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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.

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.

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.

This three-part paper deals with the medical aspects of driver protection in automobile racing. Part one presents the history of car safety equipment beginning with the development of helmets, belts, roll bars, and other devices to protect competition drivers. This paper describes the evolution from purely optional to mandatory equipment and how their design and accident records have contributed to increased safety in passenger cars. The investigation of injuries sustained in crash, fire, and loss of control caused by road hazards have contributed to the many improvements discussed here, almost all of which are readily adaptable to passenger car models. The second part presents a summary of the influence of racing on the design, testing and performance standards for protective headgear. The significance is indicated of applying basic principles of mechanics and dynamic systems testing to all fields in which head impact is a potential hazard.

Past research has shown that although occupants often survive crash impacts of business jet aircraft, they are often injured either in the course of egress or because they are unable to evacuate. A physical task analysis was performed to evaluate procedures for emergency egress from a typical business jet to demonstrate how possible human factors problems can be identified. First, the tasks required for the flight crew to evacuate via all possible routes were determined. Second, each task was divided into a series of physical elements, such as reach and grasp, corresponding to each movement or exertion. Third, physical aspects of the aircraft affecting performance of each element such as location and force, were measured. The physical requirements of each element were compared with available human factors data, to rate its difficulty. Selected aspects of the analysis are discussed.

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.

All of the rear-end impact accidents occurring in the city of Rochester, New York, in a three-month period were surveyed by tabulation of the police accident reports. Special police information forms, telephone interviews, and mail questionnaires were used for further data acquisition. Vehicle photographs and medical examinations were conducted for approximately every 20th vehicle. During the data collection period, 691 rear-end impacts occurred. Although a computer program revealed 1371 accidents, defects in the program accounted for the large difference. Whiplash injury frequency based on telephone interview and mail questionnaire data obtained one to seven days after the accident revealed a whiplash injury frequency of 38%, which was approximately twice that determined by on-scene police investigators. Head restraints reduced whiplash frequency by 14% and fixed head restraints appeared to be more effective.

Empirical models are presented which predict the threespace position of the torso when responding to reaches with the right arm. Models were derived which specify torso position in terms of the spacial location of 10 surface markers. These markers were positioned over palpable skeletal points of the spine and shoulder girdle. The necessary data were obtained through photogrammetric procedures utilizing four orthogonal cameras. The independent (input) variables to these models are the coordinates of the reach target. A supplementary, slightly more accurate, set of models was also derived in which the set of independent variables was enlarged to include the anthropometric dimensions of the subject. The second, concurrent phase of the analysis resulted in the derivation of a set of models which describes the configuration of the internal, torso skeletal system.

The object of this study has been to develop a quantitative description of the mobility of the human torso, including the shoulder girdle, neck, thoracic and lumbar vertebral column, and pelvis. This has been accomplished by a systematic multidisciplinary investigation involving techniques of cadaver dissection and measurement, utilizing cineradiofluoroscopy for joint center of rotation location, anthropometry, radiography, and photogrammetry for selected positions and motions of living subjects, and computer analysis. Positional and dimensional data were obtained for 72 anthropometric dimensions on 28 living male subjects statistically representative of the 1967 USAF anthropometric survey of 3542 rated officers, including bone lengths of the extremities and vertebral landmarks. Normal excursion of these limbs was measured in the living, utilizing the landmarks established in initial cadaver dissection.

General aviation accident investigations can provide valuable data to the design engineer concerning the crash performance of current models and can indicate needed improvements for occupant protection in future aircraft. Current statistics and the historical background of major investigations during the past 65 years are provided. A five-year study of general aviation accidents occurring in the State of Michigan is used as a basis to illustrate recent findings relative to occupant injury mechanisms, relative crash protection, and crashworthiness performance of current models of aircraft. Results indicate that the degree of structural damage may not relate to the degree of occupant injury when the cabin area remains relatively intact. A primary requirement is documented for adequate upper-torso restraint for all occupants, and the excellent crash performance of such a system is described.

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.

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.

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).

Although it has been well established that the lap (seat) belt offers considerable protection against injury or death in crash environments, there has long been controversy over the injury potential to the pregnant female. This question is of importance in consideration of restraint and seat protective environments for both aircraft and automotive vehicles. Most of the 4 million pregnant women per year in the United States travel by automobile, with a large number traveling by Commercial Civil Aircraft or the Military Air Transport Service. Thus a sizeable population is involved. This combined study by the Civil Aeromedical Institute, F. A. A., 6571st Aeromedical Research Laboratory, Holloman AFB, and the University of Oklahoma School of Medicine, has been concerned with the clinical, experimental, and applied aspects.

A statistical study of sports car racing sanctioned by the Sports Car Club of America demonstrates the frequency of roll-over accidents and the infrequency of serious injury from such accidents. Detailed case studies from Watkins Glen Grand Prix Course are presented. Three similar rollover accidents taken from the author’s medical practice are presented for comparison. The use of roll bars for open cars is advocated.

A study of the biomechanical factors concerned with the design of side structures and doors for crashworthiness has been made. Questions regarding optimum stiffness, location of reinforcing members, effect of armrests, and padding have been answered within the framework of injury criteria models. Results of animal studies, cadaver studies, and anthropometric dummies have been combined to produce injury criteria for lateral impacts to the head, thorax, and abdomen. Impacts were applied utilizing a specially designed “air gun” in a laboratory environment emphasizing reproducibility and control. Full-scale crash simulations were performed on an impact sled to verify the results of the more specialized tests and analyses. Scaled models of current production doors were used in the animal series. Scaling relationships for various species of animals have been developed and extrapolated to man. Significant differences in right and left side tolerances to impact were noted and detailed.

Some 634 accidents occuring in races sanctioned by the Sports Car Club of America (SCCA) are reviewed. Shoulder harnesses were used in 275 of the accidents. Inverted “Y” or double, separately anchored, shoulder harnesses were used almost exclusively. A significant decrease in the frequency and severity of injuries occurred after harnesses were introduced. Injury from the restraint system was very infrequent; submarining occurred only once. Deep bucket seats, providing lateral support for the chest and forward support for the buttocks, appear to potentiate the effectiveness of restraint systems. The “Y” harness functions well in production seats without lateral support because lateral displacement of the shoulders and upper torso can occur without risk of neck injury.

Aircraft used for business (executive corporate transportation or personal business) and utility purposes now represent about one-third of the total United States aircraft inventory. Data from accident investigation of business aircraft involved in survivable accidents indicate serious injuries and fatality to the occupants occur most frequently as a result of the unprotected head and neck or chest flailing in contact with aircraft controls, instrument panel, or structure. Improvement of current aircraft to provide increased occupant safety and survival during crash impacts is both necessary and feasible. Design considerations include folding seat back locks to prevent collapse, increased seat tie-down to structure, instrument panels and glare shields designed to absorb energy through structural design and padding, stronger seat structure, lateral protection, design and packaging of knobs and projections to minimize injury in contact, and installation of upper torso restraint.