A centric/non-centric impact protocol and finite element model methodology for the evaluation of American football helmets to evaluate risk of concussion

American football reports high incidences of head injuries, in particular, concussion. Research has described concussion as primarily a rotation dominant injury affecting the diffuse areas of brain tissue. Current standards do not measure how helmets manage rotational acceleration or how acceleration loading curves influence brain deformation from an impact and thus are missing important information in terms of how concussions occur. The purpose of this study was to investigate a proposed three-dimensional impact protocol for use in evaluating football helmets. The dynamic responses resulting from centric and non-centric impact conditions were examined to ascertain the influence they have on brain deformations in different functional regions of the brain that are linked to concussive symptoms. A centric and non-centric protocol was used to impact an American football helmet; the resulting dynamic response data was used in conjunction with a three-dimensional finite element analysis of the human brain to calculate brain tissue deformation. The direction of impact created unique loading conditions, resulting in peaks in different regions of the brain associated with concussive symptoms. The linear and rotational accelerations were not predictive of the brain deformation metrics used in this study. In conclusion, the test protocol used in this study revealed that impact conditions influences the region of loading in functional regions of brain tissue that are associated with the symptoms of concussion. The protocol also demonstrated that using brain deformation metrics may be more appropriate when evaluating risk of concussion than using dynamic response data alone.

[1]  L. M. Patrick,et al.  Intracranial pressure and acceleration accompanying head impacts in human cadavers. , 1961, Surgery, gynecology & obstetrics.

[2]  R. Willinger,et al.  Modal and temporal analysis of head mathematical models. , 1995, Journal of neurotrauma.

[3]  Adrian Raine,et al.  Prefrontal structural and functional brain imaging findings in antisocial, violent, and psychopathic individuals: A meta-analysis , 2009, Psychiatry Research: Neuroimaging.

[4]  King H. Yang,et al.  Concussion in Professional Football: Brain Responses by Finite Element Analysis: Part 9 , 2005, Neurosurgery.

[5]  M. Prange,et al.  Regional, directional, and age-dependent properties of the brain undergoing large deformation. , 2002, Journal of biomechanical engineering.

[6]  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.

[7]  M A Forero Rueda,et al.  Finite element modelling of equestrian helmet impacts exposes the need to address rotational kinematics in future helmet designs , 2011, Computer methods in biomechanics and biomedical engineering.

[8]  Rémy Willinger,et al.  Numerical and physical modelling of the human head under impact - towards new injury criteria , 2003 .

[9]  M D Gilchrist,et al.  The use of accident reconstruction for the analysis of traumatic brain injury due to head impacts arising from falls , 2006, Computer methods in biomechanics and biomedical engineering.

[10]  A. Nahum,et al.  Intracranial Pressure Dynamics During Head Impact , 1977 .

[11]  D. Parkinson The biomechanics of concussion. , 1982, Clinical neurosurgery.

[12]  Michael D. Gilchrist,et al.  Examination of the relationship between peak linear and angular accelerations to brain deformation metrics in hockey helmet impacts , 2013, Computer methods in biomechanics and biomedical engineering.

[13]  T Mäkelä,et al.  [Mechanics of head injuries]. , 1965, Suomen laakarilehti. Finlands lakartidning.

[14]  Robert Anderson,et al.  Mechanisms of axonal injury: an experimental and numerical study of a sheep model of head impact , 1999 .

[15]  N Shewchenko,et al.  Verification of biomechanical methods employed in a comprehensive study of mild traumatic brain injury and the effectiveness of American football helmets. , 2005, Journal of biomechanics.

[16]  L. Sundstrom,et al.  A tissue level tolerance criterion for living brain developed with an in vitro model of traumatic mechanical loading. , 2003, Stapp car crash journal.

[17]  L. M. Patrick,et al.  Mechanism of head injury. , 1964, Clinical neurosurgery.

[18]  King H. Yang,et al.  Investigation of Head Injury Mechanisms Using Neutral Density Technology and High-Speed Biplanar X-ray. , 2001, Stapp car crash journal.

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

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

[21]  David C. Viano,et al.  Twelve Years of National Football League Concussion Data , 2010, Sports health.

[22]  A. Holbourn MECHANICS OF HEAD INJURIES , 1943 .

[23]  J. Crandall,et al.  Nonlinear viscoelastic effects in oscillatory shear deformation of brain tissue. , 2001, Medical engineering & physics.

[24]  Rolf H. Eppinger,et al.  A Three-Dimensional Finite Element Analysis of the Human Brain Under Combined Rotational and Translational Accelerations , 1994 .

[25]  T Blaine Hoshizaki,et al.  The Science and Design of Head Protection in Sport , 2004, Neurosurgery.

[26]  Andrew S McIntosh,et al.  Numerical reconstruction of real-life concussive football impacts. , 2009, Medicine and science in sports and exercise.

