Abstract
Child restraint laws in all 50 American states permit the use of lap/shoulder belts for children who no longer meet the statutory requirements for restraint in child safety seats. The few previous studies of restraint-related injuries have relied on self-reported data or police reports for restraint use and speed at the impact, and have relied on retrospective collection of medical data. This study documents patterns of injury to children who were restrained passengers in motor vehicle crashes. Legislation requiring the use of booster seats for children who have outgrown the smaller toddler safety seats is recommended. (A)