Quantifying Postural Control, Concussion Risk, and Helmet Performance in Youth Football

dc.contributor.authorCampolettano, Eamon Thomasen
dc.contributor.committeechairRowson, Stevenen
dc.contributor.committeememberStitzel, Joel D.en
dc.contributor.committeememberDuma, Stefan M.en
dc.contributor.committeememberBrolinson, P. Gunnaren
dc.contributor.committeememberUrban, Jillianen
dc.contributor.departmentDepartment of Biomedical Engineering and Mechanicsen
dc.date.accessioned2019-05-03T08:00:35Zen
dc.date.available2019-05-03T08:00:35Zen
dc.date.issued2019-05-02en
dc.description.abstractAs many as 1.9 million sports-related concussions occur annually in youth sports in the United States (U.S.). Often considered a transient injury, research has begun to relate sports-related concussions to long-term neurodegeneration. Youth athletes are considered to be more vulnerable to concussion than their adult counterparts. The research presented in this dissertation was aimed at promoting player safety in youth football as it relates to concussion. Balance dysfunction is often cited as one of the most common symptoms associated with a concussion. Several postural control assessments were assessed in order to develop a youth-specific testing protocol. A cognitive, dual-task assessment was presented for clinician use in the management of sports-related concussion. On-field data collected from youth football players wearing instrumented helmets allowed for characterization of the biomechanics of head impacts and concussions for this population. A youth concussion risk function was developed using head impact data collected from youth football players with medically diagnosed concussions. The proposed testing standard for youth football helmets was assessed in the laboratory and related to on-field head impact data to determine how representative the standard is of youth football head impacts. Helmet safety standards and certifications operate on a pass-fail threshold that does not allow consumers to weigh the relative performance of helmets. A modification of the Summation of Tests for the Analysis of Risk (STAR) evaluation system was developed for youth football helmets. Data presented in this dissertation have direct application to the development of future helmet safety standards and potentially other safety applications as well.en
dc.description.abstractgeneralAs many as 1.9 million sports-related concussions occur annually in youth sports in the United States (U.S.). Often considered a short-term injury, research has begun to relate sports-related concussions to long-term breakdowns in neurological processes. Youth athletes are considered to be more vulnerable to concussion than their adult counterparts. The research presented in this dissertation was aimed at informing player safety in youth football as it relates to concussion. Abnormal balance is often cited as one of the most common symptoms associated with a concussion. Several balance assessments were assessed in order to develop a youth-specific testing protocol. An assessment involving quiet standing while being subjected to a cognitive task was presented for clinician use in the management of sports-related concussion. On-field data collected from youth football players wearing instrumented helmets allowed for characterization of the biomechanics of head impacts and concussions for this youth population. A youth concussion risk function was developed that related linear and rotational head acceleration to risk of concussion. The proposed testing standard for youth football helmets was assessed in the laboratory and observed to assess the most severe head impacts a youth player may experience during participation in football. A modification of the Summation of Tests for the Analysis of Risk (STAR) evaluation system was developed for youth football helmets in order to give consumers more information about helmet performance beyond the pass-fail criteria of the helmet standards. Data presented in this dissertation have direct application to the development of future helmet safety standards and potentially other safety applications as well.en
dc.description.degreeDoctor of Philosophyen
dc.format.mediumETDen
dc.identifier.othervt_gsexam:19741en
dc.identifier.urihttp://hdl.handle.net/10919/89340en
dc.publisherVirginia Techen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectConcussionen
dc.subjectBiomechanicsen
dc.subjectAccelerationen
dc.subjectPediatricsen
dc.subjectBalanceen
dc.titleQuantifying Postural Control, Concussion Risk, and Helmet Performance in Youth Footballen
dc.typeDissertationen
thesis.degree.disciplineBiomedical Engineeringen
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.leveldoctoralen
thesis.degree.nameDoctor of Philosophyen

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