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Technical Paper

Injury Risk Curves for the Human Cervical Spine from Inferior-to-Superior Loading

2018-11-12
2018-22-0006
Cervical spine injuries can occur in military scenarios from events such as underbody blast events. Such scenarios impart inferior-to-superior loads to the spine. The objective of this study is to develop human injury risk curves (IRCs) under this loading mode using Post Mortem Human Surrogates (PMHS). Twenty-five PMHS head-neck complexes were obtained, screened for pre-existing trauma, bone densities were determined, pre-tests radiological images were taken, fixed in polymethylmethacrylate at the T2-T3 level, a load cell was attached to the distal end of the preparation, positioned end on custom vertical accelerator device based on the military-seating posture, donned with a combat helmet, and impacted at the base. Posttest images were obtained, and gross dissection was done to confirm injuries to all specimens. Axial and resultant forces at the cervico-thoracic joint was used to develop the IRCs using survival analysis.
Technical Paper

Biomechanics of Lumbar Motion-Segments in Dynamic Compression

2017-11-13
2017-22-0001
Recent epidemiology studies have reported increase in lumbar spine injuries in frontal crashes. Whole human body finite element models (FEHBM) are frequently used to delineate mechanisms of such injuries. However, the accuracy of these models in mimicking the response of human spine relies on the characterization data of the spine model. The current study set out to generate characterization data that can be input to FEHBM lumbar spine, to obtain biofidelic responses from the models. Twenty-five lumbar functional spinal units were tested under compressive loading. A hydraulic testing machine was used to load the superior ends of the specimens. A 75N load was placed on the superior PMMA to remove the laxity in the joint and mimic the physiological load. There were three loading sequences, namely, preconditioning, 0.5 m/s (non-injurious) and 1.0 m/s (failure). Forces and displacements were collected using six-axis load cell and VICON targets.
Technical Paper

Human Foot-Ankle Injuries and Associated Risk Curves from Under Body Blast Loading Conditions

2017-11-13
2017-22-0006
Under body blast (UBB) loading to military transport vehicles is known to cause foot-ankle fractures to occupants due to energy transfer from the vehicle floor to the feet of the soldier. The soldier posture, the proximity of the event with respect to the soldier, the personal protective equipment (PPE) and age/sex of the soldier are some variables that can influence injury severity and injury patterns. Recently conducted experiments to simulate the loading environment to the human foot/ankle in UBB events (~5ms rise time) with variables such as posture, age and PPE were used for the current study. The objective of this study was to determine statistically if these variables affected the primary injury predictors, and develop injury risk curves. Fifty below-knee post mortem human surrogate (PMHS) legs were used for statistical analysis. Injuries to specimens involved isolated and multiple fractures of varying severity.
Technical Paper

Biomechanical Response of Military Booted and Unbooted Foot-Ankle-Tibia from Vertical Loading

2016-11-07
2016-22-0010
A new anthropomorphic test device (ATD) is being developed by the US Army to be responsive to vertical loading during a vehicle underbody blast event. To obtain design parameters for the new ATD, a series of non-injurious tests were conducted to derive biofidelity response corridors for the foot-ankle complex under vertical loading. Isolated post mortem human surrogate (PMHS) lower leg specimens were tested with and without military boot and in different initial foot-ankle positions. Instrumentation included a six-axis load cell at the proximal end, three-axis accelerometers at proximal and distal tibia, and calcaneus, and strain gages. Average proximal tibia axial forces for a neutral-positioned foot were about 2 kN for a 4 m/s test, 4 kN for 6 m/s test and 6 kN for an 8 m/s test. The force time-to-peak values were from 3 to 5 msec and calcaneus acceleration rise times were 2 to 8 msec.
Technical Paper

Responses and Injuries to PMHS in Side-Facing and Oblique Seats in Horizontal Longitudinal Sled Tests per FAA Emergency Landing Conditions

2016-11-07
2016-22-0006
The objective of the present exploratory study is to understand occupant responses in oblique and side-facing seats in the aviation environment, which are increasingly installed in modern aircrafts. Sled tests were conducted using intact Post Mortem Human Surrogates (PMHS) seated in custom seats approximating standard aircraft geometry. End conditions were selected to represent candidate aviation seat and restraint configurations. Three-dimensional head center-of-gravity linear accelerations, head angular velocities, and linear accelerations of the T1, T6, and T12 spinous processes, and sacrum were obtained. Three-dimensional kinematics relative to the seat were obtained from retroreflective targets attached to the head, T1, T6, T12, and sacrum. All specimens sustained spinal injuries, although variations existed by vertebral level.
Technical Paper

