title: [Bicycle spoke injuries in children: accident details and consequences].
abstract: OBJECTIVE
  To describe the accident details and the effects of bicycle-spoke accidents on the physical and psychosocial functioning of children.
  
  
  METHODS
  Retrospective, descriptive.
  
  
  METHODS
  The parents of 87 children aged between 1-12 who came to the central casualty department at the Groningen University Hospital with bicycle-spoke injuries during the period 1 January 1998 to 31 October 1999, were asked to complete a questionnaire on the accident details, the quality of life and the functional health status (behaviour) of their child in January 2000.
  
  
  RESULTS
  Eighty-seven children fulfilled the inclusion criteria: 44 boys and 43 girls, with a mean age of 4.4 years (SD: 1.6, range: 1.4-10.2). Fifty-nine parents filled out the questionnaire (68%). A quarter of the children had been transported in a bicycle-seat (25%) and half of the children (51%) were seated on the carrier without any foot supports. Twenty-four percent of the bicycles were equipped with unbroken coat guards. The younger children (1-5 years of age) had significantly lower scores regarding motor functioning compared with the reference group (p < 0.001). The study population did not have significantly lower scores for the other quality of life domains compared with the reference groups. Eight parents (14%) attributed behavioural problems to the bicycle-spoke accident.
  
  
  CONCLUSIONS
  Not all children were fully recovered one year after the bicycle-spoke accident. The sequelae included physical as well as behavioural aspects of functioning. The bicycles lacked adequate protective measures.
authors.affiliation: Centrum voor Revalidatie, Academisch Ziekenhuis, Postbus 30.001, 9700 RB Groningen. l.m.sturms@rev.azg.nl
authors.forename: L M
authors.initials: LM
authors.lastname: Sturms
authors.forename: C K
authors.initials: CK
authors.lastname: van der Sluis
authors.forename: H
authors.initials: H
authors.lastname: Snippe
authors.forename: J W
authors.initials: JW
authors.lastname: Groothoff
authors.forename: H J
authors.initials: HJ
authors.lastname: ten Duis
authors.forename: W H
authors.initials: WH
authors.lastname: Eisma
mesh_terms: D000063:Accidents, Traffic / Q000523:psychology; D001642:Bicycling; D002648:Child; D002653:Child Behavior Disorders / Q000453:epidemiology / Q000209:etiology*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009426:Netherlands; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires