Helmet Wars
Transcription
Helmet Wars
STltAINED BRAINS Most helmets do a good Job preve nting skull fractures but do not directly address concussions. ATHLETES IN THE U.S. SUFFER 3.8 MILLION SPORTS-RELATED CONCUSSIONS EACH YEAR. WHILE HELMET MAKERS DITHER WITH SMALL IMPROVEMENTS, SWEDISH SCIENTISTS HAVE BUILT SOMETHING THAT COULD PROTECT US ALL - STORY BY TOM FOSTER PHOTOGRAPHS BY TRAVIS RATHBONE On August 19, 2012, in week two of the NFL preseason, Indianapolis Colts wide receiver Austin Collie ran 17 yards out from the line of scrimmage, cut right toward the center of the field, caught a pass, and was immediately tackled by Pittsburgh Steelers corner back Ike Taylor. As Taylor came in for the hit, his helmet appeared to glance off the left side of Collie's helmet. Then the cornerback wrapped his arm around Collie's neck and jerked the receiver's head to the right. An instant later, Steelers linebacker Larry Foote came barreling in from the opposite side and slammed his elbow into the right side of Collie's helmet. As the receiver fell to the ground, his helmet first hit Foote's knee and then struck the ground face-first. JANUARY 2013 • POPULAR SCIEN CE 51 Collie sat up, dazed, and had to be helped off the field a minute later. He didn't return to play for three weeks. The diagnosis: concussion. It wasn't the first time Collie had suffered what's clinically called a traumatic brain injury. On November 7, 2010, he spent nearly 10 minutes lying motionless on the 34-yard line after being hit in the head almost simultaneously by two Philadelphia Eagles players. Medics carried him off the field on a stretcher. In his first game back, two weeks later, he left in the first quarter with another concussion. He missed three more games, only to suffer yet another concussion on December 19, which ended his season. Professional football players receive as many as 1,500 hits to the head in a single season, depending on their position. That's 15,000 in a IO-year playing career, not to mention any blows they received in college, high school, and peewee football. And those hits have consequences: concussions and, according to recent research, permanent brain damage. It's not just football, either. Hockey, lacrosse, and even sports like cycling and snowboarding are contributing to a growing epidemic of traumatic brain injuries. The CDC estimates that as many as 3.8 million sports-related concussions occur in the U.S. each year. That number includes not only profession als but amateurs of all levels, including children. Perhaps most troubling, the number isn't going down. In the past two years, the outrage surrounding sports-related concussions has mounted. In January 2011, Senator Tom Udall (D-NM) called for a Federal Trade Commission investigation of the football helmet industry for "misleading safety claims and decep tive practices," which the agency is currently pursuing. In June 2012, more than 2,000 former NFL players filed a class-action suit against the league as well as Riddell, the largest football-helmet manufacturer and an official NFL partner, accusing them of obfus cating the science of brain trauma. The litigation could drag on for years and cost billions of dollars. The real issue is that lives are at stake. In 2006, this fact became tragically clear when former Philadelphia Eagles star Andre Waters committed suicide by shooting himself. Subsequent studies of his brain indicated that he suffered from chronic traumatic encephalopathy (CTE), a form of brain damage that results in dementia and is caused by repeated blows to the head. A sicken ing drumbeat of NFL suicides has followed, including former stars Dave Duerson, Ray Easterling, and Junior Seau, who by one esti mate suffered as many as 1,500 concussions in his career. For equipment manufacturers, the demand for protective headgear has never been greater. Leading companies, as well as an army of upstarts, have responded by developing a number of new helmet designs, each claiming to offer unprecedented safety. The trouble is that behind them all lie reams of conflicting research, much of it paid for, either directly or indirectly, by the helmet manufacturers or the league. For players or coaches or the concerned parents of young 52 POPULAR SCIEN CE . JANUARY 2013 PROFESSIONAL FOOTBALL PLAYERS RECEIVE AS MANY AS 1,500 HITS TO eras THE HEAD IN A SINGLE SEASON. THAT'S 15,000 IN A 10-YEAR PLAYING CAREER. W L> athletes, it's hard to know whom to believe. And despite all the research