Wendy

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Chameleon

Chameleon

New member
That's actually an old study that has been recently updated.

Here is the link with the newer study.

http://pediatrics.aappublications.org/cgi/content/full/124/5/1281

This study reconfirms previous reports that BPB seats reduce the risk for injury in children 4 through 8 years of age by studying a greater percentage of children aged 6 to 8 years than previous studies. After adjustment for potential confounders, children who were aged 4 to 8 and using BPB seats were 45% less likely to sustain injuries than similarly aged children who were using the vehicle seat belt. Among children who were restrained in BPB seats, there was no evidence of a difference in the performance of backless versus high-back boosters. On the basis of these analyses, parents, pediatricians, and health educators should continue to recommend as best practice the use of BPB seats once a child outgrows a harness-based child restraint until he or she is at least 8 years of age.
Click to expand...
 
nevaehsmommy

nevaehsmommy

New member
Ok I am utter confused now. I am doing a paper for school on why a child should use a booster seat and not go straight from 5pt to seat belt. I was going to do a speech on extended rear facing but the teacher said it would step on to many toes. I had already written the paper when she said "no"

So my confusion is this. I read the study top to bottom. My interpretation is that a NBB is no safer than a HBB. If this is true why do we rec. HBB.

I thought it was HBB provide more protection in a crash by limiting the forces on the neck and head. Also I thought I read that it protects the internal organs because of the side of the restraint.
 
Baylor

Baylor

New member
I just don't believe that. I see the study but I really don't believe that a child in a seat belt alone or one in a booster that has some SIP is not better.
 
LISmama810

LISmama810

Admin - CPS Technician
nevaehsmommy said:
Ok I am utter confused now. I am doing a paper for school on why a child should use a booster seat and not go straight from 5pt to seat belt. I was going to do a speech on extended rear facing but the teacher said it would step on to many toes. I had already written the paper when she said "no"

So my confusion is this. I read the study top to bottom. My interpretation is that a NBB is no safer than a HBB. If this is true why do we rec. HBB.

I thought it was HBB provide more protection in a crash by limiting the forces on the neck and head. Also I thought I read that it protects the internal organs because of the side of the restraint.
Click to expand...

Intuitively it seems like a high-back should be better, but we don't have the current studies saying so.

Now, I do believe that a high-back is probably more comfortable (especially for a sleeping kid) and therefore more likely to keep the kid positioned properly.

I don't see how a high-back would do a better job at neck and head forces. As for containing the body (or even the head), some thought is that side-impacts usually have a frontal element, too (getting t-boned going through an intersection), so the kid will likely fly forward of the wings before they can do any good.

Or maybe they really are better and more effective, but we don't have evidence saying so.

Oh, keep in mind, too, that a high-back is better when there's no headrest/vehicle head support. So there's that...
 
nevaehsmommy

nevaehsmommy

New member
Ok. So my main points. I need three.

Children is booster sustain less injury by 45%
Children's bones are to soft, so they need a booster up until puberty
Children tend to fall asleep in the car, high back help keep them in position (purely a play on a parents desire to keep them comfy)

What do you think? If has to be between 3-5 with an intro..body conclusion.
 
monstah

monstah

New member
Baylor said:
... I really don't believe that a child in a seat belt alone or one in a booster that has some SIP is not better.
Click to expand...
Seat belt alone is more risky than any booster.
children who were aged 4 to 8 and using BPB seats were 45% less likely to sustain injuries than similarly aged children who were using the vehicle seat belt.
Click to expand...
It's high back vs. no back that we don't have research regarding the difference in safety.

I can see how a child might be thrown out of the protection of the wings but only if it were latched. Otherwise, (I imagine) the HBB would move with the child. But, maybe that puts more load/force on the child that a low back wouldn't, making it a wash? I don't know. We need more research.
 
nevaehsmommy

nevaehsmommy

New member
This is just so frustrating. Both from a parents perspective and having to write the paper.

As a parent , why would I spend $40-200 on a HBB when statistically a nbb is just as good. And if a HBB is no better then a NBB then why do they sell both?

And as for having to research is is frustrating bc this is an item every child is required to have. Why is there not research.
 
wendytthomas

wendytthomas

Admin - CPST Instructor
Staff member
Well, HBBs can help position the belt better. And some kids are too tall for HBBs. So there are needs for both. Remember, they're *if the child fits well*. If you have a four year old where the seatbelt comes across their face in a backless, or comes out from in front of their bodies, a high back that directs the belt properly would be beneficial.

And there are no studies on side impacts. There are videos, which make me think that in a straight on side impact a high back would be better. But we don't know how much the dummy was injured in those videos. If it was as bad as it looks.

Wendy
 
monstah

monstah

New member
Chameleon said:
That's what is in the new study. The research found there was no evidence regarding the effectiveness between a HBB vs NBB.
Click to expand...

Thank you. That's what I was thinking in my head, not sure why it came out that way... serves me right to post when the kids were asking for juice. ;)
 
nevaehsmommy

nevaehsmommy

New member
mommy-medic said:
What class is it for and why is the teacher censoring your topic that much? Step on too many toes? :scratcheshead:
Click to expand...

Honestly I really have just given up on this class. The teacher is a pain. If she does not want me to write about extended rear facing cool just give a passing grade. It is a communications interaction class.
 
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