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Assessing the Efficacy of Bicycle Helmets in Reducing Risk of Head Injury

Although cycling offers many health and environmental benefits, it is not an activity free of injury risk. Increases in cycling popularity in the United States over the past 15 years have been paralleled by a 120% growth in cycling-related hospital admissions, with injuries to the head among the most common and debilitating injuries. Bicycle helmets can reduce head injury risk and are presently required to meet safety standard certification criteria specifying a minimal level of acceptable impact protection. However, the conditions surrounding cyclist head impacts are thought to be much more complex than the test conditions prescribed in standards and have important implications related to mechanisms of injury. The overarching aim of this dissertation was thus to investigate the protective capabilities of bicycle helmets in the context of real-world impact conditions and relevant head injury mechanisms. This aim was achieved through a series of studies, the objectives of which were to: compare helmet impact performance across standards impact testing and more realistic, oblique impact testing; to probe how changing boundary conditions of oblique impact testing may influence helmet test outcomes; to use this knowledge to inform the development of an objective helmet evaluation protocol reflective of realistic impact conditions and related head injury risks; and finally, to enhance the body of knowledge pertaining to cyclist head impact conditions via advanced helmet damage reconstruction techniques. The compilation of results across these studies serves to enhance cyclist safety by stimulating improved helmet evaluation and design while simultaneously providing objective, biomechanical data to consumers, enabling them to make safety-based purchasing decisions. / Doctor of Philosophy / Although cycling offers many health and environmental benefits and is increasing in popularity in the United States, it is not always a perfectly safe activity. The number of cycling-related hospital admissions in the US has been increasing over the past 15 years. Cyclists often sustain head injuries from crashes, which can be particularly debilitating. Fortunately, wearing a helmet can protect against head injuries during a crash. Bicycle helmets are presently designed around safety standards that drop a helmeted dummy head onto a horizontal anvil and require the helmet to limit the force on the head to acceptable levels. However, standards tests overly simplify how cyclists actually hit their head during a crash and are consequently unable to assess how well helmets protect against common brain injuries like concussion. The overarching goal of this research was to evaluate how effectively bicycle helmets protect cyclists from concussion in realistic impact scenarios. Several studies were conducted to achieve this goal. Their individual objectives were to: compare how bicycle helmets reduce impact forces associated with standards tests versus more realistic, angled impact tests; to understand how changing constraints of an angled impact setup influences helmet effectiveness; to develop an unbiased evaluation protocol for bicycle helmets based on realistic cyclist crash scenarios and concussion risk assessment; and finally, to further explore how cyclists impact their head in real-world crashes using advanced techniques for reconstructing bicycle helmet damage from actual accidents. All of these studies lead to improved cyclist safety by stimulating improved helmet evaluation and design, while also providing consumers with information on how protective their helmets are.

Identiferoai:union.ndltd.org:VTETD/oai:vtechworks.lib.vt.edu:10919/89478
Date09 May 2019
CreatorsBland, Megan Lindsay
ContributorsDepartment of Biomedical Engineering and Mechanics, Rowson, Steven, Duma, Stefan M., Gabler, Hampton Clay, Stitzel, Joel D., Rowson, Bethany M.
PublisherVirginia Tech
Source SetsVirginia Tech Theses and Dissertation
Detected LanguageEnglish
TypeDissertation
FormatETD, application/pdf
RightsIn Copyright, http://rightsstatements.org/vocab/InC/1.0/

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