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Sutar S, Ganpule SG. In Silico Investigation of Biomechanical Response of a Human Brain Subjected to Primary Blast. J Biomech Eng 2024; 146:081007. [PMID: 38421339 DOI: 10.1115/1.4064968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 02/23/2024] [Indexed: 03/02/2024]
Abstract
The brain response to the explosion-induced primary blast waves is actively sought. Over the past decade, reasonable progress has been made in the fundamental understanding of blast traumatic brain injury (bTBI) using head surrogates and animal models. Yet, the current understanding of how blast waves interact with human is in nascent stages, primarily due to the lack of data in human. The biomechanical response in human is critically required to faithfully establish the connection to the aforementioned bTBI models. In this work, the biomechanical cascade of the brain under a primary blast has been elucidated using a detailed, full-body human model. The full-body model allowed us to holistically probe short- (<5 ms) and long-term (200 ms) brain responses. The full-body model has been extensively validated against impact loading in the past. We have further validated the head model against blast loading. We have also incorporated the structural anisotropy of the brain white matter. The blast wave transmission, and linear and rotational motion of the head were dominant pathways for the loading of the brain, and these loading paradigms generated distinct biomechanical fields within the brain. Blast transmission and linear motion of the head governed the volumetric response, whereas the rotational motion of the head governed the deviatoric response. Blast induced head rotation alone produced diffuse injury pattern in white matter fiber tracts. The biomechanical response under blast was comparable to the impact event. These insights will augment laboratory and clinical investigations of bTBI and help devise better blast mitigation strategies.
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Affiliation(s)
- Sunil Sutar
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee 247667, Uttarakhand, India
| | - S G Ganpule
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee 247667, Uttarakhand, India
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Duan S, Wang Z, Zhang W, Lu Y, Ma G. Effect of blast orientation, multi-point blasts, and repetitive blasts on brain injury. Med Eng Phys 2024; 127:104163. [PMID: 38692763 DOI: 10.1016/j.medengphy.2024.104163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 04/01/2024] [Accepted: 04/02/2024] [Indexed: 05/03/2024]
Abstract
Explosions in the battlefield can result in brain damage. Research on the effects of shock waves on brain tissue mainly focuses on the effects of single-orientation blast waves, while there have been few studies on the dynamic response of the human brain to directional explosions in different planes, multi-point explosions and repetitive explosions. Therefore, the brain tissue response and the intracranial pressure (ICP) caused by different blast loadings were numerically simulated using the CONWEP method. In the study of the blast in different directions, the lateral explosion blast wave was found to cause greater ICP than did blasts from other directions. When multi-point explosions occurred in the sagittal plane simultaneously, the ICP in the temporal lobe increased by 37.8 % and the ICP in the parietal lobe decreased by 17.6 %. When multi-point explosions occurred in the horizontal plane, the ICP in the frontal lobe increased by 61.8 % and the ICP in the temporal lobe increased by 12.2 %. In a study of repetitive explosions, the maximum ICP of the second blast increased by 40.6 % over that of the first blast, and that of the third blast increased by 61.2 % over that of the second blast. The ICP on the brain tissue from repetitive blasts can exceed 200 % of that of a single explosion blast wave.
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Affiliation(s)
- Shuhuai Duan
- School of Mechanics and Aerospace Engineering, Dalian University of Technology, Dalian, China
| | - Zhidong Wang
- School of Mechanics and Aerospace Engineering, Dalian University of Technology, Dalian, China
| | - Wei Zhang
- School of Mechanics and Aerospace Engineering, Dalian University of Technology, Dalian, China; State Key Laboratory of Structural Analysis, Optimization and CAE Software for Industrial Equipment, Dalian University of Technology, Dalian, China
| | - Yongtao Lu
- School of Mechanics and Aerospace Engineering, Dalian University of Technology, Dalian, China; DUT-BSU joint Institute, Dalian University of Technology, Dalian, China
| | - Guojun Ma
- School of Mechanics and Aerospace Engineering, Dalian University of Technology, Dalian, China; DUT-BSU joint Institute, Dalian University of Technology, Dalian, China; State Key Laboratory of Structural Analysis, Optimization and CAE Software for Industrial Equipment, Dalian University of Technology, Dalian, China.
