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High School and Collegiate Football Athlete Concussions: A Biomechanical Review

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Abstract

Researchers are striving to understand the biomechanics of concussive injury that occur in the context of sport by using a number of methodologies. Animal models, video reconstruction, and helmet-based accelerometers have all been used, but have their limitations. The Head Impact Telemetry (HIT) System permits the real-time in vivo tracking of all impacts that occur on the football field and has been used in both the high school and collegiate setting. This review provides a theoretical discussion of concussion mechanics and examines the current literature on the effects of the number of impacts, impact magnitude, impact distribution, and concussion threshold in high school and collegiate football athletes recorded by the HIT System.

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References

  1. Bauer, J. A., T. S. Thomas, J. H. Cauraugh, T. W. Kaminski, and C. J. Hass. Impact forces and neck muscle activity in heading by collegiate female soccer players. J. Sports Sci. 19:171–179, 2001.

    Article  PubMed  CAS  Google Scholar 

  2. Bishop, P. J., R. W. Norman, and J. W. Kozey. An evaluation of football helmets under impact conditions. Am. J. Sport Med. 12:233–236, 1984.

    Article  CAS  Google Scholar 

  3. Broglio, S. P., J. T. Eckner, D. Martini, J. J. Sosnoff, J. S. Kutcher, and C. Randolph. Cumulative head impact burden in high school football. J. Neurotrauma, in press, PMID: 21787201.

  4. Broglio, S. P., B. Schnebel, J. J. Sosnoff, et al. Biomechanical properties of concussions in high school football. Med. Sci. Sports Exerc. 42:2064–2071, 2010.

    Article  PubMed  Google Scholar 

  5. Broglio, S. P., J. J. Sosnoff, S. Shin, X. He, C. Alcaraz, and J. P. Zimmerman. Head impacts during high school football: A biomechanical assessment. J. Athl. Train. 44:342–349, 2009.

    Article  PubMed  Google Scholar 

  6. Brolinson, P. G., S. Manoogian, D. McNeely, M. Goforth, R. Greenwald, and S. Duma. Analysis of linear head accelerations from collegiate football impacts. Curr. Sports Med. Rep. 5:23–28, 2006.

    PubMed  Google Scholar 

  7. Cantu, R. C. Head injuries in sports. Br. J. Sports Med. 30:289–296, 1996.

    Article  PubMed  CAS  Google Scholar 

  8. Crisco, J. J., J. J. Chu, and R. M. Greenwald. An algorithm for estimating acceleration magnitude and impact location using multiple nonorthogonal single-axis accelerometers. J. Biomech. Eng. 126:849–854, 2004.

    Article  PubMed  Google Scholar 

  9. Crisco, J. J., R. Fiore, J. G. Beckwith, et al. Frequency and location of head impact exposures in individual collegiate football players. J. Athl. Train. 45:549–559, 2010.

    Article  PubMed  Google Scholar 

  10. Duma, S. M., S. J. Manoogian, W. R. Bussone, et al. Analysis of real-time head accelerations in collegiate football players. Clin. J. Sport Med. 15:3–8, 2005.

    Article  PubMed  Google Scholar 

  11. Eckner, J. T., M. N. Sabin, J. S. Kutcher, and S. P. Broglio. No evidence for a cumulative impacts effect on concussion injury threshold. J. Neurotrauma, in press, PMID: 21815783.

  12. Funk, J. R., S. M. Duma, S. J. Manoogian, and S. Rowson. Biomechanical risk estimates for mild traumatic brain injury. Annu. Proc. Assoc. Adv. Automot. Med. 51:343–361, 2007.

    PubMed  CAS  Google Scholar 

  13. Gessel, L. M., S. K. Fields, C. L. Collins, R. W. Dick, and R. D. Comstock. Concussions among United States high school and collegiate athletes. J. Athl. Train. 42:495–503, 2007.

    PubMed  Google Scholar 

  14. Giedd, J. N., J. Blumenthal, N. O. Jefferies, et al. Brain development during childhood and adolescence: a longitudinal MRI study. Nat. Neurosci. 2:861–863, 1999.

    Article  PubMed  CAS  Google Scholar 

  15. Greenwald, R. M., J. T. Gwin, J. J. Chu, and J. J. Crisco. Head impact severity measures for evaluating mild traumatic brain injury risk exposure. Neurosurgery 62:789–798, 2008.

    Article  PubMed  Google Scholar 

  16. Guskiewicz, K. M., S. L. Bruce, R. C. Cantu, et al. National Athletic Trainers’ Association position statement: management of sport-related concussion. J. Athl. Train. 29:280–297, 2004.

