Head Impact Conditions and Helmet Performance in Snowsports

Abstract

Mild traumatic brain injury in snowsports is a prevalent concern. With as many as 130,000 hospitalized injuries in the U.S. associated with snowsports in 2017, head injury constitutes about 28% and is the main cause of fatality. Studies have found that a combination of rotational and linear velocities is the most mechanistic way to model brain injury, but despite decades of research, the biomechanical mechanisms remain largely unknown. However, evidence suggests a difference in concussion tolerance may exist between athlete populations. To improve the ability to predict and therefore reduce concussions, we need to understand the impact conditions associated with head impacts across various sports. There is limited research on the conditions associated with head impacts in snowsports. These head impacts often occur on an angled slope, creating a normal and tangential linear velocity component. Additionally, the impact surface friction in a snowsport environment is highly variable, but could greatly influence the rotational kinematics of head impact. Currently helmet testing standards don't consider these rotational kinematics, or varying friction conditions that potentially occur in real-world scenarios.

The purpose of this study is to investigate the head impact conditions in a snowsport environment to inform laboratory testing and evaluate snow helmet design. We determined head impact conditions through video analysis to determine the impact locations, mechanism of fall, and the kinematics pre-impact. We used these data to develop a test protocol that evaluates snowsport helmets in a realistic manner. Ultimately, the results from this research will provide snowsport participants unbiased impact data to make informed helmet purchases, while concurrently providing a realistic test protocol that allows for design interventions to reduce the risk of injury.