Development and validation of a physical model to investigate the biomechanics of infant head impact

M Jones1, D Darwall1, G Khalid1

  • 1Cardiff School of Engineering, Cardiff University, Cardiff, UK.

Insights

Child head injuries are common, but understanding impact mechanics is limited. New research reveals localized accelerations can be triple the global average, highlighting critical regional vulnerabilities.

Area of Science:

  • Biomechanics
  • Pediatric Traumatology
  • Injury Prevention

Background:

  • Childhood head injuries are a leading cause of death and disability.
  • Current understanding of pediatric head injury mechanics is limited, hindering diagnosis and prevention.
  • Existing research relies on post-mortem human surrogate (PMHS) experiments using calculated global acceleration.

Purpose of the Study:

  • To develop and validate a new experimental methodology for assessing regional head impact response in infants.
  • To challenge the 'global approximation' of head injury vulnerability with localized data.
  • To investigate the mechanics of infant head deformation and strain under impact.

Main Methods:

  • A 3D-printed surrogate infant head was created using CT scans and validated against PMHS data.
  • The surrogate brain was simulated using a gelatin/water mix.
  • High-Speed Digital-Image-Correlation measured linear/angular velocities, accelerations, strains, and strain rates during impacts.

Main Results:

  • Regional and local accelerations were up to three times greater than calculated 'global' accelerations.
  • Impact location significantly influenced differential acceleration patterns.
  • Sutures and fontanelles experienced ten times more strain than bone, leading to significant skull deformation.
  • Perpendicular impacts generated greater rotational velocities and accelerations due to skull geometry changes.

Conclusions:

  • The developed methodology provides crucial regional and local head impact data, improving understanding of infant head injury.
  • Localized impact responses differ significantly from global approximations, necessitating revised injury assessment.
  • Findings offer new insights for clinical diagnosis, forensic analysis, and the development of effective injury prevention strategies for children.

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