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Previous full body cadaver testing has shown that both obliquely oriented seats in survivable aircraft crashes and far-side oblique crashes in vehicles present distinctive occupant kinematics that are not yet well understood. Knowledge surrounding how these loading scenarios affect the lumbar spine is particularly lacking as there exists minimal research concerning oblique loading. The current study was created to evaluate a novel experimental method through comparison with existing literature, and to examine the impact of a static bending pre-load (posture) on the load-displacement response for the whole lumbar spine loaded in non-destructive axial distraction. T12-S1 lumbar spines were tested in tension to 4 mm of displacement while positioned in one of three pre-load postures. These postures were: the spine's natural, unloaded curvature (neutral), flexed forward (flexed), and combined flexion and lateral bending (oblique). Deviations from a neutral spine position were shown to significantly increase peak loads and tensile stiffness. The presence of a flexion pre-load caused statistically significant increases in tensile stiffness, tensile force, and bending moments. The addition of a lateral bending pre-load to an already flexed spine did not significantly alter the tensile response. However, the flexion moment response was significantly affected by the additional postural pre-load. This work indicates that the initial conditions of distraction loading significantly affect lumbar spine load response. Therefore, future testing that seeks to emulate crash dynamics of obliquely seated occupants must account for multi-axis loading.

Modern environmental scenarios such as autonomous vehicles, aircrafts, and military vehicles position the human body in a nonstandard posture and induce multiplanar loads; however, current spine alignment methods and loading are based on sagittal and planar loads. The objective of this study is to develop a posture control device and demonstrate its ability to induce multiplanar loads to the human cadaver spinal columns. The inferior end of the device was designed to allow a full six degree-of-freedom control for positioning the specimen via a coupled x-y cross table, vertical lift platform, and triaxial rotation mechanism. The superior end of the device was designed such that the cranial fixation of the specimen could be attached to the piston of the electrohydraulic testing apparatus directly or via a rotary disc through a slider-crank mechanism. The former attachment induces complex forces and moments, while the latter induces controlled moments with minimal forces. The usability of the posture control device was demonstrated by conducting experiments with a thoracolumbar spinal column for combined forces and moments, and with a head-neck column for complex moments, and in both cases, the uniaxial travel of the piston was at a dynamic rate. The posture control device can be used to study the biomechanics of the spine under complex loads and with different postures and develop injury criteria for different field environments.

Anthropomorphic test devices (ATDs) are designed for specific loading scenarios and possess uniquely designed individual components including the neck. The purpose of this study was to determine the influence of the neck surrogate on head kinematics. Inertial loads were generated using a pendulum system with an anthropomorphic head attached to a Hybrid III (HIII) or EuroSID-2 (ES-2) neck. The ATD head-neck assemblies were tested under extension, flexion, lateral bending, oblique extension, and oblique flexion at 3.4 m/s. Peak head kinematics were found to be statistically different with the ES-2 versus HIII neck under certain cases. For extension, the resultant peak linear acceleration (PLA) and resultant peak angular acceleration (PAA) were statistically higher with the ES-2 versus HIII neck. For flexion and lateral bending, there were no statistical differences in the resultant PLA based on neck selection although the resultant PAA was statistically higher with the ES-2 versus HIII neck. For oblique extension, the resultant PLA and PAA statistically increased with the ES-2 versus HIII neck. Furthermore, the acceleration components ax, αx, and αy were statistically higher with the ES-2 neck while ay showed no statistical difference due to neck selection. For oblique flexion, the resultant PLA and PAA were statistically higher with the ES-2 versus HIII neck. Additionally, the acceleration components ax, ay, αx, and αy were statistically higher with the ES-2 versus HIII neck. These findings indicate that for certain loading directions and acceleration components, head kinematics were influenced by the neck surrogate used.

