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When to Pull the Trigger: Conceptual Considerations for Approximating Head Acceleration Events Using Instrumented Mouthguards

Title: When to Pull the Trigger: Conceptual Considerations for Approximating Head Acceleration Events Using Instrumented Mouthguards
Authors: Tooby, J; Till, K; Gardner, A; Stokes, K; Tierney, G; Weaving, D; Rowson, S; Ghajari, M; Emery, C; Bussey, MD; Jones, B
Publisher Information: Springer Verlag (Germany)
Publication Year: 2024
Collection: Leeds Beckett University Repository
Description: Head acceleration events (HAEs) are acceleration responses of the head following external short-duration collisions. The potential risk of brain injury from a single high-magnitude HAE or repeated occurrences makes them a significant concern in sport. Instrumented mouthguards (iMGs) can approximate HAEs. The distinction between sensor acceleration events, the iMG datum for approximating HAEs and HAEs themselves, which have been defined as the in vivo event, is made to highlight limitations of approximating HAEs using iMGs. This article explores the technical limitations of iMGs that constrain the approximation of HAEs and discusses important conceptual considerations for stakeholders interpreting iMG data. The approximation of HAEs by sensor acceleration events is constrained by false positives and false negatives. False positives occur when a sensor acceleration event is recorded despite no (in vivo) HAE occurring, while false negatives occur when a sensor acceleration event is not recorded after an (in vivo) HAE has occurred. Various mechanisms contribute to false positives and false negatives. Video verification and post-processing algorithms offer effective means for eradicating most false positives, but mitigation for false negatives is less comprehensive. Consequently, current iMG research is likely to underestimate HAE exposures, especially at lower magnitudes. Future research should aim to mitigate false negatives, while current iMG datasets should be interpreted with consideration for false negatives when inferring athlete HAE exposure.
Document Type: article in journal/newspaper
File Description: text
Language: English
ISSN: 0112-1642
Relation: https://eprints.leedsbeckett.ac.uk/id/eprint/10624/1/WhenToPullTheTriggerConceptualConsiderationsForApproximatingHeadAccelerationEventsUsingInstrumentedMouthguardsPV-TOOBY.pdf; Tooby, J and Till, K and Gardner, A and Stokes, K and Tierney, G and Weaving, D and Rowson, S and Ghajari, M and Emery, C and Bussey, MD and Jones, B (2024) When to Pull the Trigger: Conceptual Considerations for Approximating Head Acceleration Events Using Instrumented Mouthguards. Sports Medicine. pp. 1-9. ISSN 0112-1642 DOI: https://doi.org/10.1007/s40279-024-02012-5
Availability: https://eprints.leedsbeckett.ac.uk/id/eprint/10624/
Rights: cc_by_4
Accession Number: edsbas.EFF7E3D3
Database: BASE