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The Insurance Institute for Highway Safety gave its top marks to 21 of 72 booster seats it evaluated for properly restraining children, or about 30 percent, according to results released today. Last year, the Institute only handed out its “best bet” citation to nine of the 60 seats it reviewed, or 15 percent.

A 2009 study by the Children’s Hospital of Philadelphia found that children ages 4 to 8 who ride in booster seats in the back seat are 45 percent less likely to sustain injuries in auto accidents than children wearing only seat belts. The government recommends booster seats for children over 40 pounds until they are 8 years old or 4 feet, 9 inches tall.

Booster seats are used by children between the ages of 4 and 8 and elevate children so seat belts fit them better. Seat belts are meant to be routed across a child’s upper thigh and cross over the middle of the shoulder to provide protection in a crash.

The Virginia-based Institute focuses on how well the seat belt fits on an average booster-age kid in most vehicles. It doesn’t conduct vehicle crash tests to evaluate booster seats because the seats don’t restrain children in an accident, seat belts do.

In addition to the 21 seats that received the top rating, seven seats received the Institute’s second-highest rating of “good bet” and 36 were in the middle category because they didn’t consistently fit belts well on most children in most vehicles.

The Institute said consumers shouldn’t assume that boosters in the “in-between” group will fit children in every vehicle. Parents should try them out to see if the lap and shoulder belts fit their kids properly and keep looking until they find a good match.

Of the 72 seats evaluated, the Institute did not recommend eight, or just over 10 percent: Eddie Bauer Deluxe, Eddie Bauer Deluxe 3-in-1, Evenflo Express, Evenflo Generations 65, Evenflo Sightseer, Harmony Baby Armor, Safety 1st All-in-One, and Safety 1st Alpha Omega Elite.

Anne McCartt, the Institute’s vice president for research, said parents should be wary of lap belts that ride up on the tummy and shoulder belts that either fall off the shoulder or rub against a child’s neck.

If you or a loved one has been injured in an accident call 888.777.1776 or email us to for a free and confidential case evaluation by one of the personal injury attorneys of Alexander Law Group, LLP, LLP.