Injury risk curves from biomechanical experimental data analysis are used in automotive studies to improve crashworthiness and advance occupant safety. Metrics such as acceleration and deflection coupled with outcomes such as fractures and anatomical disruptions from impact tests are used in simple binary regression models. As an improvement, the International Standards Organization suggested a different approach. It was based on survival analysis. While probability curves for side-impact-induced thorax and abdominal injuries and frontal impact-induced foot-ankle-leg injuries are developed using this approach, deficiencies are apparent. The objective of this study is to present an improved, robust and generalizable methodology in an attempt to resolve these issues. It includes: (a) statistical identification of the most appropriate independent variable (metric) from a pool of candidate metrics, measured and or derived during experimentation and analysis processes, based on the highest area under the receiver operator curve, (b) quantitative determination of the most optimal probability distribution based on the lowest Akaike information criterion, (c) supplementing the qualitative/visual inspection method for comparing the selected distribution with a non-parametric distribution with objective measures, (d) identification of overly influential observations using different methods, and (e) estimation of confidence intervals using techniques more appropriate to the underlying survival statistical model. These clear and quantified details can be easily implemented with commercial/open source packages. They can be used in retrospective analysis and prospective design of experiments, and in applications to different loading scenarios such as underbody blast events. The feasibility of the methodology is demonstrated using post mortem human subject experiments and 24 metrics associated with thoracic/abdominal injuries in side-impacts.

The objective of the study was to develop a simple device, Vertical accelerator (Vertac), to apply vertical impact loads to Post Mortem Human Subject (PMHS) or dummy surrogates because injuries sustained in military conflicts are associated with this vector; example, under-body blasts from explosive devices/events. The two-part mechanically controlled device consisted of load-application and load-receiving sections connected by a lever arm. The former section incorporated a falling weight to impact one end of the lever arm inducing a reaction at the other/load-receiving end. The "launch-plate" on this end of the arm applied the vertical impact load/acceleration pulse under different initial conditions to biological/physical surrogates, attached to second section. It is possible to induce different acceleration pulses by using varying energy absorbing materials and controlling drop height and weight. The second section of Vertac had the flexibility to accommodate different body regions for vertical loading experiments. The device is simple and inexpensive. It has the ability to control pulses and flexibility to accommodate different sub-systems/components of human surrogates. It has the capability to incorporate preloads and military personal protective equipment (e.g., combat helmet). It can simulate vehicle roofs. The device allows for intermittent specimen evaluations (x-ray and palpation, without changing specimen alignment). The two free but interconnected sections can be used to advance safety to military personnel. Examples demonstrating feasibilities of the Vertac device to apply vertical impact accelerations using PMHS head-neck preparations with helmet and booted Hybrid III dummy lower leg preparations under in-contact and launch-type impact experiments are presented.

While studies have been conducted using human cadaver lumbar spines to understand injury biomechanics in terms of stability/energy to fracture, and physiological responses under pure-moment/follower loads, data are sparse for inferior-to-superior impacts. Injuries occur under this mode from underbody blasts. Objectives: determine role of age, disc area, and trabecular bone density on tolerances/risk curves under vertical loading from a controlled group of specimens. T12-S1 columns were obtained, pretest X-rays and CTs taken, load cells attached to both ends, impacts applied at S1-end using custom vertical accelerator device, and posttest X-ray, CT, and dissections done. BMD of L2-L4 vertebrae were obtained from QCT. Survival analysis-based Human Injury Probability Curves (HIPCs) were derived using proximal and distal forces. Age, area, and BMD were covariates. Forces were considered uncensored, representing the load carrying capacity. The Akaike Information Criterion was used to determine optimal distributions. The mean forces, ±95% confidence intervals, and Normalized Confidence Interval Size (NCIS) were computed. The Lognormal distribution was the optimal function for both forces. Age, area, and BMD were not significant (p > 0.05) covariates for distal forces, while only BMD was significant for proximal forces. The NCIS was the lowest for force-BMD covariate HIPC. The HIPCs for both genders at 35 and 45 years were based on population BMDs. These HIPCs serve as human tolerance criteria for automotive, military, and other applications. In this controlled group of samples, BMD is a better predictor-covariate that characterizes lumbar column injury under inferior-to-superior impacts.

