Nelson, L D; Guskiewicz, K M; Barr, W B; Hammeke, T A; Randolph, C; Ahn, K W; Wang, Y; McCrea, M A
Age Differences in Recovery After Sport-Related Concussion: A Comparison of High School and Collegiate Athletes Journal Article
In: Journal of Athletic Training, vol. 51, no. 2, pp. 142–152, 2016.
Abstract | BibTeX | Tags: *Athletic Injuries/di [Diagnosis], *Brain Concussion/di [Diagnosis], Age Factors, cognition, Female, Football/in [Injuries], Hockey/in [Injuries], Humans, Male, Neuropsychological Tests, Prospective Studies, Racquet Sports/in [Injuries], Recovery of Function, Risk Factors, Soccer/in [Injuries], Students, Time Factors
@article{Nelson2016b,
title = {Age Differences in Recovery After Sport-Related Concussion: A Comparison of High School and Collegiate Athletes},
author = {Nelson, L D and Guskiewicz, K M and Barr, W B and Hammeke, T A and Randolph, C and Ahn, K W and Wang, Y and McCrea, M A},
year = {2016},
date = {2016-01-01},
journal = {Journal of Athletic Training},
volume = {51},
number = {2},
pages = {142--152},
abstract = {CONTEXT: Younger age has been hypothesized to be a risk factor for prolonged recovery after sport-related concussion, yet few studies have directly evaluated age differences in acute recovery. OBJECTIVE: To compare clinical recovery patterns for high school and collegiate athletes. DESIGN: Prospective cohort study. SETTING: Large, multicenter prospective sample collected from 1999-2003 in a sports medicine setting. SUBJECTS: Concussed athletes (n = 621; 545 males and 76 females) and uninjured controls (n = 150) participating in high school and collegiate contact and collision sports (79% in football, 15.7% in soccer, and the remainder in lacrosse or ice hockey). MAIN OUTCOME MEASURE(S): Participants underwent evaluation of symptoms (Graded Symptom Checklist), cognition (Standardized Assessment of Concussion, paper-and-pencil neuropsychological tests), and postural stability (Balance Error Scoring System). Athletes were evaluated preinjury and followed serially at several time points after concussive injury: immediately, 3 hours postinjury, and at days 1, 2, 3, 5, 7, and 45 or 90 (with neuropsychological measures administered at baseline and 3 postinjury time points). RESULTS: Comparisons of concussed high school and collegiate athletes with uninjured controls suggested that high school athletes took 1 to 2 days longer to recover on a cognitive (Standardized Assessment of Concussion) measure. Comparisons with the control group on other measures (symptoms, balance) as well as direct comparisons between concussed high school and collegiate samples revealed no differences in the recovery courses between the high school and collegiate groups on any measure. Group-level recovery occurred at or before 7 days postinjury on all assessment metrics. CONCLUSIONS: The findings suggest no clinically significant age differences exist in recovery after sport-related concussion, and therefore, separate injury-management protocols are not needed for high school and collegiate athletes.},
keywords = {*Athletic Injuries/di [Diagnosis], *Brain Concussion/di [Diagnosis], Age Factors, cognition, Female, Football/in [Injuries], Hockey/in [Injuries], Humans, Male, Neuropsychological Tests, Prospective Studies, Racquet Sports/in [Injuries], Recovery of Function, Risk Factors, Soccer/in [Injuries], Students, Time Factors},
pubstate = {published},
tppubtype = {article}
}
Hernandez, F; Shull, P B; Camarillo, D B
Evaluation of a laboratory model of human head impact biomechanics Journal Article
In: Journal of Biomechanics, vol. 48, no. 12, pp. 3469–3477, 2015.
