Injuries produced by standard three point restraint systems with retractors will be compared between cadavers in laboratory simulated collisions at 30 mph barrier equivalent speed and lap and shoulder belted front seat occupants in real world frontal collisions of '73-'75 full sized cars. Tests conducted at SwRI with belted, unembalmed, fresh cadavers have resulted in extremely severe thoracic and cervical injuries, including multiple rib fractures, fractures of the sternum, clavicle and cervical vertebrae. On the other hand, injury data from a national accident investigation study to evaluate the effectiveness of restraints in late model passenger cars indicates that such injuries in real world crashes of equivalent severity are not always observed. The reasons possible for these differences are discussed. Both programs at SwRI are funded by the National Highway Traffic Safety Administration.