Impact Attenuation of Protective Boxing and Taekwondo Headgear

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European Journal of Sport Science

ISSN: 1746-1391 (Print) 1536-7290 (Online) Journal homepage: http://www.tandfonline.com/loi/tejs20

Impact attenuation of protective boxing and


taekwondo headgear

David M. O’Sullivan & Gabriel P. Fife

To cite this article: David M. O’Sullivan & Gabriel P. Fife (2016): Impact attenuation of
protective boxing and taekwondo headgear, European Journal of Sport Science, DOI:
10.1080/17461391.2016.1161073

To link to this article: http://dx.doi.org/10.1080/17461391.2016.1161073

Published online: 21 Mar 2016.

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Download by: [Library Services City University London] Date: 22 March 2016, At: 06:20
European Journal of Sport Science, 2016
http://dx.doi.org/10.1080/17461391.2016.1161073

ORIGINAL ARTICLE

Impact attenuation of protective boxing and taekwondo headgear

DAVID M. O’SULLIVAN1 & GABRIEL P. FIFE2


1
Division of Sport Science, Pusan National University, Pusan, Republic of Korea & 2Health and Human Performance, Texas
State University, San Marcos, TX, USA
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This study aimed to compare the impact attenuation performance of boxing and taekwondo headgear in terms of peak linear
and rotational acceleration. To measure the impact attenuation of headgear, a standardized (American Society for Testing
and Materials (ASTM) F-2397) martial arts headgear striker was used to impart impacts to a 50th Percentile Male Hybrid
III Crash Test Dummy head and neck complex. Two boxing (Adidas and Greenhill) and two taekwondo (Adidas and
Nike) headgear, approved by the Association Internationale de Boxe Amateur and the World Taekwondo Federation
(WTF), were selected. Each of the selected headgear was fitted to the Hybrid III head and subsequently subjected to five
impacts at the front and side with a maximum impact interim time of 60 seconds by the rotating striker at 8 ± 0.3 m/s.
Linear and rotational acceleration were recorded at 10,000 Hz. There were significant interactions of the impact location
and brand on the rotational acceleration, F(3,40) = 6.7, p < .05. There were significant main effects of both impact
location F(1,40) = 9.07, p < .05 and headgear brand F(3,40) = 9.9, p < .05 on the linear acceleration. Pairwise comparisons
show significant differences between the front and side for both linear and rotational acceleration. The headgear tested
failed the ASTM high impact test requirement to reduce the linear acceleration to below a threshold of 150 g. Further
development of headgear to reduce impact linear and rotational acceleration magnitudes should be called for by the
relevant sport governing bodies and initiated by headgear manufactures.

Keywords: Headgear, biomechanics, boxing, taekwondo, head injury, concussion

1. Introduction
popularity, with 206 member nations (World Taek-
The Center for Head Injury Services reports that the wondo Federation, 2014) and an estimated 80
cost of head injuries in the United States is estimated million practitioners (World Taekwondo Headquar-
at $48 billion each year (The Center for Head Injury ters Kukkiwon, 2008). A recent review of taekwondo
Services, 2015), with 10% occurring during sports injuries highlighted a concussion incidence of 9.4 per
and recreational activities (Bartsch, Benzel, Miele, 1000 athlete exposures (AE) (95% CI = 7.1–11.7)
& Prakash, 2012). As a main objective in boxing is among male taekwondo athletes compared to 4.6
to render your opponent unconscious, it is not sur- per 1000 AE (95% CI = 2.6–6.5) among females
prising that 89.8% of all injures in professional (Pieter, Fife, & O’Sullivan, 2012). Additionally, the
boxing are to the head/neck or face, with 39.8 head concussion incidence is approximately four times
injuries per 1000 fight participations (95% CI = higher in taekwondo competition than American
20.8–58.7) resulting in a concussion (Zazryn, football (Pieter et al., 2012). In 2014, the World
Finch, & McCrory, 2013). Between 1950 and Taekwondo Federation (WTF) implemented rule
2007, 339 deaths were reported in boxing (Baird changes by allocating four points for head shots com-
et al., 2010) and even with the heightened media pared to one point before (World Taekwondo Fed-
attention caused by these deaths and severe head eration, 2013). From a head injury perspective, this
injuries, to our knowledge, there are few studies eval- type of rule change is an area of concern especially
uating the protective qualities (e.g. impact attenu- as it was observed that competitors adopted strategies
ation) of protective boxing headgear (McIntosh & focused more on head kicks than before (Hansson &
Patton, 2015; Pieter, O’Sullivan, & Fife, 2014). O’Sullivan, 2011).
Similarly, taekwondo is a one-on-one full contact In an effort to improve player safety, protective
combat sport/martial art continuously growing in taekwondo headgear was first introduced in 1985

