ArticleInternational journal of environmental research and public health2019
Are Risk-Taking and Ski Helmet Use Associated with an ACL Injury in Recreational Alpine Skiing?
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed, 21 citations in OpenAlex.
- Associated factors, nonlinear risk patterns and effect heterogeneity of severe injuries in recreational skiers and snowboarders.Frontiers in public health · 2026Article
- Impact of back protectors on spinal injuries in alpine winter sports: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Skill-Specific Differences in Equipment-Related Risk Factors for ACL Injury in Male and Female Recreational Skiers.Orthopaedic journal of sports medicine · 2023Article
- Association of personal and equipment-related factors on ACL injury risk in alpine skiers with cautious or risk-taking behaviour: A case-control study.AIMS public health · 2023Article
- Estimating skills level in recreational skiing: Development and validation of a practical multidimensional instrument.Scandinavian journal of medicine & science in sports · 2023Article
- A Comparison of ACL Injury Risk, Ski Geometry and Standing Height Parameters between Skiers with Rented and with Owned Skis.International journal of environmental research and public health · 2022Article
- Gender differences in snowboarding accidents in Austria: a 2005-2018 registry analysis.BMJ open · 2021Article
- Protections in the Recreational Practice of Ski and Snowboard-An Age and Gender Discussion? A Case Study in Spain.Journal of functional morphology and kinesiology · 2021Article
- Editorial on the Special Issue on "Mountain Sports Activities: Injuries and Prevention".International journal of environmental research and public health · 2021Article
- Psychological Variables Related to Developmental Changes during Adolescence-A Comparison between Alpine and Non-Alpine Sport Participants.International journal of environmental research and public health · 2020Article
- Are high school girls' lacrosse players at increased risk of concussion because they are not allowed to wear the same helmet boys' lacrosse players are required to wear?Injury epidemiology · 2020Article
- Mortality in Different Mountain Sports Activities Primarily Practiced in the Winter Season-A Narrative Review.International journal of environmental research and public health · 2019Review
- Injury-Related Behavioral Variables in Alpine Skiers, Snowboarders, and Ski Tourers-A Matched and Enlarged Re-Analysis.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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Registered trials
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