4.7 Review

The effectiveness of different types of motorcycle helmets-A scoping review

Journal

ACCIDENT ANALYSIS AND PREVENTION
Volume 154, Issue -, Pages -

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.aap.2021.106065

Keywords

Helmet; Effectiveness; Motorcycle; Trauma; Injury

Funding

  1. Sina Trauma and Surgery Research Center [98-01-38-41641]

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The research indicates that full-face helmets may provide better protection for motorcycle riders' head and facial injuries compared to open-face and half-coverage helmets, but there is insufficient evidence for superior neck protection among these three helmet types. The retention system and fixation status of helmets are important factors affecting the risk of head and brain injury in motorcyclists.
Background: Protective helmets may reduce the risk of death and head injury in motorcycle collisions. However, there remains a large gap in knowledge regarding the effectiveness of different types of helmets in preventing injuries. Objective: To explore and evaluate the effectiveness of different types of motorcycle helmets; that is the association between different helmet types and the incidence and severity of head, neck, and facial injuries among motorcyclists. Also, to explore the effect of different helmet types on riders. Methods: A systematic search of different scientific databases was conducted from 1965 to April 2019. A scoping review was performed on the included articles. Eligible articles were included regarding defined criteria. Study characteristics, helmet types, fixation status, retention system, the prevention of injury or reduction of its severity were extracted. Results: A total of 137 studies were included. There was very limited evidence for the better protection of full-face helmets from head and facial injury compared to open-face and half-coverage helmets. There was however scarce evidence for the superiority of a certain helmet type over others in terms of protection from neck injury. The retention system and the fixation status of helmets were two important factors affecting the risk of head and brain injury in motorcyclists. Helmets could also affect and limit the riders in terms of vision, hearing, and ventilation. Multiple solutions have been discussed to mitigate these effects. Conclusion: Full-face helmets may protect head and face in motorcycle riders more than open-face and halfcoverage helmets, but there is not enough evidence for better neck protection among these three helmet

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