On Jun 18, 3:22 pm,
cyclin...@gmail.com wrote:
> I'm having a great deal of trouble understanding the anti-helmet stuff going on here.
Well, perhaps you're coming to the discussion a bit late. Have you
read the article in the current _Bicycling_ magazine, mentioning the
increase in concussions with helmet use? Are you aware that the per-
remaining-cyclist brain injury and fatality rates have been seen to
_rise_ when all-ages helmet laws have been implemented and enforced?
Are you aware that (contrary to what "sms" claims) those laws caused
simultaneous and sudden step decreases in the amount of cycling, on
the order of 35%? And are you aware that the risk of brain injury
from cycling is tiny, actually far less (per mile) than that of
walking? Do you understand that bicyclists make up only about 0.6% of
the brain injury fatalities in the U.S.?
> Studies have shown that in-town commuters who generally average something like 5 mph and do not use clipless pedals do not gain an advantage by using helmets.
>
> So what? Are we simple commuters? Most of those on these groups are serious cyclists who average more like 14-15 mph, and higher on flat rides.
For what it's worth: If the helmet propaganda suddenly changed to say
"Enthusiastic mountain bikers and performance-oriented road riders
should wear helmets," I'd consider that still mistaken, but a great
improvement. That's not the spiel, though. Helmet pushers claim that
_everybody_ should wear a helmet every time they ride, even the
"simple commuters," the bike path cruisers, and the kids riding to
their friend's house just 100 yards away.
> As someone who has suffered badly from a head injury I can tell you it's no fun.
I don't doubt that. And yet, the vast majority of serious brain
injuries (let's distinguish those from "head injuries," OK?) have
absolutely nothing to do with bicycling.
As I've mentioned in the distant past, I happened to do a ride with a
young woman whose career was brain injury rehabilitation. She'd been
working at that field full time for seven years. Of course, she
absolutely recommended bike helmets for every ride. But when I asked
about the sources of brain injury in the many patients she'd treated
for many years, she admitted that only ONE was a bicyclist; and "he
was a racer" - meaning, it's extremely likely that he was wearing a
helmet when he was injured.
The special connection between cycling and serious brain injury is
simply fictional. Any dispassionate look at the data, at the source
of brain injury, will show this. Bicycling has _never_ been a
significant source of serious brain injury.
(BTW, we hosted a touring cyclist last night. He rode without a
helmet, and sort of apologized for it, so the subject came up. So I
asked him what percentage of America's head injury fatalities happen
to bicyclists. His guess, like many others I've heard, was "30%?" He
was off by a factor of 50. Again, the correct answer is only 0.6%.
>
> But you have to be able to tell the difference between types of head injuries.
>
> The first type and the kind that helmets have been developed to prevent and for which I have no trouble whatsoever believing at least an 85% prevention rate is skull fractures.
You don't seem to be aware that the "85%" paper (now nearly 25 years
old and _still_ uncorroborated!) was not dealing with skull
fractures. The authors, Thompson & Rivara, classed any injury at all
above the neck as a "head injury." Cut ears were literally listed as
"head injuries" - and indeed, there were fewer scratches to ears in
the kids whose parents had been scared into slapping helmets on them.
That's partly why I say it's time to stop conflating "head injury" and
"brain injury." It's the latter that people are scared of, and the
latter that have caused misled legislators to pass mandatory helmet
laws. It's also the latter that still scare people away from riding
at all.
> The problem is that when helmets were initially developed the real effects of concussions and how such injuries were obtained weren't well known.
>
> So what we're seeing now is that the worse kind of head injuries are in fact being almost completely prevented by helmets and each year they get better for this type of injuries.
Both parts of that sentence are patently false. The worse kind of
head injuries are fatalities; yet despite the tremendous growth in
helmet use since 1980, bike fatalities have not fallen even as fast as
pedestrian fatalities in the U.S. There's no epidemiological evidence
that bike helmets have had any significant effect on bike fatalities -
not surprising, since helmets are certified using only a ludicrously
simple impact test of a disembodied solid magnesium head at just 14
mph.
Furthermore, Paul Scuffham's research team examined the hospital
records of essentially every hospitalized cyclist in his country of
New Zealand, in the years before and immediately after the sudden
surge (up to 90%) in helmet use caused by their impending helmet law.
His research was specifically designed to prove that the percentage
admitted to hospital due to brain injuries would have dropped
sharply. Instead he found the opposite: the great surge in helmet use
had zero detectable benefit. Seems that helmets don't prevent TBI
hospitalizations, either.
Regarding the second part of the sentence, helmets are NOT getting
better at protecting against serious injuries. As the _Bicycling_
magazine pointed out, the helmet standards are ludicrously weak, and
completely static. There is no improvement going on in standards, and
almost all manufacturers are too nervous to do anything innovative.
Instead, what they do (for especially the most expensive, "sporty"
helmets) is shave more and more material, to reduce weight and
increase ventilation while still _barely_ passing the simple 6 foot
drop test and other tests. (Consumer Reports has, over the years,
made it pretty clear that cheap helmets are actually more protective
than expensive ones.)
> Yet the lesser but still very serious kind of injuries are not much effected by present day helmets. Helmets to lessen the effects of concussions CAN be constructed but workable ways of doing it are still in development.
Please, _do_ spread the word on that "not much affected" part! I'd
bet that almost all helmets are bought in the belief that they will
prevent concussion, save lives, or both. They're also bought because
people think simply riding a bike is so horribly dangerous. The
propagandists have done their jobs well, but all those ideas are
false.
> If you don't want to wear a helmet that's fine. But by all means leave a will stating that you willingly rode without a helmet as a protect against those helmet Nazis.
Let's reiterate: In the U.S., roughly 99.4% of brain injury deaths
have nothing at all to do with bicycling. If you're going to make
snarky remarks about those who choose to ride as almost all the
world's cyclists have always ridden and still ride - that is, without
funny foam hats - please snark equally at the other 99.4%, OK?
- Frank Krygowski