A New Assessment of Bicycle Helmets: The Brain Injury Mitigation Effects of New Technologies in Oblique Impacts.


Journal

Annals of biomedical engineering
ISSN: 1573-9686
Titre abrégé: Ann Biomed Eng
Pays: United States
ID NLM: 0361512

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 22 01 2021
accepted: 24 04 2021
pubmed: 12 5 2021
medline: 2 2 2022
entrez: 11 5 2021
Statut: ppublish

Résumé

New helmet technologies have been developed to improve the mitigation of traumatic brain injury (TBI) in bicycle accidents. However, their effectiveness under oblique impacts, which produce more strains in the brain in comparison with vertical impacts adopted by helmet standards, is still unclear. Here we used a new method to assess the brain injury prevention effects of 27 bicycle helmets in oblique impacts, including helmets fitted with a friction-reducing layer (MIPS), a shearing pad (SPIN), a wavy cellular liner (WaveCel), an airbag helmet (Hövding) and a number of conventional helmets. We tested whether helmets fitted with the new technologies can provide better brain protection than conventional helmets. Each helmeted headform was dropped onto a 45° inclined anvil at 6.3 m/s at three locations, with each impact location producing a dominant head rotation about one anatomical axes of the head. A detailed computational model of TBI was used to determine strain distribution across the brain and in key anatomical regions, the corpus callosum and sulci. Our results show that, in comparison with conventional helmets, the majority of helmets incorporating new technologies significantly reduced peak rotational acceleration and velocity and maximal strain in corpus callosum and sulci. Only one helmet with MIPS significantly increased strain in the corpus collosum. The helmets fitted with MIPS and WaveCel were more effective in reducing strain in impacts producing sagittal rotations and a helmet fitted with SPIN in coronal rotations. The airbag helmet was effective in reducing brain strain in all impacts, however, peak rotational velocity and brain strain heavily depended on the analysis time. These results suggest that incorporating different impact locations in future oblique impact test methods and designing helmet technologies for the mitigation of head rotation in different planes are key to reducing brain injuries in bicycle accidents.

Identifiants

pubmed: 33973128
doi: 10.1007/s10439-021-02785-0
pii: 10.1007/s10439-021-02785-0
pmc: PMC8109224
doi:

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2716-2733

Subventions

Organisme : Imperial College London (GB)
ID : President's PhD Scholarship Scheme

Informations de copyright

© 2021. The Author(s).

