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AAP Grand Rounds 3:17 (2000) Recommending Bicycle Helmets Is Not Enough: Fit Is ImportantSource: Rivara F, Astley S, Clarren S, et al. Fit of bicycle safety helmets and risk of head injuries in children. Injury Prevention. 1999;5:194197.
To understand why some helmeted individuals sustain head injury with cycling, these authors examined the relationship between helmet fit and risk of injury. A questionnaire was sent to 1,718 helmeted riders who had crashed and sought care for a related injury in 1 of 7 emergency rooms in the Puget Sound area of Washington State 714 days after their emergency room visit inquiring about the circumstances and helmet use. A sample of 28 children 214 years of age who sustained a head injury while wearing a bicycle helmet, and 98 helmeted individuals of
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