Correspondence: Gabriel P. Fife, Texas State University, San Marcos, TX, USA. E-mail: gabefife@txstate.edu

© 2016 European College of Sport Science


2 D. M. O’Sullivan & G. P. Fife

and officially used at the 1987 WTF World Cham- striker (mass = 4.5 kg) consisted of an aluminium
pionships in Barcelona, Spain (Koh & Watkinson, tube (length = 500 mm, diameter = 80 mm)
2002). The main function of headgear is to reduce mounted to a ball bearing pivot point rotating about
the resulting head acceleration caused by either a a solid aluminium pipe. The peak velocity of the
kick or a player falling and hitting their head on the striker was controlled by a three-wheeled weighted
ground (Moffitt & Lieu, 1995). In 1995, Moffitt (mass = 100 kg) pulley system. The striker complex
and Lieu (1995) evaluated the attenuation properties was securely mounted to a three-dimensional T-
of martial arts headgear after which their work lead to shaped steel beam structure (approx. 200 kg).
the development of recommendations by the Ameri- Offset from the centre of the supportive structure,
can Society for Testing and Materials (ASTM) Inter- hanging upside down, on four separate lines of
national for testing protective headgear used in linked chains was a steel pendulum-like structure of
martial arts (F-2397) (American Standards for the same inertial properties (25 kg) of the upper
Testing Materials, 2004). ASTM standards stipulate body of a Hybrid III Dummy. The Hybrid III head
that headgear tested at minimum impact levels (56 J) and neck were mounted to the body structure and
are to yield test dummy head accelerations below 50 g set at a variable position to undergo impacts (144 J)
and maximum impact levels (144 J) to be below 150 to the front and side of the head from the rotating
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g. Since the development of this standard in 2004, striker.


