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Technical Paper

Lower Extremity Injury Criteria for Evaluating Military Vehicle Occupant Injury in Underbelly Blast Events

2009-11-02
2009-22-0009
Anti-vehicular (AV) landmines and improvised explosive devices (IED) have accounted for more than half of the United States military hostile casualties and wounded in Operation Iraqi Freedom (OIF) (Department of Defense Personnel & Procurement Statistics, 2009). The lower extremity is the predominantly injured body region following an AV mine or IED blast accounting for 26 percent of all combat injuries in OIF (Owens et al., 2007). Detonations occurring under the vehicle transmit high amplitude and short duration axial loads onto the foot-ankle-tibia region of the occupant causing injuries to the lower leg. The current effort was initiated to develop lower extremity injury criteria for occupants involved in underbelly blast impacts. Eighteen lower extremity post mortem human specimens (PMHS) were instrumented with an implantable load cell and strain gages and impacted at one of three incrementally severe AV axial loading conditions.
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

ES2 Neck Injury Assessment Reference Values for Lateral Loading in Side Facing Seats

2009-11-02
2009-22-0015
Injury assessment reference values (IARV) predicting neck injuries are currently not available for side facing seated aircraft passengers in crash conditions. The aircraft impact scenario results in inertial loading of the head and neck, a condition known to be inherently different from common automotive side impact conditions as crash pulse and seating configurations are different. The objective of this study is to develop these IARV for the European Side Impact Dummy-2 (ES-2) previously selected by the US-FAA as the most suitable ATD for evaluating side facing aircraft seats. The development of the IARV is an extended analysis of previously published PMHS neck loads by identifying the most likely injury scenarios, comparing head-neck kinematics and neck loads of the ES2 versus PMHS, and development of injury risk curves for the ES2. The ES2 showed a similar kinematic response as the PMHS, particularly during the loading phase.
Technical Paper

Pediatric Thoracoabdominal Biomechanics

2009-11-02
2009-22-0013
No experimental data exist quantifying the force-deformation behavior of the pediatric chest when subjected to non-impact, dynamic loading from a diagonal belt or a distributed loading surface. Kent et al., (2006) previously published juvenile abdominal response data collected using a porcine model. This paper reports on a series of experiments on a 7-year-old pediatric post-mortem human subject (PMHS) undertaken to guide the scaling of existing adult thoracic response data for application to the child and to assess the validity of the porcine abdominal model. The pediatric PMHS exhibited abdominal response similar to the swine, including the degree of rate sensitivity. The upper abdomen of the PMHS was slightly stiffer than the porcine behavior, while the lower abdomen of the PMHS fit within the porcine corridor. Scaling of adult thoracic response data using any of four published techniques did not successfully predict the pediatric behavior.
Technical Paper

3D Deformation and Dynamics of the Human Cadaver Abdomen under Seatbelt Loading

2008-11-03
2008-22-0011
According to accident analysis, submarining is responsible for most of the frontal car crash AIS 3+ abdominal injuries sustained by restrained occupants. Submarining is characterized by an initial position of the lap belt on the iliac spine. During the crash, the pelvis slips under the lap belt which loads the abdomen. The order of magnitude of the abdominal deflection rate was reported by Uriot to be approximately 4 m/s. In addition, the use of active restraint devices such as pretensioners in recent cars lead to the need for the investigation of Out-Of-Position injuries. OOP is defined by an initial position of the lap belt on the abdomen instead of the pelvis resulting in a direct loading of the abdomen during pretensioning and the crash. In that case, the penetration speed of the belt into the abdomen was reported by Trosseille to be approximately 8 to 12 m/s. The aim of this study was to characterize the response of the human abdomen in submarining and OOP.
Technical Paper

Mechanisms of Traumatic Rupture of the Aorta and Associated Peri-isthmic Motion and Deformation

