Katarina Bohman - Academia.edu (original) (raw)

Papers by Katarina Bohman

Research paper thumbnail of Children's and Adults’ Comfort Experience of Extra Seat Belts When Riding in the Rear Seat of a Passenger Car

Traffic Injury Prevention, 2015

The objective of this study was to explore passengers' comfort experience of extra seat b... more The objective of this study was to explore passengers' comfort experience of extra seat belts during on-road driving in the rear seat of a passenger car and to investigate how the use of extra belts affects children's and adults' attitudes to the product. Two different seat belt systems were tested, criss-cross (CC) and backpack (BP), consisting of the standard 3-point belt together with an additional 2-point belt. In total, 32 participants (15 children aged 6-10, 6 youths aged 11-15, and 11 adults aged 20-79, who differed considerably in size, shape, and proportions) traveled for one hour with each system, including city traffic and highway driving. Four video cameras monitored the test subject during the drive. Subjective data regarding emotions and perceived discomfort were collected in questionnaires every 20 min. A semistructured interview was held afterwards. All participant groups accepted the new products and especially the increased feeling of safety (P <.01); 56% preferred CC and 44% preferred BP but the difference was not significant. In total, 81% wanted to have extra seat belts in their family car. CC was appreciated for its symmetry, comfort, and the perceived feeling of safety. Some participants found CC unpleasant because the belts tended to slip close to the neck, described as a strangling feeling. BP was simpler to use and did not cause annoyance to the neck in the way CC did. Instead, it felt asymmetric and to some extent less safe than CC. Body size and shape affected seat belt fit to a great extent, which in turn affected the experience of comfort, both initially and over time. Perceived safety benefit and experienced comfort were the most determinant factors for the attitude toward the extra seat belts. The extra seat belts were perceived as being better than the participants had expected before the test, and they became more used to them over time. This exploratory study provided valuable knowledge from a user perspective for further development of new seat belt systems in cars. In addition to an increased feeling of safety, seat belt fit and comfort are supplementary influencing factors when it comes to gaining acceptance of new seat belt systems.

Research paper thumbnail of Misuse of Booster Cushions – An Observation Study of Children’s Performance during Buckling Up

Annals of advances in automotive medicine

Booster cushions are effective tools to protect children from injuries in car crashes, but there ... more Booster cushions are effective tools to protect children from injuries in car crashes, but there remains a large amount of misuse. The aim of this study was to assess potential misuse of booster cushions in an observational laboratory study, and to identify whether booster cushion design, age or clothing had any effect. 130 Swedish children from the ages of 4-12 years participated. Each child buckled up on an integrated and on an aftermarket booster cushion in the rear seat. The older children also buckled up with seat belt only. Interviews, observations and body measurements were performed. Time to buckle up and amount of belt slack were registered. Photographs were taken to document misuse. Results showed that 77% failed to perform correct belt routing on the aftermarket cushion, independent of age, although they were familiar with this system. The misuse rate for the integrated cushion was only 4%. No misuse was found for seat belt only. Few children tightened the belt. The belt slack increased when wearing winter jackets. This indicates the importance of adding pretensioners to the rear seat. Sled tests with HIII&TNO 6y dummies were also performed for the most frequent misuse situations found. The main conclusion is that an integrated booster cushion has many advantages compared to an aftermarket cushion regarding both safety and comfort. It is easy and quick to handle, has few possibilities for misuse, has an intuitive design, the buckling up sequence is equal to buckling up with an ordinary seat belt, and younger children can buckle up correctly.

Research paper thumbnail of New AIS1 Long-term Neck Injury Criteria Candidates Based on Real Frontal Crash Analysis

The AIS1 neck injury is the most frequent disabling injury in frontal impacts. Recent research ha... more The AIS1 neck injury is the most frequent disabling injury in frontal impacts. Recent research has shown that, similar to rear impacts, the crash pulse level rather than the speed change influence the risk of sustaining a short or long term injury. Also similar to rear impacts, different injury mechanisms have been proposed. In this study, new AIS1 neck injury criteria for frontal impacts were proposed and evaluated namely NICprotraction and the established AIS3+ criteria NIJ and upper neck flexion moment Myflexion. The NICprotraction calculation is analogous to NICmax shown to be applicable and relevant for evaluating the neck load in rear-end impacts. Totally 172 belted occupants involved in 144 real frontal crashes with recorded crash pulses were simulated and analysed using MADYMO models of the HIII 50th percentile male. The injury outcome in terms of short-term, long-term or no neck injury, as well as the crash pulse and the utilisation of airbag and belt-pretensioner were know...