only one study evaluated martial arts headgear
according to ASTM’s recommendations (O’Sullivan,
Fife, Pieter, & Shin, 2013). From this study, five 2.2. Testing procedure
commonly used taekwondo headgear failed to pass
To simulate head impact in taekwondo, the target
both minimum (56 J) and maximum (144 J) impact
consisted of a Hybrid III head and a total of four com-
magnitudes.
mercially available headgear; two taekwondo head-
Although it is understood that shear strains to the
gear (Adidas and Nike) approved by the WTF and
brain, as a result of rapid rotational forces, are a cau-
two boxing headgear (Adidas and Greenhills)
sative factor for severe brain injury (Lowenhielm,
approved by the International Boxing Association
1975) current headgear/helmet certifying associ-
were selected for impact testing. Each of the selected
ations, such as Snell, National Operating Committee
headgear (large size) was fitted to the Hybrid III head
on Standards for Athletic Equipment (NOCSAE)
and the chinstrap securely fastened, that is, it was not
and ASTM, are yet to include an evaluation criterion
physically difficult to put the headgear on the head
for rotational acceleration. Believed to be more realis-
form (ASTM F-2397). One limitation of our study
tic than the standard drop test (i.e. testing only linear
is that as only one head form was available for
head acceleration), researchers have developed
testing and we were unable to test multiple headgear
helmet-testing methods (Aare & Halldin, 2003; Kis
sizes. Each headgear was impacted five times at the
et al., 2013) to include oblique impacts, with injury
front and side and struck with a maximum impact
potential measures including effects of both linear
interim time of 60 seconds by the rotating impactor
and rotational acceleration. Consequently, as
at 8 ± 0.3 m/s in accordance with ASTM F-2397
helmet geometry, padding type and thickness have
recommendations.
been shown to influence rotational head acceleration
(Aare, Kleiven, & Halldin, 2004), it was hypothesized
that headgear type (boxing or taekwondo) may elicit
2.3. Data acquisition and processing
differences in linear and rotational accelerations of
an instrumented head form. Therefore, the objective Mounted at the head’s centre of gravity was one 500-
of this study was to compare the impact attenuation g tri-axial sensor (PCB-355A66, PCB Piezotronics,
performance of boxing and taekwondo headgear in USA) and a rotational rate sensor (DTS ARS 12 K,
terms of linear and rotational acceleration. Diversified Technical Systems, USA) that were
used to obtain resultant linear acceleration and
rotational accelerations of the head. A customized
2. Methods data processing programme (LABVIEW 2013,
National Instruments, USA) was used to record,
2.1. Testing equipment
filter and process the accelerometer, rotational rate
To measure the impact attenuation of the headgear, a sensors and photoelectric sensor data. Terminal
standardized (ASTM F-2397) martial arts headgear striking velocity was verified for each trial by using
striker (Figure 1) was used to impart impacts to a the time the striker took to pass the photoelectric
50th Percentile Male Hybrid III Crash Test sensor field (sensor field distance 70 mm) (BX700-
Dummy (Hybrid III) head and neck complex. The DDT, Autonics, USA). Acceleration data were
Martial arts headgear impact attenuation 3
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Figure 1. ASTM striker.

sampled according to channel frequency class 1000 acceleration. Descriptives are provided in Table I.
(SAE, 1995) via a USB connected Compact DAQ Pairwise comparisons adjusted according to the Bon-
chassis (cDAQ-9174, National Instruments), fitted ferroni correction show significant differences
with two modules. Module one (NI 9269, National between the front and side for both linear and
Instruments) recorded analog signals from the photo- rotational acceleration. Additional pairwise compari-
electric sensor (NI 9222) and module two acquired sons are shown in Tables II and III.
acceleration data (NI 9234, 24-Bit, National
Instruments).
4. Discussion
To our knowledge, few studies (McIntosh & Patton,
2.4. Statistical analysis 2015; O’Sullivan, Fife, & Pieter, 2014; Pieter et al.,
A multifactorial MANOVA was used to identify the 2014) have investigated impact attenuation proper-
differences in Impact Location and Headgear Brand ties of boxing headgear. As it is understood that
on linear and rotational acceleration. The level of sig- head linear and rotational acceleration may create
nificance was set to an effect size of 0.20 (Batterham injurious stress to brain tissue (Zhang, Yang, &
& Hopkins, 2005). All statistical analyses were done King, 2004) and may be a good predictor for sport-
using SPSS version 21 (IBM SPSS) and effect sizes related concussion (Rowson & Duma, 2013), we
calculated in Microsoft Excel 2010. set out to gain more information concerning the
role of protective headgear used in boxing and taek-
wondo to decrease these forces. In 1969, the
NOCSAE was initiated to formulate a plan to
3. Results
reduce the high number of catastrophic head and
According to Pillai’s Trace, there were significant spinal injuries in American football, with 38 injuries
interactions of the impact location and brand, F in 1969 alone (Bartsch et al., 2012). NOCSAE intro-
(3,40) = 4.6, p < .001, η 2 = 0.3). There were signifi- duced mandatory athletic helmet standards, using the
cant main effects of both impact location F(1,40) = Gadd Severity Index, which, in part, is calculated
24.2, p < .001, η 2 = 0.61 and headgear brand F based on linear acceleration. Helmet safety stan-
(3,40) = 4.3, p = .001, η 2 = 0.29 on the linear dards, by the Snell Memorial Foundation and the
4 D. M. O’Sullivan & G. P. Fife
Table I. Descriptive statistics for the linear and rotational acceleration according to the brand and impact location