2008-11-03
2008-22-0010
This study investigated the mechanisms of traumatic rupture of the aorta (TRA). Eight unembalmed human cadavers were tested using various dynamic blunt loading modes. Impacts were conducted using a 32-kg impactor with a 152-mm face, and high-speed seatbelt pretensioners. High-speed biplane x-ray was used to visualize aortic motion within the mediastinum, and to measure deformation of the aorta. An axillary thoracotomy approach was used to access the peri-isthmic region to place radiopaque markers on the aorta. The cadavers were inverted for testing. Clinically relevant TRA was observed in seven of the tests. Peak average longitudinal Lagrange strain was 0.644, with the average peak for all tests being 0.208 ± 0.216. Peak intraluminal pressure of 165 kPa was recorded. Longitudinal stretch of the aorta was found to be a principal component of injury causation. Stretch of the aorta was generated by thoracic deformation, which is required for injury to occur.
Technical Paper

Rear Seat Occupant Safety: Kinematics and Injury of PMHS Restrained by a Standard 3-Point Belt in Frontal Crashes

2008-11-03
2008-22-0012
Very little experimental research has focused on the kinematics, dynamics, and injuries of rear-seated occupants. This study seeks to develop a baseline response for rear-seated post mortem human surrogates (PMHS) in frontal crashes. Three PMHS sled tests were performed in a sled buck designed to represent the interior rear-seat compartment of a contemporary midsized sedan. All occupants were positioned in the right-rear passenger seat and subjected to simulated frontal crashes with an impact speed of 48 km/h. The subjects were restrained by a standard, rear seat, 3-point seat belt. The response of each subject was evaluated in terms of whole-body kinematics, dynamics, and injury. All the PMHS experienced excessive forward translation of the pelvis resulting in a backward rotation of the torso at the time of maximum forward excursion.
Technical Paper

Occupant-to-Occupant Interaction and Impact Injury Risk in Side Impact Crashes

2008-11-03
2008-22-0013
To date, efforts to improve occupant protection in side impact crashes have concentrated on reducing the injuries to occupants seated on the struck side of the vehicle arising from contact with the intruding side structure and/or external objects. Crash investigations indicate that occupants on the struck side of a vehicle may also be injured by contact with an adjacent occupant in the same seating row. Anecdotal information suggests that the injury consequences of occupant-to-occupant impacts can be severe, and sometimes life threatening. Occupant-to-occupant impacts leave little evidence in the vehicle, and hence these impacts can be difficult for crash investigators to detect and may be underreported. The objective of this study was to evaluate the risk of impact injury from occupant-to-occupant impacts in side impact vehicle crashes. The study examined 9608 crashes extracted from NASS/CDS 1993-2006 to investigate the risk of occupant-to-occupant impacts.
Technical Paper

Characteristics of Pole Impacts to Side of Passenger Cars in European Traffic Accidents and Assessment of Injury Mechanisms - Analysis of German and UK In-Depth Data

2008-11-03
2008-22-0014
The national accident statistics demonstrate that the situation of passenger car side impacts is dominated by car-to-car accidents. Car side-to-pole impacts are relatively infrequent events but result in disproportionate rates of serious and fatal injuries when compared to those in car-to-car side impact. Hence their importance has been highlighted in recent studies. For the present study two approaches were undertaken to better understand the scenario of car-to-pole impacts in Germany. The German in-depth database GIDAS (German In-Depth-Accident Study) and the UK-based database CCIS (Co-operative Crash Injury Study) were used. The first part or the study is a statistical analysis of passenger car side-to-pole impacts to describe the characteristics and their importance relevant to other types of impact and to gain further knowledge about the main factors influencing the accident outcome.
Technical Paper

Evaluation of Injury Criteria for the Prediction of Commotio Cordis from Lacrosse Ball Impacts

2011-11-07
2011-22-0010
Commotio Cordis (CC) is the second leading cause of mortality in youth sports. Impacts occurring directly over the left ventricle (LV) during a vulnerable period of the cardiac cycle can cause ventricular fibrillation (VF), which results in CC. In order to better understand the pathophysiology of CC, and develop a mechanical model for CC, appropriate injury criteria need to be developed. This effort consisted of impacts to seventeen juvenile porcine specimens (mass 21-45 kg). Impacts were delivered over the cardiac silhouette during the venerable period of the cardiac cycle. Four impact speeds were used: 13.4, 17.9, 22.4, and 26.8 m/s. The impactor was a lacrosse ball on an aluminum shaft instrumented with an accelerometer (mass 188 g - 215 g). The impacts were recorded using high-speed video. LV pressure was measured with a catheter. Univariate binary logistic regression analyses were performed to evaluate the predictive ability of ten injury criteria.
Technical Paper

