Pressure measurements in the spinal canal of post-mortem human subjects during rear-end impact and correlation of results to the neck injury criterion

The aim of this study is to validate the pressure effect theory on human beings during a realistic rear-end impact and to correlate the neck injury criterion to pressure in the spinal canal. Sled experiments were performed using a test setup similar to real rear-end collisions. Test conditions were chosen based on accident statistics and recordings of real accidents. In particular, velocity change and acceleration level were reproduced similar to actual collisions. The head restraint as well as the seat back were adjusted to different positions. Two small pressure transducer were implemented to the spinal canal of postmortem human subjects and pressure measurement similar to the pig experiments (using exactly the same equipment) were performed. A total set of 21 experiments with four different subjects were performed. The subjects were additionally instrumented with triaxial accelerometers that allowed for calculation of the NIC criterion. Results showed that NIC and pressure amplitudes of the CSF correlate well and therefore NIC seems to be able to predict these amplitudes also for human beings. Conclusions whether these pressure effects induce soft tissue neck injuries or not could not be drawn and should be investigated in further research.     

New methodology for improvement of helmet performances during impacts with regards to biomechanical criteria

In this study a new method for enhancing helmet performances during an impact is considered. In a first step an approved composite helmet finite element model is coupled with an anatomical head finite element model and is evaluated in terms of injury risks (risks of neurological injuries or subdural haematoma) under normative impact conditions (ECE 22.05 standard). Results show that the risk of head injuries is very high even if the considered helmet passes the standard. Thus a second step consists in proposing a new method for improving the helmet behaviour in case of impact by focusing on the outer shell characteristics and by assessing the head injury risk with the human head finite element model. A modal analysis of the entire helmet model is performed and makes it possible to define areas of the outer shell to be modified. Under standard impact conditions this new virtual helmet model conduces to a huge decrease of the head injury risk, both in terms of neurological injuries as well as in terms of subdural haematoma.     

Severe-to-fatal head injuries in motor vehicle impacts

Severe-to-fatal head injuries in motor vehicle environments were analyzed using the United States Crash Injury Research and Engineering Network database for the years 1997-2006. Medical evaluations included details and photographs of injury, and on-scene, trauma bay, emergency room, intensive care unit, radiological, operating room, in-patient, and rehabilitation records. Data were synthesized on a case-by-case basis. X-rays, computed tomography scans, and magnetic resonance images were reviewed along with field evaluations of scene and photographs for the analyses of brain injuries and skull fractures. Injuries to the parenchyma, arteries, brainstem, cerebellum, cerebrum, and loss of consciousness were included. In addition to the analyses of severe-to-fatal (AIS4+) injuries, cervical spine, face, and scalp trauma were used to determine the potential for head contact. Fatalities and survivors were compared using nonparametric tests and confidence intervals for medians. Results were categorized based on the mode of impact with a focus on head contact. Out of the 3178 medical cases and 169 occupants sustaining head injuries, 132 adults were in frontal (54), side (75), and rear (3) crashes. Head contact locations are presented for each mode. A majority of cases clustered around the mid-size anthropometry and normal body mass index (BMI). Injuries occurred at change in velocities (ΔV) representative of US regulations. Statistically significant differences in ΔV between fatalities and survivors were found for side but not for frontal impacts. Independent of the impact mode and survivorship, contact locations were found to be superior to the center of gravity of the head, suggesting a greater role for angular than translational head kinematics. However, contact locations were biased to the impact mode: anterior aspects of the frontal bone and face were involved in frontal impacts while temporal-parietal regions were involved in side impacts. Because head injuries occur at regulatory ΔV in modern vehicles and angular accelerations are not directly incorporated in crashworthiness standards, these findings from the largest dataset in literature, offer a field-based rationale for including rotational kinematics in injury assessments. In addition, it may be necessary to develop injury criteria and evaluate dummy biofidelity based on contact locations as this parameter depended on the impact mode. The current field-based analysis has identified the importance of both angular acceleration and contact location in head injury assessment and mitigation.     

