The Effect of Muscle Activation on Head Kinematics During Non-injurious Head Impacts in Human Subjects

• Published in: Annals of biomedical engineering 2020-12, Vol.48 (12), p.2751-2762
• Main Authors: Reynier, Kristen A., Alshareef, Ahmed, Sanchez, Erin J., Shedd, Daniel F., Walton, Samuel R., Erdman, Nicholas K., Newman, Benjamin T., Giudice, J. Sebastian, Higgins, Michael J., Funk, James R., Broshek, Donna K., Druzgal, Thomas J., Resch, Jacob E., Panzer, Matthew B.
• Format: Article
• Language: English
• Subjects: Acceleration; Angular velocity; Assessments; Balance; Biochemistry; Biological and Medical Physics; Biomedical and Life Sciences; Biomedical Engineering and Bioengineering; Biomedicine; Biophysics; Classical Mechanics; Cognition; Computational neuroscience; Diagnostic systems; Electromyography; Head; Injuries; Kinematics; Medical imaging; Muscle contraction; Muscles; Neuroimaging; Original Article; Statistical analysis; Velocity
• ISSN: 0090-6964; 1573-9686
• DOI: 10.1007/s10439-020-02609-7

In this study, twenty volunteers were subjected to three, non-injurious lateral head impacts delivered by a 3.7 kg padded impactor at 2 m/s at varying levels of muscle activation (passive, co-contraction, and unilateral contraction). Electromyography was used to quantify muscle activation conditions, and resulting head kinematics were recorded using a custom-fit instrumented mouthpiece. A multi-modal battery of diagnostic tests (evaluated using neurocognitive, balance, symptomatic, and neuroimaging based assessments) was performed on each subject pre- and post-impact. The passive muscle condition resulted in the largest resultant head linear acceleration (12.1 ± 1.8 g) and angular velocity (7.3 ± 0.5 rad/s). Compared to the passive activation, increasing muscle activation decreased both peak resultant linear acceleration and angular velocity in the co-contracted (12.1 ± 1.5 g, 6.8 ± 0.7 rad/s) case and significantly decreased in the unilateral contraction (10.7 ± 1.7 g, 6.5 ± 0.7 rad/s) case. The duration of angular velocity was decreased with an increase in neck muscle activation. No diagnostic metric showed a statistically or clinically significant alteration between baseline and post-impact assessments, confirming these impacts were non-injurious. This study demonstrated that isometric neck muscle activation prior to impact can reduce resulting head kinematics. This study also provides the data necessary to validate computational models of head impact.