Abstract | BibTeX | Tags: *HEAD, *Laboratories, *Mechanical Phenomena, *Models, Acceleration, Biological, Biomechanical Phenomena, Brain Concussion/et [Etiology], Football/in [Injuries], Head Protective Devices, Humans, Male, Neck/ph [Physiology], Rotation, SAFETY
@article{Hernandez2015,
title = {Evaluation of a laboratory model of human head impact biomechanics},
author = {Hernandez, F and Shull, P B and Camarillo, D B},
year = {2015},
date = {2015-01-01},
journal = {Journal of Biomechanics},
volume = {48},
number = {12},
pages = {3469--3477},
abstract = {This work describes methodology for evaluating laboratory models of head impact biomechanics. Using this methodology, we investigated: how closely does twin-wire drop testing model head rotation in American football impacts? Head rotation is believed to cause mild traumatic brain injury (mTBI) but helmet safety standards only model head translations believed to cause severe TBI. It is unknown whether laboratory head impact models in safety standards, like twin-wire drop testing, reproduce six degree-of-freedom (6DOF) head impact biomechanics that may cause mTBI. We compared 6DOF measurements of 421 American football head impacts to twin-wire drop tests at impact sites and velocities weighted to represent typical field exposure. The highest rotational velocities produced by drop testing were the 74th percentile of non-injury field impacts. For a given translational acceleration level, drop testing underestimated field rotational acceleration by 46% and rotational velocity by 72%. Primary rotational acceleration frequencies were much larger in drop tests ($sim$100 Hz) than field impacts ($sim$10 Hz). Drop testing was physically unable to produce acceleration directions common in field impacts. Initial conditions of a single field impact were highly resolved in stereo high-speed video and reconstructed in a drop test. Reconstruction results reflected aggregate trends of lower amplitude rotational velocity and higher frequency rotational acceleration in drop testing, apparently due to twin-wire constraints and the absence of a neck. These results suggest twin-wire drop testing is limited in modeling head rotation during impact, and motivate continued evaluation of head impact models to ensure helmets are tested under conditions that may cause mTBI. Copyright © 2015 Elsevier Ltd. All rights reserved.},
keywords = {*HEAD, *Laboratories, *Mechanical Phenomena, *Models, Acceleration, Biological, Biomechanical Phenomena, Brain Concussion/et [Etiology], Football/in [Injuries], Head Protective Devices, Humans, Male, Neck/ph [Physiology], Rotation, SAFETY},
pubstate = {published},
tppubtype = {article}
}
Bartsch, A; Samorezov, S; Benzel, E; Miele, V; Brett, D
Validation of an "Intelligent Mouthguard" Single Event Head Impact Dosimeter Journal Article
In: Stapp Car Crash Journal, vol. 58, pp. 1–27, 2014.
Abstract | BibTeX | Tags: *Acceleration, *Boxing, *Brain Injuries, *Football, *Mouth Protectors, *Telemetry, ALGORITHMS, Biomechanical Phenomena/ph [Physiology], Boxing/in [Injuries], Boxing/ph [Physiology], Brain Injuries/di [Diagnosis], Brain Injuries/et [Etiology], Brain Injuries/pc [Prevention & Control], Brain Injuries/pp [Physiopathology], finite element analysis, Football/in [Injuries], Football/ph [Physiology], Head Protective Devices, Humans, Reproducibility of Results, Telemetry/is [Instrumentation], Telemetry/mt [Methods]
@article{Bartsch2014,
title = {Validation of an "Intelligent Mouthguard" Single Event Head Impact Dosimeter},
author = {Bartsch, A and Samorezov, S and Benzel, E and Miele, V and Brett, D},
year = {2014},
date = {2014-01-01},
journal = {Stapp Car Crash Journal},
volume = {58},
pages = {1--27},