Resulting linear acceleration (g) (mean (95% Rotational acceleration (rad/s2) (mean (95% confidence
confidence interval) ± Std. Dev.) interval) ± Std. Dev.)
Headgear
Front Side Front Side

Adidas-boxing 217 (211–233) ± 22 320 (302–338) ± 70 5197 (5157–5240) ± 1600 7997 (7854–8140) ± 552
Greenhills-boxing 293 (284–302) ± 36 268 (252–284) ± 60 14,065 (11,855–16,275) ± 8502 4427 (4274–4580) ± 590
Adidas-taekwondo 281 (279–283) ± 8 294 (290–298) ± 15 14,010 (12,705–15,315) ± 5021 3554 (3432–3676) ± 468
Nike-taekwondo 327 (317–337) ± 38 386 (380–392) ± 25 20,519 (19,210–21,828) ± 5037 8703 (7849–9557) ± 3287

National Highway Traffic and Safety Administration, associated with a 90% nominal risk of concussion
also use a similar evaluation criterion based on linear (Rowson & Duma, 2013). Similarly, in a comprehen-
acceleration. Helmet manufacturers have been sive study (Duhaime et al., 2012) using the Head
encouraged to follow these standards, which have Impact Telemetry System® in American football
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led to a substantially reduced number of catastrophic and ice-hockey during four seasons (486,594
head and neck injuries. However, the efficacy of recorded impacts), the mean linear and rotational
current soft-shelled helmets (similar to martial art accelerations from concussions of 44 athletes were
headgear) to prevent concussion in rugby union and 86.1 ± 42.6 g (range 16.5–177.9 g) and 3620 ±
Australian football is reported to have minimal pro- 2166 rad/s2 (range 183–7589 rad/s2), respectively.
tective capability to reduce concussion rates (McIn- With the published degree of variability in rotational
tosh, McCrory, & Finch, 2004). Therefore, as our acceleration data, from in vivo head impact monitor-
previous study (O’Sullivan et al., 2013) found poor ing (Beckwith et al., 2013) and our laboratory work
performance of taekwondo headgear (similar in (Fife, O’Sullivan, Pieter, Cook, & Kaminski, 2012),
design to boxing models) to mitigate linear forces, it is too premature to hone in on rotational accelera-
we hypothesized that current martial arts headgear tion alone as a predictor of concussion in martial arts.
would not respond favourably to linear as well as The results in our current study agree with Moffitt
rotational acceleration forces. and Lieu’s (1995) paper showing that headgear of
The main findings of this study show significant varying thickness may mitigate forces differently
interactions for linear and rotational acceleration of and thicker headgear may not always provide the
the Hybrid III Dummy head between impact location best attenuative properties, and vice versa. This is
and headgear brands. As previously reported (O’Sul- an interesting point from a design perspective as
livan et al., 2013), the headgear in this study also thinner headgear, as demonstrated from our results,
failed the ASTM F2397 recommendation, that is, which would be more attractive for an athlete, may
to reduce linear acceleration below 150 g for high- provide acceptable protection from high magnitude
energy (144 J or 8.0 m/s) impacts. There were signifi- impacts. Additional factors, that are reported to
cant differences between rotational acceleration affect the design and response of a headgear/helmet
according to brand and impact location, with the to impact testing under varied conditions, are the
front of the headgear tending to produce the highest use of auxetic materials (Sanami, Ravirala, Alderson,
rotational accelerations. It was previously reported & Alderson, 2014), densities (Kulkarni, Gao,
that rotational acceleration above 7483 rad/s2 was Horner, Zheng, & David, 2013), external slip

Table II. Pairwise comparisons between the brands for the resulting linear acceleration (g) and rotational acceleration (rad/s2) for front
impacts