and development, and the public outcry, the injuries just keep coming. What makes the situation even more tragic is that a helmet technology already exists that could turn the concussion epidemic around. < > THE TROUBLE WITH CONCUSSIONS o understand why current helmets aren't better at reducing concussions, consider the nature of the injury. A concussion is essentially invisible. Even the most advanced medical-imaging tech~ology isn't sensitive enough to show the physical manifestations, the damaged brain tissue. Diagnosis, then, is based entirely on symptoms and circumstances. Is the patient dizzy or confused, or was he briefly unconscious? Does he have a headache or nausea? Does he remember what happened, and did it look like he got hit in the head really hard? Even if doctors could reliably diagnose concussions, identifying the injury does little to protect against it; for that, scientists need an T concussions. THE FAL.I..EN Junior Seau's suicide in 2012 heightened the controversy around head trauma in athletes. Colts receiver Austin Collie [abovel received three game-ending concussions in 2010 before he was benched for the season. accurate picture of what's happening inside the head. For generations, doctors believed that concussions were a sort of bruising of the brain's gray matter at the site of impact and on the opposite side, where the brain presumably bounced off the skull. The reality is not nearly that simple: Concussions happen deep in the brain's white matter when forces transmitted from a big blow strain nerve cells and their connec tions, the axons. To understand how that happens, it's important to recognize that different types of forces-linear and rotational acceleration-act on the brain in any physical trauma. Linear acceleration is exactly what it sounds like, a straight-line force that begins at the point of impact. It causes skull fracture, which makes perfect sense: You hit the bone hard enough, it breaks. Rotational acceleration is less intuitive. It occurs most acutely during angular impacts, or those in which force is not directed at the brain's center of gravity. You don't have to know much about football or hockey to realize that rotation is a factor in a whole lot of hits. "Think about it," says Robert Cantu, a neurosurgeon at Boston University School of Medi cine and the author of 29 books on neurology and sports medicine. "Because most hits are off-center and because our heads are not square, most of the accelerations in the head are going to be rotational." Further complicating matters, the human brain is basically an irregularly shaped blob of Jell-O sitting Crash Course The helmet market is booming. What sets tile new products apart? the ust hat ion , ~ c '~ :; . at .~ ::; the ven m't ms, on , or ea? hit « ....c> " ::! ~ C>- f- Ian "'" > '" z >w c> c x "~ ~ u < "" 3 z Q. ing :I: 1< L) ::J 0 0 = ~ :i .... ~ RIDDEll 360 XENITH X2 SCHUTIION 40 The official NFL helmet partner since 1989, Riddell launched the 360 in 2011. It has extra padding around the front and sides of the head, and the company's signature Concussion Reducing Technology, which adds even more padding. Yet for all that foam, most experts say it does little to address rotational forces, the primary cause of concussions. Made by the nine-year-{)Id helmet company Xenith, the X2 replaces foam padding with an array of air-filled cylinders that compress upon impact by releasing air through tiny holes. The harder the hit, the stiffer the response. Such adaptive cushioning can protect against both lower-level and higher-level forces but still does little to address rotation. Made with thermoplastic urethane cushioning that performs consistently even in extreme weather, the Ion 4D, Schutt says, "is designed with the intent to reduce the risk of concussions." Yet the specs don't mention rotational force, and a 2011 promotional video dismisses the idea that frequent lesser impacts are as dangerous as the rare violent one, calling it "unproven." RAWLINGS QUANTUM PLUS Better known for its baseball helmets, Rawlings introduced a line of football helmets a few years ago that, like Riddell's, relies on what's called large-{)ffset design-in other words, increased distance between the head and the shell in order to make more room for extra padding. SGH HELMET GUARDIAN CAP This startup from the self-proclaimed Godfather of Safety, motorsportsequipment legend Bill Simpson, says it makes the lightest helmet on the market. Its shell includes Kevlar and carbon fiber; its padding consists of a single layer of a proprietary composite whose makeup Simpson won't divulge until it is patented. Developed by Atlanta engineer Lee Hanson, the Guardian Cap is a padded sock worn over a standard helmet. Critics say the Guardian could get caught during impact, causing neck injuries and exacerbating rotation. Hanson says the sock would just slip off. As for the obvious aesthetic issues, he says the Guardian is meant only for practice, not games. --) JANUARY 2013 • POPULAR SCIE NCE 53 ] SHOCK TREATMENT Stefan Duma, a biomedical engineer at Virginia Tech, studies the forces exerted on a helmet during a vertical.