In-vitro head and neck response to impact

Two unembalmed and one embalmed human cadaveric head-neck systems were instrumented and subjected to central forehead impact of ballistically suspended 3.07-kg aluminum shell at velocities ranging from 50 to 345 cm/s. Occipital skull accelerations and disk pressures were measured by transducers, while the deformation of the system was determined by framing camera data. The results were found to be in accord with those from corresponding tests in artificial head-neck replica. Initial and terminal X-ray examination of the structure revealed no evidence of either skull or vertebral fractures.     

Stereological studies on the ultrastructural markers of renal tubular transport during accelerations acting along the +Gz axis

The study was carried out on rats. Electron micrographs of the kidney obtained under +Gz accelerations were analysed. Using stereological methods the estimation of ultrastructural markers of active transport (mitochondria energy state), and passive transport (intercellular spaces and basal infolded channels) was performed in the proximal and distal tubules. The results obtained indicated that during the actions of accelerations active tubular transport was impaired as reflected by a lowering of mitochondrial energy states (similar to condensed) in the proximal and distal tubules. Widening of intercellular spaces and basal infolded channels was also observed, which suggests fluid stasis and thus impairment of passive transport.     

Experimental model for studying the mechanical effects of +Gz accelerations on the brain

Bovine brains were excised and placed into a transparent mold equipped with a pump and perfusion system. This unit was then centrifuged and changes in brain contour were video recorded. Analysis of the resulting images showed that changes occurred in brain structures as a result of crushing. The effects of perfusion on the amount of deformation and other results are discussed.     

Development of medical control of man in conditions of +Gz accelerations at short-arm centrifuge

To develop a program of on-line medical monitoring of human subjects during rotation on a short-arm centrifuge (SAC), which is viewed as a promising method of providing artificial gravity, 153 runs were performed with participation of 17 subjects exposed to +Gz at 0.8, 1.2 and 1.6 G up to 40 minutes 3 times a day over a 3-d cycle. It was found that the on-line medical monitoring program for humans exposed to SAC +Gz loads should include recording of the system blood circulation and local circulation in head and leg vessels.     

Study of the effectiveness of the "Centaur" anti-G suit [correction of suite] during exposure to +Gz accelerations after immersion

This paper describes a study of the effectiveness of the "Centaur" anti-G suit during exposure to +Gz accelerations before and after immersion. Results indicated that the subjects were better able to tolerate the acceleration using the "Centaur" suit than in control studies. Specific cardiovascular responses are presented. This suit has also been used successfully during space missions.     

Anomalous gravitropic response of Chara rhizoids during enhanced accelerations

Centrifugal accelerations of 50-250 g were applied to rhizoids of Chara globularis Thuill. at stimulation angles (alpha) of 5-90 degrees between the acceleration vector and the rhizoid axis. After the start of centrifugation, the statoliths were pressed asymmetrically onto the centrifugal flank of the apical cell wall. In contrast to the well-known bending (by bowing) under 1 g, the rhizoids responded in two distinct phases. Following an initial phase of sharp bending (by bulging), which is similar to the negatively gravitropic response of Chara protonemata, rhizoids stopped bending and, in the second phase, grew straight in directions clearly deviating from the direction of acceleration. These response angles (beta) between the axis of the bent part of the rhizoid and the acceleration vector were strictly correlated with the g-level of acceleration. The higher the acceleration the greater was beta. Except for the sharp bending, the shape and growth rate of the centrifuged rhizoids were not different from those of gravistimulated control rhizoids at 1 g. These results indicate that gravitropic bending of rhizoids during enhanced accelerations (5 degrees < or = alpha < or = 90 degrees) is caused not only by subapical differential flank growth, as it is the case at 1 g, but also by also by the centripetal displacement of the growth centre as was recently discussed for the negative gravitropism of Chara protonemata. A hypothesis for cytoskeletally mediated polar growth is presented based on data from positive gravitropic bending of Chara rhizoids at 1 g and from the anomalous gravitropic bending of rhizoids compared with the negatively gravitropic bending of Chara protonemata. The data obtained are also relevant to a general understanding of graviperception in higher-plant organs.     

