<p>This is for all those who don’t think they need to wear helmets just crusing along the bike paths or when going at slow speeds or whatever your excuses…I go really crazy when I see adults riding bikes with kids…Kids have helmets on (cause it’s the law and we protect our kids) but the adults don’t wear a helmet.</p>
<p>Statistics and stories are helpful, but the reality of TBI (traumatic brain injury) are far worse and the real life issues faced by survivors are way more powerful. Having seen a lot of TBI in my career, I sometimes think that surviving can be a much more horrendous outcome than not surviving at all…not that I wish death on anyone, but TBI destroys lives and families. </p>
<p>I am a speech-language pathologist who worked for 20 years in a TBI rehab unit. You don’t need to be going fast to have permanent and life-altering cognitive and/or physical deficits from a “bump” on the head.</p>
<p>Imagine a ping pong ball in a small jar of water. Give the jar one sharp shake and watch the ball. It goes back and forth banging against the sides of the jar. That is your brain inside your skulll floating in its fluid. The “brain” keeps going even when the shake stops hitting the sides of the jar repeatedly. Now imagine the inside of the jar has sharp ridges and the ball is more like a thin balloon. Each time the balloon hits a ridge, small scratches and dents occur on the balloon and maybe even pop it. That is more realistic. The inside of your skull is not smooth and the brain develps mircro-abrasions and bleeds. It doesn’t take a hard crash to cause problems; just the right angle or intensity at a critical part of the brain.</p>
<p>Now the sad part is, that the older the brain, the harder and less successful the recovery. “Older” for brains is over the age of about 25. So the laws that require helmets only to age 18 are stupid. The worst injuries occur in middle age and older adults which is why simple falls in the elderly can be catastrophic. </p>
<p>Here are some examples of no-helmet TBI: 40 year old film industry executive, walking down the street, hit on the head by a wayward golf ball; knocked to the ground. Physically, no long term deficits; Cognitively - unable to sustain attention or remember new information easily. Unable to return to work for months and when he does, he has significant issues.</p>
<p>2 bike riders, crusing the beach bike trail; Mom pushing a stroller gets in the way; bikes tangle (remember…going slowly); one falls sideways whacking his head on the concrete (so the fall is about 5 feet at about 5 miles per hour);
injured person (age 22 - UCLA college student) ends up with right sided hemiparesis (weak arm and leg) and severe word finding problems with some problems with comprehension, reading and writing. He eventually returns to (community) college in a disabled students program with resource and tutoring help. </p>
<p>As for the motorcycle and bicycle accidents at high speeds (even with helmets), the TBI symptoms are far worse. Whenever the person was wearing a helmet, there is no doubt that the outcome would have been horendous had she/he not had on a helmet. This applies to skateboards, rollerblades and other on-road activities.</p>