Peak Angular Acceleration Research Articles

Training and Match-Related Head Acceleration Events in Top Level Domestic Senior Women's and Men's Rugby Union: A Multi-League Instrumented Mouthguard Study.

The aim of this study was to investigate the difference in head acceleration event (HAE) incidence between training and match-play in women's and men's players competing at the highest level of domestic rugby union globally. Players from Women's (Premiership Women's Rugby, Farah Palmer Cup) and Men's (Premiership Rugby, Currie Cup) rugby union competitions wore instrumented mouthguards during matches and training sessions during the 2022/2023 seasons. Peak linear (PLA) and angular (PAA) acceleration were calculated from each HAE and included within generalized linear mixed-effects models. The incidence of HAEs was significantly greater in match-play compared to training for all magnitude thresholds in both forwards and backs, despite players spending approximately 1.75-2.5 times more time in training. For all HAEs (PLA > 5 g and PAA > 400 rad/s2), incidence rate ratios (IRRs) for match versus training ranged from 2.80 (95% CI: 2.38-3.30; men's forwards) to 4.00 (3.31-4.84; women's forwards). At higher magnitude thresholds (PLA > 25 g; PAA > 2000 rad/s2), IRRs ranged from 3.64 (2.02-6.55; PAA > 2000 rad/s2 in men's backs) to 11.70 (6.50-21.08; PAA > 2000 rad/s2 in women's forwards). Similar trends were observed in each competition. Players experienced significantly more HAEs during match-play than training, particularly at higher magnitude thresholds. Where feasible, HAE mitigation strategies may have more scope for HAE reduction if targeted at match-play, particularly where higher magnitude HAEs are the primary concern. However, the number of HAEs associated with different training drills requires exploration to understand if HAEs can be reduced in training, alongside optimizing match performance (e.g., enhancing contact technique).

Effect of impact kinematic filters on brain strain responses in contact sports.

Impact kinematics are widely employed to investigate mechanisms of traumatic brain injury (TBI). However, they are susceptible to noise and artefacts; thus, require data filtering. Few studies have focused on how data filtering affects brain strain most relevant to TBI. Here, we report that impact-induced brain strains are much less sensitive to data filtering than kinematics based on three filtering methods: CFC180, lowpass 200Hz, and a new method called Head Exposure to Acceleration Database in Sport (HEADSport). Using mouthguard-measured head impacts in elite rugby (N=5694), average Euclidean distances between the three filtered angular velocity profiles and their unfiltered counterparts are used to identify three groups of impacts with large variations: 90-95th, 95-99th, and >99th percentile. From each group, 20 impacts are randomly selected for simulation using the anisotropic Worcester Head Injury Model (WHIM) V1.0. HEADSport and CFC180 are the most and least effective, respectively, in suppressing "unphysical artefacts" shown as sharp spikes with a rather short impulse duration (e.g., <3 ms) in angular velocity. However, maximum principal strain (MPS), especially that in the corpus callosum, is much less sensitive to data filtering compared to kinematic peaks (e.g., reduction of 3% vs. 47% and 90% for peak angular velocity and acceleration with HEADSport for impacts of >99th percentile). These findings confirm that the brain acts as a low-pass filter, itself, to suppress high frequency noise in impact kinematics. Therefore, brain strain can serve as a common metric for TBI biomechanical studies to maximize relevance to the injury, as it is not sensitive to kinematic filters.

Instrumented mouthguards in elite-level men’s and women’s rugby union: characterising tackle-based head acceleration events

ObjectivesTo examine the propensity of tackle height and the number of tacklers that result in head acceleration events (HAEs) in elite-level male and female rugby tackles.MethodsInstrumented mouthguard data were collected...

On-field Head Acceleration Exposure Measurements Using Instrumented Mouthguards: Multi-stage Screening to Optimize Data Quality.

