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The objectives of this study were to provide insights on how injury risk is influenced by occupant demographics such as sex, age, and size; and to quantify differences within the context of commonly-occurring real-world crashes. The analyses were confined to either single-event collisions or collisions that were judged to be well-defined based on the absence of any significant secondary impacts. These analyses, including both logistic regression and descriptive statistics, were conducted using the Crash Investigation Sampling System for calendar years 2017 to 2021. In the case of occupant sex, the findings agree with those of many recent investigations that have attempted to quantify the circumstances in which females show elevated rates of injury relative to their male counterparts given the same level bodily insult. This study, like others, provides evidence of certain female-specific injuries.

With the current trend of including the evaluation of the risk of brain injuries in vehicle crashes due to rotational kinematics of the head, two injury criteria have been introduced since 2013 – BrIC and DAMAGE. BrIC was developed by NHTSA in 2013 and was suggested for inclusion in the US NCAP for frontal and side crashes. DAMAGE has been developed by UVa under the sponsorship of JAMA and JARI and has been accepted tentatively by the EuroNCAP. Although BrIC in US crash testing is known and reported, DAMAGE in tests of the US fleet is relatively unknown. The current paper will report on DAMAGE in NCAP-like tests and potential future frontal crash tests involving substantial rotation about the three axes of occupant heads. Distribution of DAMAGE of three-point belted occupants without airbags will also be discussed. Prediction of brain injury risks from the tests have been compared to the risks in the real world.

An anatomically detailed rhesus monkey brain FE model was developed to simulate in vivo responses of the brain of sub-human primates subjected to rotational accelerations resulting in diffuse axonal injury (DAI). The material properties used in the monkey model are those in the GHBMC 50th percentile male head model (Global Human Body Model Consortium). The angular loading simulations consisted of coronal, oblique and sagittal plane rotations with the center of rotation in neck to duplicate experimental conditions. Maximum principal strain (MPS) and Cumulative strain damage measure (CSDM) were analyzed for various white matter structures such as the cerebrum subcortical white matter, corpus callosum and brainstem.

Injury Risk Curves are developed from cadaver data for sternal deflections produced by anterior, distributed chest loads for a 25, 45, 55, 65 and 75 year-old Small Female, Mid-Size Male and Large Male based on the variations of bone strengths with age. These curves show that the risk of AIS ≥ 3 thoracic injury increases with the age of the person. This observation is consistent with NASS data of frontal accidents which shows that older unbelted drivers have a higher risk of AIS ≥ 3 chest injury than younger drivers.

Light duty vehicles in the US are designed to meet and exceed regulatory standards, self-imposed industry agreements and safety rating tests conducted by NHTSA and IIHS. The evolution of side impact regulation in the US from 1973 to 2015 is discussed in the paper along with two key industry agreements in 2003 affecting design of restraint systems and structures for side impact protection. A combination of all the above influences shows that vehicles in the US are being designed to more demanding and comprehensive requirements than in any other region of the world. The crash environment in the US related to side impacts was defined based on data in the nationally representative crash database NASS. Crash environment factors, including the distribution of cars, light trucks and vans (LTV’s), and medium-to-heavy vehicles (MHV’s) in the fleet, and the frequency of their interactions with one another in side impacts, were considered.

A small overlap frontal crash test has been recently introduced by the Insurance Institute for Highway Safety in its frontal rating scheme. Another small overlap frontal crash test is under development by the National Highway Traffic Safety Administration (NHTSA). Whereas the IIHS test is conducted against a fixed rigid barrier, the NHTSA test is conducted with a moving deformable barrier that overlaps 35% of the vehicle being tested and the angle between the longitudinal axis of the barrier and the longitudinal axis of the test vehicle is 15 degrees. The field relevance of the IIHS test has been the subject of a paper by Prasad et al. (2014). The current study is aimed at examining the field relevance of the NHTSA test.

