Abstract

Climbing is a popular form of recreation [Gerdes, E. M., Hafner, J. W. and Aldag, J. C., “Injury Patterns and Safety Practices of Rock Climbers,” J. Trauma Inj., Infect., Crit. Care, Vol. 61, No. 6, 2006, pp. 1517–1525.]. Head injuries account for the majority of climbing fatalities; while they cannot always be prevented, wearing a certified climbing helmet can reduce head trauma. Current helmet certification procedures require impact testing only to the upper two-thirds, emphasizing protection from falling objects and resulting in helmet models that have little to no energy mitigating capabilities around their lower rim. This study presents the case for developing new helmet testing protocols emphasizing energy mitigation during climbing falls that produce head injuries 12 times more frequently than falling objects. Suspension helmets, foam helmets, and hybrid foam/suspension helmets were tested in drop and pendulum tests producing impacts to the frontal, occipital, upper parietal, and apex regions using two different headforms and a whole-body, instrumented Hybrid-III dummy. Pendulum drop tests from 1.6 m were used to create frontal and parietal impacts against a vertical steel barrier. The foam helmet delivered average values that were near the injury thresholds established for the Hybrid-III [Mertz, H. J., Irwin, A. L. and Prasad, P., “Biomechanical and Scaling Bases for Frontal and Side Impact Injury Assessment Reference Values,” Stapp Car Crash J., Vol. 47, 2003, pp. 155–188.]. All other helmet and headform combinations produced average values significantly greater than the injury thresholds. Free drops at 2.0 m from an initially upright, backward leaning orientation created occipital impacts. The dummy first struck the feet, and then rotated backward striking the back of the head, producing an impact velocity 15 % higher than that computed for a non-rotating free fall. Only the foam and magnesium headform combination delivered sub-threshold values. Average Head Injury Criterion and peak accelerations from other combinations exceeded 5000 and 500 g, respectively. Pendulum impacts to the apex following 1.0 m drops produced neck compressions, tensions, and extensions that were well beyond neck injury thresholds. These results indicate that the three certified helmets tested do not adequately protect the head during moderate height falls producing impacts to the frontal and occipital rim.