It is well known that variability is inherent in any biological experiment. Human cadavers (Post-Mortem Human Subjects, PMHS) are routinely used to determine responses to impact loading for crashworthiness applications including civilian (motor vehicle) and military environments. It is important to transform measured variables from PMHS tests (accelerations, forces and deflections) to a standard or reference population, termed normalization. The transformation process should account for inter-specimen variations with some underlying assumptions used during normalization. Scaling is a process by which normalized responses are converted from one standard to another (example, mid-size adult male to large-male and small-size female adults, and to pediatric populations). These responses are used to derive corridors to assess the biofidelity of anthropomorphic test devices (crash dummies) used to predict injury in impact environments and design injury mitigating devices. This survey examines the pros and cons of different approaches for obtaining normalized and scaled responses and corridors used in biomechanical studies for over four decades. Specifically, the equal-stress equal-velocity and impulse-momentum methods along with their variations are discussed in this review. Methods ranging from subjective to quasi-static loading to different approaches are discussed for deriving temporal mean and plus minus one standard deviation human corridors of time-varying fundamental responses and cross variables (e.g., force-deflection). The survey offers some insights into the potential efficacy of these approaches with examples from recent impact tests and concludes with recommendations for future studies. The importance of considering various parameters during the experimental design of human impact tests is stressed.

The chestband transducer permits noninvasive measurement of transverse plane biomechanical response during blunt thorax impact. Although experiments may reveal complex two-dimensional (2D) deformation response to boundary conditions, biomechanical studies have heretofore employed only uniaxial chestband contour quantifying measurements. The present study described and evaluated an algorithm by which source subject-specific contour data may be systematically mapped to a target generalized anthropometry for computational studies of biomechanical response or anthropomorphic test dummy development. Algorithm performance was evaluated using chestband contour datasets from two rigid lateral impact boundary conditions: Flat wall and anterior-oblique wall. Comparing source and target anthropometry contours, peak deflections and deformation-time traces deviated by less than 4%. These results suggest that the algorithm is appropriate for 2D deformation response to lateral impact boundary conditions.

Recognizing the association of angular loading with brain injuries and inconsistency in previous studies in the application of the biphasic loads to animal, physical, and experimental models, the present study examined the role of the acceleration-deceleration pulse shapes on region-specific strains. An experimentally validated two-dimensional finite element model representing the adult male human head was used. The model simulated the skull and falx as a linear elastic material, cerebrospinal fluid as a hydrodynamic material, and cerebrum as a linear viscoelastic material. The angular loading matrix consisted coronal plane rotation about a center of rotation that was acceleration-only (4.5 ms duration, 7.8 krad/s/s peak), deceleration-only (20 ms, 1.4 krad/s/s peak), acceleration-deceleration, and deceleration-acceleration pulses. Both biphasic pulses had peaks separated by intervals ranging from 0 to 25 ms. Principal strains were determined at the corpus callosum, base of the postcentral sulcus, and cerebral cortex of the parietal lobe. The cerebrum was divided into 17 regions and peak values of average maximum principal strains were determined. In all simulations, the corpus callosum responded with the highest strains. Strains were the least under all simulations in the lower parietal lobes. In all regions peak strains were the same for both monophase pulses suggesting that the angular velocity may be a better metric than peak acceleration or deceleration. In contrast, for the biphasic pulse, peak strains were region- and pulse-shape specific. Peak values were lower in both biphasic pulses when there was no time separation between the pulses than the corresponding monophase pulse. Increasing separation time intervals increased strains, albeit non-uniformly. Acceleration followed by deceleration pulse produced greater strains in all regions than the other form of biphasic pulse. Thus, pulse shape appears to have an effect on regional strains in the brain.

This paper presents a survey of side impact trauma-related biomedical investigations with specific reference to certain aspects of epidemiology relating to the growing elderly population, improvements in technology such as side airbags geared toward occupant safety, and development of injury criteria. The first part is devoted to the involvement of the elderly by identifying variables contributing to injury including impact severity, human factors, and national and international field data. This is followed by a survey of various experimental models used in the development of injury criteria and tolerance limits. The effects of fragility of the elderly coupled with physiological changes (e.g., visual, musculoskeletal) that may lead to an abnormal seating position (termed out-of-position) especially for the driving population are discussed. Fundamental biomechanical parameters such as thoracic, abdominal and pelvic forces; upper and lower spinal and sacrum accelerations; and upper, middle and lower chest deflections under various initial impacting conditions are evaluated. Secondary variables such as the thoracic trauma index and pelvic acceleration (currently adopted in the United States Federal Motor Vehicle Safety Standards), peak chest deflection, and viscous criteria are also included in the survey. The importance of performing research studies with specific focus on out-of-position scenarios of the elderly and using the most commonly available torso side airbag as the initial contacting condition in lateral impacts for occupant injury assessment is emphasized.