Research paper thumbnail of Older Children’s Sitting Postures, Behaviour and Comfort Experience during Ride – A Comparison between an Integrated Booster Cushion and a High‐Back Booster

Sitting postures and comfort experience were analysed from six children aged 7‐9 (131‐145 cm) sea... more Sitting postures and comfort experience were analysed from six children aged 7‐9 (131‐145 cm) seated on an Integrated Booster Cushion (IBC) and a high‐back Booster (hbB) during 1 hour on‐road drives, respectively. Data were collected from video recordings, questionnaires and interviews. When seated on the IBC the most frequent posture was with the entire back and shoulders against the seat back and the head upright. On the hbB, the shoulders were seldom against the backrest. The most frequent lateral sitting posture for both boosters was upright with the seat belt in contact with the neck or mid‐shoulder. Moderate and extreme forward and lateral postures occurred occasionally. A positive attitude was found towards the IBC due to possibilities to move freely, the soft seat cushion and the absence of torso supports, but the short seat cushion created some inconvenience. The hbB was perceived hard, created a locked‐in feeling and felt unpleasant due to movements when changing postures....

Research paper thumbnail of Osvalder (IRCOBI 2013) Older Children's Sitting Postures, Behaviour and Comfort Experience during Ride..l

Research paper thumbnail of A Study of AIS1 Neck Injury Parameters in 168 Frontal Collisions Using a Restrained Hybrid III Dummy

Stapp car crash journal, 2000

The research of AIS1 neck injuries has focused on rearend collisions, but a great portion of thes... more The research of AIS1 neck injuries has focused on rearend collisions, but a great portion of these injuries occur in frontal impacts. AIS1 neck injuries in frontal impacts can be associated with seat belt use and it can be hypothesized that the seat belt may transfer injurious loads to the neck. This study investigates the influence of the restraint system on the neck loads by using mechanical as well as mathematical (MADYMO) models of the HIII 50(th) percentile dummy. The mathematical simulations were based on 168 frontal crash pulses collected from crash recorders, installed in passenger cars in Sweden. The neck loads were evaluated by a new neck injury criterion NIC(protraction), the upper neck flexion moment and the Nij criterion. It was found that a pretensioner, a load limiter or an airbag have the potential to reduce the neck loads below recently suggested reference values for long-term neck injuries only as well as short- plus long-term neck injuries. Moreover, the interacti...

Research paper thumbnail of Effect of Booster Seat Design on Children's Choice of Seating Positions During Naturalistic Riding

Annals of advances in automotive medicine / Annual Scientific Conference ... Association for the Advancement of Automotive Medicine. Association for the Advancement of Automotive Medicine. Scientific Conference, 2010

The purpose of this naturalistic study was to investigate the effect of booster seat design on th... more The purpose of this naturalistic study was to investigate the effect of booster seat design on the choice of children's seating positions during naturalistic riding. Data was collected through observations of children during in-vehicle riding by means of a film camera. The children were positioned in high back boosters in the rear seat while a parent drove the car. The study included two different booster designs: one with large head and torso side supports, and one with small head side supports and no torso side supports. Six children between three and six years of age participated in the study. Each child was observed in both boosters. The duration of the seating positions that each child assumed was quantified. The design with large side head supports resulted more often in seating positions without head and shoulder contact with the booster's back. There was shoulder-to-booster back contact during an average of 45% of riding time in the seat with the large head side supp...