References

1.
Gerdes
,
E. M.
,
Hafner
,
J. W.
and
Aldag
,
J. C.
, “
Injury Patterns and Safety Practices of Rock Climbers
,”
J. Trauma Inj., Infect., Crit. Care
, Vol.
61
, No.
6
,
2006
, pp.
1517
1525
. https://doi.org/10.1097/01.ta.0000209402.40864.b2
2.
The Outdoor Foundation
, “
Outdoor Recreation Participation Report 2012
,”
The Outdoor Foundation
, Boulder, CO,
2012
.
3.
European Committee for Standardization (CEN)
,
2000
, “
Mountaineering Equipment—Helmets for Mountaineers—Safety Requirements and Test Methods
,”
European Standard EN 12492
,
Brussels, Belgium
.
4.
Union Internationale Des Associations D'Alpinisme (UIAA)
,
2009
, “
Mountaineering and Climbing Equipment—Helmets
,” Standard 106, Berne, Switzerland.
5.
Mertz
,
H. J.
,
Irwin
,
A. L.
and
Prasad
,
P.
, “
Biomechanical and Scaling Bases for Frontal and Side Impact Injury Assessment Reference Values
,”
Stapp Car Crash J.
, Vol.
47
,
2003
, pp.
155
188
.
6.
Hertz
,
E.
, “
A Note on the Head Injury Criterion (HIC) as a Predictor of the Risk of Skull Fracture
,”
Proceedings 37th Annual Proceedings, Association for the Advancement of Automotive Medicine
,
San Antonio, TX
, Nov. 4–6,
1993
, pp.
303
312
.
7.
Mertz
,
H. J.
,
Prasad
,
P.
and
Nusholtz
,
G.
, “
Head Injury Risk Assessment for Forehead Impacts
,”
Technical Paper Series No. 960099
,
SAE
,
Warrendale, PA
,
1996
.
8.
Prasad
,
P.
and
Mertz
,
H. J.
, “
The Position of the United States Delegation to the ISO Working Group 6 on the Use of HIC in the Automotive Environment
,”
Technical Paper Series No. 851246
,
SAE
,
Warrendale, PA
,
1985
.
9.
Scher
,
I.
,
Richards
,
D.
and
Carhart
,
M.
, “
Head Injury in Snowboarding: Evaluating the Protective Role of Helmets
,”
J. ASTM Int.
, Vol.
3
, No.
4
,
2006
, 14203. https://doi.org/10.1520/JAI14203
10.
Richards
,
D.
,
Carhart
,
M.
,
Scher
,
I.
,
Thomas
,
R.
and
Hurlen
,
N.
, “
Head Kinematics During Experimental Snowboard Falls: Implications for Snow Helmet Standards
,”
J. ASTM Int.
, Vol.
5
, No.
6
,
2008
, JAI101406. https://doi.org/10.1520/JAI101406
11.
Funk
,
J. R.
,
Duma
,
S. M.
,
Manoogian
,
S. J.
and
Rowson
,
S.
, “
Biomechanical Risk Estimates for Mild Traumatic Brain Injury
,”
Proceedings of the 51st Annual Association for the Advancement of Automotive Medicine
,
San Antonio, TX
, Oct 15–17,
2007
, pp.
343
361
.
12.
Funk
,
J. R.
,
Rowson
,
S.
,
Daniel
,
R. W.
and
Duma
,
S. M.
, “
Validation of Concussion Risk Curves for Collegiate Football Players Derived from HITS Data
,”
Ann. Biomed. Eng.
, Vol.
40
, No.
1
,
2012
, pp.
79
89
. https://doi.org/10.1007/s10439-011-0400-8
13.
Pellman
,
E. J.
,
Viano
,
D. C.
,
Tucker
,
A. M.
,
Casson
,
I. R.
and
Waeckerle
,
J. F.
, “
Concussion in Professional Football: Reconstruction of Game Impacts and Injuries
,”
Neurosurgery
, Vol.
53
, No.
4
,
2003
, pp.
799
814
.
14.
McLennan
,
J. G.
and
Ungersma
,
J.
, “
Mountaineering Accidents in the Sierra Nevada
,”
Am. J. Sports Med.
, Vol.
11
, No.
3
,
1983
, pp.
160
163
. https://doi.org/10.1177/036354658301100310
15.
Malacrida
,
R. L.
,
Anselmi
,
L. C.
,
Genoni
,
M.
,
Bogen
,
M.
and
Suter
,
P. M.
, “
Helicopter Mountain Rescue of Patients with Head Injury and/or Multiple Injuries in Southern Switzerland 1980–1990
,”
Injury
, Vol.
24
, No.
7
,
1993
, pp.
451
453
. https://doi.org/10.1016/0020-1383(93)90147-X
16.
Christensen
,
E. D.
and
Lacsina
,
E. Q.
, “
Mountaineering Fatalities on Mount Rainier, WA, 1977–1997
,”
Am. J. Forensic Med. Pathol.
, Vol.
20
, No.
2
,
1999
, pp.
173
179
. https://doi.org/10.1097/00000433-199906000-00014
17.
Bowie
,
W. S.
,
Hunt
,
T. K.
and
Allen
,
H. A.
, “
Rock-Climbing Injuries in Yosemite National Park
,”
West. J. Med.
, Vol.
149
, No.
2
,
1988
, pp.
172
177
.
18.
Lack
,
D. A.
,
Sheets
,
A. L.
,
Entin
,
J. M.
and
Christenson
,
D. C.
, “
Rock Climbing Rescues: Causes, Injuries, and Trends in Boulder County, CO
,”
Wild. Environ. Med.
, Vol.
23
,
2012
, pp.
223
230
.
19.
Nelson
,
N. G.
and
McKenzie
,
L. B.
, “
Rock Climbing Injuries Treated in Emergency Departments in the U. S., 1990-2007
,”
Am. J. Prev. Med.
, Vol.
37
, No.
3
,
2009
, pp.
195
200
. https://doi.org/10.1016/j.amepre.2009.04.025
20.
U.S. Consumer Product Safety Commission
,
NEISS Coding Manual
,
USCPSC
,
Bethesda, MD
,
2008
.
21.
The Henry J. Kaiser Foundation
,
2010
, “
Hospital Adjusted Expenses per Inpatient Day
,” http://www.Statehealthfacts.org (Last accessed 20 Feb
2013
).
22.
Eppinger
,
R.
,
Sun
,
E.
,
Bandak
,
F.
,
Haffner
,
M.
,
Khaewpong
,
N.
,
Maltese
,
M.
,
Kuppa
,
S.
,
Nguyen
,
T.
,
Takhouts
,
E.
,
Tannous
,
R.
,
Zhang
,
A.
and
Saul
,
R.
, “
Development of Improved Injury Criteria for the Assessment of Advanced Automotive Restraint Systems—II
,”
National Highway Traffic Safety Administration, NHSTA
,
Washington, DC
,
1999
.
23.
Smith
,
L. O.
, “
Alpine Climbing: Injuries and Illness
,”
Phys. Med. Rehab. Clin. North Am.
, Vol.
17
,
2006
, pp.
633
644
. https://doi.org/10.1016/j.pmr.2006.05.003
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