{irop test IleftJ. The test is the basis for the NOCSAE football helmet safety certification. Duma also tests helmet performance during horizontal impacts laboveJ . inside a hard shell lined with ridges and cliffs. After a football tackle or a hockey check, that blob moves, and does so in irregu Jar ways. "Rotational forces strain nerve cells and axons more than linear forces do," Cantu says . "They're not only stretching, but they're twisting at the same time. So they have a potential for causing greater nerve injury." So what's the problem? If scientists know that a concussion is nerve strain caused largely by rotation of the brain, why can't they figure out a way to stop the rotation? Just as the actual injury isn't visible to medical imaging tech nology, the rotation that causes the injury isn't measurable in impact conditions; scientists cannot be inside an athlete's brain measuring its movement. But in a grisly 2007 study, researchers at Wayne State University in Detroit used a high-speed x-ray to observe the brains of human cadaver heads fitted with football helmets and struck from various angles. The research, corrobo rated by computer models, showed that the brains moved very little-just millimeters. Yet those small movements are enough to cause nerve strain and affect neurological function. Making things even more difficult is that every brain is differ ent. Young brains respond differently than older brains, female brains differently than male. Researchers have also found that weaker, subconcussive hits can have a cumulative effect over time and lead to CTE, which is likely the cause of many former-player suicides. But how many hits it takes, and what kind, is unclear and the condition can' t be diagnosed while the player is alive. Only when his brain is cut open can researchers spot the dead zones in the tissue. The scientific ambiguity surrounding concussions clearly 54 POPUL AR SCIENCE . JANUARY 2013 impedes the development of better helmets. But there's another reason helmet technology hasn't improved, one more troubling than gaps in our knowledge: a self-regulated industry governed by badly outdated safety standards. 40 - YEAR - OLD STANDARDS icture the head of a typical crash-test dummy, the kind you see in car commercials. It's attached to a rigid metal arm that hangs above a cylindrical anvil topped with a hard plastic disc, A lab technician straps a football helmet to the headform, cranks the arm' up to precisely five feet above the anvil, and lets it drop-crack. Inside the dummy head, an accelerometer positioned at the center of gravity records the linear acceleration transmitted during impact. This brutish trial is called a vertical drop test, and it's the basis for how all football helmets are certified safe by the National Operating Committee P on Stam funded I of the re remaine' Now the jerki Foote's like the brings II s another troubling rerned by , the kind igidmetal Iped with II football I precisely tedummy ly records 'utish trial ill football 'ommittee IF SCIENTISTS KNOW THAT A CONCUSSION IS CAUSED LARGELY BY THE ROTATION N OF THE BRAIN, WHY CAN'T THEY FIGURE ~ '-' ... UJ OUT A WAVTO STOP THE ROTATION7 ¢ z CO a: ~ '" :?: ::J 0 z ;1 > ~ > ~ '" '"0::J w on Standards for Athletic Equipment (NOCSAE), an association funded by equipment manufacturers, which in turn funds much of the research on sports-related head trauma. The standard has remained largely unchanged since its creation in 1973. Now think back to Austin Collie 's concussion in August 2012 the jerking of the head after the initial hit, the collisions with Larry Foote's elbow and the ground. Those impacts don't look much like the straight-line force of the NOCSAE drop test. And that brings up a very important question, perhaps the central question scientists and helmet makers are trying to solve today: Is the linear acceleration measured by a drop test correlated to rotational acceleration , and if so, by how much? Untold lives and billions of dollars in sales, medical fees, and litigation costs could depend on a clear answer. If the relation ship between the forces is strong, the key to reducing rotational acceleration is the same as reducing linear acceleration: Add more padding. Clearly helmet manufactures would prefer such a simple solution. If the connection is weak, however-or at least weak in the most dangerous hits-more padding will do little to reduce concussions, and companies will need to rethink current designs entirely, a very costly endeavor. In 2003, a New Hampshire-based company named Simbex introduced a research tool calJed the Head Impact Telemetry System (HITS). Among other things, it seemed to have the poten tial to answer the question of correlation. HITS is an array of six spring-loaded accelerometers positioned inside a helmet to record JANUARY 2013 • POPUI.AR SCI ENCE 55 HELMET WARS the location and severity of significant impacts. After any hit over a certain threshold , the system beams the data to a companion device on the sidelines. Coaches can monitor players in real time, and researchers get reams of real-world data to dig through. Stefan Duma, the founding director of Virginia Tech's Center for Injury Biomechanics, is among those working with HITS data; at his urging, every player on the univer· sity's football team wears a HITS-equipped helmet. After analyzing data from two million impacts, Duma says there is a clear and strong connection between linear and rotational forces. Unfortunately, other researchers say it's not that simple. The correlation is high if you look at all hits, they say, but it taUs apart when you look at highly angular ones-the hits that carry a greater risk of concussion. "Take an extreme example," says Boston University's Cantu. "If you impact the tip of the face mask, if you have another player coming at it side· ways, you're going to spin the head on the neck and have very low linear acceleration and very high rota· tional acceleration." Indeed, for every advocate of the HITS data, there exists an equaJJy vocal critic. They say that helmets deform under the force of a 250-pound linebacker, skewing data. They say the HITS algorithm that calculates rotation is flawed. They point out that the founder of HITS is a co·author on all the published studies that validate the system. Blaine Hoshizaki, a biomechanics professor at the University of Ottawa whose research focuses on angular hits, sounds exasperated when I ask him about Duma's find ings. "You've got to look at the events that are really contributing to concussion," he says. "It may be that in 1,000 hits , only 50 are highly non-centric, but maybe those 50 are the most dangerous-and that's what our data shows." In essence, the system created to answer questions about concussions has raised a lot more questions. The resulting confu sion sets off a cascade of effects. Unclear science makes for unclear standards, and unclear standards leave a lot of room for interpretation. The impact on the helmet industry is conspicuous: It's become a free·for·all. IMPACT TRACKER II Coaches and medics can use the Head Impact Telemetry System (HITS) 10 monitor the force and location of certain tackles from the sidelines. "IF SOMETHING IS AVAILABLE THAT MAKES YOUR HELMET MORE SAFE, YOU SHOULD BE HELD LIABLE FOR NOT USING IT." THE HELMET ARMS RACE n December 2010, a longtime auto-racing safety equipment maker named Bill Simpson happened to attend one of the Colts games in which medics helped Austin Collie off the field after a concussion. Following the incident, Simpson asked the Colts' offensive coordinator, a friend, what had happened to his receiver. "Oh, that's just part of the game," the coach said . Simpson saw an opportunity. In auto racing, he 's known as the Godfather of Safety, and once set himself on fire to demonstrate the efficacy of one of his racing suits. He figured he could make a better football helmet, so he got to work in his Indianapolis ware house. By 2011, several pros, including CoUie, were wearing early I 56 I. POPULAR SCIENCE • JANUARY 2013 experimental versions of Simpson's helmet. That an individual inventor could develop, produce, and deliver a product into the hands of professional athletes speaks to the upheaval in the world of helmet manufacturing. What was once a rather staid industry dominated by a few