Arterial subfailure leads to delayed symptomatology and high morbidity and mortality rates, particularly for the thoracic aorta and carotid arteries. Although arterial injuries occur during high-velocity automotive collisions, previous studies of arterial subfailure focused on quasi-static loading. This investigation subjected aortic segments to increasing loading rates to quantify effects on elastic, subfailure, and ultimate vessel mechanics. Sixty-two specimens were axially distracted, and 92% demonstrated subfailure before ultimate failure. With increasing loading rate, stress at initial subfailure and ultimate failure significantly increased, and strain at initial subfailure and ultimate failure significantly decreased. Present results indicate increased susceptibility for arterial subfailure and/or dissection under higher-rate extension. According to the present results, automotive occupants are at greater risk of arterial injury under higher velocity impacts due to greater body segment motions in addition to decreased strain tolerance to subfailure and catastrophic failure.

Despite recognizing the importance of angular acceleration in brain injury, computations using data from experimental studies with biological models such as human cadavers have met with varying degrees of success. In this study, a lightweight and a low-profile version of the nine-accelerometer system was developed for applications in head injury evaluations and impact biomechanics tests. The triangular pyramidal nine-accelerometer package (PNAP) is precision-machined out of standard aluminum, is lightweight (65 g), and has a low profile (82 mm base width, 35 mm vertex height). The PNAP assures accurate orthogonal characteristics because all nine accelerometers are pre-aligned and attached before mounting on a human cadaver preparation. The feasibility of using the PNAP in human cadaver head studies is demonstrated by subjecting a specimen to an impact velocity of 8.1 m/s and the resultant angular acceleration peaked at 17 krad/s2. The accuracy and the high fidelity of the PNAP device at high and low angular acceleration levels were demonstrated by comparing the PNAP-derived angular acceleration data with separate tests using the internal nine-accelerometer head of the Hybrid III anthropomorphic test device. Mounting of the PNAP on a biological specimen such as a human cadaver head should yield very accurate angular acceleration data.

Finite element (FE) modeling is an important tool for studying the cervical spine in normal, injured and diseased conditions. To understand the role of mechanical changes on the spine as it goes from a normal to a diseased or injured state, experimental studies are needed to establish the external response of young, normal cervical spinal segments compared to injured or degenerated cervical spinal segments under physiologic loading. It is important to differentiate injured or degenerated specimens from young, normal specimens to provide accurate experimental results necessary for the validation of FE models. This study used seven young, normal fresh adult cadaver cervical spine segments C2-T1 ranging in age from 20 to 51 years. Prior to testing, the spines were graded in three ways: specimen quality, facet degeneration and disc degeneration. Spine segments were tested in flexion/extension, and the range of loads applied to the specimens was 0.33, 0.5, 1.0, 1.5 and 2.0 Nm. These loads resulted in rotations in the direction of loading as the primary response to loading. In general, results for young, normal specimens showed greater flexibility in flexion and less flexibility in extension than results previously reported in the literature. The flexion/extension curves are asymmetric with a greater magnitude in flexion than in extension. These experimental results will be used to validate FE models of young, normal cervical spines.

Although studies have been conducted in the past to duplicate traumatic fractures of the os calcis, biomechanical force data as a function of extra- and intra-articular fractures are not available. Consequently, in this study, a dynamic single impact model was used to provide such information. Using intact human cadaver lower extremities, impact loading was applied to the plantar surface of the foot using a mini-sled pendulum equipment. The proximal tibia was fixed in polymethylmethacrylate. Following impact, pathology to the os calcis was classified into intact (no injury; 14 cases), and extra-articular (6 cases) and intra-articular (6 cases) fractures. Peak dynamic forces were used to conduct statistical analysis. Mean forces for the intact and (both) fracture groups were 4144 N (standard error, SE: 689) and 7802 N (SE: 597). Mean forces for the extra- and intra-articular fracture groups were 7445 N (SE: 711) and 8159 N (SE: 1006). The peak force influenced injury outcome (ANOVA, p

The human cervical spine facet joint capsule was modeled using four nonlinear finite element approaches: slideline, contact surface, hyperelastic, and fluid models. Slideline elements and contact surface definitions were used in the first two models to simulate the synovial fluid between the articulating cartilages. Incompressible solid elements approximated the synovial fluid in the hyperelastic model. Hydrostatic fluid elements idealized the synovial fluid in the fluid model. The finite element analysis incorporated geometric, material and contact nonlinearities. All models were subjected to compression, flexion, extension, and lateral bending. The fluid model idealization better approximates the actual facet joint anatomy and its behavior than the gap assumption in the slideline and contact surface models, and the solid element simulation in the hyperelastic model.

