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Field data was analyzed on second-row children in front, side and rear impacts to study fatality trends by model year (MY) and calendar year (CY) with 1980-2020 MY vehicles. The different MY and CY perspectives show changes in rates that are useful for setting priorities for second-row child safety in rear impacts. 1990 to 2019 FARS was queried to assess the number of fatally injured and non-ejected second-row children (0-15 years old) in crashes without fires. The children included outboard occupants seated behind an occupied front seat and center occupants. The data was analyzed for rear, front and side impacts to assess crash frequency. 1990-2015 POLK was queried to assess exposure of registered vehicles and estimate a fatality rate. The FARS and POLK data were sub-grouped by MY of the vehicle and CY of the crash. There were 2.8-times more fatally injured children in frontal crashes than in the rear crashes. The ratio of frontal and rear crashes varied with CY sub-groups.

Spine degeneration can lower injury tolerance and influence injury outcomes in vehicle crashes. To date, limited information exists on the effect of age and sex on thoracic spine 3-dimensional geometry. The purpose of this study is to quantify thoracic spinal column and canal geometry using selected geometrical measurement from a large sample of CT scans. More than 33,488 scans were obtained from the International Center for Automotive Medicine database at the University of Michigan under Institutional Review Board approval (HUM00041441). The sample consisted of CT scans obtained from 31,537 adult and 1,951 pediatric patients between the ages of 0 to 99 years old. Each scan was processed semi-automatically using custom algorithms written in MATLAB (The Math Works, Natick, MA). Five geometrical measurements were collected including: 1) maximum spinal curvature depth (D), 2) T1-to-T12 vertical height (H), 3) Kyphosis Index (KI), 4) kyphosis angle, and 5) spinal canal radius.

NHTSA has recently been petitioned to address the protection of second-row children in rear crashes due front seatback performance. The protection of children is important. However, it is more complex than assessing front seat performance in rear impacts. Viano, Parenteau (2008 [1]) analyzed cases of serious-to-fatally injured (MAIS 3+F) children up to 7 years old in the second row in rear impacts involving 1990+ model year vehicles using 1997-2005 NASS-CDS. They observed that intrusion was an important factor pushing the child forward into the back of the front seat, B-pillar or other front structure. To help assess whether stiffening the front seats would be beneficial for second-row child safety, the 2008 study was updated using more recent data and model year vehicles. In the present study, 1997-2015 NASS-CDS data were analyzed for serious-to-fatally (MAIS 3+F) injured 0- to 7-year old children in the second row with 1994+ model year vehicles.

Many published studies have characterized walking and running speeds of young children. However, there is a paucity of data on the cycling speeds of very young children (4 to 5 years old). The purpose of this study was to obtain an estimate of cycling speed for boys and girls both who are learning to ride bicycles (i.e., younger children who still ride with training wheels) and who have already learned to ride bicycles (i.e., slightly older children who no longer use training wheels). A sample of 32 child riders (17 boys, 15 girls; 17 four-year-olds who still ride with training wheels, 15 five-year-olds who do not) were asked to ride a short pre-defined distance at their usual speed when riding, and again at their highest speed. We found that while age and experience can differentiate riders, there were only small differences between boys’ and girls’ speeds in either age group.

Few studies have investigated pediatric head injury mechanics with subjects below the age of 8 years. This paper presents non-injurious head accelerations during various activities for young children (2 to 7 years old). Eight males and five females aged 2-7 years old were equipped with a head sensor package and head kinematics were measured while performing a series of playground-type activities. The maximum peak resultant accelerations were 29.5 G and 2745 rad/s2. The range of peak accelerations was 2.7 G to 29.5 G. The range of peak angular velocities was 4.2 rad/s to 22.4 rad/s. The range of peak angular accelerations was 174 rad/s2 to 2745 rad/s2. Mean peak resultant values across all participants and activities were 13.8 G (range 2.4 G to 13.8 G), 12.8 rad/s (range 4.0 rad/s to 12.8 rad/s), and 1375 rad/s2 (range 105 rad/s2 to 1375 rad/s2) for linear acceleration, angular velocity, and angular acceleration, respectively.

Neck injury assessment reference values (IARVs) and tolerance values for children have been specified using animal data compared to the loading of anthropomorphic test devices (ATDs). However, there is a paucity of data regarding the neck loads generated during non-injurious situations for children. Six males and six females aged 8-11 years old were equipped with a validated head sensor package and upper neck loads and moments were calculated from measured head kinematics while performing a series of playground-type activities. The maximum forces were 686 N in compression, 177 N in tension, and 471 N in shear, the maximum moments were 18.2 N-m in flexion, 6.0 N-m in extension, 6.4 N-m in lateral bending, and 12.1 N-m in axial twist. Female subjects exhibited similar loads and moments to their male counterparts, but larger Nij values. The peak loads measured in this study are larger than or comparable to those undertaken with adult subjects participating in similar activities.