A Comparison of Dynamic Response and Brain Tissue Deformation for Ball Carriers and Defensive Tacklers in Professional Rugby Shoulder-to-Head Concussive Impacts PDF Download
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Author: Bianca Brigitte Rock
Publisher:
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Category :
Languages : en
Pages :
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Book Description
The long-term consequences of repetitive mild traumatic brain injuries (mTBIs), or concussions, as well as the immediate acute dangers of head collisions in sport have become of growing concern in the field of medicine, research and athletics. An estimated 3.8 million sports-related concussions occur in the United States annually, with the highest incidence having been documented in football, hockey, soccer, basketball and rugby (Harmon et al., 2013). The incidence of concussion in the National Rugby League (NRL) corresponds to approximately 8.0-17.5 injuries per 1000 playing hours, with tackling having been identified as the most common cause (Gardner et al., 2014; King et al., 2014). The highest incidence of rugby concussive impacts is a result of shoulder-to-head collisions (35%) during tackles and game play (Gardner et al., 2014). Shoulder-to-head concussive events occur primarily on the ball carrier and secondarily on the tacklers (Hendricks et al., 2014; Quarrie & Hopkins, 2008). While some studies report that the ball carrier is at a greater risk of sustaining a concussion (Gardner et al., 2015; King et al., 2010, 2014), others have demonstrated a greater incidence of tacklers being removed from play for sideline concussion evaluation (Gardner et al., 2014). Given this discrepancy, the purpose of this study was to compare dynamic response and brain tissue deformation metrics for ball carriers and defensive tacklers in professional rugby during shoulder-to-head concussive impacts using in-laboratory reconstructions. Ten cases with an injured defensive tackler and ten cases with an injured ball carrier were reconstructed using a pneumatic linear impactor striking a 50th percentile Hybrid III headform to calculate dynamic response and maximum principal strain values. There was no significant difference between the two impact conditions for peak resultant linear and rotational accelerations, as well as brain tissue deformation. Differences between metrics in this research and past research where the impacting system was not reported were discussed. These differences reflect the importance of accounting for impact compliance when describing the risk associated with collisions in professional rugby.
Author: Bianca Brigitte Rock
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
The long-term consequences of repetitive mild traumatic brain injuries (mTBIs), or concussions, as well as the immediate acute dangers of head collisions in sport have become of growing concern in the field of medicine, research and athletics. An estimated 3.8 million sports-related concussions occur in the United States annually, with the highest incidence having been documented in football, hockey, soccer, basketball and rugby (Harmon et al., 2013). The incidence of concussion in the National Rugby League (NRL) corresponds to approximately 8.0-17.5 injuries per 1000 playing hours, with tackling having been identified as the most common cause (Gardner et al., 2014; King et al., 2014). The highest incidence of rugby concussive impacts is a result of shoulder-to-head collisions (35%) during tackles and game play (Gardner et al., 2014). Shoulder-to-head concussive events occur primarily on the ball carrier and secondarily on the tacklers (Hendricks et al., 2014; Quarrie & Hopkins, 2008). While some studies report that the ball carrier is at a greater risk of sustaining a concussion (Gardner et al., 2015; King et al., 2010, 2014), others have demonstrated a greater incidence of tacklers being removed from play for sideline concussion evaluation (Gardner et al., 2014). Given this discrepancy, the purpose of this study was to compare dynamic response and brain tissue deformation metrics for ball carriers and defensive tacklers in professional rugby during shoulder-to-head concussive impacts using in-laboratory reconstructions. Ten cases with an injured defensive tackler and ten cases with an injured ball carrier were reconstructed using a pneumatic linear impactor striking a 50th percentile Hybrid III headform to calculate dynamic response and maximum principal strain values. There was no significant difference between the two impact conditions for peak resultant linear and rotational accelerations, as well as brain tissue deformation. Differences between metrics in this research and past research where the impacting system was not reported were discussed. These differences reflect the importance of accounting for impact compliance when describing the risk associated with collisions in professional rugby.