Research paper thumbnail of Rear seat occupant thorax protection in near side impacts

Annals of advances in automotive medicine / Annual Scientific Conference ... Association for the Advancement of Automotive Medicine. Association for the Advancement of Automotive Medicine. Scientific Conference, 2009

Thoracic side-airbags (SAB) have proven to protect front seat occupants in side impacts. This ben... more Thoracic side-airbags (SAB) have proven to protect front seat occupants in side impacts. This benefit has not been evaluated for rear seat occupants who are typically small statured. The objective was to analyze field data from rear seat occupants in near side impacts, and evaluate the effect of a SAB in the rear seat, through full scale vehicle tests. A field study using the NASS-CDS database was performed to review rear seat crash characteristics, occupant injuries (Abbreviated Injury Scale 3+, AIS3+) and injury sources. Full scale tests were performed with the side impact dummy SID-IIs at two different crash severities, with and without SAB in a midsize passenger car. Field data showed that of all AIS3+ injured restrained occupants 13 years and older, 59% had AIS3+ thoracic injuries and 38% had AIS3+ head injuries. The thoracic injuries were distributed to lungs (60%), skeletal fractures (38%) and injuries to arteries (1,26%) and heart (0,1%). For AIS3+ injured children, age 4-12...

Research paper thumbnail of Pretensioner Loading to Rear-Seat Occupants During Static and Dynamic Testing

Traffic Injury Prevention, 2014

Pretensioners reduce the seat belt slack and couple the occupant early to the restraint system. T... more Pretensioners reduce the seat belt slack and couple the occupant early to the restraint system. There is a growing prevalence of rear seat pretensioners and it is essential to determine whether the load from the pretensioner itself can cause injuries to rear-seated children. The aim of the study was to investigate the loading to the neck, chest, and abdomen of various sizes of anthropometric test devices (ATDs) during the pretensioner deployment phase and the crash phase in low-severity frontal sled tests and during static deployment. Low-severity frontal sled tests were conducted with the Hybrid III (HIII) 3-year-old, HIII 6-year-old, HIII 5th percentile, and HIII 50th percentile ATDs. Two different retractor pretensioners with varying pretensioner force were used. The child ATDs were restrained on a booster cushion (BC), with and without a back. The loading to the neck and chest was compared to injury assessment reference values (IARVs) reported by Mertz et al. (2003). The chest loading to the HIII 5th percentile and HIII 50th percentile ATDs was also analyzed using age-related injury risk curves. Static pretensioner tests with the Q-series 10-year-old ATD, equipped with an advanced abdominal loading device, were conducted in standard ATD position and out-of-position with the lap belt positioned high on the abdomen. During the crash phase, head excursion and neck loading were reduced for both pretensioners for all ATDs compared to testing without a pretensioner. The pretensioner reduced chest deflection to the adult ATDs but not to child ATDs when seated on a BC with a back during the crash phase. When the back was removed, chest deflection was reduced below IARV. The head excursion was reduced for all ATDs with both pretensioners. During the pretensioner deployment phase, the chest deflection exceeded the IARV for the HIII 3-year-old with the stronger pretensioner when seated on booster with a back and it was reduced below the IARV with the lower force pretensioner. For all ATDs, neck and chest loading during the pretensioner deployment phase were reduced when a pretensioner with lower force was used. Abdominal loading to the Q10 in the static pretensioner deployments indicated a low risk of abdominal injury in all tested positions. This study indicates the need to balance the pretensioner force and seat belt geometry to gain good pretensioner performance in both the pretensioner deployment phase and the crash phase.

Research paper thumbnail of Safety of children in cars: A review of biomechanical aspects and human body models

IATSS Research, 2014

ABSTRACT The protection of children in motor vehicle crashes has improved since the introduction ... more ABSTRACT The protection of children in motor vehicle crashes has improved since the introduction of child restraint systems. However, motor vehicle crashes remain one of the top leading causes of death for children. Today, computer-aided engineering is an essential part of vehicle development and it is anticipated that safety assessments will increasingly rely on simulations. Therefore, this study presents a review of important biomechanical aspects for the safety of children in cars, including child human body models, for scenarios ranging from on-road driving, emergency maneuvers, and pre-crash events to crash loading. The review is divided into four parts: Crash safety, On-road driving for forward facing children, Numerical whole body models, and Discussion and future outlook.

Research paper thumbnail of Kinematics and shoulder belt position of child rear seat passengers during vehicle maneuvers

Annals of advances in automotive medicine / Annual Scientific Conference ... Association for the Advancement of Automotive Medicine. Association for the Advancement of Automotive Medicine. Scientific Conference, 2011

Head impact to the seat back has been identified as one important injury causation scenario for s... more Head impact to the seat back has been identified as one important injury causation scenario for seat belt restrained, head-injured children and previous research highlighted vehicle maneuvers prior to impact as possible contributing factors. The aim was to quantify kinematics of child occupants during swerving maneuvers focusing on the child's lateral movement and seat belt position relative to the child's shoulder. A study was conducted on a closed-circuit test track with 16 children aged 4-12, restrained in the rear seat of a modern passenger vehicle. A professional driving instructor drove at 50 km/h making sharp turns in a repeatable fashion, resulting in inboard motion of the children. The children were exposed to two turns in each of two restraint systems. Shorter children were on a booster or highback booster cushion. The taller children were seated on a booster cushion or with only a lap and shoulder seat belt. Four film cameras were fixed in the vehicle monitoring t...