Oblique Loading in Post Mortem Human Surrogates from Vehicle Lateral ImpactTests Using Chestbands

2015-11-09
2015-22-0001
While numerous studies have been conducted to determine side impact responses of Post Mortem Human Surrogates (PMHS) using sled and other equipment, experiments using the biological surrogate in modern full-scale vehicles are not available. The present study investigated the presence of oblique loading in moving deformable barrier and pole tests. Three-point belt restrained PMHS were positioned in the left front and left rear seats in the former and left front seat in the latter condition and tested according to consumer testing protocols. Three chestbands were used in each specimen (upper, middle and lower thorax). Accelerometers were secured to the skull, shoulder, upper, middle and lower thoracic vertebrae, sternum, and sacrum. Chestband signals were processed to determine magnitudes and angulations of peak deflections. The magnitude and timing of various signal peaks are given. Vehicle accelerations, door velocities, and seat belt loads are also given.
Technical Paper

Dynamic Responses of Intact Post Mortem Human Surrogates from Inferior-to-Superior Loading at the Pelvis

2014-11-10
2014-22-0005
During certain events such as underbody blasts due to improvised explosive devices, occupants in military vehicles are exposed to inferior-to-superior loading from the pelvis. Injuries to the pelvis-sacrum-lumbar spine complex have been reported from these events. The mechanism of load transmission and potential variables defining the migration of injuries between pelvis and or spinal structures are not defined. This study applied inferior-to-superior impacts to the tuberosities of the ischium of supine-positioned five post mortem human subjects (PMHS) using different acceleration profiles, defined using shape, magnitude and duration parameters. Seventeen tests were conducted. Overlay temporal plots were presented for normalized (impulse momentum approach) forces and accelerations of the sacrum and spine.
Technical Paper

Oblique Lateral Impact Biofidelity Deflection Corridors from Post Mortem Human Surrogates

2013-11-11
2013-22-0016
The objective of the study was to determine the thorax and abdomen deflection-time corridors in oblique side impacts. Data were analyzed from Post Mortem Human Surrogate (PMHS) sled tests, certain aspects of which were previously published. A modular and scalable anthropometry-specific segmented load-wall system was fixed to the platform of the sled. Region-specific forces were recorded from load cells attached to the load-wall plates. The thorax and abdomen regions were instrumented with chestbands, and deflection contours were obtained. Biomechanical responses were processed using the impulse-momentum normalization method and scaled to the mid-size male mass, 76-kg. The individual effective masses of the thorax and abdomen were used to determine the scale factors in each sled test, thus using the response from each experiment. The maximum deflections and their times of attainments were obtained, and mean and plus minus one standard deviation corridors were derived.
Technical Paper

Thoraco-Abdominal Deflection Responses of Post Mortem Human Surrogates in Side Impacts

2012-10-29
2012-22-0002
The objective of the present study was to determine the thorax and abdomen deflections sustained by post mortem human surrogate (PMHS) in oblique side impact sled tests and compare the responses and injuries with pure lateral tests. Oblique impact tests were conducted using modular and non-modular load-wall designs, with the former capable of accommodating varying anthropometry. Tests were conducted at 6.7 m/s velocity. Deflection responses from chestbands were analyzed from 15 PMHS tests: five each from modular load-wall oblique, non-modular load-wall oblique and non-modular load-wall pure lateral impacts. The thorax and abdomen peak deflections were greater in non-modular load-wall oblique than pure lateral tests. Peak abdomen deflections were statistically significantly different while the upper thorax deflections demonstrated a trend towards significance.
Technical Paper

Region-Specific Deflection Responses of WorldSID and ES2-re Devices in Pure Lateral and Oblique Side Impacts

2011-11-07
2011-22-0013
The objective of this study was to determine region-specific deflection responses of the WorldSID and ES2-re devices under pure lateral and oblique side impact loading. A modular, anthropometry-specific load wall was used. It consisted of the Shoulder, Thorax, Abdomen, superior Pelvis, and inferior Pelvis plates, termed the STAPP load wall design. The two devices were positioned upright on the platform of a bench seat, and sled tests were conducted at 3.4, 6.7, and 7.5 m/s. Two chestbands were used on each dummy at the thoracic and abdominal regions. Internal sensors were also used. Effective peak deflections were obtained from the chestband contours. Based on the preselected lateral-most point/location on the pretest contour, “internal sensor-type” peak deflections were also obtained using chestband contours. In addition, peak deflection data were obtained from internal sensor records.
Technical Paper

