Why Do Some Kids Wear Helmets? Medical & Safety Reasons

Children wear helmets for a range of important reasons, extending beyond typical recreational activities and sports. These devices are consistently used to ensure a child’s safety and support their overall well-being.

Helmets for Recreational Activities and Sports

Helmets play a significant role in protecting children from head injuries during recreational activities and sports. They are engineered to absorb impact energy, reducing the force transmitted to the head and brain. This helps mitigate the risk of severe injuries, including concussions and skull fractures.

Activities like biking, skateboarding, and scootering inherently carry a risk of falls and impacts. Helmets for these activities feature a hard outer shell that distributes impact force and an inner liner of expanded polystyrene (EPS) foam. This foam is designed to crush upon impact, dissipating kinetic energy and cushioning the blow to the head.

Winter sports like skiing and snowboarding necessitate helmet use due to high speeds and potential for collisions or falls on hard surfaces. Rollerblading and contact sports (football, ice hockey, and lacrosse) also carry a substantial risk of head trauma. Catchers in baseball wear helmets to protect against fast-moving balls and bats. Helmets for these sports are designed to withstand unique impacts, often incorporating additional padding.

A helmet’s effectiveness depends on its proper fit and adherence to safety standards. A helmet should fit snugly on a child’s head, sit level, and not rock. The chin straps should be securely fastened, allowing only one or two fingers underneath. Many helmet types, such as bicycle helmets, are subject to certification standards like those established by the Consumer Product Safety Commission (CPSC), ensuring they meet rigorous safety performance criteria.

Helmets for Medical and Developmental Reasons

Beyond sports and recreation, children may wear helmets for various medical and developmental reasons, often to protect against injury or to aid in physical development. These specialized helmets, sometimes referred to as cranial orthoses or protective headgear, address specific conditions that increase a child’s vulnerability to head trauma or require skull reshaping. This less common but equally important use of helmets ensures the safety and proper development of children facing unique challenges.

One common medical reason for helmet use in infants is plagiocephaly, a condition characterized by a flat spot on a baby’s head, usually due to prolonged pressure on one area. Cranial orthoses, or “reshaping helmets,” are prescribed to gently guide the growth of the skull into a more symmetrical shape as the baby grows. These helmets apply light, consistent pressure to the prominent areas of the skull while allowing flattened areas to expand, effectively correcting the head shape over several months, typically starting between 3 to 6 months of age and continuing for 3 to 6 months.

In more severe cases, such as craniosynostosis, where one or more of the fibrous sutures in an infant’s skull prematurely fuse, a helmet may be used post-surgically. After surgery to separate the fused skull bones, a custom helmet can help maintain the corrected skull shape and prevent re-fusion, guiding the continued growth of the skull. This post-operative management is crucial for achieving optimal long-term outcomes and ensuring proper brain development.

Children who experience frequent or unpredictable seizures may wear protective helmets to prevent head injuries from falls or impacts. Seizure-related falls can lead to concussions, lacerations, or more serious skull fractures, particularly if the child falls suddenly onto a hard surface. These helmets are typically softer and designed for cushioning, providing a layer of protection against accidental head trauma.

Children with balance or mobility impairments, such as those caused by cerebral palsy, ataxia, or severe developmental delays, may wear helmets due to an increased risk of falls. These conditions can affect coordination and gait, making accidental head impacts more likely during daily activities. The helmets provide a constant layer of protection, reducing the severity of injuries from unexpected tumbles. Helmets are also sometimes used temporarily after certain brain surgeries or head traumas to protect a healing skull or a delicate surgical site from accidental bumps or impacts during recovery.