Reliability and accuracy of helmet-mounted and head-mounted devices used to measure head accelerations

The attention given to brain injury has grown in recent years as its effects have become better understood. A desire to investigate the causal agents of head trauma in athletes has led to the development and use of several devices that track head impacts. In order to determine which devices best measure these impacts, a Hybrid III headform was used to quantify the accuracy for translational and angular accelerations. Testing was performed by mounting each device into the helmet as instructed by its manufacturer, fitting the helmet on the headform, and impacting the helmet using an impulse hammer. The root mean square error for the peak translational acceleration varied with location. The worst root mean square error for a head-mounted device was 74.7% while the worst for a helmet-mounted device was 298%. Head-mounted devices consistently outperformed those mounted in helmets, suggesting that future sensor designs should avoid attachment to the helmet. Deployment to a high school football team affirmed differences between two of the device models, but strongly indicated that head-mounted systems require further development to account for variation between individuals, the relative motion of the skin, and helmet–sensor interactions. Future work needs to account for these issues, refine the algorithms used to estimate the translational and angular accelerations, and examine technologies that better locate the source of the impact.