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Injury Risk Curves are developed from cadaver data for sternal deflections produced by anterior, distributed chest loads for a 25, 45, 55, 65 and 75 year-old Small Female, Mid-Size Male and Large Male based on the variations of bone strengths with age. These curves show that the risk of AIS ≥ 3 thoracic injury increases with the age of the person. This observation is consistent with NASS data of frontal accidents which shows that older unbelted drivers have a higher risk of AIS ≥ 3 chest injury than younger drivers.

Three-point restraint systems have been installed in vehicles since the early 1960s. However, it wasn't until the automatic protection rule became effective for 1987 Model Year vehicles that manufacturers began installing 3-point restraints with force-limiting shoulder belts and frontal airbags for the driver and right front passenger. This was the first time that all vehicle manufacturers had to certify that their cars would meet the 50th percentile, adult male protection requirements in the 48 km/h frontal, rigid-barrier test specified in FMVSS 208. To assess the effectiveness of these certified 3-point restraint systems, a search was done of the 1988-2005 NASS data for 3-point belted, front outboard-seated, adult occupants in passenger vehicles that were equipped with airbags and that were involved in frontal, towaway collisions.

Static out-of-position tests were performed to identify the potential for injury as a function of position, airbag type and vehicle seat characteristics. Seat and door mounted airbags, head curtains and head tubes were evaluated. Out-of-position testing was carried out with the Hybrid III 3 year old, 6 year old and the TNO Q3 3 year old child dummies. In-position tests and a dynamic test were conducted to monitor child seat and airbag interactions and to confirm that properly restrained children would not be exposed to undue risk from a deploying side airbag. Results of the out-of-position testing suggest that current side airbag designs may cause serious and/or fatal neck and chest injuries. In-position static testing with child seats suggested a potential for intrusion into the child occupant space leading to structural damage of the car seat.