Modeling of inflicted head injury by shaking trauma in children: what can we learn?:

Part II: A systematic review of mathematical and physical models

Review (2019)
Authors

Jan Peter van Zandwijk (Nederlands Forensisch Instituut (NFI))

Marloes E.M. Vester (Academic Medical Centre, Nederlands Forensisch Instituut (NFI))

Rob A. Bilo (Nederlands Forensisch Instituut (NFI))

Rick R. Van Rijn (Academic Medical Centre, Nederlands Forensisch Instituut (NFI))

A.J. Loeve (TU Delft - Medical Instruments & Bio-Inspired Technology)

Research Group
Medical Instruments & Bio-Inspired Technology
Copyright
© 2019 Jan Peter van Zandwijk, Marloes E.M. Vester, Rob A. Bilo, Rick R. van Rijn, A.J. Loeve
To reference this document use:
https://doi.org/10.1007/s12024-019-00093-7
More Info
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Publication Year
2019
Language
English
Copyright
© 2019 Jan Peter van Zandwijk, Marloes E.M. Vester, Rob A. Bilo, Rick R. van Rijn, A.J. Loeve
Research Group
Medical Instruments & Bio-Inspired Technology
Issue number
3
Volume number
15
Pages (from-to)
423-436
DOI:
https://doi.org/10.1007/s12024-019-00093-7
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Abstract

Various types of complex biomechanical models have been published in the literature to better understand processes related to inflicted head injury by shaking trauma (IHI-ST) in infants. In this systematic review, a comprehensive overview of these models is provided. A systematic review was performed in MEDLINE and Scopus for articles using physical (e.g. dolls) and mathematical (e.g. computer simulations) biomechanical models for IHI-ST. After deduplication, the studies were independently screened by two researchers using PRISMA methodology and data extracted from the papers is represented in a “7-steps description”, addressing the different processes occurring during IHI-ST. Eleven papers on physical models and 23 papers on mathematical models were included after the selection process. In both categories, some models focus on describing gross head kinematics during IHI-ST events, while others address the behavior of internal head- and eye structures in various levels of detail. In virtually all physical and mathematical models analyzed, injury thresholds are derived from scaled non-infant data. Studies focusing on head kinematics often use injury thresholds derived from impact studies. It remains unclear to what extent these thresholds reflect the failure thresholds of infant biological material. Future research should therefore focus on investigating failure thresholds of infant biological material as well as on possible alternative injury mechanism and alternative injury criteria for IHI-ST.