61
Playground Surface Testing Background Research Martyn R. Shorten, Ph.D. Portland Oregon, USA

Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

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Page 1: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Playground Surface TestingBackground Research

Martyn R. Shorten, Ph.D.

Portland Oregon, USA

Page 2: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Playgrounds

High AvailabilityPublicSchoolsHome

High Risk

Playground Surfacing – Background Research

Page 3: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Injury RatesInjury Statistics

205,850 Emergency Room admissions during 1999

Frequency1 per 1.3 minutes

Occurrence1 per 1333 children

Page 4: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Accident TypeInjury Statistics

Collisions17%

Falls70%

Page 5: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Injury TypeInjury Statistics

LimbFractures

33%

HeadInjuries

10%

Cuts,Bruises,SprainsStrains

46%

Page 6: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

FatalitiesInjury Statistics

Source: US CPSC: Tinsworth and MacDonald, 2001

147 deaths between January 1990 and August 2000

Head Injury75%Entrapment

Falls21%

Page 7: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Risk FactorsInjury Statistics

Equipment height

Equipment design

Parental supervision

Maintenance

Mixed use

Page 8: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Surfacing as a Risk FactorInjury Statistics

Falls to the surface:• 20% of deaths• 70-80% of injuries

Shock Attenuating Surfaces:• Potential for lower injury risk

Page 9: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Playground Safety InitiativesPlayground Surfacing and Playground Injuries

CPSC Handbook(1975)

Safety Advocates

Legislation

Equipment Design

Surfacing Standards

Page 10: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Playground Surfacing MaterialsPlayground Surfacing

Loose-Fill Surfaces• Organic

– Bark Dust– Wood– Engineered Wood Fiber

• Inorganic– Sand– Gravel– Shredded foam / rubber

Page 11: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Playground Surfacing MaterialsPlayground Surfacing

Unitary Surfaces• Rubber / Urethane• Poured-in-Place• Tiles

Page 12: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Performance CriteriaPlayground Surfacing

Standards• ASTM F1292• EN 1177, etc.

Page 13: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Performance CriteriaPlayground Surfacing

Standards• ASTM F1292• EN 1177, etc.

Fall Height

Page 14: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Performance CriteriaPlayground Surfacing

Standards• ASTM F1292• EN 1177, etc.

Fall Height

Test Method• Instrumented headform• Triaxial Accelerometer

Page 15: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Performance CriteriaPlayground Surfacing

Standards• ASTM F1292• EN 1177, etc.

Fall Height

Test Method• Instrumented

headform• Triaxial Accelerometer

Critical Fall Height

Page 16: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Performance CriteriaPlayground Surfacing

Historical efforts tobase performancecriteria on (head)injury risk data

g-maxHead Injury Criterion

Page 17: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Brain Injury Mechanisms

Page 18: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •
Page 19: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •
Page 20: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •
Page 21: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Diffuse Axonal InjuryBrain Injury Mechanisms

Normal Axons

Traumatized Axons

Metabolic Cascade:

• Ca and K ion release

• Disruption of neural function

• Compensation

• Increase energy expenditure

• Metabolic distress

• Increased vulnerability

Page 22: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Mild Traumatic Brain InjuryBrain Injury Mechanisms

Normal Axons

Traumatized Axons

Long Term Consequences:

• Second Concussion Syndrome

• Cumulative Effects

Page 23: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Abbreviated Injury ScaleBrain Injury Mechanisms

AIS 1 2 3 4 5 6Degree Minor Moderate Serious Severe Critical Survival

Injury Uncertain

Headache, DizzinessLoss of Consciousness

Skull FractureNeurological Damage

HemorrhageBrainstem DamageTissue Disruption

Page 24: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Abbreviated Injury ScaleBrain Injury Mechanisms

AIS 1 2 3 4 5 6Degree Minor Moderate Serious Severe Critical Survival

Injury Uncertain

Headache, DizzinessLoss of Consciousness

Skull FractureNeurological Damage

HemorrhageBrainstem DamageTissue Disruption

Page 25: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Abbreviated Injury ScaleBrain Injury Mechanisms

AIS 1 2 3 4 5 6Degree Minor Moderate Serious Severe Critical Survival

Injury Uncertain

Headache, DizzinessLoss of Consciousness

Skull FractureNeurological Damage

HemorrhageBrainstem DamageTissue Disruption

Page 26: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Impact Tolerance of the Brain

• Cadaver studies• Animal studies• Human volunteers

– Automotive Industry– Aerospace Industry– Military

Page 27: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

AccelerationImpact Tolerance of the Brain

0

20

40

60

80

100

0 5 10 15 20Time, ms

Acce

lera

tion,

g

gmax

Page 28: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Wayne State CurveImpact Tolerance of the Brain

Page 29: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Gadd Severity IndexImpact Tolerance of the Brain

0

20

40

60

80

100

0 5 10 15 20Time, ms

(Acc

eler

atio

n)2.

