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There is a paucity of data regarding the potential for pediatric cervical spine injury as a result of acceleration of the head with no direct impact during automotive crashes. Sled tests were conducted using a 3-year-old anthropomorphic test device (ATD) to investigate the effect of restraint type and crash severity on the risk of pediatric inertial neck injury. At higher crash severities, the ATD restrained by only the vehicle three-point restraints sustained higher peak neck tension, peak neck extension and flexion moments, neck injury criterion (Nij) values, peak head accelerations, and HIC values compared to using a forward-facing child restraint system (CRS). The injury assessment reference values (IARVs) for peak tension and Nij were exceeded in all 48 and 64 kph delta-V tests using any restraint type.

Previous literature has shown that serious neck injury can occur during rollover events, even for restrained occupants, when the occupant's head contacts the vehicle interior during a roof-to-ground impact or contacts the ground directly through an adjacent window opening. Confusion about the mechanism of these injuries can result when the event is viewed from an accelerated reference frame such as an onboard camera. Researchers generally agree that the neck is stressed as a result of relative motion between head and torso but disagree as to the origin of the neck loading. This paper reviews the principles underlying the analysis of rollover impacts to establish a physical basis for understanding the source of disagreement and demonstrates the usefulness of physical testing to illustrate occupant impact dynamics. A series of rollover impacts has been performed using the Controlled Rollover Impact System (CRIS) with both production vehicles and vehicles with modified roof structures.