Research paper thumbnail of Headform Impact Tests to Assess Energy Management of Seat Back Contact Points Associated with Head Injury for Pediatric Occupants

SAE International Journal of Passenger Cars - Mechanical Systems, 2012

Research paper thumbnail of Kinematics and Shoulder Belt Position of Child Anthropomorphic Test Devices During Steering Maneuvers

Traffic Injury Prevention, 2013

The objective of this study was to quantify and compare the kinematics and shoulder belt position... more The objective of this study was to quantify and compare the kinematics and shoulder belt position of child anthropomorphic test devices (ATDs) during emergency steering maneuvers. Furthermore, the ATDs were compared to the results from child volunteers aged 4 to 12 in the same test setup (Bohman, Stockman, et al. 2011). A driving study was conducted on a test track comprising 4 ATDs: the Q6, Q10, and Hybrid III (HIII) 6- and 10-year-old ATDs restrained in the rear seat of a passenger vehicle. The ATDs were exposed to 2 repeated steering maneuvers in each restraint system. The Q6 and HIII 6-year-old were restrained on booster cushions as well as high-back booster seats. The Q10 and HIII 10-year-old were restrained on booster cushions or restrained by 3-point seat belts directly on the seat. Lateral motion of the forehead and upper sternum was determined, as well as shoulder belt movement on shoulder and torso tilting angle. All ATDs began to move approximately at the same point in time corresponding to a vehicle lateral acceleration of just below 0.2 g. In the later phase of the maneuver, Q10 had moved 26 percent less than the children when restrained by seat belt only and 35 percent less when on a booster cushion. Corresponding numbers for the HIII 10-year-old were 43 and 44 percent higher than for children. Compared to children, the Q6 had moved 34 percent less when restrained on a high-back booster seat and 31 percent less when on a booster cushion. Corresponding numbers for HIII 6-year-old were 7 and 28 percent higher than for children. Due to extensive variety of lateral displacements observed in the children, child performance range covers both ATD families for the evaluated sizes of 6- and 10-year-old ATDs. Compared to children, the HIII ATDs were closer with regards to mean values in the initial phase of the maneuver and the Q ATDs were closer in the end of the ramping phase of the lateral acceleration. The question regarding which ATD replicates better the behavior of children exposed to steering maneuvers still remains open. As shown in this study, it depends on the focus of the comparison and on what phase of the maneuver is of interest. This study provides valuable knowledge on how representative the current ATDs are for replicating potential precrash postures of children as a result of vehicle emergency steering maneuvers for a variety of restraint systems and ATD sizes.

Research paper thumbnail of Head Injury Causation Scenarios for Belted, Rear-Seated Children in Frontal Impacts

Traffic Injury Prevention, 2011

Head injuries are the most common serious injuries sustained by children in motor vehicle crashes... more Head injuries are the most common serious injuries sustained by children in motor vehicle crashes and are of critical importance with regard to long-term disability. There is a lack of understanding of how seat belt-restrained children sustain head injuries in frontal impacts. The aim of the study was to identify the AIS2+ head injury causation scenarios for rear-seated, belt-restrained children in frontal impacts, including the set of parameters contributing to the injury. In-depth crash investigations from two National Highway Traffic Safety Administration (NHTSA) databases, the National Automotive Sampling System-Crashworthiness Data System (NASS-CDS; 1997-2008) and the Crash Injury Research and Engineering Network (CIREN; 1996-2009), were collected and analyzed in detail. Selection criteria were all frontal impacts with principal direction of force (PDOF) of 11, 12, and 1 o'clock involving rear-seated, three-point belt-restrained, with or without booster cushion, children from 3 to 13 years with an AIS2+ head injury. Cases were analyzed using the BioTab method of injury causation assessment in order to systematically analyze the injury causation scenario for each case. There were 27 cases meeting the inclusion criteria, 19 cases with MAIS2 head injuries and 8 cases with MAIS3+ head injuries, including 2 fatalities. Three major injury causation scenarios were identified, including head contact with seatback (10 cases), head contact with side interior (7 cases,) and no evidence of head contact (9 cases). Head injuries with seatback or side interior contact typically included a PDOF greater than 10 degree (similar to the Insurance Institute for Highway Safety [IIHS] and EuroNCAP offset frontal testing) and vehicle maneuvers. For seatback contact, the vehicle's movements contributed to occupant kinematics inboard the vehicle, causing a less than optimal restraint of the torso and/or torso roll out of the shoulder belt. For side interior contact, the PDOF and/or maneuvers forced the occupant toward the side interior. The cases without evidence of head/face contact were characterized by high crash severity and accompanied by severe injuries to the thorax and spine. These data lead to increased understanding of the injury patterns and causation in this crash restraint scenario so that interventions to mitigate the burden of injury can be advanced.