Author: Talia Ignacy
Publisher:
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Category :
Languages : en
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Book Description
Concussions are a problem in competitive sports with growing concern over the acute and long-term consequences of repetitive head trauma. Participation in sport increases risk of concussion, particularly contact sports including rugby, hockey and football (Harmon et al., 2013). In rugby league, there are between 8.0-17.5 concussions/1000 player hours, representing roughly 10-15% of all injuries in the sport (Gardner et al., 2015). Shoulder, head, hip and knee are reported to be the most common regions that impact the head and are responsible for the greatest number of concussive injuries in rugby (Cusimano et al., 2013; Fuller et al., 2010; Gardner et al., 2014; Toth, Mcneil, & Feasby, 2005). In each of the common injury events reported in elite men's rugby, there are unique combinations of impact conditions which include effective mass, compliance, velocity and location of impact. The head-to-head event represents a low mass, low compliance event, whereby the hip and shoulder-to-head collisions represents high mass, high compliance events. Scientists have conducted research in an effort to describe incidence and mechanisms of concussive injury in rugby, however, little is known about the biomechanics of head injury in the sport (Fréchède & Mcintosh, 2009; Fréchède & McIntosh, 2007; McIntosh et al., 2000). The purpose of this thesis is to characterize dynamic response and brain tissue deformation for (1) hip-to-head, (2) shoulder-to-head, (3) knee-to-head, and (4) head-to-head concussion events in men's rugby. Twenty-nine (29) impact videos of diagnosed concussive injuries associated with the four common injury events were reconstructed in the Neurotrauma Impact Science Lab. Head-to-head impacts were reconstructed in this study using a pendulum system, while hip, shoulder and knee to head impacts were reconstructed using the pneumatic linear impactor. Results of this study demonstrate that the common injury events resulting in concussion in elite men's rugby have different dynamic response characteristics. Head-to-head events produced significantly greater peak linear and peak rotational acceleration, however no significant differences in maximum principal strain between the injury events. Results of this study can be useful in reducing rates and severity of concussive injury in rugby.
Author: Janie Cournoyer
Publisher:
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Category :
Languages : en
Pages :
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The severity of injury associated with sport concussions that present with a loss of consciousness or impact seizures is ambiguous. A disconnect between the clinical and biomechanical aspect can be observed throughout the literature pertaining to loss of consciousness and impact seizures. Clinicians have dismissed a loss of consciousness or the presence of impact seizures as an indicator of severity. However, early biomechanical research suggests that loss of consciousness is caused by greater magnitudes of impacts and damage to more vulnerable brain regions. However, this research was conducted on animal and cadaver models and may not adequately represent sport-related concussions. Recent methodologies such as laboratory reconstructions of head impacts and finite element modeling can provide new information on the severity of impact associated with these signs of concussions. Study One compared the magnitudes of head dynamic response and brain tissue deformation between impact representations of punches that lead or do not lead to LOC in boxing. The main findings of this study revealed knockout punches were the result of by unprotected hooks to the mandibular angle resulting in greater brain tissue trauma. Study Two compared cases of concussions with and without LOC in American football. Head dynamic response and brain tissue deformation was also greater in the LOC group in this sport, consistent with boxing impacts. The main predictor of LOC was found to be impact velocity which has implications in terms of prevention. Study Three compared the magnitudes of head dynamic response and brain tissue deformation between cases of concussions with a loss of consciousness and cases of concussion with impact seizures in American football. The two types of clinical presentations had similar severities of brain tissue deformation with the exception of strain rate in the white matter being smaller in cases of impact seizures. The findings of this thesis support the notion that concussions with loss of consciousness or impact seizure represent a more severe injury than concussions without these signs. It may be appropriate to address these signs of injury differently in return to sport protocols to reflect their severity. The findings also suggests that prevention of loss of consciousness should be sport specific. Hooks to the side of the jaw were the primary cause in boxing, whereas LOC could be caused by different event types in American football. However, in both sports, impact velocity and impact location played an important role in the risk for loss of consciousness.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309288037
Category : Medical
Languages : en
Pages : 215
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Book Description
In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.