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Sachdeva T, Ganpule SG. Twenty Years of Blast-Induced Neurotrauma: Current State of Knowledge. Neurotrauma Rep 2024; 5:243-253. [PMID: 38515548 PMCID: PMC10956535 DOI: 10.1089/neur.2024.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024] Open
Abstract
Blast-induced neurotrauma (BINT) is an important injury paradigm of neurotrauma research. This short communication summarizes the current knowledge of BINT. We divide the BINT research into several broad categories-blast wave generation in laboratory, biomechanics, pathology, behavioral outcomes, repetitive blast in animal models, and clinical and neuroimaging investigations in humans. Publications from 2000 to 2023 in each subdomain were considered. The analysis of the literature has brought out salient aspects. Primary blast waves can be simulated reasonably in a laboratory using carefully designed shock tubes. Various biomechanics-based theories of BINT have been proposed; each of these theories may contribute to BINT by generating a unique biomechanical signature. The injury thresholds for BINT are in the nascent stages. Thresholds for rodents are reasonably established, but such thresholds (guided by primary blast data) are unavailable in humans. Single blast exposure animal studies suggest dose-dependent neuronal pathologies predominantly initiated by blood-brain barrier permeability and oxidative stress. The pathologies were typically reversible, with dose-dependent recovery times. Behavioral changes in animals include anxiety, auditory and recognition memory deficits, and fear conditioning. The repetitive blast exposure manifests similar pathologies in animals, however, at lower blast overpressures. White matter irregularities and cortical volume and thickness alterations have been observed in neuroimaging investigations of military personnel exposed to blast. Behavioral changes in human cohorts include sleep disorders, poor motor skills, cognitive dysfunction, depression, and anxiety. Overall, this article provides a concise synopsis of current understanding, consensus, controversies, and potential future directions.
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Affiliation(s)
- Tarun Sachdeva
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
| | - Shailesh G. Ganpule
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
- Department of Design, Indian Institute of Technology Roorkee, Roorkee, India
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Sutar S, Ganpule S. Evaluation of Blast Simulation Methods for Modeling Blast Wave Interaction with Human Head. J Biomech Eng 2021; 144:1128656. [PMID: 34791052 DOI: 10.1115/1.4053059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Indexed: 11/08/2022]
Abstract
Blast induced traumatic brain injury (bTBI) research is crucial in asymmetric warfare. The finite element analysis is an attractive option to simulate the blast wave interaction with the head. The popular blast simulation methods are ConWep based pure Lagrangian, Arbitrary-Lagrangian-Eulerian, and Coupling method. This study examines the accuracy and efficiency of ConWep and Coupling methods in predicting the biomechanical response of the head. The simplified cylindrical, spherical surrogates and biofidelic human head models are subjected to field-relevant blast loads using these methods. The reflected overpressures at the surface and pressures inside the brain from the head models are qualitatively and quantitatively evaluated against the available experiments. Both methods capture the overall trends of experiments. Our results suggest that the accuracy of the ConWep method is mainly governed by the radius of curvature of the surrogate head. For the relatively smaller radius of curvature, such as cylindrical or spherical head surrogate, ConWep does not accurately capture decay of reflected blast overpressures and brain pressures. For the larger radius of curvature, such as the biofidelic human head, the predictions from ConWep match reasonably well with the experiment. For all the head surrogates considered, the reflected overpressure-time histories predicted by the Coupling method match reasonably well with the experiment. Coupling method uniquely captures the shadowing and union of shock waves governed by the geometry driven flow dynamics around the head. Overall, these findings will assist the bTBI modeling community to judiciously select an objective-driven modeling methodology.
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Affiliation(s)
- Sunil Sutar
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand, India -247667
| | - Shailesh Ganpule
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, Uttarakhand, India -247667
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Sundar S, Ponnalagu A. Biomechanical Analysis of Head Subjected to Blast Waves and the Role of Combat Protective Headgear Under Blast Loading: A Review. J Biomech Eng 2021; 143:100801. [PMID: 33954580 DOI: 10.1115/1.4051047] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Indexed: 01/10/2023]
Abstract
Blast-induced traumatic brain injury (bTBI) is a rising health concern of soldiers deployed in modern-day military conflicts. For bTBI, blast wave loading is a cause, and damage incurred to brain tissue is the effect. There are several proposed mechanisms for the bTBI, such as direct cranial entry, skull flexure, thoracic compression, blast-induced acceleration, and cavitation that are not mutually exclusive. So the cause-effect relationship is not straightforward. The efficiency of protective headgears against blast waves is relatively unknown as compared with other threats. Proper knowledge about standard problem space, underlying mechanisms, blast reconstruction techniques, and biomechanical models are essential for protective headgear design and evaluation. Various researchers from cross disciplines analyze bTBI from different perspectives. From the biomedical perspective, the physiological response, neuropathology, injury scales, and even the molecular level and cellular level changes incurred during injury are essential. From a combat protective gear designer perspective, the spatial and temporal variation of mechanical correlates of brain injury such as surface overpressure, acceleration, tissue-level stresses, and strains are essential. This paper outlines the key inferences from bTBI studies that are essential in the protective headgear design context.