Adidas-boxing Adidas-taekwondo Greenhills-boxing

Adidas-boxing
Adidas-taekwondo r = 3.87 (1.52–5.46);
r′ = −2.37 (0.58–3.69)
a
Greenhills-boxing r = 2.55 (0.70–3.90)
Nike-taekwondo r = −3.54 (−5.07–1.33); r = −1.68 (−2.92–0.11) a

r′ = −4.1 (−5.74–1.66)

Notes: r values are used to indicate the effect sizes for the resulting linear acceleration. r′ values are used to indicate the effect sizes for the
rotational acceleration.
a
Indicates an unclear effect size.
Martial arts headgear impact attenuation 5
Table III. Pairwise comparisons between the brands for the resulting linear acceleration (g) and rotational acceleration (rad/s2) for side
impacts

Adidas-boxing Adidas-taekwondo Greenhills-boxing

Adidas-boxing
Adidas-taekwondo r′ = −3.25 (−4.72−1.15)
Greenhills-boxing r′ = −6.25 (−8.41–2.88) r′ = −3.58 (−5.12–1.35)
Nike-taekwondo a
r = −4.46 (−6.17–1.87) r = −2.57 (−0.92–0.71)

Notes: r values are used to indicate the effect sizes for the resulting linear acceleration. r′ values are used to indicate the effect sizes for the
rotational acceleration.
a
Indicates an unclear effect size.

surfaces (Robinson, Syousland, Baqui, Karami, & that headgear protection may need to be improved at
Ziejewski, 2011) and material honeycomb structures the front of the head. To date, there are no such
(Caserta, Iannucci, & Galvanetto, 2011), which have studies utilizing accelerometer instrumented head-
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been examined for hard-shelled helmets, however, gear to study in vivo head impacts in taekwondo
how these materials may be used for soft-shelled during sparring or competition. However, as the
combat sports headgear is yet to be extensively most common technique involved in diagnosed con-
examined. cussion is the turning kick (Koh & Watkinson, 2002),
The use of wireless technology (Broglio et al., which tends to impact the side of the head, it may be
2009), to measure biomechanical head impact useful to introduce designs to further mitigate impact
characteristics during practice and games, is yet to levels at the side section of the headgear.
be well reported among martial arts head injury All headgear tested in this study have manufacturer
research. Data from these types of study will be assurance decals indicating adherence to a European
important when considering future headgear safety standard (EN 13227-4) (European Committee
designs to ensure realistic measures are tested based for Standardization, 2001). The use of the European
on real injury locations and impact levels. Although standard for testing both boxing and taekwondo
our data from high-energy impacts in the controlled headgear is conservative when compared with long-
laboratory environment yield high dummy head standing biomechanical analyses of boxing and taek-
accelerations, the application of these laboratory- wondo techniques. The impact energy for kicks of a
based findings are limited, yet warrant further inves- “swing-oriented” movement pattern in taekwondo
tigation, especially during competition to confirm has been estimated to create approximately 200 J
actual headgear performance and whether or not ath- impacts (Lieu, 2011), whereas the European safety
letes are exposed to impacts of this nature during standard employs 3 J impacts to headgear sample sec-
competition. Head injury mechanics and frequency tions. Furthermore, estimated resultant impact forces
of impact location in boxing are available for sparring from laboratory studies for the taekwondo turning
sessions from one study (Stojsih, Boitano, Wilhelm, kick and boxing straight punch are 5419 ± 659 N
& Bir, 2010), however, not yet available for compe- (O’Sullivan et al., 2009) and 4800 ± 227 N, respect-
tition. By using accelerometer instrumented head- ively, while the European standard indicates that 3 J
gear during sparring sessions, Stojsih et al. (2010) impacts should result in attenuated forces less than
identified high peak translational and rotational 2000 N. Additionally, a recent study of boxing head-
accelerations of 191 g and 17,156 rad/s2, respect- gear performance estimated impacts in boxing to be
ively. They also report that the majority of impacts near 20 J (McIntosh & Patton, 2015). These afore-
were to the front of the head (56%), with the remain- mentioned testing condition differences highlight
ing impacts being to the left (17%), right (14%), back the importance of utilizing realistic testing method-
(11%) and top (2%) of the head. With a high fre- ology that holds face validity. Another area of
quency of impacts to the front of the head in concern, which appears to have only recently been
boxing, it may be useful to improve impact attenu- assessed in a pilot study (Pieter et al., 2014), is the
ation at the front of headgear by improving the ability of headgear to sustain several low-energy (56
material properties. Although frontal and side J) impacts, rather than one high-energy (144 J)
impacts were not compared statistically due to the impact. This may be especially important considering
effect of inherent geometrical differences (McIntosh the total number of punches to the head per minute
et al., 2004) on head mechanics, no headgear for boxing (19.52 per minute) (Ashker, 2011) being
model provided ample protection (i.e. less than approximately 16 times more frequent than taek-
150 g head accelerations) supporting the proposition wondo kicks (1.22 per minute) (Hansson &
6 D. M. O’Sullivan & G. P. Fife