An Operational Definition of Small Overlap Impact for Published NASS Data

2011-04-12
2011-01-0543
The purpose of the study was to identify all small overlap impacts using published coded NASS-CDS data. Three sets of criteria were used: CDC measurements; crush profiles for frontal impacts; and crush profiles for oblique side impacts to the fender component. All criteria were applied to passenger and non-passenger cars and their different vehicle class sizes. Data were analyzed based on fatalities and different levels of MAIS trauma. The overall data set based on CDC codes for 2005 to 2008 NASS-CDS data had 9,206 MAIS=0; 13,522 MAIS=1-2; 3,600 MAIS=3-6; 1,092 MAIS=7; and 961 fatal cases. For the weighted ensemble, these data were: 5,800,295; 4,324,773; 269,042; 219,481; and 44,906 cases, respectively. However, these cases reduced to 1071, 1468, 364, 82, and 87 raw cases with the application of the CDC criteria for frontal impacts.
Technical Paper

Biomechanical and Injury Response to Posterolateral Loading From Torso Side Airbags

2010-11-03
2010-22-0012
This study characterized thoracoabdominal response to posterolateral loading from a seat-mounted side airbag. Seven unembalmed post-mortem human subjects were exposed to ten airbag deployments. Subjects were positioned such that the deploying airbag first contacted the posterolateral thorax between T6 and L1 while stationary (n = 3 x 2 aspects) or while subjected to left lateral sled impact at ΔV = 6.7 m/s (n = 4). Chestband contours were analyzed to quantify deformation direction in the thoracic x-y plane (zero degrees indicating anterior and 180° indicating posterior), magnitude, rate, and viscous response. Skeletal injuries were consistent with posterolateral contact; visceral injuries consisted of renal (n = 1) or splenic (n = 3) lacerations. Deformation direction was transient during sled impact, progressing from 122 ± 5° at deformation onset to 90° following maximum deflection. Angles from stationary subjects progressed from 141 ± 9° to 120°.
Technical Paper

Lower Cervical Spine Loading in Frontal Sled Tests Using Inverse Dynamics: Potential Applications for Lower Neck Injury Criteria

2010-11-03
2010-22-0008
Lower cervical spine injuries are more common in survivors of motor vehicle crashes sustaining neck trauma. Injury criteria are determined using upper neck loads in dummies although a lower neck load cell exists. Due to a paucity of lower neck data from post mortem human subject (PMHS) studies, this research was designed to determine the head-neck biomechanics with a focus on lower neck metrics and injuries. Sixteen frontal impact tests were conducted using five belted PMHS. Instrumentation consisted of a pyramid-shaped nine accelerometer package on the head, tri-axial accelerometer on T1, and uniaxial accelerometer on the sled. Three-dimensional kinematics of the head-neck complex were obtained using a 20-camera high-speed motion analysis system. Testing sequence was: low (3.6 m/s), medium (6.9 m/s), repeat low, and high (15.8 m/s) velocities. Trauma evaluations were made between tests. Testing was terminated upon confirmation of injuries.
Technical Paper

A Finite Element Model of Region-Specific Response for Mild Diffuse Brain Injury

2009-11-02
2009-22-0007
It is well known that rotational loading is responsible for a spectrum of diffuse brain injuries spanning from concussion to diffuse axonal trauma. Many experimental studies have been performed to understand the pathological and biomechanical factors associated with diffuse brain injuries. Finite element models have also been developed to correlate experimental findings with intrinsic variables such as strain. However, a paucity of studies exists examining the combined role of the strain-time parameter. Consequently, using the principles of finite element analysis, the present study introduced the concept of sustained maximum principal strain (SMPS) criterion and explored its potential applicability to diffuse brain injury. An algorithm was developed to determine if the principal strain in a finite element of the brain exceeded a specified magnitude over a specific time interval.
Technical Paper

Experimental Study of Blast-Induced Traumatic Brain Injury Using a Physical Head Model

2009-11-02
2009-22-0008
This study was conducted to quantify intracranial biomechanical responses and external blast overpressures using physical head model to understand the biomechanics of blast traumatic brain injury and to provide experimental data for computer simulation of blast-induced brain trauma. Ellipsoidal-shaped physical head models, made from 3-mm polycarbonate shell filled with Sylgard 527 silicon gel, were used. Six blast tests were conducted in frontal, side, and 45° oblique orientations. External blast overpressures and internal pressures were quantified with ballistic pressure sensors. Blast overpressures, ranging from 129.5 kPa to 769.3 kPa, were generated using a rigid cannon and 1.3 to 3.0 grams of pentaerythritol tetranitrate (PETN) plastic sheet explosive (explosive yield of 13.24 kJ and TNT equivalent mass of 2.87 grams for 3 grams of material).
Technical Paper

