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Current recommendations for restraining child occupants are based on biomechanical testing and data from national and international field studies primarily conducted prior to 2011. We hypothesized that analysis to identify factors associated with pediatric injury in motor-vehicle crashes using a national database of more recent police-reported crashes in the United States involving children under age 13 where type of child restraint system (CRS) is recorded would support previous recommendations. Weighted data were extracted from the National Automotive Sampling System General Estimates System (NASS-GES) for crash years 2010 to 2015. Injury outcomes were grouped as CO (possible and no injury) or KAB (killed, incapacitating injury, non-incapacitating injury). Restraint was characterized as optimal, suboptimal, or unrestrained based on current best practice recommendations. Analysis used survey methods to identify factors associated with injury.

The aging population is a growing concern as the increased fragility and frailty of the elderly results in an elevated incidence of injury as well as an increased risk of mortality and morbidity. To assess elderly injury risk, age-specific computational models can be developed to directly calculate biomechanical metrics for injury. The first objective was to develop an older occupant Global Human Body Models Consortium (GHBMC) average male model (M50) representative of a 65 year old (YO) and to perform regional validation tests to investigate predicted fractures and injury severity with age. Development of the GHBMC M50 65 YO model involved implementing geometric, cortical thickness, and material property changes with age. Regional validation tests included a chest impact, a lateral impact, a shoulder impact, a thoracoabdominal impact, an abdominal bar impact, a pelvic impact, and a lateral sled test.

Eight whole fresh-frozen cadavers (6 female, 2 male) that were elderly and/or female were laterally impacted using UMTRI's dual-sled side-impact test facility. Cadavers were not excluded on the basis of old age or bone diseases that affect tolerance. A thinly padded, multi-segment impactor was used that independently measured force histories applied to the shoulder, thorax, abdomen, greater trochanter, iliac wing, and femur of each PMHS. Impactor plates were adjusted vertically and laterally toward the subject so that contact with body regions occurred simultaneously and so that each segment contacted the same region on every subject. This configuration minimized the effects of body shape on load sharing between regions. Prior to all tests, cadavers were CT scanned to check for pre-existing skeletal injuries. Cadavers were excluded if they had pre-existing rib fractures or had undergone CPR.

The NASS-CDS (1998-2008) and CIREN datasets were analyzed to identify factors contributing to abdominal injury in crash environments where belt use and airbag deployment are common. In frontal impacts, the percentage of occupants sustaining abdominal injury is three times higher for unbelted compared to belted front-row adult occupants (p≺0.0001) at both AIS2+ and AIS3+ injury levels. Airbag deployment does not substantially affect the percentage of occupants who sustain abdominal injuries in frontal impacts (p=0.6171), while belt use reduces the percentage of occupants sustaining abdominal injury in both nearside and farside crashes (p≺0.0001). Right-front passengers in right-side impacts have the highest risk (1.91%) of AIS 3+ abdominal injury (p=0.03). The percentage of occupants with AIS 3+ abdominal injuries does not vary with age for frontal, nearside, or farside impacts.

The objectives of this study were to examine the response, repeatability, and injury predictive ability of the Hybrid III small-female dummy to static out-of-position (OOP) deployments using a depowered driver-side airbag. Five dummy tests were conducted in two OOP configurations by two different laboratories. The OOP configurations were nose-on-rim (NOR) and chest-on-bag (COB). Four cadaver tests were conducted using unembalmed small-female cadavers and the same airbags used in the dummy tests under similar OOP conditions. One cadaver test was designed to increase airbag loading of the face and neck (a forehead-on-rim, or FOR test). Comparison between the dummy tests of Lab 1 and of Lab 2 indicated the test conditions and results were repeatable. In the cadaver tests no skull fractures or neck injuries occurred. However, all four cadavers had multiple rib fractures.

A finite element (FE) model with knee-thigh-hip (KTH) and lower-extremity muscles has been developed to study the potential effects of muscle tension on KTH injuries due to knee bolster loadings in frontal crashes. This model was created by remeshing the MADYMO human lower-extremity FE model to account for regional differences in cortical bone thickness, trabecular bone, cortical bone with directionally dependent mechanical properties and Tsai-Wu failure criteria, and articular cartilage. The model includes 35 Hill-type muscles in each lower extremity with masses based on muscle volume. The skeletal response of the model was validated by simulating biomechanical tests without muscle tension, including cadaver skeletal segment impact tests documented in the literature as well as recent tests of seated whole cadavers that were impacted using knee-loading conditions similar to those produced in FMVSS 208 testing.

