Computer simulations of obesity effects on occupant injury in frontal impacts

Obese occupants in motor-vehicle collisions experience different injury risks compared to non-obese occupants and there is little data available to explain these differences. The purpose of this study was to examine mechanisms of injury and injury risk to obese male occupants in frontal motor-vehicle collisions. Computer models were created to investigate the contributions of increased occupant mass and the interaction between the obese torso and seatbelt on occupant injury risk. A design-of-experiments approach was used to investigate the effects of body mass index (BMI) on occupant injury while controlling for vehicle environment variables. Results suggest that occupant mass is the most significant factor contributing to different injury risks in obese occupants. Changes in obese torso/seatbelt interaction, due to increased BMI alone, do not significantly affect occupant injury risk. However, changes in torso/seatbelt interaction coupled with increased occupant mass alter the overall kinematics of the occupant causing increased risk of injury to the lower extremities.

[1]  Saeed Barbat,et al.  Biomechanical Analysis of Human Abdominal Impact Responses and Injuries through Finite Element Simulations of a Full Human Body Model. , 2005, Stapp car crash journal.

[2]  Norman A. Fleck,et al.  The High Strain Rate Response of Adipose Tissue , 2009 .

[3]  Jingwen Hu,et al.  Quantifying dynamic mechanical properties of human placenta tissue using optimization techniques with specimen-specific finite-element models. , 2009, Journal of biomechanics.

[4]  Hugo Mellander,et al.  Car Driver Protection at Frontal Impacts up to 80 km/h (50 mph) , 2005 .

[5]  Michael Sivak,et al.  Survival in Fatal Road Crashes: Body Mass Index, Gender, and Safety Belt Use , 2010, Traffic injury prevention.

[6]  Shankuan Zhu,et al.  Obesity and risk for death due to motor vehicle crashes. , 2006, American journal of public health.

[7]  Albert I. King,et al.  EXPERIMENTAL AND ANALYTICAL STUDY OF KNEE FRACTURE MECHANISMS IN A FRONTAL KNEE IMPACT , 1996 .

[8]  G Bertocci,et al.  Development and validation of a computer crash simulation model of an occupied adult manual wheelchair subjected to a frontal impact. , 2010, Medical engineering & physics.

[9]  Joseph M Cormier,et al.  The influence of body mass index on thoracic injuries in frontal impacts. , 2008, Accident; analysis and prevention.

[10]  B. Boulanger,et al.  Body habitus as a predictor of injury pattern after blunt trauma. , 1992, The Journal of trauma.

[11]  DoubleTree Hotel Atlanta DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL ADVISORY COMMITTEE FOR INJURY PREVENTION AND CONTROL , 2006 .

[12]  Norman A. Fleck,et al.  The mechanical response of porcine adipose tissue , 2009 .

[13]  Jun Wu,et al.  Development and validation of a parametric child anthropomorphic test device model representing 6–12-year-old children , 2012 .

[14]  F Bendjellal,et al.  Comparison of Thoracic Injury Risk in Frontal Car Crashes for Occupant Restrained without Belt Load Limiters and Those Restrained with 6 kN and 4 kN Belt Load Limiters. , 2001, Stapp car crash journal.

[15]  J W Koten Wheelchairs , 1978 .

[16]  David C Viano,et al.  Crash Injury Risks for Obese Occupants Using a Matched-Pair Analysis , 2008, Traffic injury prevention.

[17]  King H. Yang,et al.  High-speed seatbelt pretensioner loading of the abdomen. , 2006, Stapp car crash journal.

[18]  C. E. Clauser,et al.  Anthropometric Relationships of Body and Body Segment Moments of Inertia , 1980 .

[19]  Yong Jae Park,et al.  Numerical Investigations of Interactions between the Knee-Thigh-Hip Complex with Vehicle Interior Structures. , 2005, Stapp car crash journal.

[20]  Gina Bertocci,et al.  Development and validation of rear impact computer simulation model of an adult manual transit wheelchair with a seated occupant. , 2010, Medical engineering & physics.

[21]  Gerald McGwin,et al.  Injury rates among restrained drivers in motor vehicle collisions: the role of body habitus. , 2002, The Journal of trauma.

[22]  W E Cooper,et al.  Safety restraint usage in fatal motor vehicle crashes. , 1993, Accident; analysis and prevention.

[23]  Frederick P Rivara,et al.  The relationship between body weight and risk of death and serious injury in motor vehicle crashes. , 2002, Accident; analysis and prevention.

[24]  J. Forman,et al.  Is There Really a “Cushion Effect”?: A Biomechanical Investigation of Crash Injury Mechanisms in the Obese , 2010, Obesity.

[25]  D W Reinfurt,et al.  Usage patterns and misuse rates of automatic seat belts by system type. , 1991, Accident; analysis and prevention.

[26]  Matthew B. Parkinson,et al.  MODELING VARIABILITY IN TORSO SHAPE FOR CHAIR AND SEAT DESIGN , 2008, DAC 2008.

[27]  David B. Allison,et al.  BMI and Risk of Serious Upper Body Injury Following Motor Vehicle Crashes: Concordance of Real-World and Computer-Simulated Observations , 2010, PLoS medicine.

[28]  Carla Kohoyda-Inglis,et al.  The cushion effect. , 2003, The Journal of trauma.

[29]  Philippe Vezin,et al.  3D deformation and dynamics of the human cadaver abdomen under seatbelt loading. , 2008, Stapp car crash journal.

[30]  Ben L Zarzaur,et al.  Motor vehicle crashes obesity and seat belt use: a deadly combination? , 2008, The Journal of trauma.

[31]  Gabriel E Ryb,et al.  Injury severity and outcome of overweight and obese patients after vehicular trauma: a crash injury research and engineering network (CIREN) study. , 2008, The Journal of trauma.

[32]  R. Ogden Non-Linear Elastic Deformations , 1984 .

[33]  H. J. Grunhofer,et al.  A Review of Anthropometric Data of German Air Force and United States Air Force Flying Personnel 1967-1968 , 1976 .

[34]  King H. Yang,et al.  A Numerical Investigation of Factors Affecting Cervical Spine Injuries During Rollover Crashes , 2008, Spine.

[35]  J G Thacker,et al.  Three-dimensional computer model of the human buttocks, in vivo. , 1994, Journal of rehabilitation research and development.

[36]  Gerald McGwin,et al.  The association between body mass index and diaphragm injury among motor vehicle collision occupants. , 2004, Journal of Trauma.

[37]  S. Daniel,et al.  National Highway Traffic Safety Administration , 2020, Federal Regulatory Guide.

[38]  K H Yang,et al.  Development of a finite element model of the human abdomen. , 2001, Stapp car crash journal.

[39]  Carla Kohoyda-Inglis,et al.  Increased depth of subcutaneous fat is protective against abdominal injuries in motor vehicle collisions. , 2003, Annual proceedings. Association for the Advancement of Automotive Medicine.

[40]  Thacker Jg,et al.  Three-dimensional computer model of the human buttocks, in vivo , 1994 .

[41]  Matthew P Reed,et al.  Characterization of Knee Impacts in Frontal Crashes , 2007 .

[42]  Patrick J. Atkinson,et al.  A Parametric Study of Vehicle Interior Geometry, Delta-V, and Instrument Panel Stiffness on Knee Injury and Upper Body Kinetic Energy , 1999 .