large companies has now grown to include an increasing number of upstart firms, seriai entrepreneurs, and individual inventors. The result has been ~ proliferation of new designs. Mainstream helmet makers hav stuck with variations on previous models: polycarbonate shell! filled with various densities and thicknesses of padding. Newcom ers have developed more creative, albeit less rigorously tested approaches. Perhaps the best-known is the bizarre·looking Guard ian Cap, a padded sock that slips over a typical helmet. Anothe: approach that received a lot of attention in 2011, the Bulwark, came from the workbench of an aerospace engineer and self professed "helmet geek" in North Carolina; it had a modular shell that could be configured to match the demands of different play ers. It never made it out of prototype stage. For his part, Simpson officially launched his SGH helmet in October 2012 to immediate fanfare. Sports Illustrated "injury expert" columnist Will Carroll tugged one on and had someone whack him over the crown of the head-a strong, almost purely i deliver linear force. He reported not feeling much at all. His conclusion: s to the This helmet must work. s once a When I called Simpson to discuss the helmet and ask how it has noW reduces the forces responsible for concussion, he mentioned that IS, serial none of the neuroscientists he's spoken with have been able to tell s been a him what forces actually cause a concussion. "How do you know ers have you're stopping the right forces, then?" I asked him. "If you don't lie shells know what's causing a concussion, how can you prevent it?" Newcom "You're asking me a lot of questions that are pretty off the ly tested, wall, my friend ," he said . "A lot of questions I can' t answer." He 19 Guard explained that his helmet uses a composite shell made of carbon . Another fiber and Kevlar, plus an inner layer of adaptive foam made of Styrofoam-like beads. It performs better in a NOCSAE-style drop test than anything else on the market, he said. "Does it specifically address rotational acceleration?" J asked. He laughed. "No helmet does thaL" J tried a more direct approach: "Can you make claims about concussion reduction with your helmet?" "Oh, hell no," he said, "I would never make a claim about thaI." The NFL, at least since Congress took an interest, has gotten serious about sorting out who is claiming what-or not. "There is not a week that passes that J don't see a new device," says Kevin Guskiewicz, a University of North Carolina sports medicine researcher and MacArthur Genius Grant recipient who also chairs the FL's Subcommittee on Safety Equipment and Playing Rules. "There's a binder weighing down the corner of my desk. J don't think you're going to see the NFL flat-{)ut endorsing a product, but they certainly feel that they' re responsible for trying to help prevent these injuries. So we're going to be reviewing these technologies in order to say, here are three or four that need to be studied further." The boldest claim from mainstream helmet makers comes, perhaps not surprisingly, from Riddell. The company's newest helmet, the 360, builds on a system called Concussion Reducing JANUARY 2013 • POPULAR SCIENCE 57 Prot the . Hall, eTC melT' TI plast bene to fie nate makE Fir NFL players Daryl Johnston and Dave Duerson [above] in 2007 at a Senate hearing on disability benefits for retired athletes. Duerson [left] committed suicide in 2011 by shooting himself in the chest. He left a note asking that his intact brain be donated to the Boston University School of Medicine for research. MIP~ came read) "Five loud at22 tomE Ie; susta and i squar for rc prob~ THE NFL, AT LEAST SINCE CONGRESS TOOK AN INTEREST, HAS GOrrEN SERIOUS ABOUT SORTING OUT WHO IS CLAIMING WHAT-OR NOT. w Technology (CRT), which it first launched in 2002. According to a highly adrenalized promotional video, which has since been removed from the Riddell website, engineers designed CRT in response to an NFL-funded study by a Canadian research lab called Biokinetics. Researchers looked at film from actual NFL hits that resulted in concussions and attempted to map their loca tion, distance, and speed. The two main findings: that rotational acceleration is a major factor in concussions, and that players get hit a lot on the side of the head. In response to the study, the designers developing CRT added energy-attenuating material (extra padding) to side- and fro nt impact areas. They also increased the overall dimensions