Author: Semyon M. Slobounov
Publisher: Springer Nature
ISBN: 3030755649
Category : Medical
Languages : en
Pages : 463
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Book Description
Now in a fully revised and expanded second edition, this comprehensive text remains a timely and major contribution to the literature that addresses the neuromechanisms, predispositions, and latest developments in the evaluation and management of concussive injuries. Concussion, also known as mild traumatic brain injury, continues to be a significant public health concern with increased attention focusing on treatment and management of this puzzling epidemic as well as controversies within the field. The book is comprised of five thematic sections: current developments in evaluation; biomechanical mechanisms; neural substrates, biomarkers, genetics and brain imaging; pediatric considerations; and clinical management and rehabilitation. Since the publication of the original edition in 2014, much has changed regarding the current understanding of mild traumatic brain injury including development of more precise imaging modalities, development and classification of new biomarkers, and updates to clinical treatment and management of athletic concussion. This new edition will include new chapters targeting the influence of genetics on concussive injury, as well as an expansion on the knowledge of pediatric response to concussion and the influence of repetitive subconcussive impacts on athlete health. An invaluable contribution to the literature, Concussions in Athletics: From Brain to Behavior reestablishes itself as a state-of-the-art reference that will be of significant interest to a wide range of clinicians, researchers, administrators, and policy makers, and this updated version aims to narrow the gap between research findings and clinical management of sports-related concussion and other mild traumatic brain injury. The second edition also attempts to broaden the scope of the knowledge to apply to more professionals and pre-professionals in the fields of neuroscience, neuropsychology, and other allied health professionals that closely work with athletes and sports medicine professionals.
Author: Marshall Kendall
Publisher:
ISBN:
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Languages : en
Pages :
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Author: Bianca Paiement
Publisher:
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Category :
Languages : en
Pages :
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Head impact and subsequent brain trauma is a concern in contact sports including rugby. Head collisions present acute and long term injury risks to the brain ranging from non-symptomatic, concussion, and neurodegeneration. Rugby Union 15s and Rugby Union 7s are the two most played codes of the sport and the physical and tactical differences may affect how brain trauma is experienced (Cunniffe, Proctor, Baker, & Davies, 2009; Colin W Fuller, Taylor, & Molloy, 2010; L. J. Suarez-Arrones, J. Nunez, Portillo, & Mendez-Villanueva, 2012). It is important to consider all parameters contributing to acute and long term injury risk in order to appropriately capture brain trauma experienced in a contact/collision sport (Karton & Hoshizaki, 2018). Impact frequency, frequency-magnitude, and interval between impact have all been reported to affect brain trauma. Trauma profiling is a method used to describe brain trauma using the variables relating to brain injury risk. The purpose of this study was to compare head impacts experienced in rugby union 15s and 7s using frequency of impact events, frequency-magnitude of brain deformation, and time interval between impacts. Thirty-six hundred (3600) player minutes of footage were analysed for each code, and all head impacts were categorised. Twenty (20) impact conditions were observed and reconstructed. Head to shoulder, hip and knee events were reconstructed using a pneumatic linear impactor, head to head events were reconstructed using a pendulum system, and head to ground events were reconstructed using a monorail drop rig. Results from both codes were compared using non-parametric Mann-Whitney U tests and demonstrated that Rugby 7s had a higher overall frequency of head impact, a greater number of head impacts causing higher trauma , and a shorter time interval between head impacts. These results suggest that rugby 7s presents a greater risk for sustaining brain trauma. These results will help expand the understanding of conditions leading to injury, and may lead to better interventions, such as equipment or rule changes, to mitigate risk.
