Protect your Noggin!

Helmets serve as crucial safeguards for our brains, shielding them from concussions and traumatic brain injuries (TBI) [1]. A concussion, a specific type of TBI, occurs when the brain undergoes rapid movement within the skull, leading to chemical and physical changes that impair brain function [2]. This can result from direct impacts, sudden acceleration-deceleration forces, or exposure to significant blasts. It is unknown how hard you have to hit your head to develop a concussion. There is not a single test that is used to diagnose a concussion. Clinicians rely on performing physical exams to check balance and coordination while cognitive tests evaluate your ability to recall information, solve problems, and concentrate [3]. However, it is most important for you to self report any changes in your mood or physical abilities following a fall. Symptoms of concussions can vary widely, from amnesia to nausea and vision disturbances, and in severe cases, these symptoms may persist permanently [3].

While helmets play a pivotal role in mitigating the risk of serious head injuries, they are not foolproof. They work by absorbing a portion of the energy generated by an impact. However, they cannot entirely prevent concussions because, even with the protection of a helmet, the brain continues to move inside the skull at the same velocity upon impact.

It's crucial to recognize that not all helmets are created equal. Each is meticulously designed for its intended use, whether it's cycling, skateboarding, or participating in contact sports like football or baseball. Regulatory bodies, such as the Department of Transportation for motorized vehicles or the National Operating Committee on Standards for Athletic Equipment for contact sports, establish stringent guidelines for helmet design and testing to ensure optimal protection.

Moreover, the fit of a helmet is paramount [4]. Wearing a helmet of the wrong size significantly reduces its effectiveness in absorbing impacts. An oversized helmet may slip off upon impact or allow excessive movement of the head within it, diminishing its protective capabilities. Conversely, a helmet that's too small lacks sufficient padding to cushion the head adequately.

It's essential to recognize that helmets have a finite lifespan. Over time, normal wear and tear, including scratches and minor impacts, can compromise the helmet's protective integrity. The internal padding may degrade, reducing its ability to absorb impacts effectively. Therefore, it's imperative to regularly inspect helmets for signs of damage and replace them as needed to ensure ongoing protection.

While the idea of not wearing a helmet might seem tempting at times, especially when you're in a rush or want to feel the wind in your hair, the risks far outweigh any momentary convenience or thrill. Without a helmet, you're exposing yourself to significant danger. A single fall or collision could result in a traumatic brain injury or even death. The consequences of such an injury can be life-altering, affecting not only your physical health but also your cognitive abilities, emotions, and quality of life.

Furthermore, wearing a helmet doesn't just protect you; it sets a positive example for others, especially younger children who look up to you. By consistently wearing your helmet, you're demonstrating responsible behavior and reinforcing the importance of safety to those around you.

So, the next time you're tempted to skip the helmet, remember that your safety and well-being are worth far more than a few moments of convenience. Take the extra minute to put on your helmet, and enjoy your activities with the peace of mind knowing that you've taken an important step to protect yourself.

References:

1. Thompson, D.C. et al. (1999) Helmets for preventing head and facial injuries in bicyclists. Cochrane Database Syst. Rev. 1999, CD001855

2. Tator, C.H. (2013) Concussions and their consequences: current diagnosis, management and prevention. CMAJ Can. Med. Assoc. J. 185, 975–979

3. Graham, R. et al. (2014) Concussion Recognition, Diagnosis, and Acute Management. In Sports-Related Concussions in Youth: Improving the Science, Changing the Culture, National Academies Press (US)

4. Choose the Right Motorcycle Helmet | NHTSA[Online]. Available: https://www.nhtsa.gov/motorcycle-safety/choose-right-motorcycle-helmet. [Accessed: 22-Feb-2024]

Edited by Alexandra Fink

Trevonn Gyles

Trevonn graduated from Morehouse College with a B.S. in Biology. At Mount Sinai he is in the lab of Dr. Eric Nestler studying stress resilience and depression. Outside of the lab, Trevonn enjoys snowboarding, reading, and traveling.

https://twitter.com/GylesTrevonn
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