of CRT-equipped helmets by a few millimeters to allow for still more padding. The designers of the 360 built on the CRT but went a step further, adding an even greater amount of padding to the impact areas. It wasn't clear to me how those changes addressed rotation-the single greatest factor in the concussions that CRT and the 360 helmet meant to reduce. So I asked Riddell's head of research and development, Thad Ide. "Well, in many cases the linear acceleration and the rotation that linear imparts go hand in hand," he said, echoing Duma's HITS findings at Virginia Tech. "Reducing linear forces will reduce the rotational forces." So the question remains: If addressing linear force is the key, and better padding is the way to do that, then why hasn't the number 58 POPUL AR SCIE NCE . JANUARY 2013 ...z of concussions decreased? "You haven't seen it change because [the helmet makers] haven't addressed it," says the University of Ottawa's Hoshizaki. ';i " ..J e 0 or A NEW HOPE :;:: ~ na small room off the basement garage of a building on the outskirts of Stockholm, an entirely different kind of helmet test is taking place. Peter Halldin, a biomechanical engineer at the Royal Institute of Technology, is strapping a helmet onto a dummy head affixed to a custom drop-test rig. Rather than slamming a helmet into a stationary anvil, as in the NOCSAE test, Halldin's rig drops it onto a pneumatic sled that moves horizontally. By calibrating the angle of the helmet, the height of the drop, and the speed of the sled, Halldin says he can more accurately re-create the angular forces that result in rotational acceleration than other labs can. Within the dummy head, nine accelerometers measure the linear force transmitted during impact; a computer nearby calculates rotational accelera tion from that data. Today Halldin is testing two ski helmets that are identi cal except for one thing: Inside one, a bright yellow layer of molded plastic attached with small rubber straps sits between the padding and the head. This is the Multidirectional Impact I No varial excep tion ! one .. . showl secon Ha tion c on th but I teriz( He com were walk . !:: ~ " < ~ ." '"'" > z :::> z 0 t;;' 0 > <;:' z 0 > V' 0 '" :::"" :; '"w , '" ~ z ..,z ,. '".... ~ '"=> 0 u with~ bit, a boa H; syste all in all d 35 H 15 H mos iV Ha Hos me fron it. ~ thej Protection System (MIPS), which is also the name of a company he co-founded. Halldin spends about half of his time as eTO of MIPS and the other as a faculty member of the Royal Institute. The idea behind MIPS is simple: The plastic layer sits snugly on a player's head beneath the padding. By allowing the head to float during an impact, MIPS can elimi nate some of the rotational force before it makes its way to the brain. First up in Halldin's test is the non MIPS helmet. Halldin flips on a high-speed camera and steps back from the impactor, DEAD ZONES Dark ready to catch the helmet on its rebound. spots in the brain of a "Five, four, three, two, one ... " There's a fanner football player loud clattering as the slcd shoots forward correspond to the at 22 feet per second and the helmet drops buildup of tau protein. to meet it at 12 feet per second-crack. I can see on the computer that the head sustained about 170 Gs of linear force, and it rotated 14,100 radians per second squared (the standard scientific metric THE DISEASE WHAT CAUSES m For decades, the term "punch-<Jrunk" has At Its most baSIC, CTE IS a cumulative for rotation). It's a big hit, one that would effect from repetitive head trauma-not just been used to deSCribe boxers left permanently probably result in a concussion or worse. loopy after a career of hghfing. The cli nical concussive blows but also weaker ones. Now comes the second helmet. Every name for the condition IS chronic traumatic Impacts damage the brain's neural pathways, variable is the same as in the first test encephalopathy (CTE), and it can happen and as a result a protein called tau builds up. except for the addition of the low·fric to any athlete who suffers hequent blows to The more tau along the pathways, the less tion MIPS layer. "Five, four, three, two, the head. CTE has no kn own treatment, and eaSily brain signals can move around, which doctors can only diagnose it postmortem, by can lead to memory loss, lack of impulse one... "-crack. This lime the wmputer physically examining the brain for symptoms. control, aggression, and depression. shows rotation of 6,400 radians per second squared, a 