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A comparative study between belted rollover occupants who did and did not receive head injuries from roof contact was conducted using the National Accident Sampling System (NASS) database. The main objective was to determine if headroom reduction increases the risk of head injury. Headroom was determined for 155 belted occupants involved in rollover crashes of vehicles which were then weighted to make them representative of national estimates. Results showed that headroom was reduced more in those crashes where the occupant had head injuries than in cases where there were no head injuries. It was concluded that the risk of head injury increased with reduced headroom. Furthermore, it was observed that when the initial headroom was higher, the incidence of head injury was reduced.

Rear seat adult occupant protection is receiving increased attention from the automotive safety community. Recent anthropomorphic test device (ATD) studies have suggested that it may be possible to improve kinematics and reduce injuries to rear seat occupants in frontal collisions by incorporating shoulder-belt force-limiting and pretensioning (FL+PT) technologies into rear seat 3-point belt restraints. This study seeks to further investigate the feasibility and potential kinematic benefits of a FL+PT rear seat, 3-point belt restraint system in a series of 48 kmh frontal impact sled tests (20 g, 80 ms sled acceleration pulse) performed with post mortem human surrogates (PMHS). Three PMHS were tested with a 3-point belt restraint with a progressive (two-stage) force limiting and pretensioning retractor in a sled buck representing the rear seat occupant environment of a 2004 mid-sized sedan.