A study of bicyclist kinematics and injuries based on reconstruction of passenger car–bicycle accident in China

Like pedestrians, bicyclists are vulnerable road users, representing a population with a high risk of fatal and severe injuries in traffic accidents as they are unprotected during vehicle collisions. The objective of this study is to investigate the kinematics response of bicyclists and the correlation of the injury severity with vehicle impact speed. Twenty-four car–bicyclist cases with detailed information were selected for accident reconstruction using mathematical models, which was implemented in the MADYMO program. The dynamic response of bicyclists in the typical impact configuration and the correlation of head impact conditions were analyzed and discussed with respect to the head impact speed, time of head impact and impact angle of bicyclists to vehicle impact speed. Furthermore, the injury distribution of bicyclists and the risk of head injuries and fractures of lower limbs were investigated in terms of vehicle impact speed. The results indicate that wrap-around distance (WAD), head impact speed, time of head impact, head impact angle, and throw-out distance (TOD) of the bicyclists have a strong relationship with vehicle impact speed. The vehicle impact speed corresponding to a 50% probability of head AIS 2+ injuries, head AIS 3+ injuries, and lower limb fracture risk for bicyclists is 53.8 km/h, 58.9 km/h, and 41.2 km/h, respectively. A higher vehicle impact speed produces a higher injury risk to bicyclist. The results could provide background knowledge for the establishment or modification of pedestrian regulations considering bicyclist protection as well as being helpful for developing safety measures and protection devices for bicyclists.     

Neck injury tolerance under inertial loads in side impacts

Neck injury remains a major issue in road safety. Current side impact dummies and side impact crashworthiness assessments do not assess the risk of neck injury. These assessments are limited by biofidelity and knowledge regarding neck injury criteria and tolerance levels in side impacts. Side impact tests with PMHS were performed at the Heidelberg University in the 1980s and 1990s to improve primarily the understanding of trunk dynamics, injury mechanisms and criteria. In order to contribute to the definition of human tolerances at neck level, this study presents an analysis of the head/neck biomechanical parameters that were measured in these tests and their relationship to neck injury severity. Data from 15 impact tests were analysed. Head accelerations, and neck forces and moments were calculated from 9-accelerometer array head data, X-rays and anthropometric data. Statistically significant relationships were observed between resultant head acceleration and neck force and neck injury severity. The average resultant head acceleration for AIS 2 neck injuries was 112 g, while resultant neck force was 4925 N and moment 241 Nm. The data compared well to other test data on cadavers and volunteers. It is hoped that the paper will assist in the understanding of neck injuries and the development of tolerance criteria.     

Investigating occupant safety through simulating the interaction between side curtain airbag deployment and an out-of-position occupant

The objective of this research is to elucidate the effect of side curtain airbag deployment on occupant injuries and safety when the occupant is either in-position or out-of-position (OOP). We used side impact vehicle collision simulations with a 1996 Dodge Neon model, which was further modified to include a side curtain airbag, a seatbelt, and a 50th percentile Hybrid III dummy. The airbag used in the study was inflated using both the uniform pressure (UP) and smooth particle hydrodynamics (SPH) methods. In-position and OOP simulations were performed to assess and establish guidelines for airbag aggressivity thresholds and occupant position versus risk of injury. Three different OOP scenarios (OOP1, OOP2, OOP3) were initially setup following the work of Lund (2003), then modified such that the dummy's head was closer to the airbag, increasing the chance of injury caused by the airbag. The resultant head acceleration as a function of time for in-position and OOP simulations shows that both UP and SPH methods produce similar peak accelerations in cases where the airbag is fully inflated prior to impact. In all cases, the head peak accelerations and the head injury criteria for simulations with an airbag were significantly lower when compared with the no airbag case, which would typically indicate that the use of an airbag results in improved occupant protection during side impact. However, in the case of OOP2 and OOP3, the neck flexion forces actually increase significantly when compared with the no airbag case. This finding indicates that the HIC and neck flexion forces criterion are in conflict and that there may be a tradeoff in terms of occupant injury/safety with a side curtain airbag that is strongly correlated to the occupant position. Consequently, this study shows that safety devices result in a significant effect on occupant injury/safety when the occupant is in OOP conditions. Moreover, in some cases, simulation results show that the side curtain airbag may not make the occupant safer. This study requires further investigation of the vehicle-specific airbag and its interaction with an occupant in various OOP conditions.     

