Correlation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accident

This study first examined the correlation between types of acute phase head injuries to cyclists and consciousness disturbance by using data from patients at the emergency room of Dokkyo Medical University Koshigaya Hospital in Japan. The injuries were compared for cases where the cyclists experienc...

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Main Authors: Shoko OIKAWA, Yasuhiro MATSUI, Sayaka GOMEI, Tomoe KONNO, Takahiro UENO, Hiromichi NAKADATE, Shigeru AOMURA
Format: Article
Language:English
Published: The Japan Society of Mechanical Engineers 2019-02-01
Series:Journal of Biomechanical Science and Engineering
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jbse/14/1/14_18-00143/_pdf/-char/en
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author Shoko OIKAWA
Yasuhiro MATSUI
Sayaka GOMEI
Tomoe KONNO
Takahiro UENO
Hiromichi NAKADATE
Shigeru AOMURA
author_facet Shoko OIKAWA
Yasuhiro MATSUI
Sayaka GOMEI
Tomoe KONNO
Takahiro UENO
Hiromichi NAKADATE
Shigeru AOMURA
author_sort Shoko OIKAWA
collection DOAJ
description This study first examined the correlation between types of acute phase head injuries to cyclists and consciousness disturbance by using data from patients at the emergency room of Dokkyo Medical University Koshigaya Hospital in Japan. The injuries were compared for cases where the cyclists experienced consciousness disturbance and otherwise. The results showed that skull fractures and brain contusions were the most frequent consequences of head injuries to cyclists in general. However, the average number of head injuries by types for cyclists suffering consciousness disturbance was higher than that for cyclists who had not experienced it, for both head fractures (0.9 versus 0.7) and brain injuries (1.9 versus 0.5). This implies that head fractures and brain injuries may increase the probability of consciousness disturbance. Next, considering a cyclist who had sustained a head injury and suffered acute consciousness disturbance in an accident while not wearing a helmet, a case study was conducted to quantify the effectiveness of a bicycle helmet in reducing the intensity of traumatic head injuries by using a whole-body model, a finite element model of the human head, and a model of the bicycle helmet on a mathematical dynamic modeling software. A comparison of the peak values computed for cases of cyclists with and without a helmet showed that in the former, strain on the skull was reduced by 95.9% in cases of skull fractures, and the von Mises stress on the brain was reduced by 23.3% for cases of brain contusions. The results suggest that helmet use reduces the risk of skull fracture and brain contusions in cyclists because it considerably reduces the impact. Moreover, the use of helmets can reduce the probability of consciousness disturbance.
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spelling doaj.art-c11dcc02b2b54e6ab2d02590e3f248692022-12-22T03:39:25ZengThe Japan Society of Mechanical EngineersJournal of Biomechanical Science and Engineering1880-98632019-02-0114118-0014318-0014310.1299/jbse.18-00143jbseCorrelation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accidentShoko OIKAWA0Yasuhiro MATSUI1Sayaka GOMEI2Tomoe KONNO3Takahiro UENO4Hiromichi NAKADATE5Shigeru AOMURA6Graduate School of System Design, Tokyo Metropolitan UniversityVehicle Safety Research Department, National Traffic Safety and Environment LaboratoryDokkyo Medical University Koshigaya HospitalGraduate School of System Design, Tokyo Metropolitan UniversityGraduate School of System Design, Tokyo Metropolitan UniversityDepartment of Mechanical Engineering and Robotics, Shinshu UniversityGraduate School of System Design, Tokyo Metropolitan UniversityThis study first examined the correlation between types of acute phase head injuries to cyclists and consciousness disturbance by using data from patients at the emergency room of Dokkyo Medical University Koshigaya Hospital in Japan. The injuries were compared for cases where the cyclists experienced consciousness disturbance and otherwise. The results showed that skull fractures and brain contusions were the most frequent consequences of head injuries to cyclists in general. However, the average number of head injuries by types for cyclists suffering consciousness disturbance was higher than that for cyclists who had not experienced it, for both head fractures (0.9 versus 0.7) and brain injuries (1.9 versus 0.5). This implies that head fractures and brain injuries may increase the probability of consciousness disturbance. Next, considering a cyclist who had sustained a head injury and suffered acute consciousness disturbance in an accident while not wearing a helmet, a case study was conducted to quantify the effectiveness of a bicycle helmet in reducing the intensity of traumatic head injuries by using a whole-body model, a finite element model of the human head, and a model of the bicycle helmet on a mathematical dynamic modeling software. A comparison of the peak values computed for cases of cyclists with and without a helmet showed that in the former, strain on the skull was reduced by 95.9% in cases of skull fractures, and the von Mises stress on the brain was reduced by 23.3% for cases of brain contusions. The results suggest that helmet use reduces the risk of skull fracture and brain contusions in cyclists because it considerably reduces the impact. Moreover, the use of helmets can reduce the probability of consciousness disturbance.https://www.jstage.jst.go.jp/article/jbse/14/1/14_18-00143/_pdf/-char/encyclisttraffic accidenthead injuryconsciousness disturbancefinite element simulation
spellingShingle Shoko OIKAWA
Yasuhiro MATSUI
Sayaka GOMEI
Tomoe KONNO
Takahiro UENO
Hiromichi NAKADATE
Shigeru AOMURA
Correlation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accident
Journal of Biomechanical Science and Engineering
cyclist
traffic accident
head injury
consciousness disturbance
finite element simulation
title Correlation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accident
title_full Correlation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accident
title_fullStr Correlation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accident
title_full_unstemmed Correlation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accident
title_short Correlation between acute phase head injury to cyclists and consciousness disturbance: a case study in reconstruction of single-cyclist accident
title_sort correlation between acute phase head injury to cyclists and consciousness disturbance a case study in reconstruction of single cyclist accident
topic cyclist
traffic accident
head injury
consciousness disturbance
finite element simulation
url https://www.jstage.jst.go.jp/article/jbse/14/1/14_18-00143/_pdf/-char/en
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