Head Acceleration Experienced by Man: Exposure, Tolerance, and Applications

Between 1.6 and 3.8 million sports-related concussions are sustained by persons living in the United States annually. While sports-related concussion was once considered to only result in immediate neurocognitive impairment and symptoms that are transient in nature, recent research has correlated long-term neurodegenerative effects with a history of sports-related concussion. Increased awareness and current media attention have contributed to concussions becoming a primary health concern. Although much research has been performed investigating the biomechanics of concussion, little is understood about the biomechanics that cause concussion in humans. The research presented in this dissertation investigates human tolerance to head acceleration using methods that pair biomechanical data collected from human volunteers with clinical data. Head impact exposure and injury risk are quantified and presented. 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. With this in mind, the Summation of Tests for the Analysis of Risk (STAR) evaluation system was developed to evaluate the impact performance of footballs helmets and provide consumers with information about helmet safety. The STAR evaluation system was designed using real world data that relate impact exposure to injury risk.

[1]  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.

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

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

[4]  D. Viano,et al.  Concussion in Professional Football: Reconstruction of Game Impacts and Injuries , 2003, Neurosurgery.

[5]  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.

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

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

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

[9]  R L Stalnaker,et al.  Driving point impedance characteristics of the head. , 1971, Journal of biomechanics.

[10]  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.

[11]  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.

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

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

[14]  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.

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

[16]  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.

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

[18]  King H. Yang,et al.  A proposed injury threshold for mild traumatic brain injury. , 2004, Journal of biomechanical engineering.

[19]  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.

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

[21]  Frank A. Pintar,et al.  Physical properties of the human head: mass, center of gravity and moment of inertia. , 2009, Journal of biomechanics.

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

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

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

[25]  S. Kleiven Predictors for traumatic brain injuries evaluated through accident reconstructions. , 2007, Stapp car crash journal.

[26]  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.

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

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

[29]  Richard G. Snyder,et al.  Door Crashworthiness Criteria , 1971 .

[30]  E. H. Harris,et al.  Scaling of Experimental Data on Cerebral Concussion in Sub-Human Primates to Concussion Threshold for Man , 1967 .

[31]  Alex B Valadka Chronic Traumatic Encephalopathy in a National Football League Player. , 2006, Neurosurgery.

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

[33]  J A Newman,et al.  A proposed new biomechanical head injury assessment function - the maximum power index. , 2000, Stapp car crash journal.

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

[35]  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.

[36]  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.

[37]  A. Nahum,et al.  Intracranial Pressure–A Brain Injury Criterion , 1980 .

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

[39]  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.

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

[41]  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.

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

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

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

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

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

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

[48]  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.

[49]  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.

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

[51]  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.

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