Road traffic accidents and the Abbreviated Injury Scale (ais) in Japan

Although in Japan the number of casualties from road traffic accidents decreased substantially during a period of improvement of safety measures, in recent years it has remained rather constant. To decrease accidents still further it is necessary to investigate the circumstances of road traffic accidents and the severity of resulting casualties in detail. For this purpose 167,721 cases of road traffic accident casualties occurring between February and April 1979, throughout Japan were analyzed. (1) It was found that 74.2% of all the cases suffered injuries corresponding to AIS-1; 30% of these involved neck injuries. (2) There were 2,654 fatal cases, 67% of which involved head injuries, chiefly cerebral contusion, cranial base fracture, and intracranial hemorrhage. There were fatal cases in the categories of AIS-3 or below which are generally considered not fatal, but those were due to complications. (3) The chief sites of injury varied according to the victim's mode of transport: in an automobile the neck was the site most frequently injured; on a motorcycle the legs and head were usually involved; on a bicycle or walking the head and legs were most at risk. (4) Injuries to pedestrians often fell under the severer AIS-4 or higher codes and constituted 43% of total deaths. (5) Accidents with automobiles changing lanes tended to cause serious injuries and many deaths. Other characteristics of road traffic accidents in Japan are analyzed and discussed.     

Design and evaluation of shock-absorbing rubber tile for playground safety

Rubber tiles are commonly used in playgrounds as protective surfacing to reduce the incidence of head injuries in children caused by falling from equipment. This paper presents a newly designed rubber tile consisting of a surface layer of solid and a base layer of honeycomb shape plate-cell. This tile was applied to investigate head injury protective performance. A validated technique combined with experimental and numerical methods was utilized to perform head impact on the rubber tile. The peak acceleration and head injury criterion (HIC) were employed to assess the shock-absorbing capability of the tile. The better protective ability of the honeycomb-core was attributed to its lower transverse shearing stiffness. As a result, the likelihood of establishing safe protection in playground and reducing severe child head injuries could be magnified.     

Relationship between types of head injury and age of pedestrian

This paper explores the relationship between age and the different types of head injury received by pedestrians in traffic accidents with cars. The analysis is based on information collected by hospitals in England, and is supported by in-depth case examples. The principle result is that the risk of intracranial injury increases with age, whilst the risk of fracture to the head or facial bones remains relatively constant. This agrees with previous findings for other groups of casualties, which have reported that that the decrease in brain size leads to an increase in the relative motion of the skull and brain in an impact, with a corresponding increase in the risk of traumatic brain injury. Intracranial injuries have also been found to place the greatest burden on hospitals, which may have implications on automotive design if prevention of these injuries is to be prioritised over fractures of the skull.     

The effect of collision pulse properties on seven proposed whiplash injury criteria

Recent epidemiological and biomechanical studies have suggested that whiplash injury is related to a vehicle's average acceleration rather than its speed change during a rear-end collision. To further explore this phenomenon, the effect of various kinematic properties of the collision pulse on seven proposed whiplash injury criteria was quantified. A BioRID II rear-impact dummy was seated on a programmable sled and exposed six times to each of 15 different collision pulses. Five properties of the collision pulse were varied: peak acceleration (1.3-4.4 g), speed change (3-11 km/h), duration (52-180 ms), displacement (2-26 cm) and shape (square, sine and triangular). Linear and angular accelerations and displacements of the head, and linear accelerations of the T1 and pelvis were measured in the sagittal-plane. Upper neck loads in the sagittal-plane were also measured. Variations within the proposed injury criteria between the different pulses were compared using analyses of variance. Six criteria--peak upper neck shear force, peak upper neck moment, peak retraction, the neck injury criterion (NIC) and two normalized neck injury criteria (Nij and Nkm)--exhibited graded responses that were most sensitive to the average acceleration of the collision pulse. Peak extension angle between the head and T1 decreased with both increasing speed change and peak acceleration, and was, therefore, deemed unsuitable as a whiplash injury criterion for the BioRID dummy. Of the seven criteria, Nij and Nkm were best able to distinguish between the 15 pulses. If the six graded injury criteria are related to the risk of whiplash injury, then the results of this study indicate that the risk of whiplash injury can be reduced by bumper and seat designs that prolong the collision pulse and thereby reduce the average vehicle and occupant accelerations for a given speed change.     

