Head injury potential and the effectiveness of headgear in women's lacrosse.

Over the past 10 years, lacrosse has grown increasingly popular, making it one of the fastest growing team sports in the country. Similar to other sporting activities, head injuries in lacrosse can and do occur, and the number of lacrosse-related head injuries has increased in recent years. In women's lacrosse, protective headgear is not required, but U.S. Lacrosse and the American Society for Testing and Materials are currently working to develop a headgear standard for the women's game. In the interim, some female lacrosse programs and individual players are wearing soft headgear during play. The effectiveness of this headgear is unknown. Testing was conducted to better understand the material properties of various types of headgear that may be used in lacrosse and the effect of this headgear on head impact response and head injury potential. For the evaluation of head impact response, an instrumented Hybrid III anthropomorphic test device (ATD) was impacted on the side of the head with lacrosse balls and the front and side of the head with a lacrosse stick. The linear and rotational impact response of the head and corresponding acceleration-based injury metrics are reported. Testing was then repeated with the ATD wearing different types of headgear. Tested headgear included a men's lacrosse helmet and two brands of commercially-available soft headgear. For the higher velocity ball impacts, there was no statistically-significant difference in the measured linear and rotational response of the head for the no headgear and soft headgear test conditions. For the lower velocity ball impacts, there was a small, yet statistically-significant, reduction in head linear acceleration for one of the soft headgears tested in comparison to the no headgear test condition, but there was not a statistically-significant difference in the rotational impact response with this headgear. These results indicate that the soft headgear would not be effective in reducing head injury potential during higher velocity ball impacts, such as ball speeds associated with shooting in women's lacrosse. The men's lacrosse helmet reduced both the linear and rotational response of the head for the higher and lower velocity ball impacts. Material testing showed that the padding in the hard helmet exhibited larger strain energy than the padding within the soft headgears when tested in compression. These results correlate with the larger reductions in head accelerations during ball impacts by the hard helmet. For the stick impacts, there were no statistically-significant differences in the lateral impact response of the head for the helmeted and soft headgear test conditions in comparison to the no headgear test condition, but there were statistically-significant, albeit small, differences in the frontal impact response of the head. The similar impact responses of the head during the stick impacts with and without headgear can be attributed to the relatively low severity of these impacts and the characteristics of the impactor.

The non-equilibrium thermodynamics and kinetics of focal adhesion dynamics.

BACKGROUND: We consider a focal adhesion to be made up of molecular complexes, each consisting of a ligand, an integrin molecule, and associated plaque proteins. Free energy changes drive the binding and unbinding of these complexes and thereby controls the focal adhesion's dynamic modes of growth, treadmilling and resorption. PRINCIPAL FINDINGS: We have identified a competition among four thermodynamic driving forces for focal adhesion dynamics: (i) the work done during the addition of a single molecular complex of a certain size, (ii) the chemical free energy change associated with the addition of a molecular complex, (iii) the elastic free energy change associated with deformation of focal adhesions and the cell membrane, and (iv) the work done on a molecular conformational change. We have developed a theoretical treatment of focal adhesion dynamics as a nonlinear rate process governed by a classical kinetic model. We also express the rates as being driven by out-of-equilibrium thermodynamic driving forces, and modulated by kinetics. The mechanisms governed by the above four effects allow focal adhesions to exhibit a rich variety of behavior without the need to introduce special constitutive assumptions for their response. For the reaction-limited case growth, treadmilling and resorption are all predicted by a very simple chemo-mechanical model. Treadmilling requires symmetry breaking between the ends of the focal adhesion, and is achieved by driving force (i) above. In contrast, depending on its numerical value (ii) causes symmetric growth, resorption or is neutral, (iii) causes symmetric resorption, and (iv) causes symmetric growth. These findings hold for a range of conditions: temporally-constant force or stress, and for spatially-uniform and non-uniform stress distribution over the FA. The symmetric growth mode dominates for temporally-constant stress, with a reduced treadmilling regime. SIGNIFICANCE: In addition to explaining focal adhesion dynamics, this treatment can be coupled with models of cytoskeleton dynamics and contribute to the understanding of cell motility.

A dual optimization method for the material parameter identification of a biphasic poroviscoelastic hydrogel: Potential application to hypercompliant soft tissues.

A dual-indentation creep and stress relaxation methodology was developed and validated for the material characterization of very soft biological tissue within the framework of the biphasic poroviscoelastic (BPVE) constitutive model. Agarose hydrogel, a generic porous medium with mobile fluid, served as a mechanical tissue analogue for validation of the experimental procedure. Indentation creep and stress relaxation tests with a solid plane-ended cylindrical indenter were performed at identical sites on a gel sample with dimensions large enough with respect to indenter size in order to satisfy an infinite layer assumption. A finite element (FE) formulation coupled to a global optimization algorithm was utilized to simultaneously curve-fit the creep and stress relaxation data and extract the BPVE model parameters for the agarose gel. A numerical analysis with artificial data was conducted to validate the uniqueness of the computational procedure. The BPVE model was able to successfully cross-predict both creep and stress relaxation behavior for each pair of experiments with a single unique set of material parameters. Optimized elastic moduli were consistent with those reported in the literature for agarose gel. With the incorporation of appropriately-sized indenters to satisfy more stringent geometric constraints, this simple yet powerful indentation methodology can provide a straightforward means by which to obtain the BPVE model parameters of biological soft tissues that are difficult to manipulate (such as brain and adipose) while maintaining a realistic in situ loading environment.