Use of audio biofeedback to reduce tibial impact accelerations during running

Visual biofeedback of tibial peak positive acceleration (PPA) during running has been used successfully as a method of gait retraining to reduce PPAs. Audio biofeedback generated from PPA may present a novel, portable alternative. The purpose of this study was to investigate the feasibility of using PPA-generated audio biofeedback to reduce PPAs while running. Nine runners were fitted with a wireless accelerometer on their left tibia. PPAs were recorded and a custom LabVIEW program was used to emit a single beep once the PPA reached a preset threshold. The numerical difference between this threshold and peak PPA during running was scaled to the pitch of the beep, such that a foot strike with greater PPA would result in a beep with higher pitch. Subjects were then instructed to (1) run without any beeps, and/or (2) keep the pitch of the beep as low as possible. Subjects participated in a single testing session that included a five minute warm-up and two rounds of biofeedback, which consisted of five minutes of running with biofeedback followed by five minutes of running without biofeedback. Subjects were able to significantly reduce PPAs during exposure to audio biofeedback. In addition, two rounds of biofeedback were sufficient for subjects to retain a reduction in PPAs without biofeedback. PPA-generated audio biofeedback therefore appears to be a feasible method of gait retraining to reduce PPAs in runners.     

Loss of consciousness as criterion of +Gz tolerance at Institute of Aviation Medicine MMA during +Gz acceleration selective test

+Gz induced loss of consciousness (G-LOC) is one of the most serious threats to aircrews flying high performance fighter aircraft. From the early beginning of use of our Centrifuge, use in selection was primary task. As a functional "endpoints" we use criteria: loss of peripheral vision, extreme pulse rate (above 180 b.p.m.), arrhythmias and loss of consciousness. The key-method in selection the candidate who tolerates +Gz stress on the best way is selection by common selective centrifuge "Test of linear increasing of acceleration" (TOLIA). We used gradual onset rate (GOR--0.1 G/s) and maximum/peak value: +5.5 Gz, +6.0 Gz and 7.0 Gz. Applied peak value depends on the goal of the test. The lowest peak value is for candidates planned for Air Academy, higher peak value is for those pilots planned for training to supersonic combat aircrafts and the highest peak value is for pilots who are planned to fly High performance combat aircrafts. We examined 2192 candidates in the last 20 years. Eleven subjects experienced G-LOC episodes. All episodes of G-LOC had occurred occasionally and without warning symptoms (loss of peripheral vision, gray out, blackout). The percentage of subjects having G-LOC episodes was 0.50%. Nine subjects experienced G-LOC during primary selection (+5.5 Gz), one G-LOC were observed at secondary selection (+6.0 Gz) and one G-LOC was observed during tertiary selection (+7 Gz). G-LOC is the only "endpoint" in the centrifuge selection which disqualifies the candidate at once and forever for planned flying duties. The other "endpoints" (loss of peripheral vision, heart rate above 180 b.p.m., arrhythmias) allow one more testing, not less than seven days later.     

