Are Risk-Taking and Ski Helmet Use Associated with an ACL Injury in Recreational Alpine Skiing?
ACL injury
alpine skiing
risk compensation
risk factor
risk-taking
ski helmet
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
26 08 2019
26 08 2019
Historique:
received:
31
07
2019
revised:
12
08
2019
accepted:
16
08
2019
entrez:
29
8
2019
pubmed:
29
8
2019
medline:
23
1
2020
Statut:
epublish
Résumé
According to the risk compensation hypothesis, the use of a ski helmet might provide a false sense of security, resulting in a riskier behavior by skiing faster or more aggressively, which might lead to an increased injury risk. Injury of the anterior cruciate ligament (ACL) is a common diagnosis in downhill skiers. Thus, the aim of the study was to evaluate the potential impact of risk-taking and ski helmet use on ACL injury risk in recreational skiing. Eighty-two ACL injured and 446 uninjured skiers with a mean age of 37.3 ± 11.9 years (52% females) were surveyed during the winter season 2018/19 about age, sex, self-reported risk-taking behavior, self-reported skill level, perceived speed, and ski helmet use. Multiple regression analysis revealed that older age (OR: 1.3, 95% CI: 1.2-1.4), riskier behavior (OR: 5.4, 95% CI: 2.8-10.5), and lower skill level (OR: 6.7, 95% CI: 3.4-13.3) were found to be factors associated with ACL injury, while ski helmet use was not. In conclusion, no support for the risk compensation hypothesis was found with regard to ACL injuries. Therefore, we doubt that ski helmet use increases the risk for ACL injury and recommend wearing a ski helmet due to reported protective effects.
Identifiants
pubmed: 31455037
pii: ijerph16173107
doi: 10.3390/ijerph16173107
pmc: PMC6747234
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Déclaration de conflit d'intérêts
The authors declare no conflict of interest the results.
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