正面碰撞中倾斜和直立姿势下肥胖乘客的反应。

Q2 Medicine
Karthik Somasundaram, John R Humm, Narayan Yoganandan, Hans Hauschild, Klaus Driesslein, Frank A Pintar
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引用次数: 3

摘要

美国人口越来越重,自动化车辆将适应非常规姿态。虽然复制中等体型和直立前后座乘客的研究很多,但对肥胖和倾斜乘客的死后人类受试者(PMHS)的实验很少。本研究的目的是比较头颈部、躯干和骨盆的运动学,并记录正面碰撞中的损伤和损伤模式。将6个平均体重指数为38.2±5.3 kg/m2的PMHS平均分为直立组和倾斜组(座椅靠背:23°、45°),由三点式安全带约束,放置在半刚性座椅上,并暴露在低和中等速度(15、32 km/h)下。数据包括皮带负荷、脊椎加速度、运动学和x光片、计算机断层扫描和尸检造成的损伤。在15公里/小时的速度下,没有观察到乘员运动学和矫形失败证据的显著差异。在32 km/h的速度下,两组之间的主要差异是头部(190±32 mm,对105±33 mm,p<0.05)和股骨(52±18 mm,对30±10 mm,p>0.05)倾斜乘坐者的Z位移明显更大。所有中速测试都至少造成一次胸部损伤。肋骨骨折分布在直立的胸腔周围,而在两个倾斜的标本中,肋骨骨折主要集中在胸腔的前部。尽管两组的MAIS相同,但斜倚的标本有更多的双侧皮质肋骨骨折,这表明有可能发生肺气肿。虽然没有统计数据,但这些结果表明,倾斜的肥胖乘客的伤害会增加。这些结果可以作为验证约束肥胖人体测量设备(ATD)和计算人体模型响应的数据集。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obese Occupant Response in Reclined and Upright Seated Postures in Frontal Impacts.

The American population is getting heavier and automated vehicles will accommodate unconventional postures. While studies replicating mid-size and upright fore-aft seated occupants are numerous, experiments with post-mortem human subjects (PMHS) with obese and reclined occupants are sparse. The objective of this study was to compare the kinematics of the head-neck, torso and pelvis, and document injuries and injury patterns in frontal impacts. Six PMHS with a mean body mass index of 38.2 ± 5.3 kg/m2 were equally divided between upright and reclined groups (seatback: 23°, 45°), restrained by a three-point integrated belt, positioned on a semi-rigid seat, and exposed to low and moderate velocities (15, 32 km/h). Data included belt loads, spinal accelerations, kinematics, and injuries from x-rays, computed tomography, and necropsy. At 15 km/h speed, no significant difference in the occupant kinematics and evidence of orthopedic failure was observed. At 32 km/h speed, the primary difference between the cohorts was significantly larger Z displacements in the reclined occupant at the head (190 ± 32 mm, vs. 105 ± 33 mm p < 0.05) and femur (52 ± 18 mm vs. 30 ± 10 mm, p < 0.05). All the moderate-speed tests produced at least one thorax injury. Rib fractures were scattered around the circumference of the rib-cage in the upright, while they were primarily concentrated on the anterior aspect of the rib-cage in two reclined specimens. Although MAIS was the same in both groups, the reclined specimens had more bi-cortical rib fractures, suggesting the potential for pneumothorax. While not statistical, these results suggest enhanced injuries with reclined obese occupants. These results could serve as a data set for validating the response of restrained obese anthropometric test device (ATDs) and computational human body models.

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来源期刊
Stapp car crash journal
Stapp car crash journal Medicine-Medicine (all)
CiteScore
3.20
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