Finite element analysis of occupant head injuries: Parametric effects of the side curtain airbag deployment interaction with a dummy head in a side impact crash

In this study, we investigated and assessed the dependence of dummy head injury mitigation on the side curtain airbag and occupant distance under a side impact of a Dodge Neon. Full-scale finite element vehicle simulations of a Dodge Neon with a side curtain airbag were performed to simulate the side impact. Owing to the wide range of parameters, an optimal matrix of finite element calculations was generated using the design method of experiments (DOE); the DOE method was performed to independently screen the finite element results and yield the desired parametric influences as outputs. Also, analysis of variance (ANOVA) techniques were used to analyze the finite element results data. The results clearly show that the influence of moving deformable barrier (MDB) strike velocity was the strongest influence parameter on both cases for the head injury criteria (HIC36) and the peak head acceleration, followed by the initial airbag inlet temperature. Interestingly, the initial airbag inlet temperature was only a ~30% smaller influence than the MDB velocity; also, the trigger time was a ~54% smaller influence than the MDB velocity when considering the peak head accelerations. Considering the wide range in MDB velocities used in this study, results of the study present an opportunity for design optimization using the different parameters to help mitigate occupant injury. As such, the initial airbag inlet temperature, the trigger time, and the airbag pressure should be incorporated into vehicular design process when optimizing for the head injury criteria.     

Effect of wheelchair headrest use on pediatric head and neck injury risk outcomes during rear impact

Comparative risks or benefits to wheelchair-seated pediatric occupants in motor vehicles associated with wheelchair headrest use during rear impact were evaluated using pediatric head and neck injury outcome measures. A Hybrid III 6-year-old anthropomorphic test device (ATD), seated in identical WC19-compliant pediatric manual wheelchairs, was used to measure head and neck response during a 25 km/h (16 mph), 11 g rear impact. ATD responses were evaluated across two test scenarios: three sled tests conducted without headrests, and three with slightly modified commercial headrests. Head and neck injury outcomes measures included: linear head acceleration, head injury criteria (HIC) values, neck injury criteria (N(ij)) values, and combined rotational head velocity and acceleration. Neck and head injury outcome measures improved by 34-70% in sled tests conducted with headrests compared to tests without headrests. Headrest use reduced N(ij) values and the likelihood of concussion from values above established injury thresholds to values below injury thresholds. Injury measure outcome reductions suggest lower head and neck injury risks for wheelchair-seated children using wheelchair-mounted headrests as compared to non-headrest users in rear impact. Use of relative comparisons across two test scenarios served to minimize effects of ATD biofidelity limitations.     

Comparative study of European tunnel emergency-stop-area-wall protection measures

Due to the increasing number of traffic accidents involving the collisions of vehicles with the emergency-stop-area head walls in tunnels, a comparative numerical analysis in accordance with the EN 1317 standard has been performed in order to assess the quality of the available protective safety barriers. Based on the simulation results, the values of the relevant injury criteria – the acceleration severity index (ASI), the theoretical head impact velocity (THIV) and the post-impact head deceleration (PHD) – were computed for several collision scenarios involving two different passenger vehicles colliding with two different safety barriers in various ways. The results show that due to the geometrical restrictions in the tunnel's emergency stop area none of the barriers can provide total protection for the occupants of the vehicle in the event of a collision. The installation of a steel-sheet-tube crash cushion was, however, found to provide the best possible protection within the given limitations. The results of the analysis were the basis for selecting a safety-barrier design for existing tunnel installations and for the proposed changes in regulations governing the geometry of the tunnel's emergency stop area.     

