Measurement of accelerations experienced by rodeo riders Watkins S, Jennings R, Knox T, Andrews D, Plaga J, Ivan C AGENDA Rodeo events and recent statistics Sports-related head injury Accelerometers 101 Details of the 2007 pilot study Rodeo footage and results Background on Rodeo Events: Bareback Riding Rules for the Rider Disqualification Properly “mark out” the horse on its first jump out of the chute Maintain a one-hand hold on the rigging throughout the eight-second ride Spurring is required Contacting the equipment, the animal, or the rider with the his free hand Failure to “mark out” Basis for Scoring Rider’s control and style Rider’s spurring technique Horse’s bucking efforts http://www.washburncounty.com/rodeo/garretta.gif Background on Rodeo Events: Bull Riding Rules for the Rider Disqualification Maintain a one-hand hold throughout the eight-second ride Attempt to remain forward, or "over his hand," at all times Spurring not required Contacting the equipment, the animal, or the rider with the his free hand Basis for Scoring Rider’s control and style http://www.shrinerodeo.com/images/bull-riding.jpg Good body position Use of the free arm Spurring action Efforts of the bull Recent Injury Statistics The Justin Sportsmedicine Team (JSMT) has over twenty-five years of experience with rodeo injuries and covers approximately twenty percent of PRCA sanctioned rodeo performances annually. A recent report released by JSMT examined injury data collected from 1981 to 2005. Bareback Riding Events produce second largest number of injuries Accounts for 20% of competition injuries Most common sites of injury Head Shoulder Knee Bull Riding Injuries are most common during this event Accounts for 50% of competition injuries Most common sites of injury Head Face Shoulder What do we know about head injury ? U.S. Statistics 250,000 - 300,000 sports-related head injuries occur annually Annual costs exceed 1 billion dollars Rodeo Statistics Most common sites of injury are the head and face (16% of injuries) Most common major injury is concussion (>50% of all major injuries) Guskiewicz KM, McCrea M, Marshall SW, et al. Cumulative effects of recurrent concussion in collegiate football players: the NCAA Concussion Study. JAMA 2003;290:2549–55. Guskiewicz KM, Weaver NL, Padua DA, et al. Epidemiology of concussion in collegiate and high school football players. Am J Sports Med 2000;28:643–50. Iverson GL, Gaetz M, Lovell MR, et al. Cumulative effects of concussion in amateur athletes. Brain Injury 2004;18:433–43. More on concussion Pathophysiology remains a mystery Historical definition associated with structural changes? (as with severe TBI) reversible functional changes? Transient disturbance of neurological function caused by “shaking” of the brain that accompanies low velocity brain injuries Congress of Neurological Surgeons “consensus” definition A clinical syndrome characterized by the immediate and transient post-traumatic impairment of neural function such as alteration of consciousness, disturbance of vision or equilibrium due to mechanical forces Why do we care about concussion? Sports concussion >90% are mild (no loss of consciousness) Carries a high risk of recurrent concussion (athlete often allowed to compete before recovery from the initial injury) Repeat incidents Generally more serious Slower to resolve May result in long-term dysfunction No certainty concerning safe to return to competition http://apps.uwhealth.org/health/adam/graphics/images/en/17143.jpg How is concussion associated with acceleration? “Acceleration concussion” has been proposed as a general term that can be applied to all forms of traumatic brain injury Accelerations in the 150–200 g range are known to cause head injury Little is known about repeated exposure to moderate accelerations Olvey S, Knox T, Cohn K. The development of a method to measure head acceleration and motion in high-impact crashes. Neurosurgery 54: 672-677, 2004. Measuring Acceleration Accelerometers Many types: some simple, some complex Basic components A moveable mass A way to determine how much the mass has moved Can measure linear and angular accelerations in multiple axes How they work When no forces are present The mass does not move Mechanical: Spring is not stretched Electrical: The voltage is equal at all plates When forces are present The mass is displaced Mechanical: The spring is stretched Electrical: The voltage at the nearer plates increases The Physics Force acting on the mass is calculated by the distance the mass has moved and the inherent properties of the system Measured displacement & stiffness (k) of the spring or Change in voltage & current applied to the circuit F=ma is used to calculate the acceleration With a mass that shifts up and down, left and right, and back and forth, movement can be measured in three dimensions. The ear-mounted, tri-axial accelerometer Designed by Olvey, Knox et al Impetus for design In crash situations, driver’s custom fitted ear-mounted communications devices remained seated in the ear canal Small, tri-axial accelerometers could be embedded within the earpiece to allow for head-centered measurements of acceleration Initially used to examine head accelerations in race car drivers Olvey S, Knox T, Cohn K. The development of a method to measure head acceleration and motion in high-impact crashes. Neurosurgery 54: 672-677, 2004. Goals of the study To demonstrate the ability to obtain precise measurements of the accelerations experienced by professional rough stock riders during rodeo events To use the knowledge gained toward the design of the first large scale study of the accelerations encountered during such events To use the acceleration data gained to better understand the pathomechanics of head injury and assist in the creation of injury prevention techniques Preparatory Steps UTMB IRB approval obtained Subjects selected Two male professional rough stock riders Recruited at rodeo events preceding the Houston Livestock Show and Rodeo Informed consent obtained Custom mold of the ear canals made Accelerometer systems inserted into each mold Houston Livestock Show and Rodeo March 6, 2007 Minutes prior to the competition event On entering the chute Each subject was assisted in inserting his earpiece Small wires connecting the earpieces to the recording device were secured to the rider’s clothing Data recorder was placed into a padded belt and fastened around the rider’s waist Data recorder was activated Rider participated in his scheduled event as usual After the event Data recorder was collected Information transferred to computer for further analysis Houston Livestock Show and Rodeo March 6, 2007 A sample of the data 00HEADLE00H3ACXP (g) 50 40 30 20 10 0 -10 -20 -30 82 87 92 Time (Seconds) 97 102 Results Bareback Rider 8 seconds of ride completed No report of injury Resultant maximum acceleration: 46 g’s! Bull Rider Failed to complete ride No report of injury Resultant maximum acceleration: 26 g’s Conclusions Human data on acceleration forces in rodeo events are lacking Although it is understood that sports-related concussions are common and dangerous to riders, little is known about pathomechanics Further studies on the effects of frequent exposure to accelerations (<50g) are needed for better risk assessment What’s Next Large scale study at the 2008 Houston Rodeo 8 bareback riders 8 bull riders Aerobatic acceleration study Details TBD Acknowledgements J. Pat Evans Research Foundation for the funding provided to support this research Justin Sportsmedicine Team Houston Livestock Show and Rodeo Professional Rodeo Cowboys Association United States Air Force Research Laboratory