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This study explores the dynamics of head and cervical spine impact with the specific goals of determining the effects of head inertia and impact surface on injury risk. Head impact experiments were performed using unembalmed head and neck specimens from 22 cadavers. These included impacts onto compliant and a rigid surfaces with the surface oriented to produce both flexion and extension attitudes. Tests were conducted using a drop track system to produce impact velocities on the order of 3.2 m/s. Multiaxis transduction recorded the head impact forces, head accelerations, and the reactions at T1. The tests were also imaged at 1000 frames/sec. Injuries occurred 2 to 30 msec following head impact and prior to significant head motion. Head motions were not found to correlate with injury classification. Decoupling was observed between the head and T1, resulting in a lag in the force histories.

Basilar skull fractures comprise a broad category of injuries that have been attributed to a variety of causal mechanisms including mandibular impacts. The objective of this work is to develop an understanding of the biomechanical mechanisms that result in basilar skull fractures when the head is subject to a mandibular impact. In the characterization of the injury mechanism, two experimental studies have been performed. The first study evaluated the tolerance of the mandible subject to midsymphysis loading on the mental protuberance (chin). Five dynamic impacts using a vertical drop track and one quasi-static test in a servo-hydraulic test frame have been performed. Impact surfaces were varied to assess the influence of loading rate. The mean mandibular fracture tolerance among the six tests was 5270 ± 930 N and appears insensitive to loading rate. In each test, clinically relevant mandibular fractures were produced. No basilar skull fractures were observed.

The objective of the study was to investigate the biomechanical response of the intact cranium. Unembalmed human cadavers were used in the study. The specimens were transected at the base of the skull leaving the intracranial contents intact; x-ray and computed tomography (CT) scans were obtained. They were fixed in a specially designed frame at the auditory meatus level and placed on the platform of an electrohydraulic testing device via a six-axis load cell. Following radiography, quasistatic loading to failure was applied to one of the following sites: frontal, vertex, parietal, temporal, or occipital. Retroreflective targets were placed in two mutually orthogonal planes to record the localized temporal kinematics. Applied load and piston displacement, and the output generalized force (and moment) histories were recorded using a modular digital data acquisition system. After the test, x-ray and CT images were obtained, and defleshing was done.

Head injury is a serious threat to lives of people working around farm machinery. The consequence of head injuries are costly, paralytic, and often fatal. Clinical and biomechanical data on head injuries are reviewed and their application in the analysis of head injury risk associated with farm tractor discussed. A significant proportion of tractor-related injuries and deaths to adults, as well as children, is due directly or indirectly to head injury. An improved injury reporting program and biomechanical studies of human response to tractor rollover, runover, and falls, are needed to understand mechanisms of the associated head injury.

One of the leading causes of death and disability among young children is motor vehicle accidents. Although current child restraint systems (car seats) have significantly reduced mortality and morbidity, deaths and injuries still occur. Since it is not possible to correlate human child injury potential with the biomechanical devices used for high level impact testing using experimental methods, the acquisition and analysis of specific child injury data identifiable with real world automobile crashes is critical for input to biomechanical research, anthropometric test device (ATD) development and safety standard revisions. The purpose of this study was to analyze vehicular-related trauma that had occurred to children in known crash environments based on accident configuration and car seat design.

The automotive safety community has grown increasingly aware of the societal costs of injury impairment and disability resulting from automobile accidents. A significant portion of this impairment can be attributed to lower extremity trauma. An accident data study was conducted to determine lower extremity injury frequencies and mechanisms for restrained front-seat occupants in frontal collisions. A query of the 1988-1990 NASS (National Accident Sampling System) data provided information on pelvis, femur, knee, leg, and ankle and foot injuries. Age, gender, seating position, and delta-V were examined for their effect on the data. Lower extremity injury data were compared with injury data of similar severity (AIS ≥ 2) for the head, chest, thorax, and abdomen. The NASS data was supplemented with injury impairment information which, combined with anthropomorphic and biomechanical data, provides a prioritization scheme for the design of dummy lower extremities and instrumentation.

The passive combined flexion and axial loading responses of the unembalmed human cervical spine were measured in a dynamic test environment. The influence of end condition (the degree of constraint imposed on the head by the contact surface) was varied to determine its effect on observed column stiffness and on failure modes of the cervical spine. Multi-axis load cells were used to completely describe the forces and moments developed in the specimen. Twenty three specimens were studied. The Hybrid III neckform performance was assessed to determine its suitability as a mechanical simulator of the neck during head impact. Changes in end condition produced significant changes in axial stiffness in both the Hybrid III neckform and the cadaver neck. The mode of injury also varied as a function of end condition in a repeatable fashion. Separation of injuries based upon imposed end condition identified groups with significantly different axial load to failure.

