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Head injuries are the most common injuries sustained by children in motor vehicle crashes regardless of age, restraint and crash direction. Previous research identified the front seat back as relevant contact point associated with head injuries sustained by restrained rear seated child occupants. The objective of this study was to conduct a test series of headform impacts to seat backs to evaluate the energy management characteristics of relevant contact points for pediatric head injury. A total of eight seats were tested: two each of 2007 Ford Focus, Toyota Corolla, 2006 Volvo S40, and 2008 Volkswagen Golf. Five to six contact points were chosen for each unique seat model guided by contact locations determined from real world crashes. Each vehicle seat was rigidly mounted in the center track position with the seatback angle adjusted to 70 degrees above the horizontal.

Computational modeling is a potentially powerful tool to provide information about the mechanisms of traumatic brain injury. In order to ensure that the estimates calculated by these computer models provide the most useful information, it is essential that these models contain accurate central nervous system (CNS) tissue properties. Previous material property measurements lack strict control over crucial experimental parameters that may influence material properties and tail to examine any regional variation in the measured response. To address these issues, we measured the material response of two regions of the CNS, the brainstem and the cerebrum. Specifically, adult porcine tissue was subjected to high loading rate mechanical deformation using a custom designed oscillatory shear device. Complex shear moduli were calculated over a range of frequencies (20-200 Hz) at two engineering strain amplitudes (2.5%, and 5.0%).

Pediatric Anthropomorphic Test Devices (ATDs) are valuable tools for assessing the injury mitigation capability of automotive safety systems. The neck pendulum test is widely used in biofidelity assessment and calibration of the ATD neck, and neck moment vs. angle response requirements are the metrics typically derived from the test. Herein, we describe the basis and methods for modifying the neck pendulum such that it more closely reflects base of the neck accelerations observed by a restrained three-year old ATD in a frontal crash. As a measure of base of the neck acceleration, the x-direction chest acceleration from thirty-one restrained Hybrid III three-year-old ATDs in vehicle frontal crash tests were analyzed. The standard neck pendulum yielded a mean peak acceleration that is 1.2x the peak of vehicle base of the neck accelerations, 1.6x the average, and 0.24x the duration.

Biomechanical data are often assumed to be doubly censored. In this paper, this assumption is evaluated critically for several previously published sets of data. Injury risk functions are compared using simple logistic regression and using survival analysis with 1) the assumption of doubly censored data and 2) the assumption of right-censored (uninjured specimens) and uncensored (injured) data. It is shown that the injury risk functions that result from these differing assumptions are not similar and that some experiments will require a preliminary assessment of data censoring prior to finalizing the experimental design. Some types of data are obviously doubly censored (e.g., chest deflection as a predictor of rib fracture risk), but many types are not left censored since injury is a force-limiting phenomenon (e.g., axial force as a predictor of tibia fracture). Guidelines for determining the censoring for various types of experiment are presented.

On-site, in-depth investigations were conducted on 14 crashes involving 15 children who sustained facial fractures. Of the 23 facial fractures documented, the most frequent were the nose (n=8), orbit (n=6), zygoma/maxilla (n=6), and mandible (n=3). The most frequent contact point of those seated in the rear was the rear of the front seat; of those seated in the front, the instrument panel. 11/15 had sub-optimal torso restraint resulting from placing the shoulder belt behind their back or sitting in a position only equipped with a lap belt. The data suggest that these injuries resulted from high-energy impact with interior vehicle components. Revision to FMVSS 201 to account for vehicle interior structures typically contacted by child occupants and enhancement of pediatric dummies to measure facial impact forces should be considered.

Restrained children between the ages of 3 to 15 years in crashes were identified in an on-going crash surveillance system (1998-2002) which links insurance claims data to telephone survey and crash investigation data. The risk of upper extremity injury associated with airbag deployment was estimated and a series of cases was examined using in-depth crash investigation to identify the mechanisms of these injuries. This study found that 3.5% of children who were exposed to a passenger airbag (PAB) received an upper extremity fracture, making them 2.5 times as likely to sustain an upper extremity fracture than children in similar crashes who were not exposed to a PAB. Female children were 2.2 times as likely to receive an isolated upper extremity fracture when exposed to a PAB than male children. The incidence rate, gender difference, and injury mechanism in children all appear to be similar to those of adults.

Accident data suggest that a significant percentage of rear impacts involve occupants seated in other than a “Normal Seated Position”. Pre-impact acceleration due to steering, braking or a prior frontal impact may cause the driver to move away from the seat back prior to impact. Nevertheless, virtually all crash testing is conducted with dummies in the optimum “Normal Dummy Seated Position”. A series of 7 rear impact sled tests, having a nominal AV of 21 mph, with Hybrid III dummies positioned in the “Normal Dummy Seated Position”, “Out of Position” and slightly “Out of Position” is presented. Tests were performed on yielding production Toyota and Mercedes Benz seats as well as on a much stiffer modified Ford Aerostar seat. Available Hybrid III upper and lower neck as well as torso instrumentation was used to analyze and compare injury potential for each set of test parameters.

