An Instrumented Mouthguard for Measuring Linear and Angular Head Impact Kinematics in American Football

Overview

Journal Ann Biomed Eng

Specialty Biomedical Engineering

Date 2013 Apr 23

PMID 23604848

Citations 72

Authors

David B Camarillo

Pete B Shull

James Mattson

Rebecca Shultz

Daniel Garza

Affiliations

Soon will be listed here.

Abstract

The purpose of this study was to evaluate a novel instrumented mouthguard as a research device for measuring head impact kinematics. To evaluate kinematic accuracy, laboratory impact testing was performed at sites on the helmet and facemask for determining how closely instrumented mouthguard data matched data from an anthropomorphic test device. Laboratory testing results showed that peak linear acceleration (r (2) = 0.96), peak angular acceleration (r (2) = 0.89), and peak angular velocity (r (2) = 0.98) measurements were highly correlated between the instrumented mouthguard and anthropomorphic test device. Normalized root-mean-square errors for impact time traces were 9.9 ± 4.4% for linear acceleration, 9.7 ± 7.0% for angular acceleration, and 10.4 ± 9.9% for angular velocity. This study demonstrates the potential of an instrumented mouthguard as a research tool for measuring in vivo impacts, which could help uncover the link between head impact kinematics and brain injury in American football.

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References

Yoganandan N, Pintar F, Zhang J, Baisden J . Physical properties of the human head: mass, center of gravity and moment of inertia. J Biomech. 2009; 42(9):1177-92. DOI: 10.1016/j.jbiomech.2009.03.029. View

Ommaya A, Gennarelli T . Cerebral concussion and traumatic unconsciousness. Correlation of experimental and clinical observations of blunt head injuries. Brain. 1974; 97(4):633-54. DOI: 10.1093/brain/97.1.633. View

Hardy W, Mason M, Foster C, Shah C, Kopacz J, Yang K . A study of the response of the human cadaver head to impact. Stapp Car Crash J. 2008; 51:17-80. PMC: 2474809. DOI: 10.4271/2007-22-0002. View

Margulies S, Thibault L . A proposed tolerance criterion for diffuse axonal injury in man. J Biomech. 1992; 25(8):917-23. DOI: 10.1016/0021-9290(92)90231-o. View

Gysland S, Mihalik J, Register-Mihalik J, Trulock S, Shields E, Guskiewicz K . The relationship between subconcussive impacts and concussion history on clinical measures of neurologic function in collegiate football players. Ann Biomed Eng. 2011; 40(1):14-22. DOI: 10.1007/s10439-011-0421-3. View

Kang Y, Moorhouse K, Bolte J . Measurement of six degrees of freedom head kinematics in impact conditions employing six accelerometers and three angular rate sensors (6aω configuration). J Biomech Eng. 2011; 133(11):111007. DOI: 10.1115/1.4005427. View

Beckwith J, Greenwald R, Chu J . Measuring head kinematics in football: correlation between the head impact telemetry system and Hybrid III headform. Ann Biomed Eng. 2011; 40(1):237-48. PMC: 3248620. DOI: 10.1007/s10439-011-0422-2. View

Goldstein L, Fisher A, Tagge C, Zhang X, Velisek L, Sullivan J . Chronic traumatic encephalopathy in blast-exposed military veterans and a blast neurotrauma mouse model. Sci Transl Med. 2012; 4(134):134ra60. PMC: 3739428. DOI: 10.1126/scitranslmed.3003716. View

Breedlove E, Robinson M, Talavage T, Morigaki K, Yoruk U, OKeefe K . Biomechanical correlates of symptomatic and asymptomatic neurophysiological impairment in high school football. J Biomech. 2012; 45(7):1265-72. DOI: 10.1016/j.jbiomech.2012.01.034. View

10.

Weaver A, Danelson K, Stitzel J . Modeling brain injury response for rotational velocities of varying directions and magnitudes. Ann Biomed Eng. 2012; 40(9):2005-18. DOI: 10.1007/s10439-012-0553-0. View

11.

Daniel R, Rowson S, Duma S . Head impact exposure in youth football. Ann Biomed Eng. 2012; 40(4):976-81. PMC: 3310979. DOI: 10.1007/s10439-012-0530-7. View

12.

Rowson S, Beckwith J, Chu J, Leonard D, Greenwald R, Duma S . A six degree of freedom head acceleration measurement device for use in football. J Appl Biomech. 2011; 27(1):8-14. DOI: 10.1123/jab.27.1.8. View

13.

Rowson S, Duma S, Beckwith J, Chu J, Greenwald R, Crisco J . Rotational head kinematics in football impacts: an injury risk function for concussion. Ann Biomed Eng. 2011; 40(1):1-13. PMC: 10465647. DOI: 10.1007/s10439-011-0392-4. View

14.

Collins M, Grindel S, Lovell M, Dede D, Moser D, Phalin B . Relationship between concussion and neuropsychological performance in college football players. JAMA. 1999; 282(10):964-70. DOI: 10.1001/jama.282.10.964. View

15.

Newman J, Beusenberg M, Shewchenko N, Withnall C, Fournier E . Verification of biomechanical methods employed in a comprehensive study of mild traumatic brain injury and the effectiveness of American football helmets. J Biomech. 2005; 38(7):1469-81. DOI: 10.1016/j.jbiomech.2004.06.025. View

16.

Beckwith J, Chu J, Greenwald R . Validation of a noninvasive system for measuring head acceleration for use during boxing competition. J Appl Biomech. 2007; 23(3):238-44. DOI: 10.1123/jab.23.3.238. View

17.

Coronado V, Xu L, Basavaraju S, McGuire L, Wald M, Faul M . Surveillance for traumatic brain injury-related deaths--United States, 1997-2007. MMWR Surveill Summ. 2011; 60(5):1-32. View

18.

Duma S, Manoogian S, Bussone W, Brolinson P, Goforth M, Donnenwerth J . Analysis of real-time head accelerations in collegiate football players. Clin J Sport Med. 2005; 15(1):3-8. DOI: 10.1097/00042752-200501000-00002. View

19.

Langlois J, Rutland-Brown W, Wald M . The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil. 2006; 21(5):375-8. DOI: 10.1097/00001199-200609000-00001. View

20.

Guskiewicz K, Weaver N, Padua D, Garrett Jr W . Epidemiology of concussion in collegiate and high school football players. Am J Sports Med. 2000; 28(5):643-50. DOI: 10.1177/03635465000280050401. View