Wrist guards: the trialsStrong evidence
In a trial of 5,029 snowboarders randomised to a wrist brace or none, 8 with braces and 29 without injured a wrist, and "No injuries could be related to the use of the wrist brace"; beginners in their first 5 days and riders on rented kit were most at risk. In a trial of 721 riders randomised to a stiffer, longer protector, severe wrist injuries were 1 against 9; 12 riders secretly took theirs off, including the one who was injured, and other injuries didn't rise. Among 2,355 first-time snowboarders, none of the 551 wearing in-line skating guards hurt a wrist, against 2.2% of the rest.
Across 6 studies, guards cut wrist injuries by about three-quarters, fractures by about 70% and sprains by over 80%: one wrist injury prevented for every 50 riders who wear them. A pooled analysis of 55 snow-sport studies agreed.
Sources 5, 6, 67, 4, 11
Do guards just move the break up the arm?Mixed evidence
The trials found no rise in other injuries. In a study of 2,036 injured snowboarders in Quebec, guards cut hand, wrist and forearm injuries by 85%, while the estimate for elbow, upper arm and shoulder injuries was higher but not statistically significant. A 40-year study at a US resort clinic found guards weren't linked with breaks of the forearm bones and concluded they "are not unsafe to wear". The review's authors call for more research.
Sources 68, 69, 4
Which wrist guardMixed evidence
No type or design has been shown to work best, and no standard for snowboard wrist guards was found. In laboratory tests, guards raised the force needed to break a wrist, though common designs absorbed little extra energy. In Australia, the main reason riders gave for not wearing guards was that they didn't see the need. Our suggestion: any guard that fits under or over your gloves and lets you hold the board is better than none, and a guard in your pocket doesn't work.
Sources 70, 71, 72, 28, 62
HelmetsStrong evidence
Across 12 studies, skiers and snowboarders in helmets had about a third lower odds of a head injury (35% lower), 59% lower in studies that included children under 13, and no rise in neck injuries. In 8 Norwegian resorts, helmets went with 60% lower odds of a head injury, and snowboarders had more head injuries than skiers. Ten years of ski patrol records in Quebec found no rise in neck injuries or neck fractures with helmets. The American Academy of Pediatrics says bicycling and snow sports have the strongest evidence that helmets work. These are case-control studies, the usual design for this question, and they agree.
Sources 7, 73, 8, 74, 75
What helmets don't doEmerging evidence
In Norway, the link between helmets and fewer head injuries weakened between 2002 and 2011, though it held better for potentially severe ones. In western Canada, helmet use rose from 69% to 80% without fewer head injuries being reported, but ambulance or helicopter transfers for head injuries halved over a decade, a sign of less severe injuries. Helmets are tested at lower speeds than some real crashes: in World Cup falls, riders' heads hit the snow at 7.0 to 10.5 metres a second, above the strictest test speed of 6.8. In a terrain park, though, most recreational riders went slower than 15 mph. A helmet lowers the risk; it doesn't remove it.
Sources 76, 9, 43, 77, 27
Do helmets make riders take more risks?Mixed evidence
Helmet wearers said they rode slower and challenged themselves less. In one survey, wearing a helmet didn't predict risky riding; in another, it went with slightly more, which the authors judged unlikely to outweigh the protection. Riders who wore helmets only sometimes scored highest for thrill-seeking.
Sources 78, 79, 80, 81
The rules on the slopeStrong evidence
The FIS's 10 rules for conduct, approved by the FIS Congress in 2002:
- Respect for others: don't endanger or prejudice anyone.
- Control your speed and riding: adapt them to your ability, the terrain, the snow, the weather and how busy the run is.
- Choose your route: the rider coming from behind must not endanger those ahead.
- Overtake with enough space for the rider you pass to make any movement, planned or not.
- Look up and down the slope before you join a run, start again or move uphill.
- Don't stop in narrow places or where it's hard to see you; after a fall there, move clear as soon as you can.
- Climb or walk down at the side of the run.
- Respect all signs and markings.
- At an accident, every rider is duty bound to help.
- Exchange names and addresses after an accident, as a witness or a party.
Source 82
Your first daysStrong evidence
First-day riders, beginners in their first 5 days and riders on rented or borrowed kit carry the most risk, and injuries peaked in the first half-day of Austrian school trips. Snowsport England says most beginners hire their kit from the club or centre they visit, which usually includes a snowboard, boots and a helmet, and that dry slopes and indoor snow centres are ideal for beginners. Check that your boots fit snugly, your bindings are set for your stance and your helmet fits, and ask for wrist guards (our suggestion).
Sources 10, 5, 12, 11, 83
LessonsMixed evidence
Lessons help you learn to turn, stop and fall. Whether they prevent injuries hasn't been shown: in one case-control study of first-day skiers and snowboarders in Scotland, people having lessons weren't injured less, and confounding is likely, because the people who book lessons are often the least able. In one series, 93% of injured snowboarders had never had professional lessons, which can't show whether lessons would have helped. Our skiing page reaches the same view.
Sources 10, 38
Soft and hard bootsMixed evidence
In Australia, soft boots went with more ankle injuries and hard boots with more knee and lower leg injuries; in Colorado, hybrid boots went with fewer ankle sprains and soft boots with fewer snowboarder's ankle fractures. The studies are old and disagree, so we don't advise a boot type.
Sources 55, 52
Ankles after a sprain (borrowed)Strong evidence
In other sports, balance training cut repeat ankle sprains: 22% against 33% over a year in a trial of 522 athletes, and by about a third across 7 trials. The FIS experts add that training landings and knee control may reduce harmful knee loading. No snowboard trial has tested either.
Sources 84, 85, 16
What isn't shownMixed evidence
Measures without good evidence in snowboarding:
- A fitness or warm-up programme that prevents snowboarding injuries: none has been tested.
- Back protectors, impact shorts and tailbone pads for recreational riders: no study found.
- Helmets with rotational protection systems: no study in snowboarders found.
- Stretching before riding: across 25 trials in other sports, stretching didn't prevent injuries, while strength training cut them to about a third.
- Balance boards: no study links them with better riding, and a 6-day snowboard course didn't change balance in 17 students.
Sources 86, 87