vendex and Craniocerebral-Trauma

This article outlines the history, development, and safety aspects of glass and its use in motor vehicles. It traces the manufacture and describes the characteristics of laminated and tempered glass. It further compares the differences in injuries caused by impact with laminated and tempered glass. The development, use, and results of high penetration resistance (HPR) laminated glass for windshields are examined. Head and neck injuries from impact with glass and glazing structures are delineated. Results of studies with laminated and tempered glass are presented. The probability and severity of injuries occurring secondary to partial or full ejection of vehicle occupants are discussed, and the differences between the performance of laminated and tempered glass are highlighted. Current research to quantify head and neck injury parameters caused by glass impact during rollover is described. The biomechanics of head and neck injury assessment and the development of injury prediction parameters and reference values, respectively, are reviewed.

Topics: Accidents, Traffic; Automobiles; Biomedical Engineering; Craniocerebral Trauma; Equipment Failure Analysis; Glass; Head Injuries, Closed; Humans; Manikins; Materials Testing; Models, Biological; Neck Injuries; Risk Assessment; Safety; Stress, Mechanical; Torque; Wounds, Nonpenetrating; Wounds, Penetrating

An athlete is thought to reduce head acceleration after impact by contracting the cervical musculature, which increases the effective mass of the head.. To compare the odds of sustaining higher magnitude in-season head impacts between athletes with higher and lower preseason performance on cervical muscle characteristics.. Cohort study; Level of evidence, 2.. Forty-nine high school and collegiate American football players completed a preseason cervical testing protocol that included measures of cervical isometric strength, muscle size, and response to cervical perturbation. Head impact biomechanics were captured for each player using the Head Impact Telemetry System. A median split was used to categorize players as either high or low performers for each of the following outcome measures: isometric strength (peak torque, rate of torque development), muscle size (cross-sectional area), and response to cervical perturbation (stiffness, angular displacement, muscle onset latency). The odds of sustaining moderate and severe head impacts were computed against the reference odds of sustaining mild head impacts across cervical characteristic categorizations.. Linemen with stronger lateral flexors and composite cervical strength had about 1.75 times' increased odds of sustaining moderate linear head impacts rather than mild impacts compared with weaker linemen. Players who developed extensor torque more quickly had 2 times the increased odds of sustaining severe linear head impacts (odds ratio [OR], 2.10; 95% CI, 1.08-4.05) rather than mild head impacts. However, players with greater cervical stiffness had reduced odds of sustaining both moderate (OR, 0.77; 95% CI, 0.61-0.96) and severe (OR, 0.64; 95% CI, 0.46-0.89) head impacts compared with players with less cervical stiffness.. The study findings showed that greater cervical stiffness and less angular displacement after perturbation reduced the odds of sustaining higher magnitude head impacts; however, the findings did not show that players with stronger and larger neck muscles mitigate head impact severity.

Topics: Acceleration; Adolescent; Biomechanical Phenomena; Craniocerebral Trauma; Cross-Sectional Studies; Electromyography; Football; Head Protective Devices; Humans; Male; Muscle Strength; Neck Muscles; Risk Factors; Telemetry; Torque; Ultrasonography; Young Adult

Several facets of figure skating, such as the forces associated with jumping and landing, have been evaluated, but a comprehensive biomechanical understanding of the cranial forces associated with spinning has yet to be explored. The purpose of this case study was to quantify the cranial rotational acceleration forces generated during spinning elements. This case report was an observational, biomechanical analysis of a healthy, senior-level, female figure skating athlete who is part of an on-going study. A triaxial accelerometer recorded the gravitational forces (G) during seven different spinning elements. Our results found that the layback spin generated significant cranial force and these forces were greater than any of the other spin elements recorded. These forces led to physical findings of ruptured capillaries, dizziness, and headaches in our participant.

Topics: Accelerometry; Athletic Injuries; Biomechanical Phenomena; Capillaries; Conjunctiva; Craniocerebral Trauma; Dizziness; Female; Headache; Humans; Skating; Sports Medicine; Torque; Young Adult

Jockey head injuries, especially concussions, are common in horse racing. Current helmets do help to reduce the severity and incidences of head injury, but the high concussion incidence rates suggest that there may be scope to improve the performance of equestrian helmets. Finite element simulations in ABAQUS/Explicit were used to model a realistic helmet model during standard helmeted rigid headform impacts and helmeted head model University College Dublin Brain Trauma Model (UCDBTM) impacts. Current helmet standards for impact determine helmet performance based solely on linear acceleration. Brain injury-related values (stress and strain) from the UCDBTM showed that a performance improvement based on linear acceleration does not imply the same improvement in head injury-related brain tissue loads. It is recommended that angular kinematics be considered in future equestrian helmet standards, as angular acceleration was seen to correlate with stress and strain in the brain.

Topics: Acceleration; Animals; Athletic Injuries; Brain Injuries; Computer Simulation; Computer-Aided Design; Craniocerebral Trauma; Equipment Design; Finite Element Analysis; Head Protective Devices; Horses; Humans; Models, Biological; Rotation; Sports Equipment; Stress, Mechanical; Torque; Wounds, Nonpenetrating

Significantly more fatalities and serious injuries occur due to ejection in roll over accidents. The present study was conducted to determine the occupant retention and head-neck injury potential aspects of laminated glass in side door windows and sunroofs during roll over accidents. The test protocol for this study was based on National Highway Traffic Safety Administration (NHTSA) studies for advanced glazing. The impact study of 18 kg with head-neck form was conducted on laminated glass of side doors and sunroofs from production vehicles. The drop speed was varied from 11 to 16 kph. The Hybrid III 50% male dummy head-neck form was impacted on the approximately center of the glass portion of the windows. The head injury criteria, head resultant acceleration, and neck loads and moments were quantified. A series of drop tests were conducted on roll down side windows with laminated glass. The head-neck biomechanical parameters were well below the critical value injury tolerance limits. Results indicated that the glass contained the dummy assembly and the head-neck biomechanical parameters were below the critical value injury tolerance limits in simulated rollover accidents. The present study demonstrates that head-neck injury is unlikely due to laminated glass side windows and sunroof laminated glass used in production vehicles during rollover accidents and that the dummy is contained by the laminated glazing.

Topics: Acceleration; Accidents, Traffic; Automobiles; Biomechanical Phenomena; Craniocerebral Trauma; Elasticity; Equipment Failure; Equipment Failure Analysis; Equipment Safety; Glass; Humans; Kinetics; Manikins; Materials Testing; Motion; Neck Injuries; Risk Assessment; Torque; United States