Rotational Head Kinematics in Football Impacts: An Injury Risk Function for Concussion

被引:332
作者
Rowson, Steven [1 ]
Duma, Stefan M. [1 ]
Beckwith, Jonathan G. [2 ]
Chu, Jeffrey J. [2 ]
Greenwald, Richard M. [2 ,3 ]
Crisco, Joseph J. [4 ,5 ]
Brolinson, P. Gunnar [6 ]
Duhaime, Ann-Christine [7 ]
McAllister, Thomas W. [8 ]
Maerlender, Arthur C. [9 ]
机构
[1] Virginia Tech Wake Forest Univ, Sch Biomed Engn & Sci, Blacksburg, VA 24061 USA
[2] Simbex, Lebanon, NH USA
[3] Dartmouth Coll, Thayer Sch Engn, Hanover, NH 03755 USA
[4] Brown Univ, Warren Alpert Med Sch, Dept Orthopaed, Providence, RI 02912 USA
[5] Rhode Isl Hosp, Providence, RI USA
[6] Edward Via Virginia Coll Osteopath Med, Blacksburg, VA USA
[7] Dartmouth Hitchcock Med Ctr, Hanover, NH USA
[8] Dartmouth Hitchcock Med Sch, Dept Psychiat & Neurol, Lebanon, NH USA
[9] Dartmouth Hitchcock Med Ctr, Dept Psychiat, Hanover, NH USA
基金
美国国家卫生研究院;
关键词
Mild traumatic brain injury; Head; Helmet; Angular; Acceleration; Sports; HITS; CHRONIC TRAUMATIC ENCEPHALOPATHY; HIGH-SCHOOL FOOTBALL; DIFFUSE AXONAL INJURY; COLLEGIATE FOOTBALL; BRAIN-INJURY; LEAGUE PLAYER; DIVISION-I; ACCELERATION; EPIDEMIOLOGY; BIOMECHANICS;
D O I
10.1007/s10439-011-0392-4
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Recent research has suggested a possible link between sports-related concussions and neurodegenerative processes, highlighting the importance of developing methods to accurately quantify head impact tolerance. The use of kinematic parameters of the head to predict brain injury has been suggested because they are indicative of the inertial response of the brain. The objective of this study is to characterize the rotational kinematics of the head associated with concussive impacts using a large head acceleration dataset collected from human subjects. The helmets of 335 football players were instrumented with accelerometer arrays that measured head acceleration following head impacts sustained during play, resulting in data for 300,977 subconcussive and 57 concussive head impacts. The average subconcussive impact had a rotational acceleration of 1230 rad/s(2) and a rotational velocity of 5.5 rad/s, while the average concussive impact had a rotational acceleration of 5022 rad/s(2) and a rotational velocity of 22.3 rad/s. An injury risk curve was developed and a nominal injury value of 6383 rad/s(2) associated with 28.3 rad/s represents 50% risk of concussion. These data provide an increased understanding of the biomechanics associated with concussion and they provide critical insight into injury mechanisms, human tolerance to mechanical stimuli, and injury prevention techniques.
引用
收藏
页码:1 / 13
页数:13
相关论文
共 56 条
[1]  
[Anonymous], P INT RES C BIOM IMP
[2]   Comparison of reporting systems to determine concussion incidence in NCAA Division I collegiate football [J].
Booher, MA ;
Wisniewski, T ;
Smith, BW ;
Sigurdsson, A .
CLINICAL JOURNAL OF SPORT MEDICINE, 2003, 13 (02) :93-95
[3]  
Broglio SP, 2006, BRIT J SPORT MED, V40, P802, DOI 10.1136/bjsm.2006.028019
[4]   Biomechanical Properties of Concussions in High School Football [J].
Broglio, Steven P. ;
Schnebel, Brock ;
Sosnoff, Jacob J. ;
Shin, Sunghoon ;
Feng, Xingdong ;
He, Xuming ;
Zimmerman, Jerrad .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2010, 42 (11) :2064-2071
[5]   Head Impacts During High School Football: A Biomechanical Assessment [J].
Broglio, Steven P. ;
Sosnoff, Jacob J. ;
Shin, SungHoon ;
He, Xuming ;
Alcaraz, Christopher ;
Zimmerman, Jerrad .
JOURNAL OF ATHLETIC TRAINING, 2009, 44 (04) :342-349
[6]  
Chu JJ., 2006, J BIOMECH S1, V39, pS534, DOI 10.1016/S0021-9290(06)85195-X
[7]   An algorithm for estimating acceleration magnitude and impact location using multiple nonorthogonal single-axis accelerometers [J].
Crisco, JJ ;
Chu, JJ ;
Greenwald, RM .
JOURNAL OF BIOMECHANICAL ENGINEERING-TRANSACTIONS OF THE ASME, 2004, 126 (06) :849-854
[8]   Frequency and Location of Head Impact Exposures in Individual Collegiate Football Players [J].
Crisco, Joseph J. ;
Fiore, Russell ;
Beckwith, Jonathan G. ;
Chu, Jeffrey J. ;
Brolinson, Per Gunnar ;
Duma, Stefan ;
McAllister, Thomas W. ;
Duhaime, Ann-Christine ;
Greenwald, Richard M. .
JOURNAL OF ATHLETIC TRAINING, 2010, 45 (06) :549-559
[9]   Analysis of real-time head accelerations in collegiate football players [J].
Duma, SM ;
Manoogian, SJ ;
Bussone, WR ;
Brolinson, PG ;
Goforth, MW ;
Donnenwerth, JJ ;
Greenwald, RM ;
Chu, JJ ;
Crisco, JJ .
CLINICAL JOURNAL OF SPORT MEDICINE, 2005, 15 (01) :3-8
[10]   Past, Present, and Future of Head Injury Research [J].
Duma, Stefan M. ;
Rowson, Steven .
EXERCISE AND SPORT SCIENCES REVIEWS, 2011, 39 (01) :2-3