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Affiliation(s)
- Shyam Sundar
- Department of Civil Engineering, Indian Institute of Technology Madras, Chennai 600036, India
| | - Alagappan Ponnalagu
- Department of Civil Engineering, Indian Institute of Technology Madras, Chennai 600036, India
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Sutar S, Ganpule SG. Assessment of Compression Driven Shock Tube Designs in Replicating Free-Field Blast Conditions for Traumatic Brain Injury Studies. J Neurotrauma 2021; 38:1717-1729. [PMID: 33108952 DOI: 10.1089/neu.2020.7394] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Compression driven shock tubes are indispensable in studies of blast-induced traumatic brain injury (bTBI). The ability of shock tubes in faithfully recreating free-field blast conditions is of enormous interest and has a direct impact on injury outcomes. Toward this end, the evolution of blast wave inside and outside of the compression driven shock tube has been studied using validated, finite element based shock tube models. Several shock tube configurations (uniform cross-section, transition, conical, suddenly expanded, and end plate) have been considered. The finite element modeling approach has been used to simulate the transient, dynamic response of blast wave propagation. The response is studied for longer durations (40-100 msec) compared with the existing literature. We demonstrate that locations inside and outside of the shock tube can generate free-field blast profile in some form, but with numerous caveats. Our results indicate that the locations inside the shock tube are affected by higher underpressure and corresponding kinetic energy yield compared with free-field blast. These effects can be minimized using optimized end plate configuration at the exit of the shock tube, yet this is accompanied by secondary loading that is not representative of the free-field blast. Blast wave profile can be tailored using transition, conical, and suddenly expanded sections. We observe oscillations in the blast wave profile for suddenly expanded configuration. Locations outside the shock tube are affected by jet-wind effects because of the sudden expansion, barring a narrow region at the exit. For the desired overpressure yield inferred in bTBI, obtaining positive phase durations of <1 msec inside the shock tube, which are sought for studies in rodents, is challenging. Overall, these results underscore that replicating free-field blast conditions using a shock tube involves tradeoffs that need to be weighed carefully and their effect on injury outcomes should be evaluated during laboratory bTBI investigations.
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Affiliation(s)
- Sunil Sutar
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
| | - S G Ganpule
- Department of Mechanical and Industrial Engineering, Indian Institute of Technology Roorkee, Roorkee, India
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Alay E, Skotak M, Chandrasekeran S, Ziner J, Chandra N. Variations in Constitutive Properties of the Fluid Elicit Divergent Vibrational and Pressure Response Under Shock Wave Loading. J Biomech Eng 2021; 143:011003. [PMID: 32685978 DOI: 10.1115/1.4047841] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Indexed: 07/25/2024]
Abstract
We performed a characterization of the shock wave loading on the response of the specimen representing a simplified head model. A polycarbonate cylinder (2-in. outer diameter, wall thickness: 0.06 or 0.12 in.) was filled with two fluids: pure de-ionized water and 40% glycerol in water, which differ only slightly in their constitutive material properties. These two fluids were selected to represent the cerebrospinal fluid and cerebral blood, using their high strain rate viscosity as a primary selection criterion. The model specimen was exposed to a single shock wave with two nominal intensities: 70 and 130 kPa overpressure. The response of the model was measured using three strain gauges and three pressure sensors, one mounted on the front face of the cylinder and two embedded in the cylinder to measure the pressure inside of the fluid. We noted several discriminant characteristics in the collected data, which indicate that the type of fluid is strongly influencing the response. The vibrations of the cylinder walls are strongly correlated with the fluid kind. The similarity analysis via the Pearson coefficient indicated that the pressure waveforms in the fluid are only moderately correlated, and these results were further corroborated by Euclidean distance analysis. Continuous wavelet transform of pressure waveforms revealed that the frequency response is strongly correlated with the properties of the fluid. The observed differences in strain and pressure modalities stem from relatively small differences in the properties of the fluids used in this study.
