Brain strain uncertainty due to shape variation in and simplification of head angular velocity profiles

Head angular velocity, instead of acceleration, is more predictive of brain strains. Surprisingly, no study exists that investigates how shape variation in angular velocity profiles affects brain strains, beyond characteristics such as peak magnitude and impulse duration. In this study, we evaluated brain strain uncertainty due to variation in angular velocity profiles and further compared with that resulting from simplifying the profiles into idealized shapes. To do so, we used reconstructed head impacts from American National Football League for shape extraction and simulated head uniaxial coronal rotations from onset to full stop. The velocity profiles were scaled to maintain an identical peak velocity magnitude and duration in order to isolate the shape for investigation. Element-wise peak maximum principal strains from 44 selected impacts were obtained. We found that the shape of angular velocity profile could significantly affect brain strain magnitude (e.g., percentage difference of 4.29–17.89 % in the whole brain relative to the group average, with cumulative strain damage measure (CSDM) uncertainty range of 23.9 %) but not pattern (correlation coefficient of 0.94–0.99). Strain differences resulting from simplifying angular velocity profiles into idealized shapes were largely within the range due to shape variation, in both percentage difference and CSDM (signed difference of 3.91 % on average, with a typical range of 0–6 %). These findings provide important insight into the uncertainty or confidence in the performance of kinematics-based injury metrics. More importantly, they suggest the feasibility to simplify head angular velocity profiles into idealized shapes, at least within the confinements of the profiles evaluated, to enable real-time strain estimation via pre-computation in the future.

[1]  Clifford C. Chou,et al.  Modeling of the Brain for Injury Prevention , 2011 .

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

[3]  R. Ogden Non-Linear Elastic Deformations , 1984 .

[4]  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.

[5]  Matthew B. Panzer,et al.  Assessment of Kinematic Brain Injury Metrics for Predicting Strain Responses in Diverse Automotive Impact Conditions , 2016, Annals of Biomedical Engineering.

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

[7]  Michael C. Yip,et al.  Six Degree-of-Freedom Measurements of Human Mild Traumatic Brain Injury , 2014, Annals of Biomedical Engineering.

[8]  James C. Ford,et al.  Parametric Comparisons of Intracranial Mechanical Responses from Three Validated Finite Element Models of the Human Head , 2013, Annals of Biomedical Engineering.

[9]  Kristy B Arbogast,et al.  Validation of a helmet-based system to measure head impact biomechanics in ice hockey. , 2014, Medicine and science in sports and exercise.

[10]  S. Margulies,et al.  An analytical model of traumatic diffuse brain injury. , 1989, Journal of biomechanical engineering.

[11]  Joel D. Stitzel,et al.  Modeling Brain Injury Response for Rotational Velocities of Varying Directions and Magnitudes , 2012, Annals of Biomedical Engineering.

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

[13]  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.

[14]  Songbai Ji,et al.  Parametric Investigation of Regional Brain Strain Responses via a Pre‐computed Atlas , 2015 .

[15]  Songbai Ji,et al.  Real-time, whole-brain, temporally resolved pressure responses in translational head impact , 2016, Interface Focus.

[16]  Stefan M. Duma,et al.  Development of the STAR Evaluation System for Football Helmets: Integrating Player Head Impact Exposure and Risk of Concussion , 2011, Annals of Biomedical Engineering.

[17]  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.

[18]  Thomas W. McAllister,et al.  Head impact accelerations for brain strain-related responses in contact sports: a model-based investigation , 2014, Biomechanics and modeling in mechanobiology.

[19]  Songbai Ji,et al.  A Pre-computed Brain Response Atlas for Instantaneous Strain Estimation in Contact Sports , 2014, Annals of Biomedical Engineering.

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

[21]  Svein Kleiven,et al.  Evaluation of head injury criteria using a finite element model validated against experiments on localized brain motion, intracerebral acceleration, and intracranial pressure , 2006 .

[22]  H. Kimpara,et al.  Mild Traumatic Brain Injury Predictors Based on Angular Accelerations During Impacts , 2011, Annals of Biomedical Engineering.

[23]  Songbai Ji,et al.  Brain pressure responses in translational head impact: a dimensional analysis and a further computational study , 2015, Biomechanics and modeling in mechanobiology.

[24]  M. Craig,et al.  Development of brain injury criteria (BrIC). , 2013, Stapp car crash journal.

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

[26]  A. Holbourn,et al.  The mechanics of brain injuries , 1945 .

[27]  Scott Tashman,et al.  A study of the response of the human cadaver head to impact. , 2007, Stapp car crash journal.

[28]  James C. Ford,et al.  White Matter Injury Susceptibility via Fiber Strain Evaluation Using Whole-Brain Tractography. , 2016, Journal of neurotrauma.

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

[30]  David B. Camarillo,et al.  An Instrumented Mouthguard for Measuring Linear and Angular Head Impact Kinematics in American Football , 2013, Annals of Biomedical Engineering.

[31]  Fábio AO Fernandes,et al.  Head injury predictors in sports trauma – A state-of-the-art review , 2015, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[32]  A. Holbourn,et al.  Mechanism of head injuries , 1943 .

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

[34]  E. Kuhl,et al.  Mechanics of the brain: perspectives, challenges, and opportunities , 2015, Biomechanics and Modeling in Mechanobiology.

[35]  Guy M Genin,et al.  Deformation of the human brain induced by mild angular head acceleration. , 2008, Journal of biomechanics.

[36]  Narayan Yoganandan,et al.  Influence of angular acceleration-deceleration pulse shapes on regional brain strains. , 2008, Journal of biomechanics.

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

[38]  J. Beckwith,et al.  Measuring Head Kinematics in Football: Correlation Between the Head Impact Telemetry System and Hybrid III Headform , 2011, Annals of Biomedical Engineering.

[39]  Claude Tarriere,et al.  Development of a F.E.M. of the human head according to a specific test protocol , 1992 .

[40]  S. Kleiven,et al.  Evaluation of Axonal Strain as a Predictor for Mild Traumatic Brain Injuries Using Finite Element Modeling. , 2014, Stapp car crash journal.

[41]  James C. Ford,et al.  Group-wise evaluation and comparison of white matter fiber strain and maximum principal strain in sports-related concussion. , 2015, Journal of neurotrauma.