abstract = {Dating to Colonel John Paul Stapp MD in 1975, scientists have desired to measure live human head impacts with accuracy and precision. But no instrument exists to accurately and precisely quantify single head impact events. Our goal is to develop a practical single event head impact dosimeter known as "Intelligent Mouthguard" and quantify its performance on the benchtop, in vitro and in vivo. In the Intelligent Mouthguard hardware, limited gyroscope bandwidth requires an algorithm-based correction as a function of impact duration. After we apply gyroscope correction algorithm, Intelligent Mouthguard results at time of CG linear acceleration peak correlate to the Reference Hybrid III within our tested range of pulse durations and impact acceleration profiles in American football and Boxing in vitro tests: American football},
keywords = {*Acceleration, *Boxing, *Brain Injuries, *Football, *Mouth Protectors, *Telemetry, ALGORITHMS, Biomechanical Phenomena/ph [Physiology], Boxing/in [Injuries], Boxing/ph [Physiology], Brain Injuries/di [Diagnosis], Brain Injuries/et [Etiology], Brain Injuries/pc [Prevention \& Control], Brain Injuries/pp [Physiopathology], finite element analysis, Football/in [Injuries], Football/ph [Physiology], Head Protective Devices, Humans, Reproducibility of Results, Telemetry/is [Instrumentation], Telemetry/mt [Methods]},
pubstate = {published},
tppubtype = {article}
}
Nelson, L D; Guskiewicz, K M; Barr, W B; Hammeke, T A; Randolph, C; Ahn, K W; Wang, Y; McCrea, M A
Age Differences in Recovery After Sport-Related Concussion: A Comparison of High School and Collegiate Athletes Journal Article
In: Journal of Athletic Training, vol. 51, no. 2, pp. 142–152, 2016.
@article{Nelson2016b,
title = {Age Differences in Recovery After Sport-Related Concussion: A Comparison of High School and Collegiate Athletes},
author = {Nelson, L D and Guskiewicz, K M and Barr, W B and Hammeke, T A and Randolph, C and Ahn, K W and Wang, Y and McCrea, M A},
year = {2016},
date = {2016-01-01},
journal = {Journal of Athletic Training},
volume = {51},
number = {2},
pages = {142--152},
abstract = {CONTEXT: Younger age has been hypothesized to be a risk factor for prolonged recovery after sport-related concussion, yet few studies have directly evaluated age differences in acute recovery. OBJECTIVE: To compare clinical recovery patterns for high school and collegiate athletes. DESIGN: Prospective cohort study. SETTING: Large, multicenter prospective sample collected from 1999-2003 in a sports medicine setting. SUBJECTS: Concussed athletes (n = 621; 545 males and 76 females) and uninjured controls (n = 150) participating in high school and collegiate contact and collision sports (79% in football, 15.7% in soccer, and the remainder in lacrosse or ice hockey). MAIN OUTCOME MEASURE(S): Participants underwent evaluation of symptoms (Graded Symptom Checklist), cognition (Standardized Assessment of Concussion, paper-and-pencil neuropsychological tests), and postural stability (Balance Error Scoring System). Athletes were evaluated preinjury and followed serially at several time points after concussive injury: immediately, 3 hours postinjury, and at days 1, 2, 3, 5, 7, and 45 or 90 (with neuropsychological measures administered at baseline and 3 postinjury time points). RESULTS: Comparisons of concussed high school and collegiate athletes with uninjured controls suggested that high school athletes took 1 to 2 days longer to recover on a cognitive (Standardized Assessment of Concussion) measure. Comparisons with the control group on other measures (symptoms, balance) as well as direct comparisons between concussed high school and collegiate samples revealed no differences in the recovery courses between the high school and collegiate groups on any measure. Group-level recovery occurred at or before 7 days postinjury on all assessment metrics. CONCLUSIONS: The findings suggest no clinically significant age differences exist in recovery after sport-related concussion, and therefore, separate injury-management protocols are not needed for high school and collegiate athletes.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Hernandez, F; Shull, P B; Camarillo, D B
Evaluation of a laboratory model of human head impact biomechanics Journal Article
In: Journal of Biomechanics, vol. 48, no. 12, pp. 3469–3477, 2015.