    Google Scholar 

  17. Guskiewicz, K. M., M. McCrea, S. W. Marshall, et al. Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA concussion study. JAMA 290:2549–2555, 2003.

    Article  PubMed  CAS  Google Scholar 

  18. Guskiewicz, K. M., J. P. Mihalik, V. Shankar, et al. Measurement of head impacts in collegiate football players: relationship between head impact biomechanics and acute clinical outcome after concussion. Neurosurgery 61:1244–1252, 2007.

    Article  PubMed  Google Scholar 

  19. Guskiewicz, K. M., N. L. Weaver, D. A. Padua, and W. E. Garrett. Epidemiology of concussion in collegiate and high school football players. Am. J. Sports Med. 28:643–650, 2000.

    PubMed  CAS  Google Scholar 

  20. Hollister, N.R., W.P. Jolley, and R.G. Horne. Biophysics of concussion. WADC Tech. Rep. No. ASTIA 203385, 1958

  21. Langlois, J. A., W. Rutland-Brown, and M. M. Wald. The epidemiology and impact of traumatic brain injury: a brief overview. J. Head Trauma Rehabil. 21:375–378, 2006.

    Article  PubMed  Google Scholar 

  22. Lewis, L. M., R. Naunheim, J. Standeven, C. Lauryssen, C. Richter, and B. Jeffords. Do football helmets reduce acceleration of impact in blunt head injuries? Acad. Emerg. Med. 8:604–609, 2001.

    Article  PubMed  CAS  Google Scholar 

  23. Lovell, M. R., G. L. Iverson, M. W. Collins, D. B. McKeag, and J. C. Maroon. Does loss of consciousness predict neuropsychological decrements after concussion? Clin. J. Sport Med. 9:193–198, 1999.

    Article  PubMed  CAS  Google Scholar 

  24. Manoogian, S., D. McNeely, S. Duma, G. Brolinson, and R. Greenwald. Head acceleration is less than 10 percent of helmet acceleration in football impacts. Biomed. Sci. Instrum. 42:383–388, 2006.

    PubMed  Google Scholar 

  25. McCrory, P., W. Meeuwisse, K. Johnston, et al. Consensus statement on concussion in sport 3rd international conference on concussion in sport held in Zurich, November 2008. Br. J. Sports Med. 43:76–90, 2009.

    Article  Google Scholar 

  26. McIntosh, A. S., P. McCrory, and J. Comerford. The dynamics of concussive head impacts in rugby and Australian rules football. Med. Sci. Sports Exerc. 32:1980–1984, 2000.

    Article  PubMed  CAS  Google Scholar 

  27. Meyer, J. S., A. Kondo, F. Nomura, K. Sakamoto, and T. Teraura. Cerebral hemodynamics and metabolism following experimental head injury. J. Neurosurg. 32:304–319, 1970.

    Article  PubMed  CAS  Google Scholar 

  28. Mihalik, J. P., D. R. Bell, S. W. Marshall, and K. M. Guskiewicz. Measurement of head impacts in collegiate football players: an investigation of positional and event-type differences. Neurosurgery 61:1229–1235, 2007.

    Article  PubMed  Google Scholar 

  29. Naunheim, R. S., J. Standeven, C. Richter, and L. M. Lewis. Comparison of impact data in hockey, football, and soccer. J. Trauma 48:938–941, 2000.

    Article  PubMed  CAS  Google Scholar 

  30. Nilsson, B., and C. H. Nordstrom. Experimental head injury in the rat: part 3: cerebral blood flow and oxygen consumption after concussive impact acceleration. J. Neurosurg. 47:262–273, 1977.

    Article  PubMed  CAS  Google Scholar 

  31. Nilsson, B., and C. H. Nordstrom. Rate of cerebral energy consumption in concussive head injury in the rat. J. Neurosurg. 47:274–281, 1977.

    Article  PubMed  CAS  Google Scholar 

  32. Nilsson, B., and U. Ponten. Experimental head injury in the rat: part 2: regional brain energy metabolism in concussive trauma. J. Neurosurg. 47:252–261, 1977.

    Article  PubMed  CAS  Google Scholar 

  33. Nilsson, B., U. Ponten, and G. Voigt. Experimental head injury in rats: part 1: mechanics, pathophysiology, and morphology in an impact acceleration trauma model. J. Neurosurg. 47:241–251, 1977.

