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Head Trauma The Untold Story of Common
Recreational Injuries
Stefan Hagopian DO FAAO
OPSC 2018 Annual Convention
San Diego CA
Feb 23 2018
bull TRAUMA ndash
GENERAL
bull RECREATIONAL vs ACCIDENTAL TRAUMA
bull HIGH RISK OF RECREATIONAL TRAUMA
bull TRAUMATIC BRAIN (Head) INJURY (ldquoTBIrdquo)
TRAUMA ‐
GENERALbull Assaultbull Motor Vehiclebull Natural Disasterbull Social Upheavalbull Warbull Home or Work Accidentbull Machinery or Structural Failurebull OCCUPATIONAL Impacts or Strainsbull RECREATIONAL Impacts or Strains
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
jogging gym yoga pilates horseriding
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
touring bike hikeclimb dive ski boat
bull THRILL‐SEEKING ‐
sky‐dive surf bungee cliff‐dive
UNTOLD
UNPOPULAR
UNWANTED
UNDENIABLE
Most RECREATIONAL TRAUMA is AcceptedAllowed because it is INFREQUENT or BENIGN
INFREQUENT
bull Severe Trauma is INFREQUENT
bull Accidental Mishap is INFREQUENT
bull Few Participants in Very Few Encounters
bull Socially Accepted Habits = Difficult to Change
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
bull TRAUMA ndash
GENERAL
bull RECREATIONAL vs ACCIDENTAL TRAUMA
bull HIGH RISK OF RECREATIONAL TRAUMA
bull TRAUMATIC BRAIN (Head) INJURY (ldquoTBIrdquo)
TRAUMA ‐
GENERALbull Assaultbull Motor Vehiclebull Natural Disasterbull Social Upheavalbull Warbull Home or Work Accidentbull Machinery or Structural Failurebull OCCUPATIONAL Impacts or Strainsbull RECREATIONAL Impacts or Strains
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
jogging gym yoga pilates horseriding
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
touring bike hikeclimb dive ski boat
bull THRILL‐SEEKING ‐
sky‐dive surf bungee cliff‐dive
UNTOLD
UNPOPULAR
UNWANTED
UNDENIABLE
Most RECREATIONAL TRAUMA is AcceptedAllowed because it is INFREQUENT or BENIGN
INFREQUENT
bull Severe Trauma is INFREQUENT
bull Accidental Mishap is INFREQUENT
bull Few Participants in Very Few Encounters
bull Socially Accepted Habits = Difficult to Change
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
TRAUMA ‐
GENERALbull Assaultbull Motor Vehiclebull Natural Disasterbull Social Upheavalbull Warbull Home or Work Accidentbull Machinery or Structural Failurebull OCCUPATIONAL Impacts or Strainsbull RECREATIONAL Impacts or Strains
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
jogging gym yoga pilates horseriding
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
touring bike hikeclimb dive ski boat
bull THRILL‐SEEKING ‐
sky‐dive surf bungee cliff‐dive
UNTOLD
UNPOPULAR
UNWANTED
UNDENIABLE
Most RECREATIONAL TRAUMA is AcceptedAllowed because it is INFREQUENT or BENIGN
INFREQUENT
bull Severe Trauma is INFREQUENT
bull Accidental Mishap is INFREQUENT
bull Few Participants in Very Few Encounters
bull Socially Accepted Habits = Difficult to Change
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
jogging gym yoga pilates horseriding
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
touring bike hikeclimb dive ski boat
bull THRILL‐SEEKING ‐
sky‐dive surf bungee cliff‐dive
UNTOLD
UNPOPULAR
UNWANTED
UNDENIABLE
Most RECREATIONAL TRAUMA is AcceptedAllowed because it is INFREQUENT or BENIGN
INFREQUENT
bull Severe Trauma is INFREQUENT
bull Accidental Mishap is INFREQUENT
bull Few Participants in Very Few Encounters
bull Socially Accepted Habits = Difficult to Change
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
UNTOLD
UNPOPULAR
UNWANTED
UNDENIABLE
Most RECREATIONAL TRAUMA is AcceptedAllowed because it is INFREQUENT or BENIGN