@article{Hernandez2015,
title = {Evaluation of a laboratory model of human head impact biomechanics},
author = {Hernandez, F and Shull, P B and Camarillo, D B},
year = {2015},
date = {2015-01-01},
journal = {Journal of Biomechanics},
volume = {48},
number = {12},
pages = {3469--3477},
abstract = {This work describes methodology for evaluating laboratory models of head impact biomechanics. Using this methodology, we investigated: how closely does twin-wire drop testing model head rotation in American football impacts? Head rotation is believed to cause mild traumatic brain injury (mTBI) but helmet safety standards only model head translations believed to cause severe TBI. It is unknown whether laboratory head impact models in safety standards, like twin-wire drop testing, reproduce six degree-of-freedom (6DOF) head impact biomechanics that may cause mTBI. We compared 6DOF measurements of 421 American football head impacts to twin-wire drop tests at impact sites and velocities weighted to represent typical field exposure. The highest rotational velocities produced by drop testing were the 74th percentile of non-injury field impacts. For a given translational acceleration level, drop testing underestimated field rotational acceleration by 46% and rotational velocity by 72%. Primary rotational acceleration frequencies were much larger in drop tests ($sim$100 Hz) than field impacts ($sim$10 Hz). Drop testing was physically unable to produce acceleration directions common in field impacts. Initial conditions of a single field impact were highly resolved in stereo high-speed video and reconstructed in a drop test. Reconstruction results reflected aggregate trends of lower amplitude rotational velocity and higher frequency rotational acceleration in drop testing, apparently due to twin-wire constraints and the absence of a neck. These results suggest twin-wire drop testing is limited in modeling head rotation during impact, and motivate continued evaluation of head impact models to ensure helmets are tested under conditions that may cause mTBI. Copyright © 2015 Elsevier Ltd. All rights reserved.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Bartsch, A; Samorezov, S; Benzel, E; Miele, V; Brett, D
Validation of an "Intelligent Mouthguard" Single Event Head Impact Dosimeter Journal Article
In: Stapp Car Crash Journal, vol. 58, pp. 1–27, 2014.
@article{Bartsch2014,
title = {Validation of an "Intelligent Mouthguard" Single Event Head Impact Dosimeter},
author = {Bartsch, A and Samorezov, S and Benzel, E and Miele, V and Brett, D},
year = {2014},
date = {2014-01-01},
journal = {Stapp Car Crash Journal},
volume = {58},
pages = {1--27},
abstract = {Dating to Colonel John Paul Stapp MD in 1975, scientists have desired to measure live human head impacts with accuracy and precision. But no instrument exists to accurately and precisely quantify single head impact events. Our goal is to develop a practical single event head impact dosimeter known as "Intelligent Mouthguard" and quantify its performance on the benchtop, in vitro and in vivo. In the Intelligent Mouthguard hardware, limited gyroscope bandwidth requires an algorithm-based correction as a function of impact duration. After we apply gyroscope correction algorithm, Intelligent Mouthguard results at time of CG linear acceleration peak correlate to the Reference Hybrid III within our tested range of pulse durations and impact acceleration profiles in American football and Boxing in vitro tests: American football},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Nelson, L D; Guskiewicz, K M; Barr, W B; Hammeke, T A; Randolph, C; Ahn, K W; Wang, Y; McCrea, M A
Age Differences in Recovery After Sport-Related Concussion: A Comparison of High School and Collegiate Athletes Journal Article
In: Journal of Athletic Training, vol. 51, no. 2, pp. 142–152, 2016.
