PMHS正面滑橇试验中发生潜沉的评估方法:探索潜在指标。

IF 1.9 3区 工程技术 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Karthik Somasundaram, Klaus Driesslein, Anjishnu Banerjee, Frank A Pintar
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引用次数: 0

摘要

目的:在PMHS(死后人体受试者)测试中评估潜沉的发生可能具有挑战性,特别是对于肥胖的PMHS。本研究探讨了不同的动力学和运动学响应参数作为潜动的潜在指标。研究人员分析了在不同边界条件下进行的36次PMHS全身正面滑台试验数据,包括三种弹簧控制的座椅配置、两种极端人体测量曲线、两种碰撞脉冲和两种椅背角度。方法:根据7个响应参数进行水下评估:(1)视频视觉检查,(2)膝带载荷痕迹形态,(3)骨盆旋转位移,(4)髂骨骨折,(5)体膝角度,(6)髋前移位,(7)反水下板挠度。高速视频评估由两位作者和一位损伤生物力学领域的专家独立完成,观察者之间的一致性使用Kappa统计进行量化。开发了一个逻辑回归模型,利用观察者间一致确认潜艇或没有潜艇的情况,根据替代指标估计潜艇的概率。采用逐步协变量选择的自举技术确定了最终模型的最重要指标。结果:在36个测试中,最终得出明确结论的病例的观察者间一致性为98.5%,Kappa评分为0.95。基于这些分析,36个案例中有33个案例用于训练统计模型。逐步logistic回归模型确定了搭带载荷轨迹形态、骨盆旋转位移和体膝角是最重要的指标,构成了最终的潜水预测方程的基础。当最终模型应用于所有情况时,涉及软弹簧座椅的测试显示出最高的潜沉概率(33%),而倾斜(45°)椅背位置占潜沉案例的21%。在受试者中,身材矮小的女性表现出最高的潜行可能性(23%),而肥胖受试者表现出相对较低的可能性(11%)。结论:本研究探索了PMHS正面滑橇试验中评估潜沉发生的多种动力学和运动学指标,并建立了预测潜沉发生的统计回归模型。较软的弹簧座椅,较小的女性人体测量,以及倾斜的配置有更高的沉没概率。这些发现可以通过突出相关指标和影响潜行的外在因素来指导未来的生物力学研究。对于建模界来说,概率框架和确定的预测因子为改进计算人体模型提供了输入,并提高了不同乘员场景下伤害预测的保真度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Methods for assessing submarining occurrence in PMHS frontal sled tests: Exploring potential indicators.

Objective: Assessment of submarining occurrence in PMHS (Post-Mortem Human Subject) testing can be challenging, particularly for obese PMHS. This study investigates varied kinetic and kinematic response parameters as potential indicators of submarining. Data from 36 whole-body PMHS frontal sled tests conducted under varying boundary conditions were analyzed, incorporating three spring-controlled seat configurations, two extreme anthropometric profiles, two crash pulses, and two seatback angles.

Methods: Submarining assessment was based on seven response parameters: (1) Visual inspection of video, (2) Lap belt load trace morphology, (3) Pelvis rotational displacement, (4) Iliac bone fracture, (5) Torso-knee angle, (6) Hip-forward displacement, and (7) Anti-submarining plate deflection. High-speed video evaluations were independently performed by two authors and an expert from injury biomechanics field, with inter-observer agreement quantified using the Kappa statistic. A logistic regression model was developed to estimate submarining probability based on alternative indicators, using cases where inter-observer agreement confirmed submarining or its absence. A bootstrap technique with stepwise covariate selection identified the most significant indicators for the final model.

Results: Among the 36 tests, the final inter-observer agreement for cases with definitive conclusions was 98.5%, with a Kappa score of 0.95. Based on these analyses, 33 out of 36 cases were used for training the statistical model. The stepwise logistic regression model identified lap belt load trace morphology, pelvis rotational displacement, and torso-knee angle as the most significant indicators, forming the basis of the final submarining predictive equation. When final model was applied to all cases, the tests involving a soft spring seat exhibited the highest submarining probability (33%), while a reclined (45°) seatback position accounted for 21% of submarining cases. Among subject profiles, small females showed the highest likelihood of submarining (23%), whereas obese subjects exhibited a comparatively lower likelihood (11%).

Conclusion: This study explored varied kinetic and kinematics indicators for assessing submarining occurrence in frontal PMHS sled tests and developed statistical regression model to predict the occurrence of submarining. Softer spring seat, small female anthropometry, and reclined configurations had higher probability of submarining. These findings may help guide future biomechanics research by highlighting relevant indicators and extrinsic factors that influence submarining. For the modeling community, the probabilistic framework and identified predictors offer inputs for refining computational human body models and enhancing the fidelity of injury prediction in diverse occupant scenarios.

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来源期刊
Traffic Injury Prevention
Traffic Injury Prevention PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
10.00%
发文量
137
审稿时长
3 months
期刊介绍: The purpose of Traffic Injury Prevention is to bridge the disciplines of medicine, engineering, public health and traffic safety in order to foster the science of traffic injury prevention. The archival journal focuses on research, interventions and evaluations within the areas of traffic safety, crash causation, injury prevention and treatment. General topics within the journal''s scope are driver behavior, road infrastructure, emerging crash avoidance technologies, crash and injury epidemiology, alcohol and drugs, impact injury biomechanics, vehicle crashworthiness, occupant restraints, pedestrian safety, evaluation of interventions, economic consequences and emergency and clinical care with specific application to traffic injury prevention. The journal includes full length papers, review articles, case studies, brief technical notes and commentaries.
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