Development of the STAR Evaluation System for Football Helmets: Integrating Player Head Impact Exposure and Risk of Concussion

In contrast to the publicly available data on the safety of automobiles, consumers have no analytical mechanism to evaluate the protective performance of football helmets. The objective of this article is to fill this void by introducing a new equation that can be used to evaluate helmet performance by integrating player head impact exposure and risk of concussion. The Summation of Tests for the Analysis of Risk (STAR) equation relates on-field impact exposure to a series of 24 drop tests performed at four impact locations and six impact energy levels. Using 62,974 head acceleration data points collected from football players, the number of impacts experienced for one full season was translated to 24 drop test configurations. A new injury risk function was developed from 32 measured concussions and associated exposure data to assess risk of concussion for each impact. Finally, the data from all 24 drop tests is combined into one number using the STAR formula that incorporates the predicted exposure and injury risk for one player for one full season of practices and games. The new STAR evaluation equation will provide consumers with a meaningful metric to assess the relative performance of football helmets.

[1]  S. Duma,et al.  Investigation of traumatic brain injuries using the next generation of simulated injury monitor (SIMon) finite element head model. , 2008, Stapp car crash journal.

[2]  Alex Collie Concussion history is not a predictor of computerised neurocognitive performance: Commentary , 2006 .

[3]  Stefan M Duma,et al.  Biomechanical Analysis of Football Neck Collars , 2008, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[4]  Charles J. Kahane,et al.  The New Car Assessment Program:Five Star Rating System and Vehicle Safety Performance Characteristics , 1995 .

[5]  Joseph J Crisco,et al.  An investigation of the NOCSAE linear impactor test method based on in vivo measures of head impact acceleration in American football. , 2010, Journal of biomechanical engineering.

[6]  T. Rowland,et al.  Head Impacts During High School Football: A Biomechanical Assessment , 2010 .

[7]  D. Viano,et al.  Concussion in Professional Football: Epidemiological Features of Game Injuries and Review of the Literature—Part 3 , 2004, Neurosurgery.

[8]  J. Sosnoff,et al.  Biomechanical properties of concussions in high school football. , 2010, Medicine and science in sports and exercise.

[9]  David H Janda,et al.  An evaluation of the cumulative concussive effect of soccer heading in the youth population , 2002, Injury control and safety promotion.

[10]  Stefan M Duma,et al.  Analysis of the Ability of Catcher's Masks to Attenuate Head Accelerations on Impact With a Baseball , 2010, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[11]  Kaye Sullivan,et al.  Considerations of “Combined Probability of Injury” in the Next-Generation USA Frontal NCAP , 2010, Traffic injury prevention.

[12]  I. Williamson,et al.  Converging evidence for the under-reporting of concussions in youth ice hockey , 2006, British Journal of Sports Medicine.

[13]  J. Langlois,et al.  The Epidemiology and Impact of Traumatic Brain Injury: A Brief Overview , 2006, The Journal of head trauma rehabilitation.

[14]  Asgeir Sigurdsson,et al.  Comparison of Reporting Systems to Determine Concussion Incidence in NCAA Division I Collegiate Football , 2003, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[15]  Joseph J Crisco,et al.  An algorithm for estimating acceleration magnitude and impact location using multiple nonorthogonal single-axis accelerometers. , 2004, Journal of biomechanical engineering.

[16]  S. Duma,et al.  Biomechanical risk estimates for mild traumatic brain injury. , 2007, Annual proceedings. Association for the Advancement of Automotive Medicine.

[17]  Stefan M Duma,et al.  A six degree of freedom head acceleration measurement device for use in football. , 2011, Journal of applied biomechanics.

[18]  Stefan M. Duma,et al.  Every newton hertz: A macro to micro approach to investigating brain injury , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[19]  Brandon E Gavett,et al.  Chronic traumatic encephalopathy: a potential late effect of sport-related concussive and subconcussive head trauma. , 2011, Clinics in sports medicine.

[20]  S. Duma,et al.  Past, present, and future of head injury research. , 2011, Exercise and sport sciences reviews.

