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1.
J Mech Behav Biomed Mater ; 142: 105797, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37058864

RESUMO

Although the cervical spine supports and controls the kinematics of the head, it is vulnerable to injuries during mechanical loading. Severe injuries often result in damage to the spinal cord, leading to significant ramifications. The role of gender in determining the outcome of such injuries has been established as significant. In order to better understand the essential mechanics and develop treatments or preventative measures, various forms of research have been conducted. Computational modelling is one of the most useful and extensively utilised methods, as it provides information that would otherwise be difficult to obtain. As such, the primary goal of this research is to create a new finite element of the female cervical spine that will more accurately represent the group most affected by such injuries. This work is a continuation of a previous study where a model was created from the computer tomography scans of a 46-year-old female. A functioning spinal unit consisting of the C6-C7 segment was simulated as a validation procedure. The experimental data obtained from cadaveric specimens, that assessed the range of motion of different cervical segments in flexion-extension, axial rotation, and lateral bending, was used to validate the reduced model.


Assuntos
Vértebras Cervicais , Medula Espinal , Humanos , Feminino , Pessoa de Meia-Idade , Análise de Elementos Finitos , Vértebras Cervicais/diagnóstico por imagem , Amplitude de Movimento Articular , Fenômenos Biomecânicos , Rotação
2.
Accid Anal Prev ; 163: 106430, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34655858

RESUMO

Traffic jams are a burden in urban areas, being time-consuming and contributing to stressful driving and CO2 emissions. To implement the United Nations' 2030 agenda for sustainable development, governmental strategies aim to accelerate the shift to sustainable and smart mobility. Consequently, e-micromobility (EMM) appeared as a practical solution for short-distance commuters, and it is growing at upsetting rates thanks to the introduction of sharing services. In fact, urban mobility has drastically changed over the last decade, and electric mobility and micromobility changed the panorama in larger metropolises, given their accessibility, large availability, and the potential to be a time saver in short trips and a potentially sustainable alternative in particular scenarios. The downside of portable e-transportation is the rapid increase in injuries and fatalities. Focusing on standing e-scooters, head injuries are becoming one of the most common as shown by research conducted in different urban emergency departments, alongside bone fractures, skin abrasions, and lacerations. In this work, a comprehensive review is carried out focusing on head protection for EMM, mostly for e-scooters, and the respective target markets, safety measures, and existing regulations. In the end, a critical assessment is given with recommendations for legislators and future research. Users are mostly males from 18 to 40 years old, upper-to-middle income, with elevated levels of educational attainment. Their motivation to use e-scooters is mainly to replace short walking trips. EMM, in particular e-scooters, will continue to grow thanks to its potential to substitute other micromobility alternatives. The evolution of safety measures and regulations did not keep pace with such a drastic change in mobility trends. This is evident considering how some countries are struggling with vehicle categories and regulations for helmet use and testing. The lack of legal obligation to wear a helmet and the absence of an adequate and feasible concept of protective equipment for sharing services are the main barriers to helmet use among riders. Mitigation measures have been implemented by the EMM sharing companies to improve the safety of its users by checking if they wear helmets and by offering vehicle-integrated solutions.


Assuntos
Traumatismos Craniocerebrais , Fraturas Ósseas , Acidentes de Trânsito/prevenção & controle , Adolescente , Adulto , Feminino , Dispositivos de Proteção da Cabeça , Humanos , Masculino , Caminhada , Adulto Jovem
3.
Proc Inst Mech Eng H ; 229(8): 592-608, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26238791

RESUMO

Head injuries occur in a great variety of sports. Many of these have been associated with neurological injuries, affecting the central nervous system. Some examples are motorsports, cycling, skiing, horse riding, mountaineering and most contact sports such as football, ice and field hockey, soccer, lacrosse, etc. The outcome of head impacts in these sports can be very severe. The worst-case scenarios of permanent disability or even death are possibilities. Over recent decades, many In recent decades, a great number of head injury criteria and respective thresholds have been proposed. However, the available information is much dispersed and a consensus has still not been achieved regarding the best injury criteria or even their thresholds. This review paper gives a thorough overview of the work carried out by the scientific community in the field of impact biomechanics about head injuries sustained during sports activity. The main goal is to review the head injury criteria, as well as their thresholds. Several are reviewed, from the predictors based on kinematics to the ones based on human tissue thresholds. In this work, we start to briefly introduce the head injuries and their mechanisms commonly seen as a result of head trauma in sports. Then, we present and summarize the head injury criteria and their respective thresholds.


Assuntos
Traumatismos em Atletas/fisiopatologia , Fenômenos Biomecânicos/fisiologia , Traumatismos Craniocerebrais/fisiopatologia , Cabeça/fisiologia , Modelos Biológicos , Aceleração , Feminino , Humanos , Masculino
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