Author: Wesley Chen
Publisher:
ISBN:
Category :
Languages : en
Pages :
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There is an increasing concern surrounding brain trauma risks for young athletes participating in contact sports, as brain injuries in youth have detrimental consequences on their cognition, behaviour, and learning abilities (Ayr et al., 2009; Yeates and Taylor, 2005). Given the potential for future neurological and mental health issues, there is further need to quantify brain trauma within youth sport populations (Daneshvar et al., 2011). Ice hockey is a sport with high rates of brain injury in youth, and the shift from Pee Wee (ages 11-12) to Bantam (ages 13-14) hockey is an important transition period in which athletes are introduced to body checking (Black et al., 2017; Marar et al., 2012). The purpose of this study was to compare the brain trauma profiles between Pee Wee and Bantam hockey in terms of the head dynamic response, brain tissue deformation, and frequency of head impact events. Head impact events from 16 Pee Wee and 16 Bantam hockey games were analyzed, and 71 exemplar impact reconstructions were conducted. No differences were found between Pee Wee and Bantam for magnitudes of peak linear acceleration, peak rotational acceleration, or maximum principal strain (MPS). Overall frequency of head impact events was also similar between the two groups. However, chi-squared tests found that the type of head impact event was significantly associated with the age group (X2 (6) = 17.699, p = 0.006, ?c = .347). Ice and boards head impact events were more frequent in Pee Wee, while shoulder and glass head impact events were more frequent in Bantam. There were slightly higher frequencies of events {601}26% MPS reported in Pee Wee. However, events were more frequently within the 17-25.9% MPS range for Bantam and were typically the result of shoulder to head impacts. While head impact events at younger ages are more accidental in nature, deliberate player contact from body checking is associated with greater risks for sustaining brain trauma. Policymakers should consider whether Bantam is the most appropriate age to continue allowing for body checking. Developing age-specific helmet technology may be an effective method for protecting against the unique brain trauma risks which are associated with different levels of youth hockey competition. Understanding the characteristics of how brain trauma occurs within youth hockey can help inform and guide future protective and preventative strategies to keep participation in this sport safe for all athletes.
Author: Clara Karton
Publisher:
ISBN:
Category : Biomechanics
Languages : en
Pages :
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Book Description
The varied impact parameters that characterize an impact to the head have shown to influence the resulting type and severity of outcome injury, both in terms of the dynamic response, and the corresponding deformation of neural tissue. Therefore, when determining head injury risks through event reconstruction, it is important to understand how individual impact characteristics influence these responses. The effect of inbound mass had not yet been documented in the literature. The purpose of this study was to determine the effects of inbound mass on the dynamic impact response and brain tissue deformation. A 50th percentile Hybrid III adult male head form was impacted using a simple pendulum system. Impacts to a centric and a non-centric impact location were performed with six varied inbound masses at a velocity of 4.0 m/s. The peak linear and peak angular accelerations were measured. A finite element model, (UCDBTM) was used to determine brain deformation, namely peak maximum principal strain and peak von Mises stress. Inbound mass produced significant differences for peak linear acceleration for centric (F(5, 24) = 217.55, p=.0005) and non-centric (F(5, 24) = 161.98, p=.0005), and for peak angular acceleration for centric (F(5, 24) = 52.51, p=.0005) and non-centric (F(5, 24) = 4.18, p=.007) impact locations. A change in inbound mass also had a significant effect on peak maximum principal strain for centric (F(5, 24) = 11.04, p=.0005) and non-centric (F(5, 24) = 5.87, p =.001), and for peak von Mises stress for centric (F(5, 24) = 24.01, p=.0005) and non-centric (F(5, 24) = 4.62, p=.004) impact locations. These results indicate the inbound mass of an impact should be of consideration when determining risks and prevention to head and brain injury.
Author: Semyon M. Slobounov
Publisher: Springer Science & Business Media
ISBN: 0387325654
Category : Medical
Languages : en
Pages : 482
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Book Description
In summarizing current insights and controversies over concussions in athletics, this book makes the vital point that symptom resolution does not necessarily mean injury resolution. Research shows that dysfunctional pathways continue for extended periods even after a minor concussion. Until the consequences of short-term perturbations and long-term residual brain dysfunctions are better understood, concussions must be treated with respect and given a higher priority for continued research activity.