An overview NASS study of US frontal crashes was performed to investigate crash involvement, driver injury distributions and rates in airbag equipped vehicles by vehicle class and structural engagement. Frontal crash bins were based on taxonomy of structural engagement, i.e., Full Engagement, Offset, Between Rails and Corner impact crashes. A new classification of Corner impacts included frontal small overlap impacts with side damage as coded by NASS CDS. Belted drivers of two age groups, between 16 and 50 and over 50 years old, were considered. Vehicles were grouped into light and heavy passenger cars and lights trucks, and vans. A method to identify and address overly influential NASS weights was developed based on considerations of weighting factor statistics. The new taxonomy, with an expanded definition of corner impacts, allowed a more comprehensive classification of frontal crash modes.

An evaluation of the four injury risk curves proposed in the NHTSA NCAP for estimating the risk of AIS≻=3 injuries to the head, neck, chest and AIS≻=2 injury to the Knee-Thigh-Hip (KTH) complex has been conducted. The predicted injury risk to the four body regions based on driver dummy responses in over 300 frontal NCAP tests were compared against those to drivers involved in real-world crashes of similar severity as represented in the NASS. The results of the study show that the predicted injury risks to the head and chest were slightly below those in NASS, and the predicted risk for the knee-thigh-hip complex was substantially below that observed in the NASS. The predicted risk for the neck by the Nij curve was greater than the observed risk in NASS by an order of magnitude due to the Nij risk curve predicting a non-zero risk when Nij = 0. An alternative and published Nte risk curve produced a risk estimate consistent with the NASS estimate of neck injury.

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.

The objective of this study was to analyze available anthropomorphic test device (ATD) responses from KARCO rear impact tests and to evaluate an injury predictive model based on crash severity and occupant weight presented by Saczalski et al. (2004). The KARCO tests were carried out with various seat designs. Biomechanical responses were evaluated in speed ranges of 7-12, 13-17, 18-23 and 24-34 mph. For this analysis, all tests with matching yielding and stiff seats and matching occupant size and weight were analyzed for cases without 2nd row occupant interaction. Overall, the test data shows that conventional yielding seats provide a high degree of safety for small to large adult occupants in rear crashes; this data is also consistent with good field performance as found in NASS-CDS. Saczalski et al.'s (2004) predictive model of occupant injury is not correct as there are numerous cases from NASS-CDS that show no or minor injury in the region where serious injury is predicted.

A set of risk equations was derived to estimate the probability of sustaining a moderate-to-serious injury to the knee-thigh-hip complex (KTH) in a frontal crash. The study consisted of four parts. First, data pertaining to knee-loaded, whole-body, post-mortem human subjects (PMHS) were collected from the literature, and the attendant response data (e.g., axial compressive load applied to the knee) were normalized to those of a mid-sized male. Second, numerous statistical analyses and mathematical constructs were used to derive the set of risk equations for adults of various ages and genders. Third, field data from the National Automotive Sampling System (NASS) were analyzed for subsequent comparison purposes.

Injury to the thorax is the predominant cause of fatalities in crash-involved automobile occupants over the age of 65, and many elderly-occupant automobile fatalities occur in crashes below compliance or consumer information test speeds. As the average age of the automotive population increases, thoracic injury prevention in lower severity crashes will play an increasingly important role in automobile safety. This study presents the results of a series of sled tests to investigate the thoracic deformation, kinematic, and injury responses of belted post-mortem human surrogates (PMHS, average age 44 years) and frontal anthropomorphic test devices (ATDs) in low-speed frontal crashes. Nine 29 km/h (three PMHS, three Hybrid III 50th% male ATD, three THOR-NT ATD) and three 38 km/h (one PMHS, two Hybrid III) frontal sled tests were performed to simulate an occupant seated in the right front passenger seat of a mid-sized sedan restrained with a standard (not force-limited) 3-point seatbelt.

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.