55 percent reduction. Halldin starts in on a detailed explana HOW COM ON IS IT1 WHAT DOES IT MEAN FOR HELMETS? tion of the effects of multiple impact tests Scientists at the Center for the Study Because footba ll helmet safety standards on the performance of a helmet over time, of Traumatic Encephalopathy at Bos\on were designed to prevent skull fracture, but I interrupt: "How would you charac University examine the brains of dead contact padding has to be stiff enough to weather an terize that test result?" sports athletes. In its hrst year of operation, 17 extremely hard hit. But stiff cushioning allows of the 18 brains researchers tested had CTE. a lot of force to reach the head. Over time, He looks at the colorful graphs on the Also, a team of scientists recently reported that lIlat can lead to CTE. Certain companies, computer screen again. If the test dummy former NFL players are three times more likely such as Xenith, have begun to use adaptive werc a football player, he would have just than the general population to die from brain cushioning. It stays stiff during a big impact, walked away from a game-ending impact diseases such as Alzheimer's. but softens during a smaller one. without a concussion. Halldin smiles just a bit, and permits himself a very un-Swedish boast. "I would say that's f--king amazing." Halldin is careful not to claim the MIPS system can crcate those kinds of results in a11 impacts in a11 helmets. But, he says, "we can reduce rotation in Rotational forecs quickly became their focus, and eventually they aJ1 directions, and it's significant in most directions. We might get came up with the idea for MIPS. Thc first product was a complete 35 percent in one direction, 25 percent in another direction, and helmet, designed for the equestrian market. Although the helmet was well received, the team quickly learned that a smart conccpt 15 percent in another. And hopefully the 15 percent is not in the in the lab doesn't easily translate into a successful product launch. most COI'l1mon impact direction for that sport." MIPS is not new: The company's roots go back to 1997, when Production problems and quality-control issues led the team to Hans von Holst, a neurosurgeon at Stockholm's Karolinska rethink thcir strategy and hire a new CEO, an experienced Swed Hospital (the same hospital that adjudicates the Nobel Prize for ish executive named Niklas Steenberg. Steenberg took a look at medicine), got tired of seeing patients come in with brain injuries the situation and decided that, like airbags in cars or Intel chips in from hockey and other sports, and decided to do something about laptops, MIPS was not an end-market product. Instead they would it. He joined up with Ha11din at the Royal Institute, and together focus on licensing it to existing helmet companies so those manu they spent the nexl )0 years studying trmlmatic brain injuries. facturers could improve their own products. What's Behind the NFL Suicides? . -" '"'-' ::;: ~ I > ------------------ >< ----------------- < ill ~ <r .., Lu Z ~ , ~ --' Lu Z <; "-< .>: . ;:. ~ Z 0 ~ ~ <; C; 0 U " Z ~ .u '":§: ~ '"> ~ -< Z > !: t > U ~ Z '"0 :0 '" "" :;; t ~ t; ~ ~ w Z '"~ '-' '-' ::J :I: '-' '"30 " Q. "... " 0 a '" ::'" 0 ::;: w ""u ~ ::;: Z Z .. ~ :: ~ :> " u JANUARY 2013 r: f1NTHlUEO Of'J PAGE. '0 PO PULAR SCIEN[E 59 o Adv€ HELMET WARS (0 TINUfO fR OM PAGE 59 Since then, MIPS has licensed its sliding low-friction layer to about 20 helmet manufacturers, for sports from snowboarding and skiing to cycling and motocross. Recently, Steen berg decided , the COrnpilnY was ready to start hunting the big game-first American ho ckey and then the biggest of all, footballi. FOLLOW THE MONE Y One would think the Riddell s of the world PO Box 19818·5112 Graneros Rd. Colorado City, CO 81019 www.plasmacam.com (719) 676-2700 • fax (719) 676-2710 would fall all over themselves to license or create something like MIPS, a simple product that directly addresses a critical factor in concussions and incorporates easily into existing helmet designs. "I thought we'd have people hugging us, saying, 'Thank you!' " says Ken Yaffe, a former NHL executive who left the league in March 2012, after 19 years, and signed on with MIPS to help them get an audi ence with U.S. manufacturers. But after nearly a year of squiring Steenberg and Halldin around to different companies, he says, "we've been met with skepticism." One of the rea sons, Yaffe suspects, is that current safety standards don't require