No abstract

The attention given to brain injury has grown in recent years as its effects have become better understood. A desire to investigate the causal agents of head trauma in athletes has led to the development and use of several devices that track head impacts. In order to determine which devices best measure these impacts, a Hybrid III headform was used to quantify the accuracy for translational and angular accelerations. Testing was performed by mounting each device into the helmet as instructed by its manufacturer, fitting the helmet on the headform, and impacting the helmet using an impulse hammer. The root mean square error for the peak translational acceleration varied with location. The worst root mean square error for a head-mounted device was 74.7% while the worst for a helmet-mounted device was 298%. Headmounted devices consistently outperformed those mounted in helmets, suggesting that future sensor designs should avoid attachment to the helmet. Deployment to a high school football team affirmed differences between two of the device models, but strongly indicated that head-mounted systems require further development to account for variation between individuals, the relative motion of the skin, and helmet-sensor interactions. Future work needs to account for these issues, refine the algorithms used to estimate the translational and angular accelerations, and examine technologies that better locate the source of the impact.

Recent evidence of short-term alterations in brain physiology associated with repeated exposure to moderate intensity subconcussive head acceleration events (HAEs), prompts the question whether these alterations represent an underlying neural injury. A retrospective analysis combining counts of experienced HAEs and longitudinal diffusion-weighted imaging explored whether greater exposure to incident mechanical forces was associated with traditional diffusion-based measures of neural injury—reduced fractional anisotropy (FA) and increased mean diffusivity (MD). Brains of high school athletes (N = 61) participating in American football exhibited greater spatial extents (or volumes) experiencing substantial changes (increases and decreases) in both FA and MD than brains of peers who do not participate in collision-based sports (N = 15). Further, the spatial extents of the football athlete brain exhibiting traditional diffusion-based markers of neural injury were found to be significantly correlated with the cumulative exposure to HAEs having peak translational acceleration exceeding 20 g. This finding demonstrates that subconcussive HAEs induce low-level neurotrauma, with prolonged exposure producing greater accumulation of neural damage. The duration and extent of recovery associated with periods in which athletes do not experience subconcussive HAEs now represents a priority for future study, such that appropriate participation and training schedules may be developed to minimize the risk of long-term neurological dysfunction.

Concussions and changes in neurophysiology due to sub-concussive blows are common in contact sports, motivating a need for improved safety systems. While there have been attempts to determine whether or not new helmet designs influence the incidence of concussion, the results to date have been inconclusive. Consequently, the goal of this study was to evaluate the ability of modern football helmets to mitigate linear impacts directed normal, as well as oblique, to the surface of the helmeted head using a system that quantifies both the input load and the resulting accelerations of a Hybrid III headform. The transfer function connecting the inputs and outputs of the system was developed using dimensional analysis to provide a means of comparing helmets across brands and sports. For translational accelerations, increased helmet mass and a secondary layer of padding helped mitigate the impacts. The attenuation of angular accelerations depended substantially on helmet model and impact location.