Study of Rib Fracture Mechanisms Based on the Rib Strain Profiles in Side and Forward Oblique Impact

2011-11-07
2011-22-0009
Rib fractures constitute a good indication of severity as there are the most frequent type of AIS3+ chest injuries. In 2008, Trosseille et al. showed a promising methodology to exhibit the rib fracture mechanisms, using strain gauges glued on the ribs of Post-Mortem Human Subjects (PMHS) and developing a specific signal analysis. In 2009, they published the results of static airbag tests performed on 50th percentile male PMHS at different distances and angles (pure lateral and 30 degrees forward oblique direction). To complete these already published data, a set of 8 PMHS lateral and oblique impactor tests were performed with the same methodology. The rib cages were instrumented with more than 100 strain gauges on the ribs, cartilage and sternum. A 23.4 kg impactor was propelled at 4.3 or 6.7 m/s. The forces applied onto the PMHS at 4.3 m/s ranged from 1.6 kN to 1.9 kN and the injuries varied from 4 to 13 rib fractures.
Technical Paper

Biomechanical Assessment of a Rear-Seat Inflatable Seatbelt in Frontal Impacts

2011-11-07
2011-22-0008
This study evaluated the biomechanical performance of a rear-seat inflatable seatbelt system and compared it to that of a 3-point seatbelt system, which has a long history of good real-world performance. Frontal-impact sled tests were conducted with Hybrid III anthropomorphic test devices (ATDs) and with post mortem human subjects (PMHS) using both restraint systems and a generic rear-seat configuration. Results from these tests demonstrated: a) reduction in forward head excursion with the inflatable seatbelt system when compared to that of a 3-point seatbelt and; b) a reduction in ATD and PMHS peak chest deflections and the number of PMHS rib fractures with the inflatable seatbelt system and c) a reduction in PMHS cervical-spine injuries, due to the interaction of the chin with the inflated shoulder belt. These results suggest that an inflatable seatbelt system will offer additional benefits to some occupants in the rear seats.
Technical Paper

Assessment of a Three-Point Restraint System with a Pre-tensioned Lap Belt and an Inflatable, Force-Limited Shoulder Belt

2011-11-07
2011-22-0007
This study investigates the performance of a 3-point restraint system incorporating an inflatable shoulder belt with a nominal 2.5-kN load limiter and a non-inflatable lap belt with a pretensioner (the “Airbelt”). Frontal impacts with PMHS in a rear seat environment are presented and the Airbelt system is contrasted with an earlier 3-point system with inflatable lap and shoulder belts but no load-limiter or pretensioners, which was evaluated with human volunteers in the 1970s but not fully reported in the open literature (the “Inflataband”). Key differences between the systems include downward pelvic motion and torso recline with the Inflataband, while the pelvis moved almost horizontally and the torso pitched forward with the Airbelt. One result of these kinematic differences was an overall more biomechanically favorable restraint loading but greater maximum forward head excursion with the Airbelt.
Technical Paper

Comparison of Hybrid III and THOR Dummies in Paired Small Overlap Tests

2011-11-07
2011-22-0014
The Insurance Institute for Highway Safety (IIHS) is investigating small overlap crash test procedures for a possible consumer information program. Analysis of real-world small overlap crashes found a strong relationship between serious head and chest injuries and occupant compartment intrusion. The main sources of serious head injuries were from the A-pillar, dash panel, or door structure, suggesting head trajectories forward and outboard possibly bypassing the airbag. Chest injuries mainly were from steering wheel intrusion and seat belt loading. In developing this program, two test dummies were evaluated for predicting occupant injury risk: midsize male Hybrid III and THOR. In the collinear small overlap crash tests conducted here, results from the two dummies were similar. Both predicted a low risk of injury to the head and chest and sometimes a high risk of injury to the lower extremities. Head and torso kinematics also were similar between dummies.
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

Pressure-Based Abdominal Injury Criteria Using Isolated Liver and Full-Body Post-Mortem Human Subject Impact Tests

