Watch all children. Older children should be watched to assure equipment is not misused. The American Academy of Pediatrics recommends that a hard-shelled helmet be worn at all times. 25,000 children are treated in emergency rooms every year as a result of horseback riding injuries. Falls from the horse are the most common cause of injury.
Injuries also occur during non-riding activities such as grooming and feeding.
These injuries are often due to being kicked by the horse. Most deaths and hospitalizations occur because of a head injury. Wear hard-shelled equestrian helmets that meet ASTM standards at all times. Supervise all riding activities. Children younger than 6 years should not ride alone.