Instrumented mouthguards (iMGs) are widely applied to measure head acceleration event (HAE) exposure in sports. Despite laboratory validation, on-field factors including potential sensor skull-decoupling and spurious recordings limit data accuracy. Video analysis can provide complementary information to verify sensor data but lacks quantitative kinematics reference information and suffers from subjectivity. The purpose of this study was to develop a rigorous multi-stage screening procedure, combining iMG and video as independent measurements, aimed at improving the quality of on-field HAE exposure measurements. We deployed iMGs and gathered video recordings in a complete university men's ice hockey varsity season. We developed a four-stage process that involves independent video and sensor data collection (Stage I), general screening (Stage II), cross verification (Stage III), and coupling verification (Stage IV). Stage I yielded 24,596 iMG acceleration events (AEs) and 17,098 potential video HAEs from all games. Approximately 2.5% of iMG AEs were categorized as cross-verified and coupled iMG HAEs after Stage IV, and less than 1/5 of confirmed or probable video HAEs were cross-verified with iMG data during stage III. From Stage I to IV, we observed lower peak kinematics (median peak linear acceleration from 36.0 to 10.9g; median peak angular acceleration from 3922 to 942rad/s2) and reduced high-frequency signals, indicative of potential reduction in kinematic noise. Our study proposes a rigorous process for on-field data screening and provides quantitative evidence of data quality improvements using this process. Ensuring data quality is critical in further investigation of potential brain injury risk using HAE exposure data.

Accuracy of Instrumented Mouthguards During Direct Jaw Impacts Seen in Boxing.

Measuring head kinematics data is important to understand and develop methods and standards to mitigate head injuries in contact sports. Instrumented mouthguards (iMGs) have been developed to address coupling issues with previous sensors. Although validated with anthropomorphic test devices (ATDs), there is limited post-mortem human subjects (PMHS) data which provides more accurate soft tissue responses. This study evaluated two iMGs (Prevent Biometrics (PRE) and Diversified Technical Systems (DTS) in response to direct jaw impacts. Three unembalmed male cadaver heads were properly fitted with two different boil-and-bite iMGs and impacted with hook (4m/s) and uppercut (3m/s) punches. A reference sensor (REF) was rigidly attached to the base of the skull, impact kinematics were transformed to the head center of gravity and linear and angular kinematic data were compared to the iMGs including Peak Linear Acceleration, Peak Angular Acceleration, Peak Angular Velocity, Head Injury Criterion (HIC), HIC duration, and Brain Injury Criterion. Compared to the REF sensor, the PRE iMG underpredicted most of the kinematic data with slopes of the validation regression line between 0.72 and 1.04 and the DTS overpredicted all the kinematic data with slopes of the regression line between 1.4 and 8.7. While the PRE iMG was closer to the REF sensor compared to the DTS iMG, the results did not support the previous findings reported with use of ATDs. Hence, our study highlights the benefits of using PMHS for validating the accuracy of iMGs since they closely mimic the human body compared to any ATD's mandible.

A Contemporary analysis of tackle height: Implications for head injury risk and tackler technique in Rugby Union

Rugby tackles pose significant head injury risks, raising concerns for players' well-being. Despite advocating for lower tackle heights for safety, limited research exists explaining how tackle height influences head characteristics and tackler technique. This study aimed to investigate the effects of two tackle heights, aligned with recent law changes in the community game, on head and joint kinematics for both tackler and the ball carrier. To strengthen ecological validity, innovative techniques were employed, including markerless motion capture and Inertial Measurement Units (IMUs), for tracking of the tackler's joint kinematics and head accelerations until ground contact, addressing a key limitation in previous research. Ethical approval was granted by Cardiff Metropolitan University. Ten male participants (mean ± SD age: 22 ± 3 years, stature: 184 ± 10 cm, mean mass: 94 ± 15 kg) alternated between tackler and ball carrier roles, executing upper and lower body tackles. Theia3D markerless motion capture software (Theia3Dv2022.1.0.2309, Theia Markerless, Inc., Kingston, ON, Canada) and Vicon IMeasureU Blue Trident dual-G IMUs measured tackle height's impact on head and joint kinematics. Discrete joint angles at key events and continuous joint angles normalised from 0% at Step 1 to 100% at Contact were exported. Peak head accelerations and continuous normalised head acceleration data were exported. Statistical analyses included a paired t-test for discrete joint angle data and the Wilcoxon Rank Sum Test for peak linear and angular accelerations. Cohen’s d and effect sizes were calculated for respective analyses. One-dimensional statistical parametric mapping (SPM) and one-dimensional statistical non-parametric mapping (SnPM) facilitated statistical differences across continuous variables of interest. Significant increases (P &lt; 0.05) were noted in ball carriers' inertial head kinematics in the upper body tackle, while no such distinctions were observed for tacklers. The low tackle condition consistently exhibited substantial reductions in bilateral hip flexion, particularly during contact (Effect size; lead: −1.866; rear: −1.977). Lumbopelvic flexion significantly decreased in each event for the low tackle condition, with the largest effect size during contact (−3.91). These findings underscore the heightened inertial loading with higher tackles, indicating an elevated risk of head injury, despite current tackle height regulations. The adjustments made by the tackler in response to varying tackle heights are not evident in knee flexion. Increased knee flexion during the preparatory phase could alleviate the necessity for such a flexed lumbopelvic angle. This study, utilising innovative techniques, highlights the potential for more ecologically valid approaches to biomechanical research in rugby tackling.