A considerable majority of side impact sled tests using different types of human surrogates has used a load-wall design not specific to subject anthropometry. The use of one load-wall configuration cannot accurately isolate and evaluate regional responses for the same load-wall geometry. As the anatomy and biomechanical responses of the human torso depends on the region, and anthropomorphic test devices continue to advance and accommodate regional differences, it is important to obtain specific data from sled tests. To achieve this goal, the present study designed a scalable modular load-wall consisting of the shoulder, thorax, abdomen, and superior and inferior pelvis, and lower limb plates. The first five plates were connected to a vertical fixture and the limb plate was connected to another fixture. The width, height, and thickness, and the gap between plates were modular. Independent adjustments in the coronal and sagittal planes allowed region-specific positioning depending on surrogate anthropometry, example pelvis width and seated height. Two tri-axial load cells were fixed on the contralateral face of each plate of the load-wall to record impact force-time histories. The load-wall and vertical fixture design can be used to conduct side impact tests with varying vectors, pure-lateral to anterior and posterior oblique, by appropriately orienting the load-wall with respect to the surrogate. The feasibility of the design to extract region-specific biomechanical data was demonstrated by conducting pure-lateral and anterior oblique sled tests using two different surrogates at a velocity of 6.7 m/s. Uses of this design are discussed for different applications.

This paper presents a synthesis of biomedical investigations of the human head with specific reference to certain aspects of physical properties and development of anthropometry data, leading to the advancement of dummies used in crashworthiness research. As a significant majority of the studies have been summarized as reports, an effort has been made to chronologically review the literature with the above objectives. The first part is devoted to early studies wherein the mass, center of gravity (CG), and moment of inertia (MOI) properties are obtained from human cadaver experiments. Unembalmed and preserved whole-body and isolated head and head-neck experiments are discussed. Acknowledging that the current version of the Hybrid III dummy is the most widely used anthropomorphic test device in motor vehicle crashworthiness research for frontal impact applications for over 30 years, bases for the mass and MOI-related data used in the dummy are discussed. Since the development and federalization of the dummy in the United States, description of methods used to arrive at these properties form a part of the manuscript. Studies subsequent to the development of this dummy including those from the US Military are also discussed. As the head and neck are coupled in any impact, and increasing improvements in technology such as advanced airbags, and pre-tensioners and load limiters in manual seatbelts affect the kinetics of the head-neck complex, the manuscript underscores the need to pursue studies to precisely determine all the physical properties of the head. Because the most critical parameters (locations of CG and occipital condyles (OC), mass, and MOI) have not been determined on a specimen-by-specimen basis in any single study, it is important to gather these data in future experiments. These critical data will be of value for improving occupant safety, designing advanced restraint systems, developing second generation dummies, and assessing the injury mitigating characteristics of modern vehicle components in all impact modalities.

Biomechanical quantification of projectile penetration using experimental head models can enhance the understanding of civilian ballistic brain injury and advance treatment. Two of the most commonly used handgun projectiles (25-cal, 275 m/s and 9 mm, 395 m/s) were discharged to spherical head models with gelatin and Sylgard simulants. Four ballistic pressure transducers recorded temporal pressure distributions at 308kHz, and temporal cavity dynamics were captured at 20,000 frames/second (fps) using high-speed digital video images. Pressures ranged from 644.6 to -92.8 kPa. Entry pressures in gelatin models were higher than exit pressures, whereas in Sylgard models entry pressures were lower or equivalent to exit pressures. Gelatin responded with brittle-type failure, while Sylgard demonstrated a ductile pattern through formation of micro-bubbles along projectile path. Temporary cavities in Sylgard models were 1.5-2x larger than gelatin models. Pressures in Sylgard models were more sensitive to projectile velocity and diameter increase, indicating Sylgard was more rate sensitive than gelatin. Based on failure patterns and brain tissue rate-sensitive characteristics, Sylgard was found to be an appropriate simulant. Compared with spherical projectile data, full-metal jacket (FMJ) projectiles produced different temporary cavity and pressures, demonstrating shape effects. Models using Sylgard gel and FMJ projectiles are appropriate to enhance understanding and mechanisms of ballistic brain injury.