Abstract | BibTeX | Tags: *Athletic Injuries/di [Diagnosis], *Brain Concussion/di [Diagnosis], Age Factors, cognition, Female, Football/in [Injuries], Hockey/in [Injuries], Humans, Male, Neuropsychological Tests, Prospective Studies, Racquet Sports/in [Injuries], Recovery of Function, Risk Factors, Soccer/in [Injuries], Students, Time Factors
@article{Nelson2016b,
title = {Age Differences in Recovery After Sport-Related Concussion: A Comparison of High School and Collegiate Athletes},
author = {Nelson, L D and Guskiewicz, K M and Barr, W B and Hammeke, T A and Randolph, C and Ahn, K W and Wang, Y and McCrea, M A},
year = {2016},
date = {2016-01-01},
journal = {Journal of Athletic Training},
volume = {51},
number = {2},
pages = {142--152},
abstract = {CONTEXT: Younger age has been hypothesized to be a risk factor for prolonged recovery after sport-related concussion, yet few studies have directly evaluated age differences in acute recovery. OBJECTIVE: To compare clinical recovery patterns for high school and collegiate athletes. DESIGN: Prospective cohort study. SETTING: Large, multicenter prospective sample collected from 1999-2003 in a sports medicine setting. SUBJECTS: Concussed athletes (n = 621; 545 males and 76 females) and uninjured controls (n = 150) participating in high school and collegiate contact and collision sports (79% in football, 15.7% in soccer, and the remainder in lacrosse or ice hockey). MAIN OUTCOME MEASURE(S): Participants underwent evaluation of symptoms (Graded Symptom Checklist), cognition (Standardized Assessment of Concussion, paper-and-pencil neuropsychological tests), and postural stability (Balance Error Scoring System). Athletes were evaluated preinjury and followed serially at several time points after concussive injury: immediately, 3 hours postinjury, and at days 1, 2, 3, 5, 7, and 45 or 90 (with neuropsychological measures administered at baseline and 3 postinjury time points). RESULTS: Comparisons of concussed high school and collegiate athletes with uninjured controls suggested that high school athletes took 1 to 2 days longer to recover on a cognitive (Standardized Assessment of Concussion) measure. Comparisons with the control group on other measures (symptoms, balance) as well as direct comparisons between concussed high school and collegiate samples revealed no differences in the recovery courses between the high school and collegiate groups on any measure. Group-level recovery occurred at or before 7 days postinjury on all assessment metrics. CONCLUSIONS: The findings suggest no clinically significant age differences exist in recovery after sport-related concussion, and therefore, separate injury-management protocols are not needed for high school and collegiate athletes.},
keywords = {*Athletic Injuries/di [Diagnosis], *Brain Concussion/di [Diagnosis], Age Factors, cognition, Female, Football/in [Injuries], Hockey/in [Injuries], Humans, Male, Neuropsychological Tests, Prospective Studies, Racquet Sports/in [Injuries], Recovery of Function, Risk Factors, Soccer/in [Injuries], Students, Time Factors},
pubstate = {published},
tppubtype = {article}
}
Hernandez, F; Shull, P B; Camarillo, D B
Evaluation of a laboratory model of human head impact biomechanics Journal Article
In: Journal of Biomechanics, vol. 48, no. 12, pp. 3469–3477, 2015.
Abstract | BibTeX | Tags: *HEAD, *Laboratories, *Mechanical Phenomena, *Models, Acceleration, Biological, Biomechanical Phenomena, Brain Concussion/et [Etiology], Football/in [Injuries], Head Protective Devices, Humans, Male, Neck/ph [Physiology], Rotation, SAFETY
@article{Hernandez2015,
title = {Evaluation of a laboratory model of human head impact biomechanics},
author = {Hernandez, F and Shull, P B and Camarillo, D B},
year = {2015},
date = {2015-01-01},
journal = {Journal of Biomechanics},
volume = {48},
number = {12},
pages = {3469--3477},
