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The physics of diffuse axonal injury Given our understanding of the rotational nature of diffuse axonal injury, it is now possible for us to take what we learned about levers and rotational motion in the previous chapters and apply that knowledge here to help us understand how a punch to the chin ends up stretching and damaging axons in the brainstem and throughout the brain. The first step in this process is the punch. This punch must meet a minimum energy requirement because we will be causing structural damage to axons in the brain. This punch must also meet a minimum momentum requirement because we need to spin the whole head around to damage those axons. Considering what we know about knockout punches and how boxers train, it is relatively safe to say that meeting the minimum energy requirement is not difficult, but meeting the minimum momentum requirement is. Fast punches are important strategically, but increasing the effective mass behind your punches is what gives your punch the ability to lay your opponent out on the mat. Figure 5-2. The process of diffuse axonal injury from punch to axon stretching. Left: The punch hits your opponent. Center: The punch rotates your opponentβs head around an axis located in the neck. Right: Axons located a small distance from the axis of rotation become stretched as one end of the axon travels around the axis of rotation. This story takes us from the fist to the axon, but there is still something missing. We turn our heads left and right every day, sometimes very rapidly, so what makes a punch so special? The science is still too young to be sure, but I will speculate that the peak of the force curve (figure 5-3) is typically where the axon gets rapidly extended to its natural limit, but the tail of the force curve is where the axons are damaged. The primary reason for this speculation is the empirical knowledge that pushing off the back foot is essential for a good knockout punch. Boxers and martial artists from all styles stress the importance of this push to the success of a punch. Some strikes, such as a front-hand palm strike or a square-shouldered wing chun punch, for which a back-foot push is impossible, will still generate the same long-tail force profile in figure 5-3 by making contact before the arm is fully extended and using the muscles in the arm to apply force by continuing the extension. The same profile appears when athletes tackle each other in other contact sports. There is an initial peak force at the moment of collision, but the legs continue to push after the initial peak.
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Jason Thalken (Fight Like a Physicist: The Incredible Science Behind Martial Arts (Martial Science))