Head Kinematics and Injury Metrics for Laboratory Hockey-Relevant Head Impact Experiments

Ann Biomed Eng. 2021 Oct;49(10):2914-2923. doi: 10.1007/s10439-021-02855-3. Epub 2021 Sep 1.

Abstract

Investigating head responses during hockey-related blunt impacts and hence understanding how to mitigate brain injury risk from such impacts still needs more exploration. This study used the recently developed hockey helmet testing methodology, known as the Hockey Summation of Tests for the Analysis of Risk (Hockey STAR), to collect 672 laboratory helmeted impacts. Brain strains were then calculated from the according 672 simulations using the detailed Global Human Body Models Consortium (GHBMC) finite element head model. Experimentally measured head kinematics and brain strains were used to calculate head/brain injury metrics including peak linear acceleration, peak rotational acceleration, peak rotational velocity, Gadd Severity Index (GSI), Head Injury Criteria (HIC15), Generalized Acceleration Model for Brain Injury Threshold (GAMBIT), Brain Injury Criteria (BrIC), Universal Brain Injury Criterion (UBrIC), Diffuse Axonal Multi-Axis General Equation (DAMAGE), average maximum principal strain (MPS) and cumulative strain damage measure (CSDM). Correlation analysis of kinematics-based and strain-based metrics highlighted the importance of rotational velocity. Injury metrics that use rotational velocity correlated highly to average MPS and CSDM with UBrIC yielding the strongest correlation. In summary, a comprehensive analysis for kinematics-based and strain-based injury metrics was conducted through a hybrid experimental (672 impacts) and computational (672 simulations) approach. The results can provide references for adopting brain injury metrics when using the Hockey STAR approach and guide ice hockey helmet designs that help reduce brain injury risks.

Keywords: Biomechanics; Brain; Concussion; Helmet; Impact; Mild traumatic brain injury; Sports.

MeSH terms

  • Acceleration
  • Adult
  • Biomechanical Phenomena
  • Brain / diagnostic imaging
  • Brain / physiopathology
  • Craniocerebral Trauma / physiopathology*
  • Finite Element Analysis
  • Head / physiopathology*
  • Head Protective Devices
  • Hockey / injuries*
  • Humans
  • Laboratories
  • Magnetic Resonance Imaging
  • Male
  • Models, Biological*
  • Rotation
  • Sports Equipment
  • Tomography, X-Ray Computed