INFREQUENT
bull Severe Trauma is INFREQUENT
bull Accidental Mishap is INFREQUENT
bull Few Participants in Very Few Encounters
bull Socially Accepted Habits = Difficult to Change
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Most RECREATIONAL TRAUMA is AcceptedAllowed because it is INFREQUENT or BENIGN
INFREQUENT
bull Severe Trauma is INFREQUENT
bull Accidental Mishap is INFREQUENT
bull Few Participants in Very Few Encounters
bull Socially Accepted Habits = Difficult to Change
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
INFREQUENT
bull Severe Trauma is INFREQUENT
bull Accidental Mishap is INFREQUENT
bull Few Participants in Very Few Encounters
bull Socially Accepted Habits = Difficult to Change
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
BENIGN
bull Benign Musculo‐Skeletal Strains or Impacts
bull Benign Long‐Term Sequelae Osteoarthritis etc
bull Benign Consequences = Unmotivated to Change
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Splitting the Falx Cerebri
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
RECREATIONAL TRAUMA
bull SPORTS ‐
teamindividual competitive or performance
bull EXERCISE ‐
bull AMUSEMENT ‐
parksrides musicdancing substances
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
RECREATIONAL TRAUMA
bull SPORTS ‐‐‐‐‐‐‐‐‐‐‐
SOCCER
bull EXERCISE ‐
bull AMUSEMENT ‐‐‐‐
ROLLER COASTER RIDES
bull SIGHT‐SEEING ‐
bull THRILL‐SEEKING ‐
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
The Untold Story of Traumatic Brain Injury in
Soccer and Amusement Rides
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff
GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser
JT Kessels
AG Lezak
MD Troost
J
J Clin
Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall
DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim
TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl
1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg
D Leclerc
S Couture S Daigle C
Clin
J Sport Med 2007 Sep 17(5)369‐74
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek
RJ Roberts DJ
Ann Emerg
Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg
Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim
Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj
Prev 2005 Oct 11(5)309‐12
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
SOCCER
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
SOCCERbull 265 MM Soccer Players Worldwide
bull 3 MM Youth Soccer Players in US is 1 Sport
bull HEADING the Ball as Regular Part of Game
bull No Protectionbull Medical Literature Dates Back gt30 Years
bull Documented Adverse Effects CTE Etc
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
SOCCERbull BALL Travels at High Speed amp Long Distance in Air
bull ldquoHeading the Ballrdquo
RARELY Occurs Smoothly
bull Force of Ball Impact ENTERS the Head
bull INJURY Results to Brain Meninges amp Cranium
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
AMUSEMENT RIDES
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
ROLLER COASTER
bull 300 MM Riders Annually 4 deathsyr averaged lsquo94‐rsquo049200 children in ERrsquosyr in lsquo08 diag code Amus Pk
bull Mishaps amp Accidents are Rare ndash
Misleading
bull Regular Mild Concussions for the Vulnerable (consider football player vs young child)
bull Measurable Decreases in GH Levels
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
ROLLER COASTER Etcbull Amusement Park Rider in Any THRILL Ride
bull SUDDEN Change in Direction Delivers ldquoShear Forcerdquo
bull Whiplash injury to BRAIN is ldquoCoup‐Contracouprdquo
