Towards clinical management of traumatic brain injury: a review of models and mechanisms from a biomechanical perspective

Traumatic brain injury (TBI) is a major worldwide healthcare problem. Despite promising outcomes from many preclinical studies, the failure of several clinical studies to identify effective therapeutic and pharmacological approaches for TBI suggests that methods to improve the translational potentia...

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Published inDisease models & mechanisms Vol. 6; no. 6; pp. 1325 - 1338
Main Authors Namjoshi, Dhananjay R., Good, Craig, Cheng, Wai Hang, Panenka, William, Richards, Darrin, Cripton, Peter A., Wellington, Cheryl L.
Format Journal Article
LanguageEnglish
Published England The Company of Biologists Ltd 01.11.2013
The Company of Biologists Limited
The Company of Biologists
Subjects
Amnesia
Biomechanical Phenomena
Biomechanics
Brain Injuries - therapy
Brain research
Concussion
Consciousness
Deformation
Engineering
Fainting
Glasgow Coma Scale
Head injuries
Humans
Intracranial pressure
Metabolism
Models, Biological
Review
Traumatic brain injury
United States > US
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Abstract Traumatic brain injury (TBI) is a major worldwide healthcare problem. Despite promising outcomes from many preclinical studies, the failure of several clinical studies to identify effective therapeutic and pharmacological approaches for TBI suggests that methods to improve the translational potential of preclinical studies are highly desirable. Rodent models of TBI are increasingly in demand for preclinical research, particularly for closed head injury (CHI), which mimics the most common type of TBI observed clinically. Although seemingly simple to establish, CHI models are particularly prone to experimental variability. Promisingly, bioengineering-oriented research has advanced our understanding of the nature of the mechanical forces and resulting head and brain motion during TBI. However, many neuroscience-oriented laboratories lack guidance with respect to fundamental biomechanical principles of TBI. Here, we review key historical and current literature that is relevant to the investigation of TBI from clinical, physiological and biomechanical perspectives, and comment on how the current challenges associated with rodent TBI models, particularly those involving CHI, could be improved.
AbstractList Traumatic brain injury (TBI) is a major worldwide healthcare problem. Despite promising outcomes from many preclinical studies, the failure of several clinical studies to identify effective therapeutic and pharmacological approaches for TBI suggests that methods to improve the translational potential of preclinical studies are highly desirable. Rodent models of TBI are increasingly in demand for preclinical research, particularly for closed head injury (CHI), which mimics the most common type of TBI observed clinically. Although seemingly simple to establish, CHI models are particularly prone to experimental variability. Promisingly, bioengineering-oriented research has advanced our understanding of the nature of the mechanical forces and resulting head and brain motion during TBI. However, many neuroscience-oriented laboratories lack guidance with respect to fundamental biomechanical principles of TBI. Here, we review key historical and current literature that is relevant to the investigation of TBI from clinical, physiological and biomechanical perspectives, and comment on how the current challenges associated with rodent TBI models, particularly those involving CHI, could be improved.
Traumatic brain injury (TBI) is a major worldwide healthcare problem. Despite promising outcomes from many preclinical studies, the failure of several clinical studies to identify effective therapeutic and pharmacological approaches for TBI suggests that methods to improve the translational potential of preclinical studies are highly desirable. Rodent models of TBI are increasingly in demand for preclinical research, particularly for closed head injury (CHI), which mimics the most common type of TBI observed clinically. Although seemingly simple to establish, CHI models are particularly prone to experimental variability. Promisingly, bioengineering-oriented research has advanced our understanding of the nature of the mechanical forces and resulting head and brain motion during TBI. However, many neuroscience-oriented laboratories lack guidance with respect to fundamental biomechanical principles of TBI. Here, we review key historical and current literature that is relevant to the investigation of TBI from clinical, physiological and biomechanical perspectives, and comment on how the current challenges associated with rodent TBI models, particularly those involving CHI, could be improved.Traumatic brain injury (TBI) is a major worldwide healthcare problem. Despite promising outcomes from many preclinical studies, the failure of several clinical studies to identify effective therapeutic and pharmacological approaches for TBI suggests that methods to improve the translational potential of preclinical studies are highly desirable. Rodent models of TBI are increasingly in demand for preclinical research, particularly for closed head injury (CHI), which mimics the most common type of TBI observed clinically. Although seemingly simple to establish, CHI models are particularly prone to experimental variability. Promisingly, bioengineering-oriented research has advanced our understanding of the nature of the mechanical forces and resulting head and brain motion during TBI. However, many neuroscience-oriented laboratories lack guidance with respect to fundamental biomechanical principles of TBI. Here, we review key historical and current literature that is relevant to the investigation of TBI from clinical, physiological and biomechanical perspectives, and comment on how the current challenges associated with rodent TBI models, particularly those involving CHI, could be improved.
Author Cheng, Wai Hang
Cripton, Peter A.
Wellington, Cheryl L.
Good, Craig
Namjoshi, Dhananjay R.
Panenka, William
Richards, Darrin
AuthorAffiliation 3 Department of Psychiatry, University of British Columbia, Vancouver, BC V6T 2A1, Canada
5 Departments of Mechanical Engineering and Orthopaedics, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
2 Collision Analysis Ltd, 43 Skyline Crescent NE, Calgary, AB T2K 5X2, Canada
1 Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC V5Z 4H4, Canada
4 Synaptic Analysis Consulting Group, Inc., 820 W. Broadway, Suite 202, Vancouver, BC V5Z 1J8, Canada
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/24046354$$D View this record in MEDLINE/PubMed
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Snippet Traumatic brain injury (TBI) is a major worldwide healthcare problem. Despite promising outcomes from many preclinical studies, the failure of several clinical...
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StartPage 1325
SubjectTerms Amnesia
Biomechanical Phenomena
Biomechanics
Brain Injuries - therapy
Brain research
Concussion
Consciousness
Deformation
Engineering
Fainting
Glasgow Coma Scale
Head injuries
Humans
Intracranial pressure
Metabolism
Models, Biological
Review
Traumatic brain injury
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Title Towards clinical management of traumatic brain injury: a review of models and mechanisms from a biomechanical perspective
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Volume 6
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