Références

Aare, M., and P. Halldin. A new laboratory rig for evaluating helmets subject to oblique impacts. Traffic Inj. Prev. 4:240–248, 2003.
doi: 10.1080/15389580309879
Administration, U. S. D. of T. N. H. T. S. Bicyclists and Other Cyclists: 2009 Data. papers2://publication/uuid/C071D6BC-D260-4EDE-B3AC-7FA105A7C8F3 (2011).
Ao, B. T., et al. Cost of traumatic brain injury in New Zealand: Evidence from a population-based study. Neurology 83:1645–1652, 2014.
doi: 10.1212/WNL.0000000000000933
Bain, A. C., and D. F. Meaney. Tissue-level thresholds for axonal damage in an experimental model of central nervous system white matter injury. J. Biomech. Eng. 122:615–622, 2000.
doi: 10.1115/1.1324667
Bian, K., and H. Mao. Mechanisms and variances of rotation-induced brain injury: a parametric investigation between head kinematics and brain strain. Biomech. Model. Mechanobiol. 2020. https://doi.org/10.1007/s10237-020-01341-4 .
doi: 10.1007/s10237-020-01341-4 pubmed: 32449073
Bland, M. L., C. McNally, D. S. Zuby, B. C. Mueller, and S. Rowson. Development of the STAR evaluation system for assessing bicycle helmet protective performance. Ann. Biomed. Eng. 48:47–57, 2020.
doi: 10.1007/s10439-019-02330-0
Bland, M. L., et al. Laboratory reconstructions of bicycle helmet damage: Investigation of cyclist head impacts using oblique impacts and computed tomography. Ann. Biomed. Eng. 2020. https://doi.org/10.1007/s10439-020-02620-y .
doi: 10.1007/s10439-020-02620-y pubmed: 32974755
Bliven, E., et al. Evaluation of a novel bicycle helmet concept in oblique impact testing. Accid. Anal. Prev. 124:58–65, 2019.
doi: 10.1016/j.aap.2018.12.017
Bottlang, M., A. Rouhier, S. Tsai, J. Gregoire, and S. M. Madey. Impact performance comparison of advanced bicycle helmets with dedicated rotation-damping systems. Ann. Biomed. Eng. 48:68–78, 2020.
doi: 10.1007/s10439-019-02328-8
Bourdet, N., C. Deck, R. P. Carreira, and R. Willinger. Head impact conditions in the case of cyclist falls. Proc. Inst. Mech. Eng. Part P J. Sport. Eng. Technol. 226:282–289, 2012.
Cherry, J. D., et al. Microglial neuroinflammation contributes to tau accumulation in chronic traumatic encephalopathy. Acta Neuropathol. Commun. 4:112, 2016.
doi: 10.1186/s40478-016-0382-8
Coleman, H. & Mizenko, K. Traffic Safety Facts: Pedestrian and bicyclist data analysis. U.S Dep. Transp. Natl. Highw. Traffic Saf. Adm. (2018).
Cripton, P. A., D. M. Dressler, C. A. Stuart, C. R. Dennison, and D. Richards. Bicycle helmets are highly effective at preventing head injury during head impact: Head-form accelerations and injury criteria for helmeted and unhelmeted impacts. Accid. Anal. Prev. 70:1–7, 2014.
doi: 10.1016/j.aap.2014.02.016
Deck, C., N. Bourdet, F. Meyer, and R. Willinger. Protection performance of bicycle helmets. J. Safety Res. 71:67–77, 2019.
doi: 10.1016/j.jsr.2019.09.003
DeMarco, A. L., D. D. Chimich, S. J. Bonin, and G. P. Siegmund. Impact performance of certified bicycle helmets below, on and above the test line. Ann. Biomed. Eng. 48:58–67, 2020.
doi: 10.1007/s10439-019-02422-x
DeVore, G. R. Computing the Z score and centiles for cross-sectional analysis a practical approach. J. Ultrasound Med. 36:459–473, 2017.
doi: 10.7863/ultra.16.03025
Dodds, N., et al. Evaluating the impact of cycle helmet use on severe traumatic brain injury and death in a national cohort of over 11000 pedal cyclists: A retrospective study from the NHS England Trauma Audit and Research Network dataset. BMJ Open 9:1–8, 2019.
doi: 10.1136/bmjopen-2018-027845
Donat, C., et al. From biomechanics to pathology: Predicting axonal injury from patterns of strain after traumatic brain injury. Brain 144(1):70–91, 2020.
doi: 10.1093/brain/awaa336
