I read with great interest the article titled "Tykes and Bikes" in the April 2000 issue of the ARCHIVES.1 Drs Powell and Tanz expressed what I have always felt to be correct.
However, I would like to add 2 points. It is my belief that bicycles are designed to be appropriately balanced for the rider alone. Any added burden, such as a trailer, "saddlebags," an infant/child seat, or a passenger sitting on the handlebars, mainframe, or on the rear with axle foot bars, dangerously disturbs the balance and therefore the safety of the rider and passengers. If these activities must occur, it is imperative that the rider and passengers wear bicycle helmets and other protective devices. This information should be an integral part of preventive counseling.
Woldman S. Bicycle Burden and Balance. Arch Pediatr Adolesc Med. 2001;155(4):525. doi:10.1001/archpedi.155.4.525