Report investigating the importance of head restraint positioning in reducing neck injury in rear impact

Neck injury resulting from rear impact (often known as whiplash) is a serious cause of road trauma. It is often underestimated or overlooked because such injuries are minor on traditional injury scales but can result in long term pain and disability. The paper begins with a brief review of research into head restraints and whiplash done so far. A review of international head restraint regulations revealed the absence of any horizontal offset requirements. A review of seat strength requirements and testing procedures showed that a regulation that required a collapsible seat would involve significant compliance testing. This paper concludes a preliminary project conducted by the Federal Office of Road Safety (FORS) where the head restraints for twenty Australian market vehicles were assessed using known performance criteria. A key finding of the report was that most of the vehicles allowed for vertical adjustment of the head restraint. Also important was that none of the vehicles measured allowed horizontal adjustment and on some of the head restraints the horizontal displacement increased as the vertical height increased. As the understanding of neck injury mechanisms in rear impact develops, there may be some scope for FORS to facilitate the improvement of these standards. Further research into neck injury mechanisms may reveal yielding seat backs or new 'active' head restraint technology as a more effective countermeasure. In the meantime, educating occupants to correctly adjust their head restraints seems to be an effective way to reduce injuries in existing vehicles.     

Bicycle-related head injury: a study of 86 cases

Within the framework of a bicycle helmet research program, we have set up a database of bicycle accident victims, containing both accident and clinical data. The database consists of a consecutive series of 86 victims of bicycle accidents who underwent a neurosurgical intervention in our hospital between 1990 and 2000. Data were obtained from police files, medical records, computed tomography head scans and a patient questionnaire. In only three victims, the wearing of a helmet was documented. In this study, the head injuries are analysed and the relation between the different types of head injuries and outcome is assessed. Forty-four accidents were collisions with a motor vehicle and 42 accidents were falls. Most impacts occurred at the side (57%) or at the front (27%) of the head. The most frequent injuries were skull fractures (86%) and cerebral contusions (73%). Age was negatively correlated with outcome (P = 0.0002 ) and positively correlated with the number (P = 0.00002) and volume (P = 0.00005) of contusions and the presence of subdural haematomas (P = 0.000001). The injuries with the strongest negative effect on outcome were: subarachnoid haemorrhage (P = 0.000001), multiple (P = 0.000005) or large ( P 0.0007) contusions, subdural haematoma (P = 0.001) and brain swelling (P = 0.002). A significant coexistence of these four injuries was found. We hypothesise that in many patients the contusions may have been the primary injuries of this complex and should therefore be considered as a main injury determining outcome in this study. We believe that such findings may support a rational approach to optimising pedal cyclist head protection.     

Optimization of Composite Foam Concept for Protective Helmets to Mitigate Rotational Acceleration of the Head in Oblique Impacts: A Parametric Study

Rotational acceleration of the head is known to be the cause of traumatic brain injuries. It was hypothesized that by introducing anisotropy in a foam liner in head protection applications, for example, protective helmets, rotational acceleration transmitted to the head can be further mitigated. Therefore, composite foam with a cylinder/matrix configuration with anisotropy at “macro level” is proposed as a smart structural solution to replace single layer foam headliners of the same weight and thickness. In this paper, a parametric study on the cylinder/matrix configuration is performed and the results are compared with these of single layer expanded polystyrene foam. The structure is subsequently optimized for the best performance in mitigation of rotational acceleration and velocity. Oblique impact results show that the parameters such as the number of cylinders in a given structure, and the compliance of the matrix foam significantly affect the extent of rotational acceleration and velocity mitigation. Optimized composite foam configurations are subsequently proposed and they demonstrate a mitigation of rotational acceleration and velocity up to 44 and 19%, respectively. Moreover, relevant global head injury criteria such as HIC (Head Injury Criterion), RIC (Rotational Injury Criterion), HIP_max (Head Impact Power), GAMBIT (Generalised Acceleration Model for Brain Injury Threshold), and BrIC (Brain Injury Criterion) demonstrated reduction up to 27, 67, 31, 26, and 19%, respectively.

     

A review of research on the protection afforded to occupants of cars by seat belts which provide upper torso restraint

The paper presents a critical review and summary of research on the protection afforded to car occupants by seat belts which provide upper torso restraint. The nature and causes of the injuries which occur even when seat belts are worn are then considered, and methods of reducing injuries still further are suggested.

Summaries are given of 8 selected European and American papers on seat belts in accidents. The estimated reductions in serious injuries varied from 45 to 70%, and reasons are suggested for the occurrence of these differences. Evidence of the reduction in deaths, as opposed to serious injuries, when seat belts are worn is scanty, but Australian experience of the results of compulsory seat belt wearing suggest that the wearing of seat belts with upper torso restraint reduces deaths of car occupants by at least 40%.