Preliminary Examination of Guardian Cap Head Impact Kinematics Using Instrumented Mouthguards.

Guardian Caps (GCs) are currently the most popular external helmet add-on designed to reduce the magnitude of head impacts experienced by American football players. Guardian Caps have been endorsed by influential professional organizations; however, few studies evaluating their efficiency are publicly available. To present preliminary on-field head kinematics data for National Collegiate Athletic Association (NCAA) Division I American football players using instrumented mouthguards through closely matched preseason workouts with and without GCs. Case series. The 2022 American football preseason. Twenty-five male NCAA Division I student-athletes participating in American football completed some portion of the 6 workouts included in this study. Of the 25 participants, 7 completed all 6 workouts using their instrumented mouthguards. Peak linear acceleration (PLA), peak angular acceleration (PAA), and total impacts were collected via instrumented mouthguards during 3 preseason workouts using traditional helmets (TRAD condition) and 3 using a TRAD and GCs (GC condition). The TRAD and GC values for PLA, PAA, and total impacts were evaluated using analyses of variance. No difference was present between the collapsed mean values for the entire sample between the TRAD and GC conditions for PLA (TRAD = 16.3g ± 2.0g, GC = 17.2g ± 3.3g, P = .20), PAA (TRAD = 992.1 ± 209.2 rad/s2, GC = 1029.4 ± 261.1 rad/s2, P = .51), or the total number of impacts (TRAD = 9.3 ± 4.7, GC = 9.7 ± 5.7, P = .72). Similarly, no difference was observed between the TRAD and GC conditions for PLA (TRAD = 16.1g ± 1.2g, GC = 17.2g ± 2.79g, P = .32), PAA (TRAD = 951.2 ± 95.4 rad/s2, GC = 1038.0 ± 166.8 rad/s2, P = .29), or total impacts (TRAD = 9.6 ± 4.2, GC = 9.7 ± 5.04, P = .32) between sessions for the 7 players who completed all 6 workouts. These data suggested no difference in head kinematics data (PLA, PAA, and total impacts) when GCs were worn. Therefore, GCs may not be effective in reducing the magnitude of head impacts experienced by NCAA Division I American football players.

Head Acceleration Events During Tackle, Ball-Carry, and Ruck Events in Professional Southern Hemisphere Men's Rugby Union Matches: A Study Using Instrumented Mouthguards.

Describe head acceleration events (HAEs) experienced by professional male rugby union players during tackle, ball-carry, and ruck events using instrumented mouthguards (iMGs). Prospective observational cohort. Players competing in the 2023 Currie Cup (141 players) and Super Rugby (66 players) seasons wore iMGs. The iMG-recorded peak linear acceleration (PLA) and peak angular acceleration (PAA) were used as invivo HAE approximations and linked to contact-event data captured using video analysis. Using the maximum PLA and PAA per contact event (HAEmax), ordinal mixed-effects regression models estimated the probabilities of HAEmax magnitude ranges occurring, while accounting for the multilevel data structure. As HAEmax magnitude increased the probability of occurrence decreased. The probability of a HAEmax ≥15g was 0.461 (0.435-0.488) (approximately 1 in every 2) and ≥45g was 0.031 (0.025-0.037) (1 in every 32) during ball carries. The probability of a HAEmax >15g was 0.381 (0.360-0.404) (1 in every 3) and >45g 0.019 (0.015-0.023) (1 in every 53) during tackles. The probability of higher magnitude HAEmax occurring was greatest during ball carries, followed by tackles, defensive rucks and attacking rucks, with some ruck types having similar profiles to tackles and ball carries. No clear differences between positions were observed. Higher magnitude HAEmax were relatively infrequent in professional men's rugby union players. Contact events appear different, but no differences were found between positions. The occurrence of HAEmax was associated with roles players performed within contact events, not their actual playing position. Defending rucks may warrant greater consideration in injury prevention research.