5 /100

0

Page 30: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Gadd Severity IndexImpact Tolerance of the Brain

0

20

40

60

80

100

0 5 10 15 20Time, ms

(Acc

eler

atio

n)2.

5 /100

0

Page 31: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Head Injury CriterionImpact Tolerance of the Brain

Page 32: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

AIS

1

Page 33: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

AIS

1

Page 34: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

AIS

1

Page 35: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ryPrasad-Mertz CurvesImpact Tolerance of the Brain

No InjuryAIS

1

Page 36: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

No InjuryAIS

1

Page 37: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ryPrasad-Mertz CurvesImpact Tolerance of the Brain

No InjuryAIS

1

Page 38: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ryPrasad-Mertz CurvesImpact Tolerance of the Brain

No InjuryAIS

12

Page 39: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ryPrasad-Mertz CurvesImpact Tolerance of the Brain

No InjuryAIS

12

3

Page 40: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ryPrasad-Mertz CurvesImpact Tolerance of the Brain

AIS

12

34

No Injury

Page 41: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ryPrasad-Mertz CurvesImpact Tolerance of the Brain

AIS

12

34

5

No Injury

Page 42: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

AIS

12

34

5 6

No Injury

Page 43: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ry

AIS

12

34

5 6

No Injury

Page 44: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ry

AIS

12

34

5 6

No Injury

Page 45: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ry

AIS

12

34

5 6

No Injury

Page 46: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

HIC = 1000

Page 47: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Prasad-Mertz CurvesImpact Tolerance of the Brain

0%

20%

40%

60%

80%

100%

0 500 1000 1500 2000 2500 3000

HIC Score

Prob

abilit

y of

Inju

ry

AIS

12

34

5 6

No Injury

Page 48: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Are Impact Tests Good Surrogates?Surface Shock Attenuation Tests

• Mass

• Energetics

• Geometry

• Flexibility

Page 49: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0

500

1000

1500

3 6 9 12Fall Height, feet

HIC

0

100

200

300

g-max

Critical Fall HeightPlayground Surfacing

Page 50: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0

500

1000

1500

3 6 9 12Fall Height, feet

HIC

0

100

200

300

g-max

Critical Fall HeightPlayground Surfacing

Page 51: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0

500

1000

1500

3 6 9 12Fall Height, feet

HIC

0

100

200

300

g-max

Critical Fall HeightPlayground Surfacing

Critical Fall Height:7 feet

Page 52: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0

1

2

3

4

Gravel Sand WoodChips

WoodFibre

ShreddedRubber

Cri

tica

l Fa

ll H

eig

ht, m

ete

rsShock Attenuation PerformancePlayground Surfacing Materials

25 cm uncompressed depth 15 cmthickness

Loose-Fill Unitary

Page 53: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Benefits of Shock AttenuationPlayground Surfacing

Non-conforming surfaces• 2.3 times greater injury risk

NonConforming

Conforming

Relative Injury Risk

Chalmers et al, 1996

2.3

1

Page 54: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Benefits of Shock AttenuationPlayground Surfacing

Non-conforming surfaces• 2.3 times greater injury risk

Surfacing MaterialsConcrete

Rubber

BarkDust

Relative Injury Risk

12

5

Mott et al, 1997

Page 55: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Relative Injury Risk

Benefits of Shock AttenuationPlayground Surfacing

Non-conforming surfaces• 2.3 times greater injury risk

Surfacing Materials

Severe head injuries

Sand

1

6

Sosin et al, 1993; Laforest et al, 2000

1.7

Grass

Asphalt

Page 56: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Impact Test IssuesPlayground Testing

Positives:

•Good faith attempt to evaluate injury risk

•Documented effectiveness

•Bias of risk estimates

Page 57: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

“True” HIC EstimationAre Impact Tests A Good Surrogate

Page 58: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

0%

20%

40%

60%

80%

100%

0 500 1000 1500

HIC Score

Prob

abilit

y of

Inju

ryAdjusted HIC scores

12

3

4

5

In-filled Conventional

Page 59: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

Impact Test IssuesPlayground Testing

Limitations:

•Data QuantityApplicabilityValidity

•Method BiofidelityReproducibility and repeatability

Head injury focus

•Concussion

Page 60: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •

“Concussus”

“to shake violently”

Page 61: Background Research · Playground Safety Initiatives Playground Surfacing and Playground Injuries CPSC Handbook ... • Organic – Bark Dust – Wood – Engineered Wood Fiber •