In situ Measures of Head Impact Acceleration in NCAA Division I Men’s Ice Hockey: Implications for ASTM F1045 and Other Ice Hockey Helmet Standards

A pilot study was performed to measure head impact accelerations in collegiate men's ice hockey during the 2005-2007 seasons using helmets instrumented with Head Impact Telemetry System technology to monitor and record linear head accelerations and impact locations in situ. The objectives of this study were 1 to quantify the relationship between resultant peak linear head acceleration and impact location for in situ head impacts in collegiate men's ice hockey, 2 to quantify the frequency and severity of impacts to the facemask, and 3 to determine if in situ impacts occurred such that the peak resultant linear head acceleration was higher than the peak resultant linear headform acceleration from a 40-in. linear drop as in ASTM F1045-99 on the same helmet at a similar impact location. Voluntary participants n5 and 7 for years 1 and 2, respectively wore instrumented helmets which monitored head impact accelerations sustained by each player during all games and practices. Head impact data were grouped by impact location into five bins representing top, back, side, forehead, and facemask. Forehead impacts represented impacts to the helmet shell as distinguished from facemask impacts. Additionally, a sample instrumented helmet was impacted in the laboratory at forehead, side, rear, and top impact locations 40-in. drop, three trials per location, test setup as specified in ASTM F1045-99. The mean peak resultant linear headform acceleration for each impact location was determined for analysis. Of the 4,393 recorded head impacts, 33.2 % were to the back of the helmet. This percentage increased to 59.2 % for impacts above 70 g. Facemask impacts accounted for 12.2 % of all impacts but only 2.4 % of impacts above 70 g. Over two seasons, five in situ impacts occurred such that the peak resultant linear head acceleration was greater than the mean peak resultant linear headform acceleration for a corresponding impact location in the laboratory. This study found that the most common impact location in ice hockey, particularly for impacts with higher peak linear accelerations, was the back of the head and demonstrated that facemask impacts were typically of a lower magnitude. The five impacts or 0.4 per player/season that exceeded the peak linear acceleration associated with 40-in. laboratory drops suggested that the impact energy specified in ASTM F1045 may not reflect the highest energy impacts seen in situ.

[1]  V L Roberts,et al.  Tolerance curves of acceleration and intracranial pressure and protective index in experimental head injury. , 1966, The Journal of trauma.

[2]  A. Ommaya,et al.  The role of whiplash in cerebral concussion , 1966 .

[3]  A. Ommaya,et al.  Cerebral concussion and traumatic unconsciousness. Correlation of experimental and clinical observations of blunt head injuries. , 1974, Brain : a journal of neurology.

[4]  P J Bishop,et al.  Head protection in sport with particular application to ice hockey. , 1976, Ergonomics.

[5]  Tawfik B. Khalil,et al.  The Role of Impact Location in Reversible Cerebral Concussion , 1983 .

[6]  James A. Newman,et al.  A generalized acceleration model for brain injury threshold (GAMBIT) , 1986 .

[7]  U. Jørgensen,et al.  The epidemiology of ice hockey injuries. , 1986, British journal of sports medicine.

[8]  S. Margulies,et al.  A proposed tolerance criterion for diffuse axonal injury in man. , 1992, Journal of biomechanics.

[9]  Pj Bishop,et al.  The Effectiveness of Hockey Helmets in Limiting Localized Loading on the Head , 1993 .

[10]  H. Singer An Historical Perspective , 1995 .

[11]  Harold J. Mertz,et al.  INJURY RISK CURVES FOR CHILDREN AND ADULTS IN FRONTAL AND REAR COLLISIONS , 1997 .

[12]  W. H. Hall,et al.  Rehabilitation of persons with traumatic brain injury. , 1999, NIH consensus statement.

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

[14]  A. King,et al.  Comparison of brain responses between frontal and lateral impacts by finite element modeling. , 2001, Journal of neurotrauma.

[15]  Y. Tegner,et al.  The avoidability of head and neck injuries in ice hockey: an historical review , 2002, British journal of sports medicine.

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

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

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

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

[20]  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.

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

[22]  J. Bazarian,et al.  Mild traumatic brain injury in the United States, 1998–2000 , 2005, Brain injury.

[23]  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.

[24]  Richard M. Greenwald,et al.  Head impact telemetry system™ for measurement of head acceleration in ice hockey , 2006 .

[25]  J Scott Delaney,et al.  Mechanisms of Injury for Concussions in University Football, Ice Hockey, and Soccer: A Pilot Study , 2006, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[26]  Stefan Duma,et al.  Analysis of Linear Head Accelerations from Collegiate Football Impacts , 2006 .

[27]  Joseph J. Crisco,et al.  A novel algorithm to measure linear and rotational head acceleration using single-axis accelerometers , 2006 .

[28]  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.

[29]  Jason P Mihalik,et al.  MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS: AN INVESTIGATION OF POSITIONAL AND EVENT‐TYPE DIFFERENCES , 2007, Neurosurgery.

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

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

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