abstract = {This work describes methodology for evaluating laboratory models of head impact biomechanics. Using this methodology, we investigated: how closely does twin-wire drop testing model head rotation in American football impacts? Head rotation is believed to cause mild traumatic brain injury (mTBI) but helmet safety standards only model head translations believed to cause severe TBI. It is unknown whether laboratory head impact models in safety standards, like twin-wire drop testing, reproduce six degree-of-freedom (6DOF) head impact biomechanics that may cause mTBI. We compared 6DOF measurements of 421 American football head impacts to twin-wire drop tests at impact sites and velocities weighted to represent typical field exposure. The highest rotational velocities produced by drop testing were the 74th percentile of non-injury field impacts. For a given translational acceleration level, drop testing underestimated field rotational acceleration by 46% and rotational velocity by 72%. Primary rotational acceleration frequencies were much larger in drop tests ($sim$100 Hz) than field impacts ($sim$10 Hz). Drop testing was physically unable to produce acceleration directions common in field impacts. Initial conditions of a single field impact were highly resolved in stereo high-speed video and reconstructed in a drop test. Reconstruction results reflected aggregate trends of lower amplitude rotational velocity and higher frequency rotational acceleration in drop testing, apparently due to twin-wire constraints and the absence of a neck. These results suggest twin-wire drop testing is limited in modeling head rotation during impact, and motivate continued evaluation of head impact models to ensure helmets are tested under conditions that may cause mTBI. Copyright © 2015 Elsevier Ltd. All rights reserved.},
keywords = {*HEAD, *Laboratories, *Mechanical Phenomena, *Models, Acceleration, Biological, Biomechanical Phenomena, Brain Concussion/et [Etiology], Football/in [Injuries], Head Protective Devices, Humans, Male, Neck/ph [Physiology], Rotation, SAFETY},
pubstate = {published},
tppubtype = {article}
}
Bartsch, A; Samorezov, S; Benzel, E; Miele, V; Brett, D
Validation of an "Intelligent Mouthguard" Single Event Head Impact Dosimeter Journal Article
In: Stapp Car Crash Journal, vol. 58, pp. 1–27, 2014.
Abstract | BibTeX | Tags: *Acceleration, *Boxing, *Brain Injuries, *Football, *Mouth Protectors, *Telemetry, ALGORITHMS, Biomechanical Phenomena/ph [Physiology], Boxing/in [Injuries], Boxing/ph [Physiology], Brain Injuries/di [Diagnosis], Brain Injuries/et [Etiology], Brain Injuries/pc [Prevention & Control], Brain Injuries/pp [Physiopathology], finite element analysis, Football/in [Injuries], Football/ph [Physiology], Head Protective Devices, Humans, Reproducibility of Results, Telemetry/is [Instrumentation], Telemetry/mt [Methods]
@article{Bartsch2014,
title = {Validation of an "Intelligent Mouthguard" Single Event Head Impact Dosimeter},
author = {Bartsch, A and Samorezov, S and Benzel, E and Miele, V and Brett, D},
year = {2014},
date = {2014-01-01},
journal = {Stapp Car Crash Journal},
volume = {58},
pages = {1--27},
abstract = {Dating to Colonel John Paul Stapp MD in 1975, scientists have desired to measure live human head impacts with accuracy and precision. But no instrument exists to accurately and precisely quantify single head impact events. Our goal is to develop a practical single event head impact dosimeter known as "Intelligent Mouthguard" and quantify its performance on the benchtop, in vitro and in vivo. In the Intelligent Mouthguard hardware, limited gyroscope bandwidth requires an algorithm-based correction as a function of impact duration. After we apply gyroscope correction algorithm, Intelligent Mouthguard results at time of CG linear acceleration peak correlate to the Reference Hybrid III within our tested range of pulse durations and impact acceleration profiles in American football and Boxing in vitro tests: American football},
keywords = {*Acceleration, *Boxing, *Brain Injuries, *Football, *Mouth Protectors, *Telemetry, ALGORITHMS, Biomechanical Phenomena/ph [Physiology], Boxing/in [Injuries], Boxing/ph [Physiology], Brain Injuries/di [Diagnosis], Brain Injuries/et [Etiology], Brain Injuries/pc [Prevention \& Control], Brain Injuries/pp [Physiopathology], finite element analysis, Football/in [Injuries], Football/ph [Physiology], Head Protective Devices, Humans, Reproducibility of Results, Telemetry/is [Instrumentation], Telemetry/mt [Methods]},
pubstate = {published},
tppubtype = {article}
}