Current standards and test devices for pedestrian safety are developed using results from impact tests where inertial considerations have dominated and the vehicle pedestrian loading environment has not been properly replicated. When controlled tests have been conducted to evaluate the biofidelity of anthropometric test devices, current designs have faired poorly. The objective of the current study was to develop dynamic force-deflection and moment-deflection response corridors for the 50th percentile adult male thigh and leg subjected to non-midpoint 3-point bending at rates characteristic of the vehicle-pedestrian loading environment. Six thigh and eight leg specimens were harvested from eight adult male human cadavers and ramped to failure in dynamic 3-point bending in the latero-medial direction.

Markings or observable anomalies on seat belt webbing and hardware can be classified into two categories: (1) marks caused by collision forces, or “loading marks”; and (2) marks that are created by non-accident situations, or “noncollision marks”. In a previous work, a survey of the driver's seat belt of 307 vehicles that had never experienced a collision was conducted, and several examples of marks created by normal, everyday usage, or “normal usage marks” were presented. It was found that some normal usage marks were visually similar to loading marks. This paper presents several examples comparing loading marks to visually similar normal usage marks and discusses the important similarities and differences.

The assessment of seat belt usage during a collision is typically made by considering four types of evidence: (1) the nature and location of the occupant’s injuries, (2) the presence or absence of occupant contact marks in the passenger compartment, (3) the occupant’s final position and (4) markings on the restraint system. This paper focuses specifically on seat belt restraint system markings. Markings or observable anomalies on the webbing and restraint system hardware can be classified into two categories: (1) those caused by collision forces, or “loading marks” and (2) those created by noncollision situations, or “normal usage marks”. Some normal usage marks can appear visually similar to loading marks. The purpose of this paper is to help the investigator distinguish between occupant loading marks and normal usage marks by presenting examples of marks found on belt restraint systems that have never experienced occupant loading in a collision.

Data presented in this paper demonstrated that the landscape for child occupant protection - the children and their restraints, vehicles, and crashes - is changing rapidly. Children are not small adults but are rather rapidly growing, developing, and changing and so too are their restraint needs. The past several years witnessed a growing awareness of these biomechanical challenges with the emergence of increased use of size-appropriate restraints for children under age 9 years and differences in patterns of injury by age. Vehicles involved in crashes with children reflect the trend overall: less passenger vans and cars and more light trucks, the majority of which are equipped with second generation air bags. The majority of crashes occurred on roads with posted speed limits below 45 miles per hour. The age group of particular concern is the newly driving teenage years (16-19) in which the crash and fatality rates are the highest among all age groups.

The objective of the study was to analyze independently the contribution of pre-impact spine posture on impact response by subjecting a finite element human body model (HBM) to whole-body, lateral impacts. Seven postured models were created from the original HBM: one matching the standard driving posture and six matching pre-impact posture measured for each of six subjects tested in previously published experiments. The same measurements as those obtained during the experiments were calculated from the simulations, and biofidelity metrics based on signals correlation were established to compare the response of HBM to that of the cadavers. HBM responses showed good correlation with the subject response for the reaction forces, the rib strain (correlation score=0.8) and the overall kinematics. The pre-impact posture was found to greatly alter the reaction forces, deflections and the strain time histories mainly in terms of time delay.

The Acoustic Startling Pre-stimulus (ASPS, i.e. a loud sound preceding a physical perturbation) was previously found to accelerate action execution in simple flexion exercises. Therefore in this study we examined if ASPS can accelerate take-over reaction times in restrained teen and adult drivers who were asked to reach for the steering wheel while experiencing sled lateral perturbations simulating a vehicle swerve. Results showed that adult drivers lift their hands toward the steering wheel faster with the ASPS versus without (161 ± 23 ms vs 216 ± 27 ms, p<0.003). However this effect was not found in teens or in trials where the drivers were engaged in a secondary task. Adults also showed reduced lateral trunk displacement out of the seat belt with the ASPS. The ASPS could represent a novel warning that reduces take over time and out-of-position movements in critical autonomous driving scenarios.

Although previous research has linked poor seat belt fit to abdominal organ injury for children, few have studied the pattern of pediatric abdominal injuries and its relationship to key characteristics beyond this primary association. In this study, data were obtained from a probability sample of 19,125 children, representing 243,540 children, under age 16 years who were enrolled in an on-going crash surveillance system which links insurance claims data to validated telephone survey and crash investigation data. The risk of AIS2+ abdominal injury was estimated for various crash, restraint, vehicle and child correlates and multivariate logistic regression was used to identify the relative importance of these predictors. Children 4–8 years of age were at the highest risk of abdominal injury: they were 24.5 times and 2.6 times more likely to sustain an AIS2+ abdominal injury than those 0–3 years and 9–15 years, respectively.

