Spinal cord and brain injury protection: testing concept for a protective device

Study design:Test development for a device that could prevent both brain and spinal cord injuries during motorcycling and horseback riding.Objective:The objective of this study was to develop a method and test a concept device that could protect against both spinal cord (SCI) and brain injuries (BI).Setting:St Louis, Missouri, USA.Methods:A Hybrid III dummy (that is, head, neck and torso) was used as a pendulum bob during three test conditions: (1) no protection, (2) standard motorcycle helmet and (3) SCI and BI test structure (SCIBITS). Triaxial accelerometers, a C1 force transducer and a video system were used to collect data as the dummy axially impacted a rigid barrier at speeds ranging from 10 to 605 cm s−1. SCIBITS consisted of a fused fiberglass thoracic jacket/head shield unit. Separation between the dummy head and the head shield permitted freedom of head movement within safe limits as impact forces to the head shield were transferred from the head and neck to the upper thorax. The BI threshold was 200–300 g, and the SCI threshold was 3010 N.Results:The SCIBITS protected against spinal cord injury, whereas the motorcycle helmet did not. The helmet protected against BI and the SCIBITS provided partial protection.Conclusions:The experiments describe the efficacy of an impact testing system utilizing an instrumented dummy suspended as a pendulum bob. The equipment will facilitate the design and construction of a functional device for protection against both SCI and BI in relation to both motorcycling and horseback riding.

[1]  M. Devivo,et al.  Recent trends in mortality and causes of death among persons with spinal cord injury. , 1999, Archives of physical medicine and rehabilitation.

[2]  G. Savić,et al.  Long-term survival in spinal cord injury: a fifty year investigation , 1998, Spinal Cord.

[3]  P. O'Connor Survival after spinal cord injury in Australia. , 2005, Archives of physical medicine and rehabilitation.

[4]  Ola Boström,et al.  A SLED TEST PROCEDURE PROPOSAL TO EVALUATE THE RISK OF NECK INJURY IN LOW SPEED REAR IMPACTS USING A NEW NECK INJURY CRITERION (NIC) , 1998 .

[5]  A. Jackson,et al.  Health status, community integration, and economic risk factors for mortality after spinal cord injury. , 2004, Archives of physical medicine and rehabilitation.

[6]  David W. Hosmer,et al.  Applied Logistic Regression , 1991 .

[7]  Rickey E Carter,et al.  A prospective study of health and risk of mortality after spinal cord injury. , 2008, Archives of physical medicine and rehabilitation.

[8]  P I Terasaki,et al.  Long-term survival. , 1988, Clinical transplants.

[9]  David A. Schoenfeld,et al.  Chi-squared goodness-of-fit tests for the proportional hazards regression model , 1980 .

[10]  F. Biering-Sørensen,et al.  Mortality after spinal cord injury in Norway. , 2007, Journal of rehabilitation medicine.

[11]  Guk-Rwang Won American Society for Testing and Materials , 1987 .

[12]  S L Stover,et al.  Prognostic factors for 12-year survival after spinal cord injury. , 1992, Archives of physical medicine and rehabilitation.

[13]  D Otte,et al.  Head injury mechanisms in helmet-protected motorcyclists: prospective multicenter study. , 2001, The Journal of trauma.

[14]  E. Powell-Griner,et al.  State-and sex-specific prevalence of selected characteristics--behavioral risk factor surveillance system, 1994 and 1995. , 1997, MMWR. CDC surveillance summaries : Morbidity and mortality weekly report. CDC surveillance summaries.

[15]  N. Nagelkerke,et al.  A note on a general definition of the coefficient of determination , 1991 .

[16]  Erik G. Takhounts,et al.  DEVELOPMENT OF IMPROVED INJURY CRITERIA FOR THE ASSESSMENT OF ADVANCED AUTOMOTIVE RESTRAINT SYSTEMS - II , 1999 .

[17]  B. Allen,et al.  A Mechanistic Classification of Closed, Indirect Fractures and Dislocations of the Lower Cervical Spine , 1982, Spine.

[18]  A. Catz,et al.  Survival following spinal cord injury in Israel , 2002, Spinal Cord.

[19]  E. Stauffer,et al.  Intermediate-Term Outcome of Cervical Spinal Cord-Injured Patients Older Than 50 Years of Age , 1997, Spine.

[20]  A. Sances,et al.  Experimental Spinal Injuries with Vertical Impact , 1986, Spine.

[21]  M. Devivo,et al.  Economic factors and longevity in spinal cord injury: a reappraisal. , 2008, Archives of physical medicine and rehabilitation.

[22]  F. Harrell,et al.  Prognostic/Clinical Prediction Models: Multivariable Prognostic Models: Issues in Developing Models, Evaluating Assumptions and Adequacy, and Measuring and Reducing Errors , 2005 .

[23]  J. Krause,et al.  Social support and health status in spinal cord injury , 1993, Paraplegia.

[24]  F. Maynard,et al.  Incidence, characteristics, and outcome of spinal cord injury at trauma centers in North America. , 1993, Archives of surgery.

[25]  G. Pinchbeck,et al.  Case-control study to investigate risk factors for horse falls in hurdle racing in England and Wales , 2003, Veterinary Record.

[26]  P. O'Connor Motorcycle Helmets and Spinal Cord Injury: Helmet Usage and Type , 2005, Traffic Injury Prevention.