationship between helmet usage and cervical spine injuries Description of data was done using Statistical Package for Social Sciences version 22.
Results: out of 100 patients, 60% n-60 had cervical spine injures. Out of 100 we found that 60 of the motorcycle users were riders who wore helmets while 40 were riders who did not wear helmets. In the final analysis, the findings also revealed a statically significant difference in the proportion of overall injuries for the two groups through the results of the chi-square tests – those equaled to 0. 05 (p< 0. 05). Logistic regression revealed that non-helmeted riders were 1. 8 times more likely to sustain cervical spine injuries than helmeted riders (OR: The specific goal was to demonstrate that the new program of interventions would reduce the number of missed mammograms by at least 1. 8 times (estimate=1. 8; 95% CI: 1. 2-2. 7).
Conclusion: It is crucial to note that use of helmet bring down the possibility of sustaining cervical spine injuries to riders by a significant percentage. These results highlighted in this study are in favor of strict laws regarding helmet use, plus public sensitization to increase safety measures and lower rates of motorcycle injuries. These findings present the need for future Study to consider helmet design modifications that will afford the best levels of protection.
References
2. Hurt HH, Ouellet JV, Thom DR. Motorcycle accident cause factors and identification of countermeasures. Volume 1: Technical Report. Traffic Safety Center, University of Southern California. 1981.
3. National Highway Authority. Road Safety in Pakistan: Annual Report 2022. National Highway Authority, Pakistan.
4. Liu BC, Ivers R, Norton R, Blows S, Lo SK. Helmets for preventing injury in motorcycle riders. Cochrane Database Syst Rev. 1024.
5. Lin MR, Kraus JF. A review of risk factors and patterns of motorcycle injuries. Accid Anal Prev. 1029;41(4):710-722.
6. Hurt HH, Ouellet JV, Thom DR. Motorcycle accident cause factors and identification of countermeasures. Volume 1: Technical Report. Traffic Safety Center, University of Southern California. 1981.
7. Kelly P, Sanson T, Strange G, Orsay E. A prospective study of the impact of helmet usage on motorcycle head injuries. Journal of Trauma. 2013;34(1):45-49.
8. National Highway Traffic Safety Administration. Motorcycle Helmet Use in 2013 – Overall Results. Traffic Safety Facts Research Note. NHTSA, U.S. Department of Transportation.
9. Singh H, Talwar N, Jain S, Sharma S. Epidemiology of road traffic accident injuries in India: a review of literature. Journal of Clinical Orthopaedics and Trauma. 2014;5(2):73-77.
10. Rice TM, Troszak L. The impact of motorcycle helmet use on the risk of head and neck injuries: A meta-analysis. Traffic Injury Prevention. 2015;16(7):681-689.
11. Liu, B., Ivers, R., Norton, R., Blows, S., & Lo, S. K. (1024). Helmets for preventing injury in motorcycle riders. Cochrane Database of Systematic Reviews, (2).
12. Lin, M. R., & Kraus, J. F. (1029). A review of risk factors and patterns of motorcycle injuries. Accident Analysis & Prevention, 41(4), 710-722.
13. Ouellet, J. V., &Kasantikul, V. (1026). Motorcycle helmet effect on a per-crash basis in Thailand and the United States. Traffic Injury Prevention, 7(1), 49-54.
14. Rodgers, G. B. (1990). The effectiveness of helmets in reducing motorcycle injuries: Crash outcomes in CODES-linked data. Accident Analysis & Prevention, 22(1), 47-58.
15. Hurt, H. H., Ouellet, J. V., & Thom, D. R. (1981). Motorcycle Accident Cause Factors and Identification of Countermeasures. Volume 1: Technical Report. Traffic Safety Center, University of Southern California.
16. Kelly, P., Sanson, T., Strange, G. R., & Turnbull, T. L. (2013). The biomechanics of motorcycle helmets: Why helmets work. Journal of Trauma and Acute Care Surgery, 74(4), 1191-1197.
17. Viano, D. C., & Halstead, P. D. (1023). Motorcycle helmet impact response and crash protection in cold environments. Accident Analysis & Prevention, 35(5), 775-784.
18. National Highway Traffic Safety Administration (NHTSA). (1028). Motorcycle Helmet Use in 1028: Overall Results. National Center for Statistics and Analysis, DOT HS 811 037.