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Affiliation(s)
- Eren Alay
- Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102-1982
| | - Maciej Skotak
- Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102-1982
| | | | - Jonathan Ziner
- Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102-1982
| | - Namas Chandra
- Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ 07102-1982
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Misistia A, Skotak M, Cardenas A, Alay E, Chandra N, Kamimori GH. Sensor orientation and other factors which increase the blast overpressure reporting errors. PLoS One 2020; 15:e0240262. [PMID: 33031423 PMCID: PMC7544144 DOI: 10.1371/journal.pone.0240262] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 09/22/2020] [Indexed: 02/03/2023] Open
Abstract
This study compared the response of the wearable sensors tested against the industry-standard pressure transducers at blast overpressure (BOP) levels typically experienced in training. We systematically evaluated the effects of the sensor orientation with respect to the direction of the incident shock wave and demonstrated how the averaging methods affect the reported pressure values. The evaluated methods included averaging peak overpressure and impulse of all four sensors mounted on a helmet, taking the average of the three sensors, or isolating the incident pressure equivalent using two sensors. The experimental procedures were conducted in controlled laboratory conditions using the shock tube, and some of the findings were verified in field conditions with live fire charges during explosive breaching training. We used four different orientations (0°, 90°, 180°, and 270°) of the headform retrofitted with commonly fielded helmets (ACH, ECH, Ops-Core) with four B3 Blast Gauge sensors. We determined that averaging the peak overpressure values overestimates the actual dosage experienced by operators, which is caused by the reflected pressure contribution. This conclusion is valid despite the identified limitation of the B3 gauges that consistently underreport the peak reflected overpressure, compared to the industry-standard sensors. We also noted consistent overestimation of the impulse. These findings demonstrate that extreme caution should be exercised when interpreting occupational blast exposure results without knowing the orientation of the sensors. Pure numerical values without the geometrical, training-regime specific information such as the position of the sensors, the distance and orientation of the trainee to the source of the blast wave, and weapon system used will inevitably lead to erroneous estimation of the individual and cumulative blast overpressure (BOP) dosages. Considering that the 4 psi (~28 kPa) incident BOP is currently accepted as the threshold exposure safety value, a misinterpretation of exposure level may lead to an inaccurate estimation of BOP at the minimum standoff distance (MSD), or exclusion criteria.
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Affiliation(s)
- Anthony Misistia
- Blast Induced Neurotrauma Department, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America
- Cherokee Nation Assurance, Catoosa, OK, United States of America
| | - Maciej Skotak
- Blast Induced Neurotrauma Department, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America
- Department of Biomedical Engineering, New Jersey Institute of Technology, University Heights, Newark, NJ, United States of America
- * E-mail: (MS); (GHK)
| | - Arturo Cardenas
- Blast Induced Neurotrauma Department, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America
- Cherokee Nation Assurance, Catoosa, OK, United States of America
| | - Eren Alay
- Department of Biomedical Engineering, New Jersey Institute of Technology, University Heights, Newark, NJ, United States of America
- Department of Computer Science, Stevens Institute of Technology, Hoboken, NJ, United States of America
| | - Namas Chandra
- Department of Biomedical Engineering, New Jersey Institute of Technology, University Heights, Newark, NJ, United States of America
| | - Gary H. Kamimori
- Blast Induced Neurotrauma Department, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America
- * E-mail: (MS); (GHK)
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Yang L, Yue M, Li Z, Shen T. An investigation on the energy absorption characteristics of a multi-cell hexagonal tube under axial crushing loads. PLoS One 2020; 15:e0233708. [PMID: 32511242 PMCID: PMC7279609 DOI: 10.1371/journal.pone.0233708] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Accepted: 05/11/2020] [Indexed: 11/29/2022] Open
Abstract
A multi-cell tube enhances the energy absorption considerably compared to the absorption of a single tube under the same conditions. A novel tube configuration, namely, a multi-cell hexagonal tube, was proposed in this paper. The multi-cell tubes consist of three basic elements: a 2-panel element and two 3-panel elements (I and II). Simplified super folding element theory was utilized to estimate the energy dissipation of the basic elements. Based on this estimation, a theoretical expression for the mean crushing force was developed for the proposed tubes. The relative errors between a simulation, an experiment and theoretical results were no more than 5%. The effects of the hexagonal tube size and wall thickness on the crashworthiness of the multi-cell tubes were investigated. To a certain extent, the energy absorption and peak crushing force increased as the tube size and thickness increased. The response surface method (RSM) and the multi-objective non-dominated sorting genetic algorithm (NSGA-II) were used to improve the crashworthiness of the tube, and Pareto fronts were achieved. Finally, it was concluded that the optimal solution is C = 45 mm, t1 = 3.0 mm, and t2 = 2.35 mm, and the corresponding SEA and PCF were 16.52 kJ/kg and 411.36 kN, respectively.