O’Sullivan, 2011). We recommend headgear manu- Ashker, S. E. (2011). Technical and tactical aspects that differen-
facturers and/or sport governing bodies, which tiate winning and losing performances in boxing. International
Journal of Performance Analysis in Sport, 11, 171–183.
approve the use of these protective taekwondo or Baird, L. C., Newman, C. B., Volk, H., Svinth, J. R., Conklin, J., &
boxing headgear, to work together in developing rec- Levy, M. L. (2010). Mortality resulting from head injury in pro-
ommendations concerning multiple impact sustain- fessional boxing. Neurosurgery, 67, 1444–1450.
ability and overall lifespan (not yet addressed) to Bartsch, A., Benzel, E., Miele, V., & Prakash, V. (2012). Impact
ensure athlete safety. test comparisons of 20th and 21st century American football
helmets. Journal of Neurosurgery, 116(1), 222–233. doi:10.
3171/2011.9.JNS111059
Batterham, A. M., & Hopkins, W. G. (2005). Making meaningful
inferences about magnitudes. Sportscience, 9, 6–13. Retrieved
5. Conclusion
from sportsci.org/jour/05/ambwgh.htm
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Rowson, S., Duma, S. M. … Collins, M. W. (2013). Head
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head acceleration below the criterion cut-off of 150 Zimmerman, J. (2009). Head impacts during high school foot-
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et al., 2004). Our results display that increases in reinforced liner. Composite Structures, 93, 2748–2759.
the thickness of headgear padding did not always cor- The Center for Head Injury Services. (2015). Brain injury statistics.
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Disclosure statement ment for martial arts - Part 4: Additional requirements and test
methods for head protectors – EN 13277-4. Technical Standard
No potential conflict of interest was reported by the [Technical specification for testing protective martial arts head-
authors. gear]. (EN 13277–4), Brussels, Belgium.
Fife, G. P., O’Sullivan, D. M., Pieter, W., Cook, D. P., &
Kaminski, T. W. (2012). Effects of Olympic-style taekwondo
kicks on an instrumented head-form and resultant injury
Funding measures. British Journal of Sports Medicine, 47, 1161–1165.
doi:bjsports-2012-090979 [pii] 10.1136/bjsports-2012-090979
This work was supported by the National Research Hansson, O., & O’Sullivan, D. M. (2011). A study on the effects of
Foundation of Korea grant funded by the Korean rule changes on defensive and offensive behaviors from the 2001 to
Government [NRF-2013S1A5A8022563]. 2009 world Taekwondo championship final matches. Paper pre-
sented at the 3rd International Symposium for Taekwondo
Studies, Gyeongju, Republic of Korea.
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Bishop, P. J., & ten Hove, M. W. (2013). A method of evaluat-
ORCID
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David M. O’Sullivan http://orcid.org/0000-0001- impact simulator (KIS Unit). Clinical Journal of Sport Medicine,
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