European Committe for Standardization. EN1078: Helmets for pedal cyclists and for users of skateboards and roller skates. 1–13 (1997).
Fahlstedt, M., P. Halldin, and S. Kleiven. The protective effect of a helmet in three bicycle accidents—A finite element study. Accid. Anal. Prev. 91:135–143, 2016.
doi: 10.1016/j.aap.2016.02.025
Fahlstedt, M., et al. Ranking and rating bicycle helmet safety performance in oblique impacts using eight different brain injury models. Ann. Biomed. Eng. 2020. https://doi.org/10.1007/s10439-020-02703-w .
doi: 10.1007/s10439-020-02703-w
Ghajari, M., P. J. Hellyer, and D. J. Sharp. Computational modelling of traumatic brain injury predicts the location of chronic traumatic encephalopathy pathology. Brain 140:333–343, 2017.
doi: 10.1093/brain/aww317
Halldin, P., Aare, M., Kleiven, S. & von Holst, H. Improved helmet design and test methods to reduce rotational induced brain injuries. 1–8 (2003).
Halldin, P., A. Gilchrist, and N. J. Mills. A new oblique impact test for motorcycle helmets. Int. J. Crashworthiness 6:53–64, 2001.
doi: 10.1533/cras.2001.0162
Hamer, M., and Y. Chida. Active commuting and cardiovascular risk: A meta-analytic review. Prev. Med. (Baltim) 46:9–13, 2008.
doi: 10.1016/j.ypmed.2007.03.006
Ho, J., and S. Kleiven. Can sulci protect the brain from traumatic injury? J. Biomech. 42:2074–2080, 2009.
doi: 10.1016/j.jbiomech.2009.06.051
Holbourn, A. H. S., M. A. Edin, and P. Oxfd. Mechanics of Head Injuries. Lancet 242:438–441, 1943.
doi: 10.1016/S0140-6736(00)87453-X
Hubbard, R. P., and D. G. Mcleod. Definition and Development of A Crash Dummy Head. SAE Tech. Pap. Ser. 1:3836–3851, 2010.
Khosroshahi, S. F., H. Duckworth, U. Galvanetto, and M. Ghajari. The effects of topology and relative density of lattice liners on traumatic brain injury mitigation. J. Biomech. 97:2019.
Kleiven, S. Predictors for traumatic brain injuries evaluated through accident reconstructions. Stapp Car Crash J. 51:81–114, 2007.
pubmed: 18278592
Kleiven, S. Influence of direction and duration of impacts to the human head evaluated using the finite element method. Int. Res. Counc. Biomech. Impact - 2005 Int. IRCOBI Conf. Biomech. Impact, Proc. 41–57 (2005).
Kurt, M., K. Laksari, C. Kuo, G. A. Grant, and D. B. Camarillo. Modeling and optimization of airbag helmets for preventing head injuries in bicycling. Ann. Biomed. Eng. 45:1148–1160, 2017.
doi: 10.1007/s10439-016-1732-1
Lloyd, D. & Murphy, A. Reported road casualties in Great Britain: 2019 annual report. Department for Transport vol. 1 https://www.gov.uk/government/ (2019).
McKee, A. C., et al. The spectrum of disease in chronic traumatic encephalopathy. Brain 136:43–64, 2013.
doi: 10.1093/brain/aws307
Meng, S., Fahlstedt, M. & Halldin, P. The effect of impact velocity angle on helmeted head impact severity: A rationale for motorcycle helmet impact test design. Conf. Proc. Int. Res. Counc. Biomech. Inj. IRCOBI 2018-Septe, 454–469 (2018).
Mills, N. J., and A. Gilchrist. Response of helmets in direct and oblique impacts. Int. J. Crashworthiness 2:7–24, 1996.
doi: 10.1533/cras.1997.0032
Mills, N. J., S. Wilkes, S. Derler, and A. Flisch. FEA of oblique impact tests on a motorcycle helmet. Int. J. Impact Eng. 36:913–925, 2009.
doi: 10.1016/j.ijimpeng.2008.12.011
Ming Wen, L., and C. Rissel. Inverse associations between cycling to work, public transport, and overweight and obesity: Findings from a population based study in Australia. Prev. Med. (Baltim) 46:29–32, 2008.
doi: 10.1016/j.ypmed.2007.08.009
Møller, N. C., L. Østergaard, J. R. Gade, J. L. Nielsen, and L. B. Andersen. The effect on cardiorespiratory fitness after an 8-week period of commuter cycling—A randomized controlled study in adults. Prev. Med. (Baltim) 53:172–177, 2011.
doi: 10.1016/j.ypmed.2011.06.007