[21]  Cynthia Bir,et al.  Validation of a wireless head acceleration measurement system for use in soccer play. , 2010, Journal of applied biomechanics.

[22]  Stephen W Marshall,et al.  Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. , 2003, JAMA.

[23]  Steven Rowson,et al.  Linear and angular head acceleration measurements in collegiate football. , 2009, Journal of biomechanical engineering.

[24]  R. Cantu,et al.  Measurement of Head Impacts in Collegiate Football Players: An Investigation of Positional and Event-type Differences , 2009 .

[25]  S. Broglio,et al.  Concussion history is not a predictor of computerised neurocognitive performance , 2006, British Journal of Sports Medicine.

[26]  A. McKee,et al.  The epidemiology of sport-related concussion. , 2011, Clinics in sports medicine.

[27]  S. Marshall,et al.  Association between Recurrent Concussion and Late-Life Cognitive Impairment in Retired Professional Football Players , 2005, Neurosurgery.

[28]  D F Meaney,et al.  In vitro central nervous system models of mechanically induced trauma: a review. , 1998, Journal of neurotrauma.

[29]  Cyril H Wecht,et al.  CHRONIC TRAUMATIC ENCEPHALOPATHY IN A NATIONAL FOOTBALL LEAGUE PLAYER: PART II , 2005, Neurosurgery.

[30]  Cyril H Wecht,et al.  Chronic Traumatic Encephalopathy in a National Football League Player. , 2006, Neurosurgery.

[31]  King H. Yang,et al.  Is head injury caused by linear or angular acceleration , 2003 .

[32]  Stefan M Duma,et al.  Can Footwear Affect Achilles Tendon Loading? , 2010, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[33]  David F. Meaney,et al.  Mechanical Characterization of an In Vitro Device Designed to Quantitatively Injure Living Brain Tissue , 1998, Annals of Biomedical Engineering.

[34]  Joseph T. Gwin,et al.  IN VIVO STUDY OF HEAD IMPACTS IN FOOTBALL: A COMPARISON OF NATIONAL COLLEGIATE ATHLETIC ASSOCIATION DIVISION I VERSUS HIGH SCHOOL IMPACTS , 2007, Neurosurgery.

[35]  Stephen W Marshall,et al.  Recurrent concussion and risk of depression in retired professional football players. , 2007, Medicine and science in sports and exercise.

[36]  Guy S. Nusholtz,et al.  Comparison of parametric and non-parametric methods for determining injury risk , 2003 .

[37]  Joseph T. Gwin,et al.  HEAD IMPACT SEVERITY MEASURES FOR EVALUATING MILD TRAUMATIC BRAIN INJURY RISK EXPOSURE , 2008, Neurosurgery.

[38]  Stephen W Marshall,et al.  Descriptive epidemiology of collegiate men's football injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004. , 2007, Journal of athletic training.

[39]  S. Marshall,et al.  MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS: RELATIONSHIP BETWEEN HEAD IMPACT BIOMECHANICS AND ACUTE CLINICAL OUTCOME AFTER CONCUSSION , 2007, Neurosurgery.

[40]  A. Gordon Concussion in professional football: reconstruction of game impacts and injuries. , 2004, Neurosurgery.

[41]  Richard W. Kent,et al.  Data Censoring and Parametric Distribution Assignment in the Development of Injury Risk Functions from Biochemical Data , 2004 .

[42]  Joseph J Crisco,et al.  Analysis of Real-time Head Accelerations in Collegiate Football Players , 2005, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[43]  J. Crisco,et al.  Let's get the head further out of the game: a proposal for reducing brain injuries in helmeted contact sports. , 2011, Current sports medicine reports.

[44]  Michael McCrea,et al.  Unreported Concussion in High School Football Players: Implications for Prevention , 2004, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[45]  C. W. Gadd Use of a weighted-impulse criterion for estimating injury hazard , 1966 .

[46]  M. Ilyas Kamboh,et al.  Chronic traumatic encephalopathy in a national football league player. Part II. Commentary , 2005 .

[47]  J. Crisco,et al.  Frequency and location of head impact exposures in individual collegiate football players. , 2010, Journal of athletic training.