Head Kinematics and Injury Analysis in Elite Bobsleigh Athletes Throughout a World Cup Tour.

The neurocognitive health effects of repetitive head impacts have been examined in many sports. However, characterizations of head impacts for sliding-sport athletes are lacking. To describe head impact kinematics and injury epidemiology in elite athletes during the 2021-2022 Bobsleigh World Cup season. Cross-sectional study. On-track training and competitions during the Bobsleigh World Cup season. Twelve elite bobsleigh athletes (3 pilots [1 female], 9 push athletes [5 females]; age = 30 ± 5 years; female height and weight = 173 ± 8 cm and 75 ± 5 kg, respectively; male height and weight = 183 ± 5 cm and 101 ± 5 kg, respectively). Athletes wore an accelerometer-enabled mouthguard to quantify 6-degrees-of-freedom head impact kinematics. Isometric absolute and relative neck strength, number of head acceleration events (HAEs), workload (J), peak linear velocity (m·s-1), peak angular velocity (rad·s-1), peak linear acceleration (g), and peak angular acceleration (rad·s-2) were derived from mouthguard manufacturer algorithms. Linear mixed-effect models tested the effects of sex (male versus female), setting (training versus competition), and position (pilot versus push athlete) on the kinematic variables. A total of 1900 HAEs were recorded over 48 training and 53 competition days. No differences were found between the number of HAEs per run per athlete by sex (incidence rate ratio [IRR] = 0.82, P = .741), setting (IRR = 0.94, P = .325), or position (IRR = 1.64, P = .463). No sex differences were observed for workload (mean ± SD: males = 3.3 ± 2.2 J, females = 3.1 ± 1.9 J; P = .646), peak linear velocity (males = 1.1 ± 0.3 m·s-1, females = 1.1 ± 0.3 m·s-1; P = .706), peak angular velocity (males = 4.2 ± 2.1 rad·s-1, females = 4.7 ± 2.5 rad·s-1; P = .220), peak linear acceleration (male = 12.4 ± 3.9g, females = 11.9 ± 3.5g; P = .772), or peak angular acceleration (males = 610 ± 353 rad·s-2, females = 680 ± 423 rad·s-2; P = .547). Also, no effects of setting or position on any kinematic variables were seen. Male athletes had greater peak neck strength than female athletes for all neck movements, aside from right-side flexion (P = .085), but no sex differences were noted in relative neck strength. We provide a foundational understanding of the repetitive HAEs that occur in bobsleigh athletes. Future authors should determine the effects of repetitive head impacts on neurocognitive function and mental health.

The influence of helmet certification in motorcycle helmets protective performance

The convenience of online shopping has increased access to a vast array of helmet options and deals for motorcyclists. However, the e-commerce enables an influx of unverified and potentially hazardous helmets lacking the rigorous quality control into the market, hence, placing unaware bargain seekers at risk. The non-certified variants questions in terms of impact protection abilities because they visually look similar to certified helmets. This study compared certified full face and open face helmets against their non-certified counterparts by analysing injury predictor metrics. Using a test rig simulating 5.58 ± 0.29 m/s impacts, an anthropomorphic test device wearing both helmet types and certification statuses measured peak resultant linear and angular accelerations, head injury criterion alongside brain injury criteria scores. The data revealed comparable side and rear impact performance between non-certified and certified helmets. However, frontal impacts exposed deficiencies without certification. The non-certified full face helmets registered over twice the peak linear acceleration of certified while open face types still exceeded certified by 40% in frontal impacts. Additionally, non-certified full face helmets indicated up to 100% predicted concussion risks in side and frontal crashes based on the angular accelerations. The poorer frontal impact and elevated injury odds demonstrate certification's key safety advantages that certification should not be ignored while it still providing more protection than no helmet. However, individual needs to carefully select helmets due to performance differences of helmets. Riders should ultimately prioritize proven protection given the severe consequences of head trauma though non-certified may suffice for some low-risk environments.