Comparison of PMHS, WorldSID, and THOR-NT Responses in Simulated Far Side Impact

2007-10-29
2007-22-0014
Injury to the far side occupant has been demonstrated as a significant portion of the total trauma in side impacts. The objective of the study was to determine the response of PMHS in far side impact configurations, with and without generic countermeasures, and compare responses to the WorldSID and THOR dummies. A far side impact buck was designed for a sled test system that included a center console and three-point belt system. The buck allowed for additional options of generic countermeasures including shoulder or thorax plates or an inboard shoulder belt. The entire buck could be mounted on the sled in either a 90-degree (3-o'clock PDOF) or a 60-degree (2-o'clock PDOF) orientation. A total of 18 tests on six PMHS were done to characterize the far side impact environment at both low (11 km/h) and high (30 km/h) velocities. WorldSID and THOR-NT tests were completed in the same configurations to conduct matched-pair comparisons.
Technical Paper

Characterizing Occipital Condyle Loads Under High-Speed Head Rotation

2005-11-09
2005-22-0002
Because of the need to evaluate anthropomorphic test device (ATD) biofidelity under high-head angular accelerations, the purpose of the present investigation was to develop appropriate instrumentation for intact post mortem human subject (PMHS) testing, validate the instrumentation, and obtain information to characterize the response of the head-neck complex under this loading scenario. A series of rigid-arm pendulum, inertially loaded ATD tests was conducted. Head and neck ATD hydraulic piston chin pull tests were conducted. Subsequently, a series of PMHS tests was conducted to derive the response of the human head-neck under high-rate chin loading. Finally, Hybrid III and THOR-NT ATD head-neck systems were evaluated under the same scenario as the PMHS. A parametric analysis for center of gravity (CG) location and accelerometer orientation determined that even small errors (± 3 mm or 2 degrees), produced errors in the force and moment calculations by as much as 17%.
Technical Paper

Development of Side Impact Thoracic Injury Criteria and Their Application to the Modified ES-2 Dummy with Rib Extensions (ES-2re)

2003-10-27
2003-22-0010
Forty-two side impact cadaver sled tests were conducted at 24 and 32 km/h impact speeds into rigid and padded walls. The post-mortem human subjects were instrumented with accelerometers on the ribs and spine and chest bands around the thorax and abdomen to characterize their mechanical response during the impact. Load cells at the wall measured the impact force at the level of the thorax, abdomen, pelvis, and lower extremities. The resulting injuries were determined through detailed autopsy and radiography. Rib fractures with or without associated hemo/pneumo thorax or flail chest were the most common injury with severity ranging from AIS=0 to 5. Full and half thorax deflections were computed from the chest band data. The cadaver test data was analyzed using ANOVA and logistic regression. The age of the subject at the time of death had influence on injury outcome while gender and mass of the subject had little or no influence on injury outcome.
Technical Paper

Response Corridors of Human Surrogates in Lateral Impacts

2002-11-11
2002-22-0017
Thirty-six lateral PMHS sled tests were performed at 6.7 or 8.9 m/s, under rigid or padded loading conditions and with a variety of impact surface geometries. Forces between the simulated vehicle environment and the thorax, abdomen, and pelvis, as well as torso deflections and various accelerations were measured and scaled to the average male. Mean ± one standard deviation corridors were calculated. PMHS response corridors for force, torso deflection and acceleration were developed. The offset test condition, when partnered with the flat wall condition, forms the basis of a robust battery of tests that can be used to evaluate how an ATD interacts with its environment, and how body regions within the ATD interact with each other.
Technical Paper

Biomechanics of Inertial Head-Neck Trauma: Role of Cervical Components

2002-03-19
2002-01-1445
Inertial loading of the head-neck complex occurs in rear impacts wherein the head and neck of the occupant are initially subjected to rearward forces. Epidemiological evidence exists to demonstrate the significance and societal impact of these injuries [4]. From a clinical perspective, trauma secondary to inertial loads belongs to the lower end of the Abbreviated Injury Scale, and no specific diagnostic techniques are available to quantitatively document the injury. Furthermore, identification of the mechanisms of injury and derivation of injury thresholds are limited. In fact, there is a paucity of literature focusing on the reproduction of rear impact-induced neck injuries due to a single-event rear impact. Because the impact acceleration is transmitted to the head from the torso via the cervical column, the components of the human neck play a role in the mechanics of trauma.
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