the companies to do anything more than what they're already doing. It's a criti cism privately echoed by most helmet researchers: Simplistic certification stan dards provide convenient legal cover for the manufacturers. If NOCSAE certifies a company's helmets as safe, then the company has less risk of being held respon sible for injuries. On the other hand, if that same company goes above and beyond the standards, it could put itself at risk of getting sued: Suddenly all of its existing helmets would appear to be inadequate, and worse, the company might have to admit knowing that they fell short. Duma, of Virginia Tech, points to NOCSAE's industry funding to explain how such a situation has persisted in football. "Follow the money," he says. " Imagine if Ford were the only organiza tion testing its cars, and it was saying that everyone got the top rating. It's a very unusual arrangement." To Steenberg, the MIPS CEO, the situ ation is both harmful and backward. "If something is available that makes your helmet more safe, you should be held liable for not using it," he says. It's not the first time a new safety technology has faced such a paradox. All too often implementa tion hangs on the grim calculus of whether the cost to industry of adopting a safety measure is more or less than the cost to the public of going without it. When liabil ity enters the equation, lawyers and judges and lawmakers get involved, and even the most urgent matters can end up mired in argument. For example, it took more than a decade to legislate seat belts as standard equipment in automobiles. It's worth noting that the two companies that first popular ized and implemented seat-belt standards 76 POPUL AR SCIE I CE • JANUARY 2013 Cetl contI from • ISSUE I PO INTER L DOW! ~ SEARC Advertisement HELMET WARS Cetmore content from this issuewith 13n mi were Saab and Volvo, both Swedish. Change is on the horizon, though. The University of Ottawa's Hoshizaki has a grant from NOCSAE to develop a new standard that incorporates rotation. "I want to be fair to the manufacturers," he says . "If they could make a safer helmet, they would. I don't think they are against it; they' re just making sure they don't cross that line and say, 'Yea h, we should be managing rotation,' because that would bring up liability issues." With a new stan dard, that roadblock could vanish. One enterprising company has already launched a product to directly address rotational acceleration in another contact sport. In the summer of 2012, Bauer, the number-one helmet maker in ice hockey, released the Re-akt. Inside the helmet, a thin, bright-yellow layer of material sits loosely between the head and the padding, allowing the head to move a little bit in any direction during an impact. Called Suspend-Tech, the layer appears, to the color, suspiciously sim ilar to MIPS. In fact, during the development of the Re-akt, MIPS co-founder Halldin tested an early version on his impact rig at the Royal Institute. The stories diverge as to how that collaboration came about, and how Bauer came up with the idea for a sliding layer, but any questions that arise about intel lectual property may not matter. Bauer's Suspend-Tech is a significant debut: It is the first attempt by a mainstream company to include a rotational layer in contact sports helmets. MIPS is betting that since one hockey manufacturer has embraced the idea, the rest of the field will start shop ping for their own version. And that, in turn, could create enough momentum for MIPS to break into the football market. In perhaps the most hopeful sign of all, the NFL acknowledges that MIPS-li ke products have the organization's atten tion. Kevin Guskiewicz of the NFL's safety equipment subcommittee says the league is already evaluating the concept. "We're looking at it very seriously," he says. Meanwhile, as scientists do mo re tests and manufacturers bicker, 4.2 million people will suit up and play football this year, most of them child ren with still developing brains. Everyone of them needs a good helmet. ing lar .rds Tom Foster is based in Brooklyn, New York. This is his first story for POPULAR SClENCE. DOWNLOAD DownloaJ the Pop5u Interllctlve App in iTiJnes or AndrOlO md(kl'L ~ SEARCH Loo~ tor tile PS iron within tne ptlgps 01 POPULAR SCIENCE y 1 If If Ie 51 !d :a er ·ty to )il ~es he in ~ AIM Oprn .JorSCllnrertlctlve, ilnd point at any photo with tills icon for an enhanceLi expenenct> JANUARY 2013 • POPULAR SCIENCE 77 R 'I~ ~. l!1, - . .