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Friday, 10 October 2014

The "Reverse Startle Reflex": Can it avoid "Whiplash" Symptoms?

A Loud Tone Played Before Impact May Reduce Whiplash


NEW YORK (Reuters Health) - If a vehicle could emit a loud tone just before a crash, the sound might startle the occupants and induce muscle reactions that limit the extent of injury, a new study suggests.

A 105 decibel tone emitted just 205 ms before impact appears to reduce the reflexive responses of muscles in the head and neck that ordinarily activate during whiplash, according to research published online August 7 in The Spine Journal.

The results are too preliminary to suggest that a pre-impact tone emitter should become a standard safety device, but the findings merit research in the real world, according to Gunter Siegmund, Director of Research at MEA Forensic Engineers and Scientists in Richmond, BC, Canada, who led the study.

Siegmund told Reuters Health by email, "We know that startle forms part of the neuromuscular response during the kinds of vehicle impacts that can cause whiplash injury. We also know that a loud pre-impact sound can attenuate the startle portion of the response and reduce neck muscle activation levels and head/neck motion. While it seems reasonable to postulate that reduced forces and motion will reduce the likelihood of tissue injury in some individuals, we don't yet know whether this will decrease the rate of actual whiplash injuries in the field."

To study the effect of the tones, 12 volunteers sat in a test sled made up like the driver's seat of a Honda Accord. They each underwent three simulated rear-end crashes either with a tone or without. In each simulation the sled accelerated suddenly at a maximum speed of 19.5 m/s2.
The volunteers were fitted with electromyographic electrodes, both on the surface and inserted into their muscles. They were also fitted with accelerometers to record the motion of the head and torso.
The tone appears to have significantly reduced the amplitude of the C6 multifidus muscle by 42% and the C4 paraspinal muscles by 30%.

Changes in amplitudes in the C4 multifidus and sternocleidomastoid muscles were not statistically significant.

The accelerometers recorded decreased head retraction after the tone by 3.3mm, which was a 9% difference. Peak head angular acceleration in extension and head extension angle were also improved after the tone, while a difference in peak horizontal head acceleration was not found to be statistically significant.

Further testing may require the installation of devices into vehicles because standard crash-test dummies will not be adequate to evaluate muscle responses, Siegmund said.
"Should manufacturers consider including this as a safety feature? I think so," he said. "The technology to detect imminent collisions already exists in some vehicles, and virtually all modern vehicles have speakers that can play a loud tone. Therefore the incremental cost of including this safety system may be relatively low. Two companies have already approached us to commercialize the technology, but I don't know what if anything they are doing with it."



Loud preimpact tones reduce the cervical multifidus muscle response during rear-end collisions: a potential method for reducing whiplash injuries. Spine J 2014.  SOURCE: http://bit.ly/1oRwSd1

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