Accurate pediatric thoracic force and deflection data are critical to develop biofidelic pediatric anthropomorphic test devices (ATDs) used in designing motor vehicle safety systems for child occupants. Typically, postmortem human subject (PMHS) experiments are conducted to gather such data. However, there are few pediatric PMHS available for impact research; therefore, novel methods are required to determine pediatric biomechanical data from children. In this study, we have leveraged the application of chest compressions provided in the clinical environment during pediatric cardiopulmonary resuscitation (CPR) to collect this fundamental data. The maximum deflection of the chest during CPR is in the range of chest deflections in PMHS impact experiments and therefore CPR exercises the chest in ways that are meaningful for biofidelity assessment. Thus, the goal of this study was to measure the force-deflection characteristics of the thorax of children and young adults during CPR.

This paper describes the injuries generated during dynamic belt loading to a porcine model of the 6-year-old human abdomen, and correlates injury outcomes with measurable parameters. The test fixture produced transverse, dynamic belt loading on the abdomen of 47 immediately post-mortem juvenile swine at two locations (upper/lower), with penetration magnitudes ranging from 23% – 65% of the undeformed abdominal depth, with and without muscle tensing, and over a belt penetration rate range of 2.9 m/s – 7.8 m/s. All thoracoabdominal injuries were documented in detail and then coded according to the Abbreviated Injury Scale (AIS). Observed injuries ranged from AIS 1 to AIS 4. The injury distribution matched well the pattern of injuries observed in a large sample of children exposed to seatbelt loading in the field, with most of the injuries in the lower abdomen.

Comparative data of thoracic compression response between live vs. post mortem human subjects (PMHS) has been reported, but the live subject tests are often at low deflections and include the effects of muscle tensing. Novel technology has been developed that overcomes several of these limitations. Specifically, a load cell and accelerometer has been integrated into a clinical monitor-defibrillator to measure chest compression and applied force during live human cardio-pulmonary resuscitation (CPR). The sensor is interposed between the hands of the person administering CPR and the sternum of the patient. The objective of this study was to compare the thoracic force-deflection measured during adult CPR to that measured during hub-based loading of adult PMHS. CPR represents a unique setting in which to study the mechanics of the chest as the thorax is loaded to a maximum chest deflection similar to that seen in a frontal crash environment and the effects of muscle tensing are minimized.

The abdomen is the second most commonly injured region in children using adult seat belts, but engineers are limited in their efforts to design systems that mitigate these injuries since no current pediatric dummy has the capability to quantify injury risk from loading to the abdomen. This paper develops a porcine (sus scrofa domestica) model of the 6-year-old human's abdomen, and then defines the biomechanical response of this abdominal model. First, a detailed abdominal necropsy study was undertaken, which involved collecting a series of anthropometric measurements and organ masses on 25 swine, ranging in age from 14 to 429 days (4-101 kg mass). These were then compared to the corresponding human quantities to identify the best porcine representation of a 6-year-old human's abdomen. This was determined to be a pig of age 77 days, and whole-body mass of 21.4 kg.

The size and shape of the acetabulum and of the femoral head influence the injury tolerance of the hip joint. The aim of this study is to quantify changes in acetabular cup geometry that occur with age, gender, height, and weight. Anonymized computed tomography (CT) scans of 1,150 individuals 16+ years of age, both with and without hip trauma, were used to describe the acetabular rim with 100 equally spaced points. Bilateral measurements were taken on uninjured patients, while only the uninjured side was valuated in those with hip trauma. Multinomial logistic regression found that after controlling for age, height, weight, and gender, each 1 degree decrease in acetabular anteversion angle (AAA) corresponded to an 8 percent increase in fracture likelihood (p≺0.001).

To improve understanding of structural coupling and deformation patterns throughout the loaded ribcage, the present study reports the force-displacement and kinematic responses under a highly localized loading condition using three PMHS ribcages (ages 44, 61, and 63 years). The ribcages were quasi-statically loaded locally to a non-failure displacement (nominally 15% of the ribcage depth at the loaded rib level) at approximately 25 unilateral locations and 5-7 geometrically symmetric bilateral locations on the anterior surface of each ribcage, for a total of 94 tests. The translations of 56 points distributed around the anterior, lateral, and posterior portions of the superficial surface of the ribcage were measured while under loading. Each of the first through sixth rib levels was then separated from the remaining ribs, and this "rib ring" structure was individually loaded at the sternum in the anterior-posterior direction.