A review of research on brain trauma mechanisms operative during head
impact is presented from a clinically relevant biomechanical perspecti
ve. Emphasis is placed on microscopic mechanisms, gleaned from isolate
d neural tissue and cellular biomechanics research, and their relation
to macro sale mechanisms observed in head injury victims and in exper
imental physical model experiments. Experimental and clinico-pathologi
c research, past and ongoing, substantiating the centripetal theory fo
r concussive brain injury is also reviewed in the context of recent ad
vancements in computations biomechanics of head injury brought about b
y the expanding availability of high speed super computers and brain i
maging. A synopsis of our current computational research activities in
head impact simulation is presented and some preliminary results are
cited.