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

[28]  Hans von Holst,et al.  CONSEQUENCES OF BRAIN SIZE FOLLOWING IMPACT IN PREDICTION OF SUBDURAL HEMATOMA EVALUATED WITH NUMERICAL TECHNIQUES , 2001 .

[29]  O. Braddick,et al.  Brain Areas Sensitive to Coherent Visual Motion , 2001, Perception.

[30]  David C Viano,et al.  Concussion in Professional Football: Helmet Testing to Assess Impact Performance—Part 11 , 2006, Neurosurgery.

[31]  D. Perl,et al.  Dementia resulting from traumatic brain injury: what is the pathology? , 2012, Archives of neurology.

[32]  Michael D. Gilchrist,et al.  The creation of three-dimensional finite element models for simulating head impact biomechanics , 2003 .

[33]  Xiaoqi Li,et al.  Neuropsychological outcome of mTBI: a principal component analysis approach. , 2013, Journal of neurotrauma.

[34]  D. Meaney,et al.  Tissue-level thresholds for axonal damage in an experimental model of central nervous system white matter injury. , 2000, Journal of biomechanical engineering.

[35]  King H. Yang,et al.  Biomechanics of neurotrauma , 2001, Neurological research.

[36]  J. Adams,et al.  Diffuse axonal injury and traumatic coma in the primate , 1982, Annals of neurology.

[37]  A. Moritz,et al.  MECHANISMS OF HEAD INJURY. , 1943, Annals of surgery.

[38]  David F. Meaney,et al.  IN VIVO THRESHOLDS FOR MECHANICAL INJURY TO THE BLOOD-BRAIN BARRIER , 1997 .

[39]  David C Viano,et al.  Concussion in professional football: summary of the research conducted by the National Football League's Committee on Mild Traumatic Brain Injury. , 2006, Neurosurgical focus.

[40]  A. Shumway-cook,et al.  A systems analysis of postural dyscontrol in traumatically brain-injured patients , 1990 .

[41]  Chaoyang Chen,et al.  A new model of traumatic axonal injury to determine the effects of strain and displacement rates. , 2006, Stapp car crash journal.

[42]  Susan S. Margulies,et al.  FINITE ELEMENT MODELING APPROACHES FOR PREDICTING INJURY IN AN EXPERIMENTAL MODEL OF SEVERE DIFFUSE AXONAL INJURY , 1998 .

[43]  R A Wennberg,et al.  National Hockey League Reported Concussions, 1986-87 to 2001-02 , 2003, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[44]  C. Price The anatomy of language: contributions from functional neuroimaging , 2000, Journal of anatomy.

[45]  T. J. Horgan,et al.  Influence of FE model variability in predicting brain motion and intracranial pressure changes in head impact simulations , 2004 .

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

[47]  C. Dugas,et al.  Evaluation of a specific balance and coordination programme for individuals with a traumatic brain injury , 2002, Brain injury.

[48]  Thomas Blaine Hoshizaki,et al.  The influence of impact location and angle on the dynamic impact response of a Hybrid III headform , 2011 .

[49]  Grant C Townsend,et al.  Craniofacial reference plane variation and natural head position. , 2008, European journal of orthodontics.

[50]  E. Bizzi,et al.  Muscle synergy patterns as physiological markers of motor cortical damage , 2012, Proceedings of the National Academy of Sciences.

[51]  廣瀬雄一,et al.  Neuroscience , 2019, Workplace Attachments.

[52]  Blaine Hoshizaki,et al.  Finite element analysis of the effect of loading curve shape on brain injury predictors. , 2012, Journal of biomechanics.

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

[54]  A. King,et al.  Measurement of Angular Acceleration of a Rigid Body Using Linear Accelerometers , 1975 .

[55]  Svein Kleiven,et al.  Influence of impact direction on the human head in prediction of subdural hematoma. , 2003, Journal of neurotrauma.

[56]  Thomas A. Gennarelli,et al.  Pathophysiologic Responses to Rotational and Translational Accelerations of the Head , 1972 .

[57]  Jesse Shijie Ruan,et al.  Impact biomechanics of head injury by mathematical modeling , 1994 .

[58]  A. King,et al.  A NEW MODEL COMPARING IMPACT RESPONSES OF THE HOMOGENEOUS AND INHOMOGENEOUS HUMAN BRAIN , 1995 .

[59]  Brandon E Gavett,et al.  TDP-43 Proteinopathy and Motor Neuron Disease in Chronic Traumatic Encephalopathy , 2010, Journal of neuropathology and experimental neurology.

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

[61]  Andrew Post,et al.  Mechanisms of brain impact injuries and their prediction: A review , 2012 .

[62]  B. Morrison,et al.  Region-specific tolerance criteria for the living brain. , 2007, Stapp car crash journal.

[63]  K. T. Ramesh,et al.  A multiscale computational approach to estimating axonal damage under inertial loading of the head. , 2013, Journal of neurotrauma.