“…Regarding the equestrian context, previous studies noted a considerable decrease in both the severity and frequency of head injuries due to an increased use and improved design of protective helmets [ 4 , 10 , 18 , 25 ]. Although an increasing acceptance and awareness regarding the utility of helmets has already been shown, numerous studies report a high number of incidents and very low or inconsistent voluntary use of safety equipment [ 4 , 6 , 7 , 14 , 18 , 19 , 26 , 27 ]. Most studies regarding helmet use report low rates, with fewer than 40% of riders wearing helmets at the time of injury [ 3 , 7 , 9 , 12 , 14 ].…”