GNSS gyroscopes: determination of angular velocity and acceleration with very high-rate GNSS

Although global navigation satellite systems (GNSS) have been routinely applied to determine attitudes, there exists no literature on determining angular velocity and/or angular acceleration from GNSS. Motivated by the invention of computerized accelerometers of the correspondence author and following the success of accurately recovering translational velocity and acceleration waveforms from very high-rate GNSS precise positioning by Xu and his collaborators in 2021, we propose the concept of GNSS gyroscopes and reconstruct angular velocity and acceleration from very high-rate GNSS attitudes by applying regularization under the criterion of minimum mean squared errors. The major results from the experiments can be summarized in the following: (i) angular velocity and acceleration waveforms computed by applying the difference methods to high-rate GNSS attitudes are too noisy and can be physically not meaningful and numerically incorrect. The same can be said about inertial measurement unit (IMU) attitudes, if IMU gyros are not of very high accuracy; (ii) regularization is successfully applied to reconstruct the high-rate angular velocity and acceleration waveforms from 50 Hz GNSS attitudes and significantly outperforms the difference methods, validating the proposed concept of GNSS gyroscopes. By comparing the angular velocity and acceleration results by using the difference methods and regularization, we find that the peak values of angular velocity and acceleration by regularization are much smaller by a maximum factor of 1.57 in the angular velocity to a maximum factor of 8662.53 times in the angular acceleration in the case of high-rate GNSS, and by a maximum factor of 1.26 in the angular velocity to a maximum factor of 2819.85 times in the angular acceleration in the case of IMU, respectively; and (iii) the IMU attitudes apparently lead to better regularized angular velocity and acceleration waveforms than the high-rate GNSS attitudes, which can well be explained by the fact that the former is of better accuracy than the latter. As a result, to suppress the significant amplification of noise in GNSS attitudes, larger regularization parameters have to be chosen for the high-rate GNSS attitudes, resulting in smaller peak angular accelerations by a maximum factor of 37.55 percent in the angular velocity to a maximum factor of 6.20 times in the angular acceleration in comparison of the corresponding IMU results. Nevertheless, the regularized angular acceleration waveforms for both GNSS and IMU look more or less similar in pattern or waveform shape.

Quantitative analysis of the protective performance of bicycle helmet with multi-direction impact protection system in oblique impact tests

PurposeThe current study aimed to assess the protective performance of helmets equipped with multi-directional impact protection system (MIPS) under various oblique impact loads. MethodsInitially, a finite element model of a bicycle helmet with MIPS was developed based on the scanned geometric parameters of an actual bicycle helmet. Subsequently, the validity of model was confirmed using the KASK WG11 oblique impact test method. Three different impact angles (30°, 45°, and 60°) and 2 varying impact speeds (5 m/s and 8 m/s) were employed in oblique tests to evaluate protective performance of MIPS in helmets, focusing on injury assessment parameters such as peak linear acceleration (PLA) and peak angular acceleration (PAA) of the head. ResultsThe results demonstrated that in all impact simulations, both assessment parameters were lower during impact for helmets equipped with MIPS compared to those without. The PAA was consistently lower in the MIPS helmet group, whereas the difference in PLA was not significant in the no-MIPS helmet group. For instance, at an impact velocity of 8 m/s and a 30° inclined anvil, the MIPS helmet group exhibited a PAA of 3225 rad/s2 and a PLA of 281 g. In contrast, the no-MIPS helmet group displayed a PAA of 8243 rad/s2 and a PLA of 292 g. Generally, both PAA and PLA parameters decreased with the increase of anvil angles. At a 60° anvil angles, PAA and PLA values were 664 rad/s2 and 20.7 g, respectively, reaching their minimum. ConclusionThe findings indicated that helmets incorporating MIPS offer enhanced protection against various oblique impact loads. When assessing helmets for oblique impacts, the utilization of larger angle anvils and rear impacts might not adequately evaluate protective performance during an impact event. These findings will guide advancements in helmet design and the refinement of oblique impact test protocols.

Investigation of Head Kinematics and Brain Strain Response During Soccer Heading Using a Custom-Fit Instrumented Mouthguard

Association football, also known as soccer in some regions, is unique in encouraging its participants to intentionally use their head to gain a competitive advantage, including scoring a goal. Repetitive head impacts are now being increasingly linked to an inflated risk of developing long-term neurodegenerative disease. This study investigated the effect of heading passes from different distances, using head acceleration data and finite element modelling to estimate brain injury risk. Seven university-level participants wore a custom-fitted instrumented mouthguard to capture linear and angular acceleration-time data. They performed 10 headers within a laboratory environment, from a combination of short, medium, and long passes. Kinematic data was then used to calculate peak linear acceleration, peak angular velocity, and peak angular acceleration as well as two brain injury metrics: head injury criterion and rotational injury criterion. Six degrees of freedom acceleration-time data were also inputted into a widely accepted finite element brain model to estimate strain-response using mean peak strain and cumulative strain damage measure values. Five headers were considered to have a 25% concussion risk. Mean peak linear acceleration equalled 26 ± 7.9 g, mean peak angular velocity 7.20 ± 2.18 rad/s, mean peak angular acceleration 1730 ± 611 rad/s2, and 95th percentile mean peak strain 0.0962 ± 0.252. Some of these data were similar to brain injury metrics reported from American football, which supports the need for further investigation into soccer heading.