The biomechanical behavior of a harness style 4-point seat belt system in farside impacts was investigated through dummy and post mortem human subject tests. Specifically, this study was conducted to evaluate the effect of the inboard shoulder belt portion of a 4-point seat belt on the risk of vertebral and soft-tissue neck injuries during simulated farside impacts. Two series of sled tests simulating farside impacts were completed with crash dummies of different sizes, masses and designs to determine the forces and moments on the neck associated with loading of the shoulder belt. The tests were also performed to help determine the appropriate dummy to use in further testing. The BioSID and SID-IIs reasonably simulated the expected kinematics response and appeared to be reasonable dummies to use for further testing. Analysis also showed that dummy injury measures were lower than injury assessment reference values used in development of side impact airbags.

A method has been developed to identify and document the locations of rib fractures from two-dimensional CT images obtained from occupants of crashes investigated in the Crash Injury Research Engineering Network (CIREN). The location of each rib fracture includes the vertical location by rib number (1 through 12), the lateral location by side of the thorax (inboard and outboard), and the circumferential location by five 36-degree segments relative to the sternum and spine. The latter include anterior, anterior-lateral, lateral, posterior-lateral, and posterior regions. 3D reconstructed images of the whole ribcage created from the 2D CT images using Voxar software are used to help identify fractures and their rib number. A geometric method for consistently locating each fracture circumferentially is described.

Children who are too large for harness restraints but too small to obtain good restraint from a vehicle seatbelt alone should be seated in a belt-positioning booster. Boosters have been shown to significantly reduce abdominal injuries caused by seatbelts. This effectiveness may be due in part to the fact that boosters reduce the effective seat cushion length, allowing children to sit more comfortably without slouching. NHTSA recommends that children who do not use harness restraints use boosters until they are at least 145 cm tall. In this paper, data from several sources were combined to assess how well children fit on rear seat cushions. Data from NASS-GES were analyzed to determine the age distribution of rear-seat occupants. Anthropometric data from several sources were analyzed to determine the distribution of buttock-popliteal length, a measure of thigh length that is a key determinant of seat fit, as a function of age and gender.

The biomechanical behavior of 4-point seat belt systems was investigated through MADYMO modeling, dummy tests and post mortem human subject tests. This study was conducted to assess the effect of 4-point seat belts on the risk of thoracic injury in frontal impacts, to evaluate the ability to prevent submarining under the lap belt using 4-point seat belts, and to examine whether 4-point belts may induce injuries not typically observed with 3-point seat belts. The performance of two types of 4-point seat belts was compared with that of a pretensioned, load-limited, 3-point seat belt. A 3-point belt with an extra shoulder belt that “crisscrossed” the chest (X4) appeared to add constraint to the torso and increased chest deflection and injury risk. Harness style shoulder belts (V4) loaded the body in a different biomechanical manner than 3-point and X4 belts.

… The pattern of left- and right-side hip injuries to front-seat occupants involved in offset and angled frontal crashes suggests that hip posture (i.e., the orientation of the femur relative to the pelvis) affects the fracture/dislocation tolerance of the hip joint to forces transmitted along the femur during knee-to-knee-bolster loading in frontal impacts. To investigate this hypothesis, dynamic hip tolerance tests were conducted on the left and right hips of 22 unembalmed cadavers. In these tests, the knee was dynamically loaded in the direction of the long axis of the femur and the pelvis was fixed to minimize inertial effects. Thirty-five successful hip tolerance tests were conducted. Twenty-five of these tests were performed with the hip oriented in a typical posture for a seated driver, or neutral posture, to provide a baseline measure of hip tolerance. The effects of hip posture on hip tolerance were quantified using a paired-comparison experimental design.

Late model passenger cars and light trucks incorporate occupant protection systems with airbags and knee restraints. Knee restraints have been designed principally to meet the unbelted portions of FMVSS 208 that require femur load limits of 10-kN to be met in barrier crashes up to 30 mph, +/- 30 degrees utilizing the 50% male Anthropomorphic Test Device (ATD). In addition, knee restraints provide additional lower-torso restraint for belt-restrained occupants in higher-severity crashes. An analysis of frontal crashes in the University of Michigan Crash Injury Research and Engineering Network (UM CIREN) database was performed to determine the influence of vehicle, crash and occupant parameters on knee, thigh, and hip injuries. The data sample consists of drivers and right front passengers involved in frontal crashes who sustained significant injuries (Abbreviated Injury Scale [AIS] ≥ 3 or two or more AIS ≥ 2) to any body region.

Based on an analysis of the National Automotive Sampling System (NASS) database from calendar years 1995-2000, over 30,000 fractures and dislocations of the knee-thigh-hip (KTH) complex occur in frontal motor-vehicle crashes each year in the United States. This analysis also shows that the risk of hip injury is generally higher than the risks of knee and thigh injuries in frontal crashes, that hip injuries are occurring to adult occupants of all ages, and that most hip injuries occur at crash severities that are equal to, or less than, those used in FMVSS 208 and NCAP testing. Because previous biomechanical research produced mostly knee or distal femur injuries, and because knee and femur injuries were frequently documented in early crash investigation data, the femur has traditionally been viewed as the weakest part of the KTH complex.