While the incidence of blunt carotid artery injuries is low, the mortality rate is extremely high (40%). Clinical evidence indicates that the intimal region of the artery often sustains failure, while maintaining the integrity of the outer layers. This condition may lead to delayed ischemic symptoms, commonly reported in clinical literature. To date, the mechanical properties of the intima relative to the outer vessel layers have not been quantified in the human carotid artery. The purpose of the present study was to develop a methodology to determine the longitudinal mechanical properties of the human internal carotid artery in tension, with an emphasis on intimal failure. This was accomplished by opening the vessel at the mid-diameter level, creating an 'I'-shaped testing specimen, subjecting the specimen to failure loading, documenting the stretch characteristics of the intimal and adventitial sides in the temporal domain, and correlating the synchronized videography with mechanical loading. Intimal failure data were quantified using stress and strain parameters in conjunction with digital videography of the intimal and adventitial sides. The present methodology can be used to determine the mechanical properties of the intima relative to ultimate carotid artery failure. These data will assist in the understanding of blunt carotid artery injuries, its diagnosis and treatment.

Although considerable biomechanical investigations have been conducted to understand the response of the cervical spine under whiplash (rear impact-induced postero-anterior loading to the thorax), studies delineating the effects of initial spinal curvature are limited. This study advanced the hypothesis that abnormal curvatures (straight or kyphotic) of the cervical column affect spinal kinematics during whiplash loading. Specifically, compared to the normal lordotic curvature, abnormal curvatures altered facet joint ligament elongations. The quantifications of these elongations were accomplished using a validated mathematical model of the human head-neck complex that simulated three curvatures. The model was validated using companion experiments conducted in our laboratory that provided facet joint kinematics as a function of cervical spinal level. Regional facet joint ligament elongations were investigated as a function of whiplash loading in the four local anatomic regions of each joint. Under the normal posture, greatest elongations occurred in the dorsal anatomic region at the C2-C3 level and in the lateral anatomic region from C3-C4 to C6-C7 levels. Abnormal postures increased elongation magnitudes in these regions by up to 70%. Excessive ligament elongations induce laxity to the facet joint, particularly at the local regions of the anatomy in the abnormal kyphotic posture. Increased laxity may predispose the cervical spine to accelerated degenerative changes over time and lead to instability. Results from the present study, while providing quantified level- and region-specific kinematic data, concur with clinical findings that abnormal spinal curvatures enhance the likelihood of whiplash injury and may have long-term clinical and biomechanical implications.

Clinical and epidemiological studies have frequently reported that female occupants sustain whiplash injuries more often than males. The current study was based on the hypothesis that segmental level-by-level cervical intervertebral motions in females are greater than in males during rear impact. The hypothesis was tested by subjecting 10 intact human cadaver head-neck complexes (five males, five females) to rear impact loading. Intervertebral kinematics were analyzed as a function of spinal level at the time of maximum cervical S-curve, which occurred during the loading phase. Segmental angles were significantly greater (p

Biomechanical properties of the six major lumbar spine ligaments were determined from 38 fresh human cadaveric subjects for direct incorporation into mathematical and finite element models. Anterior and posterior longitudinal ligaments, joint capsules, ligamentum flavum, interspinous, and supraspinous ligaments were evaluated. Using the results from in situ isolation tests, individual force-deflection responses from 132 samples were transformed with a normalization procedure into mean force-deflection properties to describe the nonlinear characteristics. Ligament responses based on the mechanical characteristics as well as anatomical considerations, were grouped into T12-L2, L2-L4, and L4-S1 levels maintaining individuality and nonlinearity. A total of 18 data curves are presented. Geometrical measurements of original length and cross-sectional area for these six major ligaments were determined using cryomicrotomy techniques. Derived parameters including failure stress and strain were computed using the strength and geometry information. These properties for the lumbar spinal ligaments which are based on identical definitions used in mechanical testing and geometrical assay will permit more realistic and consistent inputs for analytical models.