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docdivakar
@GlobalPMO: I do agree with the concerns you mention above. What I meant by ...
karenlightman
UPDATE: Because so many of you have been so lovely in your thoughts and prayers ...
MEMS and Concussions
Karen Lightman
2/12/2013 3:57 PM EST
Concussion Detection and MEMS 3-Axis, High-G MEMS Accelerometers
Then I rememberedthe fantastic panel I moderated at Design West 2012 that featured one of my favorite MEMS gurus, Rob O’Reilly of Analog Devices. Rob played a pivotal role in the Head Impact Telemetry (HIT) System with ADI accelerometers inside, used to record on-field head impact exposure during helmeted activities, part of anongoing study with the National Institutes of Health that began in 2002. The work that Rob and his colleagues at Analog did to better understand the impact on the head (not just to the helmet) has led to changes in many sports including hockey, lacrosse and football as well as legislative changes for states such as Massachusetts. But the challenge is still diagnosing concussionafter the hit.
And here’s a not-so-fun fact: Did you know that after football players, girls’ soccer players are second most likely to get concussions? I am not sure how we’re going to help those soccer players, but with enough industry ingenuity, I am hopeful that we will figure something out.
So again I go to MEMS to help detect a “concussion-worthy hit to the head.” Thankfully there are a few examples where we are seeing an adoption of MEMS technology in sports equipment, including football helmets and mouthguards,such as X2 Impact and i1 Biometrics.The I1 Biometrics’mouthguard is state-of-the-art because it provides a “solution from inside the players head from the inside out” through a multi-function approach: impact detection; data transition; notification and alerts (straight to mom’s smartphone); and the athlete assessment, by which the system provides tools to assess the athlete’s ability to return to play in a game (or ski). Assessment of injury, post-impact is really critical, but you need to have a baseline upon which to compare it in order to really determine the damage to the brain.
Baseline assessment is key, and fortunately live minutes away from a world-class concussion center, theUniversity of Pittsburgh Medical Center (UPMC) Sports Medicine Concussion Program; these are the guys who took care of the Penguins’ Sidney Crosby when he had his concussion two years ago. The UPMC Sports Medicine Concussion Program pioneered ImPACT™ (Immediate Post-concussion Assessment and Cognitive Testing)–“the mostwidely used neurocognitive testnow mandated by the NFL, NHL, and roughly 6,000 high schools and colleges in the United States.”My daughter is now under treatment by these guys and had a baseline ImPACT test.This is important because statistically she is now more likely to get another concussion and it’ll help us track her progress as she regains her brain function.
Now it’s Your Turn
But isn’t a shame she had the concussion in the first place and that it was untreated until 24 hours after the accident? I just keep thinking that with MEMS technologies I’ve described in this blog, that NEXT TIME a similar situation might not result in another concussion. So I encourage you to visit the hyperlinks in this blog – do the research – mine that swath of land that is an opportunity to help find ways to use MEMS’ enabling technology to embed it into ski tickets or workout gear or ski helmets.Let’s reduce the chance of injury in skiing or other sports you love; especially for children. Let’s reduce the chance of freight-trains taking out eight-year olds on ski mountains, and let’s improve the world through MEMS. Let’s find ways, through MEMS to prevent injuries and then once in an accident to assess and detect injuries much faster and accurately.Will you join me?
For further MEMS Information:
MEMS Industry Group
Then I rememberedthe fantastic panel I moderated at Design West 2012 that featured one of my favorite MEMS gurus, Rob O’Reilly of Analog Devices. Rob played a pivotal role in the Head Impact Telemetry (HIT) System with ADI accelerometers inside, used to record on-field head impact exposure during helmeted activities, part of anongoing study with the National Institutes of Health that began in 2002. The work that Rob and his colleagues at Analog did to better understand the impact on the head (not just to the helmet) has led to changes in many sports including hockey, lacrosse and football as well as legislative changes for states such as Massachusetts. But the challenge is still diagnosing concussionafter the hit.
And here’s a not-so-fun fact: Did you know that after football players, girls’ soccer players are second most likely to get concussions? I am not sure how we’re going to help those soccer players, but with enough industry ingenuity, I am hopeful that we will figure something out.
So again I go to MEMS to help detect a “concussion-worthy hit to the head.” Thankfully there are a few examples where we are seeing an adoption of MEMS technology in sports equipment, including football helmets and mouthguards,such as X2 Impact and i1 Biometrics.The I1 Biometrics’mouthguard is state-of-the-art because it provides a “solution from inside the players head from the inside out” through a multi-function approach: impact detection; data transition; notification and alerts (straight to mom’s smartphone); and the athlete assessment, by which the system provides tools to assess the athlete’s ability to return to play in a game (or ski). Assessment of injury, post-impact is really critical, but you need to have a baseline upon which to compare it in order to really determine the damage to the brain.