Head Exposure to Acceleration Database in Sport (HEADSport): a kinematic signal processing method to enable instrumented mouthguard (iMG) field-based inter-study comparisons

ObjectiveInstrumented mouthguard (iMG) systems use different signal processing approaches limiting field-based inter-study comparisons, especially when artefacts are present in the signal. The objective of this study was to assess the...

How are the impact attenuation properties of men’s and women’s helmets affected after one season in professional ice hockey?

The purpose of this study was to investigate if the impact attenuation properties of ice hockey helmets change after being used for one season in a professional ice hockey league. Eighteen helmets from a male team and 10 helmets from a female team were compared to 13 new helmets. Every helmet was impact tested three times for two impact locations, side and front. The median peak linear acceleration for all front impacts were significantly higher ( p &lt; 0.05) for the helmets from the female team compared to the helmets from the male team. Compared to the new helmets, both men’s and women’s helmets had significantly lower median peak angular acceleration ( p &lt; 0.01) and peak angular velocity ( p&lt; 0.001). For side impacts, the women’s helmets had significantly higher peak linear acceleration compared to the men’s and new helmets ( p &lt; 0.001). Both men’s and women’s helmets had significantly higher peak angular acceleration compared to the new helmets ( p &lt; 0.001), and women’s helmets also had significantly higher peak angular acceleration compared to men’s helmets. Compared to men’s and new helmets, the results show that women’s helmets have worse impact attenuation properties after one season. However, all used helmets satisfied the passing threshold for test standards and the differences in calculated injury risk were small. This information may assist in establishing recommendations for the expected lifetime usage for ice hockey helmets and support manufacturers to develop safer ice hockey helmets.

On-field instrumented mouthguard coupling

Instrumented mouthguard (iMG) sensors have been developed to measure sports head acceleration events (HAE) in brain injury research. Laboratory validation studies show that effective coupling of iMGs with the human skull is crucial for accurate head kinematics measurements. However, iMG-skull coupling has not been investigated in on-field sports settings. The objective of this study was to assess on-field iMG coupling using infrared proximity sensing and to investigate coupling effects on kinematics signal characteristics. Forty-two university-level men’s ice hockey (n = 21) and women’s rugby (n = 21) athletes participated in the study, wearing iMGs during 6–7 month in-season periods. Proximity data classified video-verified HAE recordings into four main iMG coupling categories: coupled (on-teeth), decoupling (on-teeth to off-teeth), recoupling (off-teeth to on-teeth) and decoupled (off-teeth). Poorly-coupled HAEs showed significantly higher peak angular acceleration amplitudes and greater signal power in medium–high frequency bands compared with well-coupled HAEs, indicating potential iMG movements independent of the skull. Further, even video-verified true positives included poorly-coupled HAEs, and iMG coupling patterns varied between the men’s hockey and women’s rugby teams. Our findings show the potential of using proximity sensing in iMGs to identify poorly-coupled HAEs. Utilizing this data screening process in conjunction with video review may mitigate a key source of sensor noise and enhance the overall quality of on-field sports HAE datasets.

Measurement ofHead Kinematics Using Instrumented Mouthguards During Introductory Boxing Courses inU.S. Military Academy Cadets.