    Article  PubMed  CAS  Google Scholar 

  34. Ommaya, A. K., and T. A. Gennarelli. Cerebral concussion and traumatic unconsciousness: correlation of experimental and clinical observations on blunt head injuries. Brain 97:633–654, 1974.

    Article  PubMed  CAS  Google Scholar 

  35. Padgaonkar, A. J., K. W. Krieger, and A. I. King. Measurement of angular acceleration of a rigid body using linear accelerometers. J. Appl. Mech. 42:552–556, 1975.

    Article  Google Scholar 

  36. Pellman, E. J., D. C. Viano, A. M. Tucker, I. R. Casson, and J. F. Waeckerle. Concussion in professional football: reconstruction of game impacts and injuries. Neurosurgery 35:799–814, 2003.

    Google Scholar 

  37. Powell, J. W., and K. D. Barber-Foss. Traumatic brain injury in high school athletes. JAMA 282:958–963, 1999.

    Article  PubMed  CAS  Google Scholar 

  38. Pundez, R. H., and C. H. Shelden. The lucite calvarium—a method for direct observation of the brain. J. Neurosurg. 3:487–505, 1946.

    Article  Google Scholar 

  39. Reid, S. E., J. A. Tarkington, H. M. Epstein, and T. J. O’Dea. Brain tolerance to impact in football. Surg. Gynecol. Obstet. 133:929–936, 1971.

    PubMed  CAS  Google Scholar 

  40. Rowson, S., J. G. Beckwith, J. J. Chu, D. S. Leonard, R. M. Greenwald, and S. M. Duma. A six degree of freedom head acceleration measurement device for use in football. J. Appl. Biomech. 27:8–14, 2011.

    PubMed  Google Scholar 

  41. Rowson, S., G. Brolinson, M. Goforth, D. Dietter, and S. Duma. Linear and angular head acceleration measurements in collegiate football. J. Biomech. Eng. 131:061016-1–061016-7, 2009.

    Article  Google Scholar 

  42. Rowson, S., and S. M. Duma. Development of the STAR evaluation system for football helmets: integrating player head impact exposure and risk of concussion. Ann. Biomed. End. 39:2130–2140, 2011.

    Article  Google Scholar 

  43. Schnebel, B., J. T. Gwin, S. Anderson, and R. Gatlin. In vivo study of head impacts in football: a comparison of National Collegiate Athletic Association Division I versus high school impacts. Neurosurgery 60:490–495, 2007.

    Article  PubMed  Google Scholar 

  44. Thelen, D. G., A. B. Schultz, N. B. Alexander, and J. A. Ashton-Miller. Effects of age on rapid ankle torque development. J. Gerontol. A Biol. Sci. Med. Sci. 51:226–232, 1996.

    Article  Google Scholar 

  45. Thurman, D. J., C. M. Branche, and J. E. Sniezek. The epidemiology of sports-related traumatic brain injuries in the United States: recent developments. J. Head Trauma Rehabil. 13:1–8, 1998.

    PubMed  CAS  Google Scholar 

  46. Viano, D. C., I. R. Casson, and E. J. Pellman. Concussion in professional football: biomechanics of the struck player—part 14. Neurosurgery 61:313–328, 2007.

    Article  PubMed  Google Scholar 

  47. Viano, D. C., and E. J. Pellman. Concussion in professional football: biomechanics of the striking player—part 8. Neurosurgery 56:266–280, 2005.

    Article  PubMed  Google Scholar 

  48. Weiss, P. L., I. W. Hunter, and R. E. Kerney. Human ankle joint stiffness over the full range of muscle activation levels. J. Biomech. 21:539–544, 1988.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Michigan NeuroSport, Neurotrauma Research Laboratory, School of Kinesiology, University of Michigan, 401 Washtenaw Ave, Ann Arbor, MI, 48109, USA

    Steven P. Broglio

  2. University of Illinois-Chicago, Chicago, IL, USA

    Tyler Surma

  3. Biomechanics Research Laboratory, University of Michigan, Ann Arbor, MI, USA

    James A. Ashton-Miller

Authors
  1. Steven P. Broglio
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  2. Tyler Surma
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  3. James A. Ashton-Miller
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Correspondence to Steven P. Broglio.

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Associate Editor Stefan M. Duma oversaw the review of this article.

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Broglio, S.P., Surma, T. & Ashton-Miller, J.A. High School and Collegiate Football Athlete Concussions: A Biomechanical Review. Ann Biomed Eng 40, 37–46 (2012). https://doi.org/10.1007/s10439-011-0396-0

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  • DOI: https://doi.org/10.1007/s10439-011-0396-0

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