Baseline assessment is key, and fortunately live minutes away from a world-class concussion center, theUniversity of Pittsburgh Medical Center (UPMC) Sports Medicine Concussion Program; these are the guys who took care of the Penguins’ Sidney Crosby when he had his concussion two years ago. The UPMC Sports Medicine Concussion Program pioneered ImPACT™ (Immediate Post-concussion Assessment and Cognitive Testing)–“the mostwidely used neurocognitive testnow mandated by the NFL, NHL, and roughly 6,000 high schools and colleges in the United States.”My daughter is now under treatment by these guys and had a baseline ImPACT test.This is important because statistically she is now more likely to get another concussion and it’ll help us track her progress as she regains her brain function.
Now it’s Your Turn
But isn’t a shame she had the concussion in the first place and that it was untreated until 24 hours after the accident? I just keep thinking that with MEMS technologies I’ve described in this blog, that NEXT TIME a similar situation might not result in another concussion. So I encourage you to visit the hyperlinks in this blog – do the research – mine that swath of land that is an opportunity to help find ways to use MEMS’ enabling technology to embed it into ski tickets or workout gear or ski helmets.Let’s reduce the chance of injury in skiing or other sports you love; especially for children. Let’s reduce the chance of freight-trains taking out eight-year olds on ski mountains, and let’s improve the world through MEMS. Let’s find ways, through MEMS to prevent injuries and then once in an accident to assess and detect injuries much faster and accurately.Will you join me?
For further MEMS Information:
MEMS Industry Group
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Kevin N
2/13/2013 2:58 AM EST
Skiing is inherently dangerous. And most injuries are from falls or collisions with fixed objects, not from colliding with other skiers. The only good way to prevent ski injuries is not to ski.
Assessing concussions is difficult: even if you know the deceleration of the skull, you don't know how hard the brain hits. And is it really that useful? The main treatment is rest, which you are probably going to do if you are a skier and hit your head hard, whether or not it was a concussion.
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karenlightman
2/14/2013 7:11 AM EST
Kevin - thank you very much for being the first one to comment on the article and taking an interest. Yes, skiing has some element of danger. So does driving a car, walking alongside a road, or riding a bike (even with a helmet). What my article is about is that there is technology out there - MEMS in particular- that can help detect, assess and even perhaps prevent concussion. And to answer your question: YES it IS critically important to understand how hard the brain hits - that helps determine what kind of treatment the patient should receive. "Rest" is not nearly enough for someone who has suffered a concussion - for my daughter - she has to totally REST her brain which means: no more than 30 min. TV/day, no video games, no electronics, no bright lights, no loud sounds, etc.... there is a ton of great info on the UPMC Sports Medicine Concussion Program website: http://www.upmc.com/Services/sports-medicine/services/concussion/program/Pages/default.aspx
thank you - Karen
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resistion
2/13/2013 9:25 AM EST
I had read Hilary Clinton is also recovering slowly from a concussion, so she is wearing some special glasses for it.
Hope your daughter recovers well. I assume/hope CT or MRI scans check out fine.
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jen reidy
2/13/2013 12:11 PM EST
Great article Karen and highly informative about ski safety and MEMS. I agree that more of this type of technology should be used to protect our kids and their safety (and those of us that ski responsibly).
We don't want to live in a bubble, so enjoying things like skiing, bike riding, makes for a richer life and the fact that MEMS technology could create a safer environment is pretty exciting!
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Dave Rothenberg
2/14/2013 3:06 PM EST
Hi Karen,
I'm very sorry to hear about your daughter. I hope her recovery is quick.
I love your perspective on how MEMS can and will have a positive influence on our lives in many ways we've only begun to think of. We see similar types of "behavioral" solutions now being deployed in automobiles by insurance companies who will offer their drivers discounted rates if they agree to install a MEMS-based monitoring device in their car. This MEMS enabled monitoring device effectively looks for "bad driving" gestures thereby incentivising people to drive more safely.
Imagine all the injuries and accidents which could be avoided.
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Frank Eory
2/14/2013 4:35 PM EST
Having just returned from a ski trip, your blog caught my attention. Years ago when my son was 5 and we were on a family ski trip, an out of control skier barreled into him while we were standing in the lift line and literally sent him flying. Fortunately my son was not injured, but that was only due to sheer luck. I hope your daughter has a full and speedy recovery.
I agree that putting MEMS accelerometers in ski helments is a great idea. Since this is already being done in helmets for other sports, it seems trivial for the ski/snowboard helmet makers to offer this same capability.