The passive torsional responses of the human cervical spine were investigated using unembalmed cervical spines in a dynamic test environment. Kinematic constraints were designed to simulate in vivo conditions. A physiologic axis of twist was determined based on a minimum energy hypothesis. Six-axis load cells completely described the resultant forces. Results include viscoelastic responses, moment-angle curves, and piece-wise linear stiffness. The Hybrid III ATD neckform was also tested, and its responses compared with the human. The Hybrid III neckform was stiffer than the human, was more rate sensitive than the human, and unlike the human, was relatively insensitive to the axis of twist. A rotational element to improve the biofidelity of the Hybrid III neckform in rotation was developed, and the results presented.

The lateral, anterior and posterior passive bending responses of the human cervical spine were investigated using unembalmed cervical spinal elements obtained from cadavers. Bending stiffness was measured in six modes ranging from tension-extension through compression-flexion. Viscoelastic responses studied included relaxation, cyclic conditioning and constant velocity deformation. A five-axis load cell was used to measure the applied forces. Results include moment-angle curves, relaxation moduli and the effect of cyclic conditioning on bending stiffness. The Hybrid III ATD neckform was also tested and its responses are compared with the human. It was observed that the Hybrid III neckform was more rate sensitive than the human, that mechanical conditioning changed the stiffness of the human specimens significantly, and that changing the end condition from pinned-pinned to fixed-pinned increased the stiffness by a large factor.

Lower limb injuries among motor vehicle occupants are relatively common and are one of the principle causes of permanent disability. The author has reviewed the current literature and his own experience as an orthopaedic surgeon and research accident investigator concerning lower limb injuries among motor vehicle occupants. An unreported series of knee, thigh, hip, pelvis injuries with indepth accident investigation is reported. Incidence rates for specific injury diagnoses are not available. Gross tabulations reveal that lower limb injury is second only to head injury in frequency among injured motor vehicle occupants. Lower limb injuries are possibly the commonest cause of permanent disability and impairment resulting from motor vehicle accidents.

The FMVSS were established to provide the public with uniform safety equipment and design standards based on sound research. Ongoing evaluation is essential to maintain the effectiveness and safety of FMVSS and to ensure that current technology is incorporated in standards development. Serious injury (AIS 3 or greater) reporting by NASS should be upgraded to facilitate standards evaluation and development. Although cost effectiveness is a mandated criteria for standards evaluation, the protection of human life and limb must remain the principle criteria for measuring effectiveness. A citizen's advisory panel, similar to the NMVSAC should be established to assist NHTSA in establishing priorities for standards evaluation, development and promulgation.

Time-varying compressive loading was applied to unembalmed human cervical spines using an MTS closed-loop hydraulic testing machine. Load programs included relaxation, cyclic loading, variable rate constant velocity loading (0.13-64 cm/sec), and constant velocity loading to failure. The failures produced were similar to those observed clinically. A generalized quasi-linear viscoelastic Maxwell-Weichert model incorporating a continuous relaxation spectrum was developed to predict the relaxation and constant velocity test responses. The fit was adequate considering the complexity of the structure involved.

In a crash, impact against the steering assembly can be a major cause of serious and fatal injury to drivers. But the interrelationship between injury protection and factors of surface area, configuration, padding, relative position of the spokes, and number and stiffness of spokes and rim is not clear. This paper reports a series of high-G sled tests conducted with anesthetized animal subjects in 30 mph impacts at 30 G peaks. A total of eight tests were conducted, five utilizing pig subjects, one a female chimpanzee, one an anthropomorphic dummy, and one test with no subject. Instrumentation included closed circuit TV, a tri-axial load cell mounted between the steering wheel and column, seat belt load measurement, six Photo-Sonics 1000 fps motion picture cameras, and poloroid photography. Medical monitoring pre, during and post-impact was followed by gross and microscopic tissue examination.

Accurate data on the body dimensions of truck drivers are needed and such data are not presently available. This paper provides basic source data and an anthropometrical overview of the usefulness and limitations of existing data bases; discusses the influence of population factors, including age, sex, and demographic variables; and reviews population sampling problems. Heavy truck drivers as a whole appear to represent a physically different population from that of either the U.S. general population or other professional groups. Future anthropometric surveys must provide information for improved accommodation for the increasing range of physical size of users, and for obtaining data more useful to engineers involved in heavy truck interior cab design.