Numerical analyses frequently accompany experimental investigations that study injury biomechanics and improvements in automotive safety. Limited by computational speed, earlier mathematical models tended to simplify the system under study so that a set of differential equations could be written and solved. Advances in computing technology and analysis software have enabled the development of many sophisticated models that have the potential to provide a more comprehensive understanding of human impact response, injury mechanisms, and tolerance. In this article, 50 years of publications on numerical modeling published in the Stapp Car Crash Conference Proceedings and Journal were reviewed. These models were based on: (a) author-developed equations and software, (b) public and commercially available programs to solve rigid body dynamic models (such as MVMA2D, CAL3D or ATB, and MADYMO), and (c) finite element models.

Lower-body injury data for adults in real-world frontal impacts in the National Automotive Sampling System (NASS) were collected, analyzed, and modeled via statistical methods. Two levels of lower-body injury were considered: maximum serious-to-fatal (MAIS3+) and moderate-to-fatal (MAIS2+). In the analysis, we observed that a substantial fraction of all lower-body injured occupants had no recorded floor/toe pan intrusion: 47% of all MAIS3+ injured occupants; 69% of all MAIS2+ injured occupants. In the statistical modeling, we developed binary logistic regression models to fit the MAIS3+ and MAIS 2+ injury data. The statistically significant variables (p ≤ 0.05) were the speed change of the crash, postcrash floor/toe pan intrusion, level of restraint, occupant age, and occupant gender.

Human abdominal response and injury in blunt impacts was investigated through finite element simulations of cadaver tests using a full human body model of an average-sized adult male. The model was validated at various impact speeds by comparing model responses with available experimental cadaver test data in pendulum side impacts and frontal rigid bar impacts from various sources. Results of various abdominal impact simulations are presented in this paper. Model-predicted abdominal dynamic responses such as force-time and force-deflection characteristics, and injury severities, measured by organ pressures, for the simulated impact conditions are presented. Quantitative results such as impact forces, abdominal deflections, internal organ stresses have shown that the abdomen responded differently to left and right side impacts, especially in low speed impact.

An age-dependent, serious-to-fatal (AIS3+), thoracic risk curve was derived and evaluated for frontal impacts. The study consisted of four parts. In Part 1, two datasets of post mortem human subjects (PMHS) were generated for statistical and sensitivity analyses. In Part 2, logistic regression analyses were conducted. For each dataset, two statistical methods were applied: (1) a conventional maximum likelihood method, and (2) a modified maximum likelihood method. Therefore, four statistical models were derived — one for each dataset/statistical method combination. For all of the resulting statistical models (risk curves), the linear combination of maximum normalized sternum deflection and age of the PMHS was identified as a feasible predictor of AIS3+ thoracic injury probability. In Part 3, the PMHS-based risk curves were transformed into test-dummy-based risk curves. In Part 4, validation studies were conducted for each risk curve.

A theoretical math model was created to assess the net effect of aging populations versus evolving system designs from the standpoint of thoracic injury potential. The model was used to project the next twenty-five years of thoracic injuries in Canada. The choice of Canada was topical because rulemaking for CMVSS 208 has been proposed recently. The study was limited to properly-belted, front-outboard, adult occupants in 11-1 o'clock frontal crashes. Moreover, only AIS3+thoracic injury potential was considered. The research consisted of four steps. First, sub-models were developed and integrated. The sub-models were made for numerous real-world effects including population growth, crash involvement, fleet penetration of various systems (via system introduction, vehicle production, and vehicle attrition), and attendant injury risk estimation. Second, existing NASS data were used to estimate the number of AIS3+ chest-injured drivers in Canada in 2001.

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.

Human thoracic dynamic responses and injuries associated with frontal impact, side impact, and belt loading were investigated and predicted using a complete human body finite element model for an average adult male. The human body model was developed to study the impact biomechanics of a vehicular occupant. Its geometry was based on the Visible Human Project (National Library of Medicine) and the topographies from human body anatomical texts. The data was then scaled to an average adult male according to available biomechanical data from the literature. The model includes details of the head, neck, ribcage, abdomen, thoracic and lumbar spine, internal organs of the chest and abdomen, pelvis, and the upper and lower extremities. The present study is focused on the dynamic response and injuries of the thorax.