bull BIG AccelerationDeceleration Delivers ldquoG Forcesrdquo
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
NFL Now Allows NO IMPACTS TO HEAD
bull 2017 had 281 reported incidents of CONCUSSION in preseason amp reg season
bull Most since NFL began releasing those statistics in 2012
bull Often went undetected or unreported previously no protocols and impacts to head were allowed
in ruleshellip
bull PRESENTLY NOT ALLOWED to hit to the head or to hit WITH the head
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Literature References ‐
AmusementAmusement park injuries and deaths
Braksiek RJ Roberts DJ
Ann Emerg Med 2002 Jan 39(1)65‐72
Roller coaster headaches revisited
Huang PP
Surg Neurol 2003 Nov 60(5)398‐401
Waiver of Consent in Studies of Acute Brain Injury
Guy L Clifton
Paula Knudson
Marilyn McDonald
Journal of Neurotrauma
Jul 2004 1121‐1126
Head Accelerations Experienced during Everyday Activities and While Riding Roller Coasters
Steven R Arndt
Robert S Cargill
P E Selim Hammoud
Proceedings of the Human Factors and Ergonomics Society Annual Meeting Sep 2004 Vol 48 No 16 1973‐
1977
Deformation of the Human Brain Induced by Mild Acceleration
PV Bayly
TS Cohen
EP Leister
D Ajo
EC Leuthardt
GM Genin
Journal of Neurotrauma
Aug 2005 845‐856
Roller coaster related fatalities United States 1994‐‐2004
Pelletier AR Gilchrist J
Inj Prev 2005 Oct 11(5)309‐12
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Emergency department visits secondary to amusement ride injuries
in children
Loder RT Feinberg JR
J Pediatr Orthop 2008 Jun 28(4)423‐6
Measurements of Non‐Injurious Head Accelerations of a Pediatric Population
William R Bussone
Tara L A Moore
Darrin Richards
Robert T Bove
Irving Scher
Michael T Prange
SAE International Journal of Passenger Cars ‐
Mechanical Systems 2009 Vol 2 No 1 565
Biomechanical Analysis of Experimental Diffuse Axonal Injury
DAVID F MEANEY
DOUGLAS H SMITH
DAVID I SHREIBER
ALLISON C BAIN
REID T MILLER
DOUG T
ROSS
THOMAS A GENNARELLI
Journal of Neurotrauma
Jan 2009 689‐694
Subacute subdural hematoma in a 45‐year‐old woman with no significant past medical history after a roller
coaster ride
Kim A Williams Jr
Pelagia Kouloumberis
Herbert H Engelhard
The American Journal of Emergency Medicine May 2009 Vol 27 No 4 517e5‐517e6
Human factors on the midway knowledge transfer and research opportunities for safety in the carnival and
theme park domains
Kathryn Woodcock
Sep 2009 945‐950
Head Motions While Riding Roller Coasters
Bryan J Pfister
Larry Chickola
Douglas H Smith
The American Journal of Forensic Medicine and Pathology Dec 2009 Vol 30 No 4 339‐345
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Bilateral internal carotid artery and vertebral artery dissections with retinal artery occlusion after a roller
coaster ride ‐
case report and a review
Ozkan Arat Y Volpi J Arat A Klucznik R Diaz O
Ulus Travma Acil Cerrahi Derg 2011 Jan 17(1)75‐8
ROLLER COASTER‐ASSOCIATED RETINAL DETACHMENTS
Saad Shaikh
Retinal Cases amp Brief Reports Jan 2011 Vol 5 No 2 128‐129
Roller coaster‐associated subarachnoid hemorrhagemdashreport of 2 cases
Sebastian Rutsch
Wolf‐Dirk Niesen
Stephan Meckel
Matthias Reinhard
Journal of the Neurological Sciences Apr 2012 Vol 315 No 1‐2 164‐166
Neurologic complication after a roller coaster ride
Sa Leitao D Mendonca D Iyer H Kao CK
Am J Emerg Med 2012 Jan 30(1)249e5‐7 Epub 2010 Oct 25
Three cases of cervicocephalic artery dissection in an amusement
park
Kurita N Ueno Y Watanabe M Miyamoto N Shimura H Nonaka S Tsutsumi S Yasumoto Y Hattori N Urabe
T
