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Pediatric Anthropomorphic Test Devices (ATDs) are valuable tools for assessing the injury mitigation capability of automotive safety systems. The neck pendulum test is widely used in biofidelity assessment and calibration of the ATD neck, and neck moment vs. angle response requirements are the metrics typically derived from the test. Herein, we describe the basis and methods for modifying the neck pendulum such that it more closely reflects base of the neck accelerations observed by a restrained three-year old ATD in a frontal crash. As a measure of base of the neck acceleration, the x-direction chest acceleration from thirty-one restrained Hybrid III three-year-old ATDs in vehicle frontal crash tests were analyzed. The standard neck pendulum yielded a mean peak acceleration that is 1.2x the peak of vehicle base of the neck accelerations, 1.6x the average, and 0.24x the duration.

On-site, in-depth investigations were conducted on 14 crashes involving 15 children who sustained facial fractures. Of the 23 facial fractures documented, the most frequent were the nose (n=8), orbit (n=6), zygoma/maxilla (n=6), and mandible (n=3). The most frequent contact point of those seated in the rear was the rear of the front seat; of those seated in the front, the instrument panel. 11/15 had sub-optimal torso restraint resulting from placing the shoulder belt behind their back or sitting in a position only equipped with a lap belt. The data suggest that these injuries resulted from high-energy impact with interior vehicle components. Revision to FMVSS 201 to account for vehicle interior structures typically contacted by child occupants and enhancement of pediatric dummies to measure facial impact forces should be considered.