2011-11-07
2011-22-0012
Liver trauma research suggests that rapidly increasing internal pressure plays a role in liver injury. Previous work has shown a correlation between pressure and liver injury in pressurized ex vivo human livers when subjected to blunt impacts. The purpose of this study was to extend the investigation of this relationship between pressure and liver injury by testing full-body post-mortem human surrogates (PMHS). Pressure-related variables were compared with one another and also to previously proposed biomechanical predictors of abdominal injury. Ten PMHS were tested. The abdominal vessels were pressurized to physiological levels using saline, and a pneumatic ram impacted the right side of the specimen ribcage at a nominal velocity of 7.0 m/s. Specimens were subjected to either lateral (n = 5) or oblique (n = 5) impacts, and the impact-induced pressures were measured by transducers inserted into the hepatic veins and inferior vena cava.
Technical Paper

Response of PMHS to High- and Low-Speed Oblique and Lateral Pneumatic Ram Impacts

2011-11-07
2011-22-0011
In ISO Technical Report 9790 (1999) normalized lateral and oblique thoracic force-time responses of PMHS subjected to blunt pendulum impacts at 4.3 m/s were deemed sufficiently similar to be grouped together in a single biomechanical response corridor. Shaw et al., (2006) presented results of paired oblique and lateral thoracic pneumatic ram impact tests to opposite sides of seven PMHS at sub-injurious speed (2.5 m/s). Normalized responses showed that oblique impacts resulted in more deflection and less force, whereas lateral impacts resulted in less deflection and more force. This study presents results of oblique and lateral thoracic impacts to PMHS at higher speeds (4.5 and 5.5 m/s) to assess whether lateral relative to oblique responses are different as observed by Shaw et al., or similar as observed by ISO.
Technical Paper

Injury Predictors for Traumatic Axonal Injury in a Rodent Head Impact Acceleration Model

2011-11-07
2011-22-0002
A modified Marmarou impact acceleration injury model was developed to study the kinematics of the rat head to quantify traumatic axonal injury (TAI) in the corpus callosum (CC) and brainstem pyramidal tract (Py), to determine injury predictors and to establish injury thresholds for severe TAI. Thirty-one anesthetized male Sprague-Dawley rats (392 ± 13 grams) were impacted using a modified impact acceleration injury device from 2.25 m and 1.25 m heights. Beta-amyloid precursor protein (β-APP) immunocytochemistry was used to assess and quantify axonal changes in CC and Py. Over 600 injury maps in CC and Py were constructed in the 31 impacted rats. TAI distribution along the rostro-caudal direction in CC and Py was determined. Linear and angular responses of the rat head were monitored and measured in vivo with an attached accelerometer and angular rate sensor, and were correlated to TAI data.
Technical Paper

Development of a Duration Threshold for Modulating Evoked Neuronal Responses After Nerve Root Compression Injury

2011-11-07
2011-22-0001
Cervical nerve roots are susceptible to compression injuries of various durations. The duration of an applied compression has been shown to contribute to both the onset of persistent pain and also the degree of spinal cellular and molecular responses related to nociception. This study investigated the relationship between peripherally evoked activity in spinal cord neurons during a root compression and the resulting development of axonal damage. Electrically evoked spikes were measured in the spinal cord as a function of time during and after (post-compression) a 15 minute compression of the C7 nerve root. Compression to the root significantly (p=0.035) reduced the number of spikes that were evoked over time relative to sham. The critical time for compression to maximally reduce evoked spikes was 6.6±3.0 minutes. A second study measured the post-compression evoked neuronal activity following compression applied for a shorter, sub-threshold time (three minutes).
Technical Paper

Development and Validation of Age-Dependent FE Human Models of a Mid-Sized Male Thorax

2010-11-03
2010-22-0017
The increasing number of people over 65 years old (YO) is an important research topic in the area of impact biomechanics, and finite element (FE) modeling can provide valuable support for related research. There were three objectives of this study: (1) Estimation of the representative age of the previously documented Ford Human Body Model (FHBM)~an FE model which approximates the geometry and mass of a mid-sized male, (2) Development of FE models representing two additional ages, and (3) Validation of the resulting three models to the extent possible with respect to available physical tests. Specifically, the geometry of the model was compared to published data relating rib angles to age, and the mechanical properties of different simulated tissues were compared to a number of published aging functions. The FHBM was determined to represent a 53-59 YO mid-sized male. The aforementioned aging functions were used to develop FE models representing two additional ages: 35 and 75 YO.
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