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Affiliation(s)
- Li Yang
- School of Equipment Engineering, Shenyang Ligong University, Shenyang, Liaoning, China
| | - Mingkai Yue
- School of Equipment Engineering, Shenyang Ligong University, Shenyang, Liaoning, China
- * E-mail:
| | - Zhen Li
- School of Equipment Engineering, Shenyang Ligong University, Shenyang, Liaoning, China
| | - Tong Shen
- School of Equipment Engineering, Shenyang Ligong University, Shenyang, Liaoning, China
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Azar A, Bhagavathula KB, Hogan J, Ouellet S, Satapathy S, Dennison CR. Protective Headgear Attenuates Forces on the Inner Table and Pressure in the Brain Parenchyma During Blast and Impact: An Experimental Study Using a Simulant-Based Surrogate Model of the Human Head. J Biomech Eng 2020; 142:041009. [PMID: 31539422 DOI: 10.1115/1.4044926] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Indexed: 07/25/2024]
Abstract
Military personnel sustain head and brain injuries as a result of ballistic, blast, and blunt impact threats. Combat helmets are meant to protect the heads of these personnel during injury events. Studies show peak kinematics and kinetics are attenuated using protective headgear during impacts; however, there is limited experimental biomechanical literature that examines whether or not helmets mitigate peak mechanics delivered to the head and brain during blast. While the mechanical links between blast and brain injury are not universally agreed upon, one hypothesis is that blast energy can be transmitted through the head and into the brain. These transmissions can lead to rapid skull flexure and elevated pressures in the cranial vault, and, therefore, may be relevant in determining injury likelihood. Therefore, it could be argued that assessing a helmet for the ability to mitigate mechanics may be an appropriate paradigm for assessing the potential protective benefits of helmets against blast. In this work, we use a surrogate model of the head and brain to assess whether or not helmets and eye protection can alter mechanical measures during both head-level face-on blast and high forehead blunt impact events. Measurements near the forehead suggest head protection can attenuate brain parenchyma pressures by as much as 49% during blast and 52% during impact, and forces on the inner table of the skull by as much as 80% during blast and 84% during impact, relative to an unprotected head.
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Affiliation(s)
- Austin Azar
- Biomedical Instrumentation Lab, Department of Mechanical Engineering, University of Alberta, Edmonton, AB T6G 1H9, Canada
| | | | - James Hogan
- Department of Mechanical Engineering, University of Alberta, Edmonton, AB T6G 1H9, Canada
| | - Simon Ouellet
- Weapons Effects and Protection Section, Defence R&D Valcartier Research Center, Quebec, QC G3J 1X5, Canada
| | - Sikhanda Satapathy
- Chief(A) with Impact Physics Branch, U.S. Army Research Labs, Aberdeen Proving Ground, Aberdeen, MD 21005-5066
| | - Christopher R Dennison
- Biomedical Instrumentation Lab, Department of Mechanical Engineering, University of Alberta, Edmonton, AB T6G 1H9, Canada
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Multi-Scale Modeling of Head Kinematics and Brain Tissue Response to Blast Exposure. Ann Biomed Eng 2019; 47:1993-2004. [PMID: 30671753 DOI: 10.1007/s10439-018-02193-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Accepted: 12/19/2018] [Indexed: 12/22/2022]
Abstract
Injuries resulting from blast exposure have been increasingly prevalent in recent conflicts, with a particular focus on the risk of head injury. In the current study, a multibody model (GEBOD) was used to investigate the gross kinematics resulting from blast exposure, including longer duration events such as the fall and ground impact. Additionally, detailed planar head models, in the sagittal and transverse planes, were used to model the primary blast wave interaction with the head, and resulting tissue response. For severe blast load cases (scaled distance less than 2), the translational head accelerations during primary blast were found to increase as the height-of-burst (HOB) was lowered, while the HOB was found to have no effect for cases with scaled distance greater than 2. The HOB was found to affect both the magnitude and direction of rotational accelerations, with increasing magnitudes as the HOB deviated from the height of the head. The choice of ground contact stiffness was found to greatly affect the predicted head accelerations during ground impact. For a medium soil ground material, the kinematics during ground impact were greater for scaled distances exceeding 1.5, below which the primary blast produced greater kinematic head response.
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