Affiliation:
1. US Army DEVCOM Ground Vehicle Systems Center, Wayne State
2. Virginia Tech, Center for Injury Biomechanics
3. Wake Forest School of Medicine, Department of Orthopedic
4. The Ohio State University
5. Wayne State University, Department of Biomedical Engineering
Abstract
<div class="section abstract"><div class="htmlview paragraph">The goal of this study was to gather and compare kinematic response and injury
data on both female and male whole-body Post-mortem Human Surrogates (PMHS)
responses to Underbody Blast (UBB) loading. Midsized males (50th percentile, MM)
have historically been most used in biomechanical testing and were the focus of
the Warrior Injury Assessment Manikin (WIAMan) program, thus this population
subgroup was selected to be the baseline for female comparison. Both small
female (5th percentile, SF) and large female (75th percentile, LF) PMHS were
included in the test series to attempt to discern whether differences between
male and female responses were predominantly driven by sex or size. Eleven
tests, using 20 whole-body PMHS, were conducted by the research team.
Preparation of the rig and execution of the tests took place at the Aberdeen
Proving Grounds (APG) in Aberdeen, MD. Two PMHS were used in each test. The
Accelerative Loading Fixture (ALF) version 2, located at APG’s Bear Point range
was used for all male and female whole-body tests in this series. The ALF was an
outdoor test rig that was driven by a buried explosive charge, to accelerate a
platform holding two symmetrically mounted seats. The platform was designed as a
large, rigid frame with a deformable center section that could be tuned to
simulate the floor deformation of a vehicle during a UBB event. PMHS were
restrained with a 5-point harness, common in military vehicle seats.
Six-degree-of-freedom motion blocks were fixed to L3, the sacrum, and the left
and right iliac wings. A three-degree-of freedom block was fixed to T12. Strain
gages were placed on L4 and multiple locations on the pelvis. Accelerometers on
the floor and seat of the ALF provided input data for each PMHS’ feet and
pelvis. Time histories and mean peak responses in z-axis acceleration were
similar among the three PMHS groups in this body region. Injury outcomes were
different and seemed to be influenced by both sex and size contributions. Small
females incurred pelvis injuries in absence of lumbar injures. Midsized males
had lumbar vertebral body fractures without pelvis injuries. And large females
with injuries had both pelvis and lumbar VB fractures. This study provides
evidence supporting the need for female biomechanical testing to generate female
response and injury thresholds. Without the inclusion of female PMHS, the
differences in the injury patterns between the small female and midsized male
groups would not have been recognized. Standard scaling methods assume
equivalent injury patterns between the experimental and scaled data. In this
study, small female damage occurred in a different anatomical structure than for
the midsized males. This is an important discovery for the development of
anthropomorphic test devices, injury criteria, and injury mitigating
technologies. The clear separation of small female damage results, in
combination with seat speeds, suggest that the small female pelvis injury
threshold in UBB events lies between 4 – 5 m/s seat speed. No inference can be
made about the small female lumbar threshold, other than it is likely at higher
speeds and/or over longer duration. Male lumbar spine damage occurred in both
the higher- and lower lower-rate tests, indicating the injury threshold would be
below the seat pulses tested in these experiments. Large females exhibited
injury patterns that reflected both the small female and midsized male groups –
with damaged PMHS having fractures in both pelvis and lumbar, and in both
higher- and lower- rate tests. The difference in damage patterns between the sex
and size groups should be considered in the development of injury mitigation
strategies to protect across the full population.</div></div>
Reference74 articles.
1. AAAM 2016
2. Agresti ,
A. A Survey of Exact Inference for Contingency
Tables Statistical Science 7 131-153 1992 123
3. Alvarez ,
J. Epidemiology of Blast Injuries in Current
Operations RTO-MP-HFM-207 A Survey of Blast
Injury across the Full Landscape of Military Science, Proceedings of RTO
Human Factors and Medicine Panel (HFM) Symposium 2011
4. Bailey ,
A.M. ,
Christopher ,
J.J. ,
Brozoski ,
F. , and
Salzar ,
R.S. Post Mortem Human Surrogate Injury Response of the Pelvis
and Lower Extremities to Simulated Underbody Blast Ann. Biomed. Eng. 43 2015 1907 1917
5. Bailey ,
J.R. ,
Stinner ,
D.J. ,
Blackbourne ,
L.H. ,
Hsu ,
J.R.
et al. Combat-Related Pelvis Fractures in
Nonsurvivors J. Trauma Inj. Infect. Crit.
Care 71 2011 S58 S61