I see numerous problems, however, with the notion of using gesture recognition and motion sensing to police skier/snowboarder behavior. In many respects, this is a much more complicated problem than, for example, assessing driver distraction or unsafe driving behavior. Skiing in control, for example, implies different speed limits for different skier abilities and different slope conditions, including conditions such as how many other skiers are on that run and what are their abilities and behaviors. Also, even expert skiers might still occasionally do things like snowplow (a rookie maneuver), for example on a narrow catwalk that only leads to a double black run. It is difficult to imagine how even an advanced AI system could fairly assess whether that skier is qualified to ski that double black run prior to him doing so, and it is easy to imagine such a system erring on the side of caution -- preemptively flagging skiers who should not be flagged.
My personal observation of skiers & snowboarders losing control is that it is not usually due to stupidity or inebriation, but due to lack of experience -- and the only solution to that is more experience...and more lessons!
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docdivakar
2/15/2013 2:17 PM EST
@FrankEory & karenlightman: I think there is general agreement here about the usefulness of MEMS in situations of sports accidents. How ever, as in this and many other use cases, one must use caution in using results from MEMS' sensed data. The output from MEMS accelerometers will only help to correlate what the physician assesses as the extent of damage / injury. Despite the best efforts of MEMS engineers, their performance in use cases like this is NOT a definitive one! The same argument goes for seismic sensing using smartphones -the accelerometers in those are crude approximations to the real analog ones (like what Endevco makes).
MP Divakar
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GlobalPMO
2/16/2013 9:43 AM EST
@karenlightman - I hope your daughter is on track for a speedy and full recovery. My heart goes out to you and your family. I have personal experience with loved ones having concussions (plural) and I know what a difficult time you're facing. I wish you all the best.
@MP Davikar - You stated one of the concerns I have with using MEMS' sensed data for concussion detection. The 'correlation' studies that would have to occur before we could have a confidence interval we could reply upon at the accuracy level parents and medical professionals would demand, would be highly complex. One of my doctors once told me that data is a good indicator, but we look at the patient and examine the symptoms and listen to the feedback of how the patient is feeling, to make our interpretations. I guess it's best to say we have a lot of technology at our fingertips, but it may be a while before we will have sufficient data to have the confidence that we can rely on it without the risk of missing critical detections. False positives aren't the problem. It's the false negatives that are at risk. Thanks for sharing your insights.
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docdivakar
2/19/2013 6:29 PM EST
@GlobalPMO: I do agree with the concerns you mention above. What I meant by 'correlated' above is MEMS' data is this: in general they correlate to a few data points but NOT the entire envelope. Depending on the physical / chemical / biological action the MEMS products can sense, their accuracy may be better in some scenarios. It is therefore difficult to accept them as defacto replacements for more accurate analog / non-MEMS counterparts.
MEMS are convenient, they fit easily into an application-rich platform like mobiles. But that should not necessitate the practitioners of professions to abandon their conventional methods of investigations, assessments, diagnostics and treatments/corrective actions.
MP Divakar
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Calin Miclaus
2/15/2013 11:59 AM EST
Hi Karen
Very sorry to hear about your daughter. I wish her a speedy and full recovery.
Your story resonated well with me as my daughter (now 5) is just picking up skiing. Luckily, the only falls she took were at low speeds without anybody to topple her over. As a result no concussion just frustration. That made me think of MEMS, maybe differently than your story, as performance enabler or virtual trainer. During the day I wished her skies would be “stability control enabled” in that will anticipate her imminent fall, and take the necessary measures to stabilize her ride. Such approach could enable performance which, as Frank pointed in his comment, is likely the main reason for accidents. Enable the system with GPS capability and it could provide the rider an alert that is about to get on a lift with only Black runs coming down or provide slope alternatives more suited for his/her’s level. Practicing skiing is a fun activity and with little technology support most should be able to enjoy it in a safe manner.
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karenlightman
2/15/2013 3:58 PM EST
Thank you everyone for your kind words and thoughts for my daughter's recovery. Thankfully she is doing better; now nearly a month after the accident. I am truly humbled.
BUT back to MEMS....I am also impressed by those of you (like Calin) who have the tinker-er inside of you and are thinking of better ways to make the sport safer, using MEMS. I love it. Keep 'em coming!
Thank you again for the great comments - I poured my heart into this blog (as you can tell) and I am pleased to see the reaction.
Best,
Karen
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Starthistle
2/18/2013 11:32 PM EST
Karen
I might have left this note earlier but in case it did not go through, Kudos on a positive and impactful analysis and call-to-action arising from a tragedy. I hope much good comes of it. There ought to be DUI-like loss of skiing priveleges for such offenders. Prayers for a full and speedy recovery for your daughter.
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karenlightman
2/19/2013 12:31 PM EST
UPDATE: Because so many of you have been so lovely in your thoughts and prayers for my daughter I wanted to let you know that she is doing much better, a month+ since the accident. She is now back to school, though on a modified schedule and workload. She is back to being her normal adorable eight-year-old self which is a great relief to her family (though challenging at times to her older sister!). Thank you and I am glad that this blog helped you think about sports, safety and MEMS. best, Karen
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