The National Highway Traffic Safety Administration and the University of Michigan Transportation Institute are investigating truck design countermeasures to provide safety benefits during collisions with light vehicles. The goal is to identify approaches that would best balance costs and benefits. This paper outlines the first phase of this study, an analysis of two-vehicle, truck/light vehicle crashes from 1996 through 1998 using several crash data bases to obtain a current description and determine the scope of the aggressivity problem. Truck fronts account for 60% of light vehicle fatalities in collisions with trucks. Collision with the front of a truck carries the highest probability of fatal (K) or incapacitating (A) injury. Truck sides account for about the same number of K and A-injuries combined as truck fronts, though injury probability is substantially lower than in crashes involving the front of a truck.

Recent crash data was used to evaluate the safety performance of drivers who transport children. The age difference between drivers and children was found to be an important predictor of crash-related driving behavior and choices. Also, certain driver behaviors and choices when transporting children were identified as creating elevated risk. This study provides information that parents might use to reduce risk when their children are riding with other drivers. The results may also be of interest to professionals concerned with graduated licensing and the establishment and enforcement of laws relating to child endangerment such as drinking and driving with child passengers.

For the 1997 data year, UMTRI's Center for National Truck Statistics collected data on rear underride as part of its Trucks Involved in Fatal Accidents (TIFA) survey. Data collected included whether the truck had a rear underride guard, whether the striking vehicle underrode the truck, and how much underride occurred. A primary goal was to evaluate rear underride of straight trucks. Overall, 453 medium and heavy trucks were struck in the rear by a nontruck vehicle in a fatal crash in 1997. Some underride occurred in at least 272 (60.0%) of the rear-end crashes. For straight trucks, there was some underride in 77 (52.0%) of the crashes, no underride occurred in 43 (29.1%) of the fatal rear-end crashes, and underride could not be determined in the remaining 28 (18.9%) straight truck rear-end crashes. Despite the fact that three-fourths of tractor combinations had an underride guard on the trailer, underride was more common for tractor combinations.

The factors that influence airbag-induced upper-extremity injuries sustained by drivers were investigated in this study. Seven unembalmed human cadavers were used in nineteen direct-forearm-interaction static deployments. A single horizontal-tear-seam airbag module and two different inflators were used. Spacing between the instrumented forearm and the airbag module was varied from 10 cm to direct contact in some tests. Forearm-bone instrumentation included triaxial accelerometry, crack detection gages, and film targets. Internal airbag pressure was also measured. The observed injuries were largely transverse, oblique, and wedge fractures of the ulna or radius, or both, similar to those reported in field investigations. Tears of the elbow joint capsule were also found, both with and without fracture of the forearm.

In a review of 540 crashes in which the steering-wheel airbag deployed, 38% of the drivers sustained some level of upper extremity injury. The majority of these were AIS-1 injuries including abrasions, contusions and small lacerations. In 18 crashes the drivers sustained AIS-2 or-3 level upper extremity injuries, including fractures of the radius and/or ulna, or of the metacarpal bones, all related to airbag deployments. It was determined that six drivers sustained the fracture(s) directly from the deploying airbag or the airbag module cover. The remaining 12 drivers had fractures from the extremity being flung into interior vehicle structures, usually the instrument panel. Most drivers were taller than 170 cm and, of the 18 drivers, 10 were males.

To determine the frequency of facial injuries from steering-wheel airbag deployments, 540 consecutive steering-wheel airbag deployments, investigated by the University of Michigan Transportation Research Institute (UMTRI) personnel, were reviewed. About 1 in 3 drivers sustain an injury to the face. Injuries to the area surrounding the eye (periorbital) or to the eyeball (ocular) rarely occur. The frequencies of facial or ocular injuries are the same for belted and unbelted drivers. Drivers of short stature had a higher frequency of facial injury. Females sustained ocular injuries more frequently than males. Untethered airbags were not overly involved in drivers with an ocular injury. No specific make or model car were overly represented in the ocular injury cases.

Although driver-side airbag systems provide protection against serious head and chest injuries in frontal impacts, injuries produced by the airbag itself have also been reported. Most of these injuries are relatively minor, and consist primarily of skin abrasions and burns. Previous investigations have addressed the mechanisms of airbag-induced skin abrasion. In the current research, laboratory studies related to the potential for thermal burns due to high-temperature airbag exhaust gas were conducted. A laboratory apparatus was constructed to produce a 10-mm-diameter jet of hot air that was directed onto the leg skin of human volunteers in time-controlled pulses. Skin burns were produced in 70 of 183 exposures conducted using air temperatures ranging from 350 to 550°C, air velocities from 50 to 90 m/s, and exposure durations from 50 to 300 ms.