In non-fatal accidents to belted occupants, head, chest and leg injuries give rise to the largest numbers of severe injuries (AIS >3). In fatalities to belted occupants, however, while head injury retains its premier position, abdominal injury is at least as important as chest injury.

Modifications to the design of lap and diagonal seat belts are suggested, (a) to restrict loads on the abdomen and chest to levels which will not result in serious injury, and (b) to reduce forward movement of the head so as to lessen the risk of head injury.     

The effectiveness of helmets in reducing all-terrain vehicle injuries and deaths

This article examines the effectiveness of helmets in reducing all-terrain vehicle (ATV) related deaths and head injuries, conditional on the occurrence of injury producing accidents. A logit regression model is used to analyze cross-section data on ATV-related fatal and nonfatal injuries, and to determine the factors that are associated with deaths and head injuries. The results suggest that, given an accident resulting in injury or death, helmet use reduces the risk of death by about 42%, and could reduce the likelihood that a given nonfatal injury involves the head by about 64%. Other factors that are associated with the risk of fatality for injury accidents include the use of alcohol or drugs, driving on paved roads, the driver's age and sex, and the vehicle's engine size. A benefit-cost analysis of helmet use is conducted and policy implications are discussed.     

基于小偏置碰的乘员二次碰撞分析及约束系统仿真优化

研究64 km/h小偏置碰的乘员动态响应及约束系统参数影响.通过建立50 km/h全正碰与64 km/h小偏置碰的约束系统模型,比对两种工况中的乘员二次碰撞运动姿态与损伤特点.仿真结果表明小偏置碰中乘员上躯干相对车体产生较大的横向加速度,导致头部和颈部等部位损伤加剧.基于上述损伤特点,导入侧气帘模块并分析其对乘员损伤的...     

Bicycle helmets are highly effective at preventing head injury during head impact: Head-form accelerations and injury criteria for helmeted and unhelmeted impacts

Cycling is a popular form of recreation and method of commuting with clear health benefits. However, cycling is not without risk. In Canada, cycling injuries are more common than in any other summer sport; and according to the US National Highway and Traffic Safety Administration, 52,000 cyclists were injured in the US in 2010. Head injuries account for approximately two-thirds of hospital admissions and three-quarters of fatal injuries among injured cyclists. In many jurisdictions and across all age levels, helmets have been adopted to mitigate risk of serious head injuries among cyclists and the majority of epidemiological literature suggests that helmets effectively reduce risk of injury. Critics have raised questions over the actual efficacy of helmets by pointing to weaknesses in existing helmet epidemiology including selection bias and lack of appropriate control for the type of impact sustained by the cyclist and the severity of the head impact. These criticisms demonstrate the difficulty in conducting epidemiology studies that will be regarded as definitive and the need for complementary biomechanical studies where confounding factors can be adequately controlled. In the bicycle helmet context, there is a paucity of biomechanical data comparing helmeted to unhelmeted head impacts and, to our knowledge, there is no data of this type available with contemporary helmets. In this research, our objective was to perform biomechanical testing of paired helmeted and unhelmeted head impacts using a validated anthropomorphic test headform and a range of drop heights between 0.5 m and 3.0 m, while measuring headform acceleration and Head Injury Criterion (HIC). In the 2 m (6.3 m/s) drops, the middle of our drop height range, the helmet reduced peak accelerations from 824 g (unhelmeted) to 181 g (helmeted) and HIC was reduced from 9667 (unhelmeted) to 1250 (helmeted). At realistic impact speeds of 5.4 m/s (1.5 m drop) and 6.3 m/s (2.0 m drop), bicycle helmets changed the probability of severe brain injury from extremely likely (99.9% risk at both 5.4 and 6.3 m/s) to unlikely (9.3% and 30.6% risk at 1.5 m and 2.0 m drops respectively). These biomechanical results for acceleration and HIC, and the corresponding results for reduced risk of severe brain injury show that contemporary bicycle helmets are highly effective at reducing head injury metrics and the risk for severe brain injury in head impacts characteristic of bicycle crashes.