Because of its flexibility and structure, the cervical spine is disposed to various mechanisms of injury: although not so common as injuries caused by head impacts, cervical fractures and/or fracture-dislocations have been reported without direct impact to the head. Some cervical injuries reported have been sustained by wearers of lap and shoulder belts in auto accidents; however, we do not consider belt use a potential hazard because ample evidence has accrued in the medical and engineering literature to document general injury and fatality reduction by use of seatbelts. We believe that in many instances occupants would be more seriously injured or killed were belts not worn. The present paper reviews reports of cervical injuries without head impact found in the literature and case histories of such injuries from the Highway Safety Research Institute of The University of Michigan, as well as experimental studies in animals, cadavers, and volunteer subjects.

Whiplash is a poorly defined term including ligamentous and muscle strains, hematomas, disc injuries, and less frequently, brain, eye and ear injuries. Diagnosis is difficult because clinical signs and Xrays, electromyography and electroencephalography findings are few. Protection and rest will cure most patients within a year but approximately 2/5th of patients have permanent symptoms and disability. Rear-end impact accidents cause the head and neck to hyperextend over the seat back. Whiplash occurs in 38% of exposed occupants. Head rests give protection but differential rebound may occur producing injurious hyperextension and whiplash. The larynx, trachea and esophagus, in front of the spine, are injured by impact against the dash or steering wheel. Airway obstruction may occur and cause death if not restored quickly. Permanent disability can occur because of scarring and partial airway or esophageal obstruction or vocal cord damage.

This paper presents an analysis of 67 neck injuries incurred in diving and sliding accidents in swimming pools. The accidents were investigated to establish the appropriate medical and mechanical factors involved. A mathematical model was developed to allow the prediction of the trajectory and velocity of the subjects prior to their injury. Nine of the accidents were selected for real life simulation. The simulation included the selection of test subjects of similar physical build to the accident victims who then performed the maneuvers leading to the injury, but in deeper water. High speed movies (200 frames per second) were taken, above and below the water, to measure the motion. A frame by frame analysis provided data to determine the trajectory and velocity profiles of the test subject. The maneuvers studied included diving from the pool edge, diving from various board types and sliding down various sliding board configurations.

Business and executive aviation represent a combined total of over 40% of the general aviation fleet, but (1977) accounted for only 8.37% of all general aviation accidents recorded. During the period 1964-1977 some 7,351 aircraft engaged in business flying, and 883 in corporate/executive operations, were involved in accidents reported by the NTSB. These accidents were reviewed utilizing the University of Michigan Computerized Accident Files to provide an overall view of the incidence and nature of business/executive aircraft accidents relative to occupant crash injuries. In addition more detailed case studies of selected accidents investigated including a Lear Jet 25B, Cessna 421, Beech Volpar Model 18, and Ted Smith Aerostar 601, are provided to illustrate specific types of crashworthiness, occupant protection, or post-crash emergency egress findings applicable to business/executive operations. Post-crash fire was reported in 29 cases (16.3%) during the 3-year period (1975-1977).

Statistics indicate that during the past decade (1967-1976) the number of general aviation aircraft involved in an accident is equivalent to at least 38% of the total U.S. production during that period. Estimates that an aircraft will be involved in an accident over a 20 year life range are as high as 60-70%. Recognition of this probability has led to crashworthiness and occupant survivability “packaging” design concepts as offering the most realistic approach to reduction of serious and fatal injuries when an accident occurs. This paper reviews and illustrates current general aviation aircraft accident experience relative to occupant impact injury and damage indexes, and provides new data relative to current-generation aircraft.

A study of free-fall accidents and resulting injuries was conducted to determine how useful these types of data could be in establishing human injury tolerance limits. “Tolerance” was examined primarily for children at two levels - reversible injury and threat to survival. The specific objectives were to investigate specific free-falls in sufficient depth to permit biomedical or mathematical reconstruction of the fall, simulate selected free-falls to estimate impact response, and compare predicted responses with observed injuries as a means of estimating human tolerance levels. From more than 2100 reported free-falls, 110 were investigated on-site. Seven head-first and three feet-first falls were then simulated using the MVMA 2-D Crash Victim Simulator. Newspaper reports of free-falls showed that males fell six times as often as females and most often while at work. Children fell from windows and balconies more often than from any other hazard.