Nightingale, R. W., J. H. McElhaney, W. J. Richardson, and B. S. Myers. Dynamic responses of the head and cervical spine to axial impact loading. J. Biomech. 29:307–318, 1996.
doi: 10.1016/0021-9290(95)00056-9
Nilsson, P., H. Stigson, M. Ohlin, and J. Strandroth. Modelling the effect on injuries and fatalities when changing mode of transport from car to bicycle. Accid. Anal. Prev. 100:30–36, 2017.
doi: 10.1016/j.aap.2016.12.020
Ommaya, A. K., P. Yarnell, A. E. Hirsch, and E. H. Harris. Scaling of experimental data on cerebral concussion in sub-human primates to concussion threshold for man. SAE Technical Papers 1967. https://doi.org/10.4271/670906 .
doi: 10.4271/670906
Padgaonkar, A. J., K. W. Krieger, and A. I. King. Measurement of angular acceleration of a rigid body using linear accelerometers. Am. Soc. Mech. Eng. 42(3):552–556, 1975.
Pintar, F. A., et al. Biodynamics of the total human cadaveric cervical spine. SAE Tech. Pap. 1990. https://doi.org/10.4271/902309 .
doi: 10.4271/902309
Pintar, F. A., et al. Biodynamics of the total human cadaveric cervical spine. Soc. Automot. Eng. Pap. No. 902309:55–72, 1990. https://doi.org/10.4271/902309 .
doi: 10.4271/902309
Rizzi, M., Stigson, H. & Krafft, M. Cyclist injuries leading to permanent medical impairment in sweden and the effect of bicycle helmets. 2013 IRCOBI Conf. Proc. - Int. Res. Counc. Biomech. Inj. 412–423 (2013).
Sharp, D. J., G. Scott, and R. Leech. Network dysfunction after traumatic brain injury. Nat. Rev. Neurol. 10:156–166, 2014.
doi: 10.1038/nrneurol.2014.15
Siegkas, P., D. J. Sharp, and M. Ghajari. The traumatic brain injury mitigation effects of a new viscoelastic add-on liner. Sci. Rep. 9:1–10, 2019.
doi: 10.1038/s41598-019-39953-1
Stigson, H., Rizzi, M., Ydenius, A., Engström, E. & Kullgren, A. Consumer Testing of Bicycle Helmets. Conf. Proc. Int. Res. Counc. Biomech. Inj. IRCOBI 2017-Septe, 173–181 (2017).
Takhounts, E. G., Craig, M. J., Moorhouse, K., McFadden, J. & Hasija, V. Development of Brain Injury Criteria (BrIC). SAE Tech. Pap. 2013-Novem, 243–266 (2013).
Transport Secretary’s statement on coronavirus (COVID-19): 4 June 2020 - GOV.UK. https://www.gov.uk/government/speeches/transport-secretarys-statement-on-coronavirus-covid-19-4-june-2020 .
Trotta, A., A. NíAnnaidh, R. O. Burek, B. Pelgrims, and J. Ivens. Evaluation of the head-helmet sliding properties in an impact test. J. Biomech. 75:28–34, 2018.
doi: 10.1016/j.jbiomech.2018.05.003
Weaver, A. A., K. A. Danelson, and J. D. Stitzel. Modeling brain injury response for rotational velocities of varying directions and magnitudes. Ann. Biomed. Eng. 40:2005–2018, 2012.
doi: 10.1007/s10439-012-0553-0
Willinger, R., Deck, C., Halldin, P. & Otte, D. Towards advanced bicycle helmet test methods. Int. Cycl. Saf. Conf. 1–11 (2014).
Yoganandan, N., A. Sances, and F. Pintar. Biomechanical evaluation of the axial compressive responses of the human cadaveric and manikin necks. J. Biomech. Eng. 111:250, 2009.
doi: 10.1115/1.3168374

Auteurs

Fady Abayazid (F)

Dyson School of Design Engineering, Imperial College, London, UK. fa1016@ic.ac.uk.

Ke Ding (K)

Dyson School of Design Engineering, Imperial College, London, UK.

Karl Zimmerman (K)

Dyson School of Design Engineering, Imperial College, London, UK.
Computational, Cognitive and Clinical Neuroimaging Laboratory, Department of Brain Sciences, Hammersmith Hospital, Imperial College London, London, UK.

Helena Stigson (H)

Folksam Insurance Group, Stockholm, Sweden.
Vehicle Safety Division, Department of Applied Mechanics, Chalmers University of Technology, Gothenburg, Sweden.
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.

Mazdak Ghajari (M)

Dyson School of Design Engineering, Imperial College, London, UK.

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