title: Influence of the crash pulse shape on the peak loading and the injury tolerance levels of the neck in in vitro low-speed side-collisions.
abstract: The aim of the present in vitro study was to investigate the effect of the crash pulse shape on the peak loading and the injury tolerance levels of the human neck. In a custom-made acceleration apparatus 12 human cadaveric cervical spine specimens, equipped with a dummy head, were subjected to a series of incremental side accelerations. While the duration of the acceleration pulse of the sled was kept constant at 120 ms, its shape was varied: Six specimens were loaded with a slowly increasing pulse, i.e. a low loading rate, the other six specimens with a fast increasing pulse, i.e. a high loading rate. The loading of the neck was quantified in terms of the peak linear and angular acceleration of the head, the peak shear force and bending moment of the lower neck and the peak translation between head and sled. The shape of the acceleration curve of the sled only seemed to influence the peak translation between head and sled but none of the other four parameters. The neck injury tolerance level for the angular acceleration of the head and for the bending moment of the lower neck was almost identical for both, the high and the low loading rate. In contrast, the injury tolerance level for the linear acceleration of the head and for the shear force of the lower neck was slightly higher for the low loading rate as compared to the high loading rate. For the translation between head and sled this difference was even statistically significant. Thus, if the shape of the crash pulse is not known, solely the peak bending moment of the lower neck and the peak angular acceleration of the head seem to be suitable predictors for the neck injury risk but not the peak shear force of the lower neck, the peak linear acceleration of the head and the translation between head and thorax.
authors.affiliation: Institute of Orthopaedic Research and Biomechanics, University of Ulm, Helmholtzstr. 14, Germany. Annette.kettler@medizin.uni-ulm.de
authors.forename: Annette
authors.initials: A
authors.lastname: Kettler
authors.forename: Kai
authors.initials: K
authors.lastname: Fruth
authors.forename: Lutz
authors.initials: L
authors.lastname: Claes
authors.forename: Hans-Joachim
authors.initials: HJ
authors.lastname: Wilke
mesh_terms: D000054:Acceleration / Q000009:adverse effects*; D000063:Accidents, Traffic; D000369:Aged, 80 and over; D002102:Cadaver; D004735:Energy Transfer; D006801:Humans; D066298:In Vitro Techniques; D009333:Neck / Q000503:physiopathology*; D010812:Physical Stimulation / Q000009:adverse effects / Q000379:methods; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D013314:Stress, Mechanical; D016474:Weight-Bearing; D014911:Whiplash Injuries / Q000209:etiology* / Q000503:physiopathology*