Effect of pelvis impact angle on stresses at the femoral neck during falls

Improved understanding is required of how the mechanics of the fall affect hip fracture risk. We used a hip impact simulator to determine how peak stresses at the femoral neck were affected by pelvis impact angle, hip abductor muscle force, and use of a wearable hip protector.We simulated falls from standing (2 m/s impact velocity) involving initial hip abductor muscle forces of 700 or 300 N. Trials were acquired for impact to the lateral aspect of the greater trochanter, and impact to the pelvis rotated 5°, 10° and 15° anteriorly (positive) or posteriorly (negative). Measures were acquired with and without a commercially available hip protector. During trials, we measured three-dimensional forces with a load cell at the femoral neck, and derived peak compressive and tensile stresses.Peak compressive stress increased 37% (5.91 versus 4.31 MPa; p < 0.0005) and peak tensile stress increased 209% (2.31 versus 0.75 MPa; p < 0.0005) when the pelvis impact angle changed from 15° anterior to −15° posterior. For lateral impacts, the peak tensile and compressive stresses averaged 73% and 8% lower, respectively, in the 700 N than 300 N muscle force condition, but the effect was reversed for anteriolateral or posteriolateral impacts. The attenuation in peak compressive stress from the hip protector was greatest for posteriolateral impacts (−15 to −5°; 36–41%), and least for anteriolateral (+15°; 10%).These results clarify the effects on hip fracture risk during a fall of pelvis impact angle and muscle forces, and should inform the design of improved hip protectors.     

The effect of football helmet facemasks on impact behavior during linear drop tests

Football helmet certification tests are performed without a facemask attached to the helmet; however, the facemask is expected to contribute substantially to the structure and dynamics of the helmet through the effects of added mass and added stiffness. Facemasks may increase the peak acceleration and severity index; therefore, as-used helmets may not mitigate head impacts as effectively as certification tests indicate. Furthermore, the effect is expected to depend on the helmet design as well as the orientation and speed of the impact. This study examined the influence of the facemask on impact behavior in a NOCSAE-style linear drop test and the interactions with location, velocity, and helmet model. Increases in peak acceleration and severity index of up to 36% were observed when helmets were tested with the facemask.     

Hemodynamics of miniature swine during +Gz stress with and without anti-G support

Nine unanesthetized, chronically instrumented, female miniature swine (MS) (avg wt, 39.7 kg) were exposed to head-to-tail inertial load (+Gz) levels of +3, +5, and +7 Gz for 60 s, with and without anti-G-suit inflation. Venous flow (VF) was measured by an electromagnetic flow sensor around the inferior thoracic vena cava at the diaphragm. Central venous pressure (CVP), abdominal venous pressure (AVP), eye-level blood pressure (ELBP), and esophageal pressure (EP) were also measured before, during, and after +Gz. There was a progressive significant decrease from control of both ELBP (P less than 0.001) and VF (P less than 0.05) during the three +Gz exposures, both with and without G-suit inflation. Without G-suit inflation, most of the MS were unable to tolerate +5 and +7 Gz. Although VF was significantly (P less than 0.02) improved by G-suit inflation during +Gz there was no significant difference in VF between the three +Gz levels, with or without G-suit inflation. The MS does a spontaneous straining maneuver (cyclic Valsalva) during +Gz with G-suit support. Using EP as a trigger, the data were grouped as strain or no strain (relaxation). A continuous AVP-to-CVP gradient existed during G-suit inflation, which increased dramatically during no strain with increasing +Gz, and was associated with an increase in VF. Thus, the majority of VF occurred during relaxation between strains, even though relaxation time was shortened as +Gz increased. Although ELBP is obviously dependent on cardiac output and venous return, the progressive reduction in ELBP with increased +Gz loads was not significantly related to changes in VF at the diaphragm which was maintained, although at a reduced rate, by the AVP-to-CVP gradient during G-suit inflation.     

The influence of surface padding properties on head and neck injury risk

A validated computational head-neck model was used to understand the mechanical relationships between surface padding characteristics and injury risk during impacts near the head vertex. The study demonstrated that injury risk can be decreased by maximizing the energy-dissipating ability of the pad, choosing a pad stiffness that maximizes pad deformation without bottoming out, maximizing pad thickness, and minimizing surface friction. That increasing pad thickness protected the head without increasing neck loads suggests that the increased cervical spine injury incidence previously observed in cadaveric impacts to padded surfaces relative to lubricated rigid surfaces was due to increased surface friction rather than pocketing of the head in the pad.