J Stroke Cerebrovasc Dis 2014 Nov‐Dec 23(10)e467‐71 Epub 2014 Sep 26
Internal carotid artery dissection after a roller coaster ride in a 4‐year‐old case report and review of the
literature
Nouh A1
Vela‐Duarte D2
Grobelny T3
Hoganson G4
Pasquale D5
Biller J6
Pediatr Neurol
2015 Mar52(3)349‐51 doi 101016jpediatrneurol201411007 Epub 2014 Nov 26
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Effects of Horizontal Acceleration on Human Visual Acuity and Stereopsis
Chi‐Ting Horng
Yih‐Shou Hsieh
Ming‐Ling Tsai
Wei‐Kang Chang
Tzu‐Hung Yang
Chien‐Han Yauan
Chih‐Hung
Wang
Wu‐Hsien Kuo
Yi‐Chang Wu
International Journal of Environmental Research and Public Health Dec 2015 Vol 12 No 12 910‐926
A Motion Simulator Ride Associated With Headache and Subdural Hematoma First Case Report
Robert A Scranton
Randolph W Evans
David S Baskin
Headache The Journal of Head and Face Pain Feb 2016 Vol 56 No 2 372‐378
Pilot Findings of Brain Displacements and Deformations during Roller Coaster Rides
Calvin Kuo
Lyndia C Wu
Patrick P Ye
Kaveh Laksari
David B Camarillo
Ellen Kuhl
Journal of Neurotrauma
Nov 2017 3198‐3205
Middle Cerebral Artery Stroke as Amusement Park Injury Case Report and Review of the Literature
Abby Baumgartle
Laura Wolfe
Vinay Puri
Karen Moeller
Salvatore Bertolone
Ashok Raj
Children Dec 2017 Vol 4 No 12 64
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Literature of References ‐
SoccerIs heading a soccer ball injurious to brain functionBaroff GS
J Head Trauma Rehabil 1998 Apr 13(2)45‐52
A dose‐response relation of headers and concussions with cognitive impairment in professional soccer
playersMatser JT Kessels AG Lezak MD Troost J
J Clin Exp Neuropsychol 2001 Dec 23(6)770‐4
Heading and head injuries in soccerKirkendall DT Jordan SE Garrett WE
Sports Med 2001 31(5)369‐86
Effects of heading exposure and previous concussions on neuropsychological performance among
Norwegian elite footballersStraume‐Naesheim TM Andersen TE Dvorak J Bahr R
Br J Sports Med 2005 Aug 39 Suppl 1i70‐7
Prolonged neuropsychological impairments following a first concussion in female university soccer
athletesEllemberg D Leclerc S Couture S Daigle C
Clin J Sport Med 2007 Sep 17(5)369‐74
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-
Chronic traumatic encephalopathy in contact sports a systematic
review of all reported
pathological cases
Maroon JC Winkelman R Bost J Amos A Mathyssek C Miele V
PLoS One 2015
10(2)e0117338 Epub 2015 Feb 11
Effects of Soccer Heading on Brain Structure and Function
Rodrigues AC Lasmar RP Caramelli P
Front Neurol 2016 738 Epub 2016 Mar 21
Soccer (Football Association) and chronic traumatic encephalopathy A short review and
recommendation
Nitrini R
Dement Neuropsychol 2017 Jul‐Sep 11(3)218‐220
- Head TraumaThe Untold Story of Common Recreational Injuries
- Slide Number 2
- TRAUMA - GENERAL
- RECREATIONAL TRAUMA
- UNTOLDUNPOPULARUNWANTEDUNDENIABLE
- Most RECREATIONAL TRAUMA isAcceptedAllowed because it is INFREQUENT or BENIGN
- INFREQUENT
- BENIGN
- Slide Number 9
- Slide Number 10
- Splitting the Falx Cerebri
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- RECREATIONAL TRAUMA
- RECREATIONAL TRAUMA
- The Untold Story ofTraumatic Brain Injury in Soccer and Amusement Rides
- Literature of References - Soccer
- Literature References - Amusement
- SOCCER
- SOCCER
- SOCCER
- AMUSEMENT RIDES
- ROLLER COASTER
- ROLLER COASTER Etc
- NFL Now Allows NO IMPACTS TO HEAD
- Slide Number 28
- Literature References - Amusement
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Literature of References - Soccer
- Slide Number 34
-