Use of wearable impact sensor devices to quantitatively measure head impact exposure remains largely unstudied in military-style martial arts training and combat sports, particularly at the beginner levels. The baseline frequency and severity of head impact exposure during introductory military-style martial arts trainings, such as combatives training, is valuable information for developing future programs of instruction and exposure monitoring programs. The purpose of this study was to describe head impact exposures experienced during introductory combatives training (a boxing course) at U.S. Military Academy. This study used instrumented mouthguards to measure head impact exposure in U.S. Military Academy cadets during a compulsory boxing course. Summary exposures from a preliminary dataset are presented. Twenty-two male subjects (19.9±1.1 years, 86.6±11.7kg) participated in 205 analyzed player-bouts (full contact sparring sessions) with 809 video verified impacts (average 3.9 impacts per player-bout). The mean peak linear acceleration was 16.5 ±7.1G, with a maximum of 70.8G. There was a right-skewed distribution, with 640/809 (79.1%) events falling between 10 and 20 G. The mean peak angular acceleration was 1.52±0.96krad/s2, with a maximum of 8.85krad/s2. Compared to other high-risk sports at Service Academies, head impacts from beginner boxing were of similar magnitude to those reported for Service Academy football and slightly lower than those reported for Service Academy rugby. Based on these preliminary data, the risk profile for introductory military-style martial arts training, such as boxing or combatives, may be similar to other contact sports like football and rugby, but further research is required to confirm these findings and understand the effects of the exposures in a shorter duration.

Radial and Oblique Impact Testing of Alpine Helmets onto Snow Surfaces

Recent studies have found that alpine helmets reduce the risk of focal injuries associated with radial impacts, which is likely due to current alpine helmet standards requiring helmets to be drop-tested on flat anvils with only linear acceleration pass criteria. There is a need to evaluate the performance of alpine helmets in more realistic impacts. The current study developed a method to assess the performance of alpine helmets for radial and oblique impacts on snow surfaces in a laboratory setting. Snow samples were collected from a groomed area of a ski slope. Radial impacts were performed as drop tests onto a stationary snow sample. Oblique impacts were performed as drop tests onto a snow sample moving horizontally. For radial impacts, snow sample collection time was found to significantly (p = 0.005) influence mean peak linear headform acceleration with an increase in ambient temperature softening the snow samples. For oblique tests, the recreational alpine sports helmet with a rotation-damping system (RDS) significantly (p = 0.002) reduced mean peak angular acceleration compared to the same helmets with no RDS by approximately 44%. The ski racing helmet also significantly (p = 0.006) reduced mean peak angular acceleration compared to the recreational alpine sports helmet with no RDS by approximately 33%, which was attributed to the smooth outer shell of the ski racing helmet. The current study helps to bridge the knowledge gap between real helmet impacts on alpine snow slopes and laboratory helmet impacts on rigid surfaces.

Heads Up! A Biomechanical Pilot Investigation of Soccer Heading Using Instrumented Mouthguards (iMGs)

Soccer players purposefully head the ball, raising concerns about reduced tolerance to concussion and potential long-term brain health. By combining qualitative video analysis with custom-fit instrumented mouthguards (iMGs), we aimed to categorize header kinematics (peak linear acceleration (PLA) and peak angular acceleration (PAA)) by header type and ball delivery method. iMGs were fitted to 10 male collegiate players for twelve matches. A total of 133 headers were verified and contextualized via video review. The most common header type (38.7%), as well as the preceding ball delivery method (47.4%), was found to be a pass. Approximately one-quarter of header impacts (27.0%) occurred below 10 g. For header type, there were no significant differences in kinematics, with shot attempts having the highest median PLA and PAA. For ball delivery methods, goal kicks had significantly greater PAA than long balls and pass attempts. The current study highlights the utility of qualitative video analysis in combination with real-time head kinematic data from iMGs to understand the mechanism and severity of header impacts. The pilot findings indicate that high-speed ball delivery methods result in higher head kinematics and should be a focus of future mitigation strategies.

Eccentric overload differences between loads and training variables on flywheel training.

There is considerable debate about the existence of a real eccentric overload in flywheel exercises. This study aimed to analyse the differences in concentric: eccentric mechanical output ratios between different loads and variables in the flywheel squat exercise. Twenty physically active men (22.9 ± 2.2 years, height: 1.8 ± 0.1 m, weight: 79.6 ± 8.2 kg) performed a loading test using five moments of inertia. Angular speed was measured using a rotary encoder, while the vertical force was measured using force plates. For each variable (angular speed, angular acceleration, power, vertical force, and torque), mean and peak values were calculated for concentric and eccentric phases to allow comparisons across the loads. We tested the possible differences in Load × Phase (concentric and eccentric) and Load × Variable. The level of significance was established as p < 0.05. A significant Load × Phase interaction was found in mean angular speed, peak vertical force, peak angular acceleration, peak power and peak torque. Higher eccentric overload values were observed with speed-derived variables (angular speed, angular acceleration and power). In conclusion, speed-derived peak variables and lower loads are more likely to show an eccentric overload and can be used to monitor responses to flywheel training.