Research paper thumbnail of Long-Term Medical Consequences for Child Occupants 0 to 12 Years Injured in Car Crashes

Traffic Injury Prevention, 2014

There is limited knowledge of the long-term medical consequences for children injured in car cras... more There is limited knowledge of the long-term medical consequences for children injured in car crashes. Thus, in the event of injury, the aim of the study was to specify patterns and risks of injuries resulting in permanent medical impairment of children (0-12 years) for different body regions and injury severity levels, according to Abbreviated Injury Scale (AIS). The aim was also to compare the impairment outcome with adults. Data were obtained from the Folksam insurance company, including reported car crashes from 1998 to 2010 with at least one injured child 0-12 years of age. In all, 2619 injured children with 3704 reported medical diagnoses were identified. All injuries were classified according to the AIS 2005 revision. If the child had not recovered within 1 year postinjury an assessment of permanent medical impairment (PMI) was made by one or several medical specialists. In all, 55 children sustained 59 injuries resulting in PMI of which 75 percent were at AIS 1 or AIS 2. The head and cervical spine were the body regions sustaining the most injuries resulting in PMI. Sixty-eight percent of all injuries resulting in PMI were AIS 1 injuries to the cervical spine, with the majority occurring in frontal or rear impacts. Given an injury to the cervical spine, the risk of injuries resulting in PMI was 3 percent, and older children (≥6 years) had a significantly higher risk (3% versus 1%) than younger children. The head was the second most commonly injured body region with injuries resulting in PMI (12/59), which were predominantly AIS 2+. In addition, mild traumatic brain injuries at AIS 1 were found to lead to PMI. Whereas for children the injuries leading to PMI were primarily limited to the head and cervical spine, adults sustained injuries that led to PMI from a more diverse distribution of body regions. The pattern of injuries resulting in permanent medical impairment is different for children and adults; therefore, safety priorities for children need to be based on child data. The majority of those injuries leading to PMI were at lower AIS levels. Furthermore, AIS 1 cervical spine and AIS 1+ head injuries should be given priority concerning mitigation of long-term consequences for children.

Research paper thumbnail of Kinematics of Child Volunteers and Child Anthropomorphic Test Devices During Emergency Braking Events in Real Car Environment

Traffic Injury Prevention, 2013

The objective of this study was to present, compare, and discuss the kinematic response of childr... more The objective of this study was to present, compare, and discuss the kinematic response of children and child anthropomorphic test devices (ATDs) during emergency braking events in different restraint configurations in a passenger vehicle. A driving study was conducted on a closed-circuit test track comprising 16 children aged 4 to 12 years old and the Q3, Hybrid III (HIII) 3-year-old, 6-year-old, and 10-year-old ATDs restrained on the right rear seat of a modern passenger vehicle. The children were exposed to one braking event in each of the 2 restraint systems and the ATDs were exposed to 2 braking events in each restraint system. All events had a deceleration of 1.0 g. Short children (stature 107-123 cm) and the Q3, HIII 3-year-old, and 6-year-old were restrained on booster cushions as well as high-back booster seats. Tall children (stature 135-150 cm) and HIII 10-year-old were restrained on booster cushions or restrained by 3-point belts directly on the car seat. Vehicle data were collected and synchronized with video data. Forward trajectories for the forehead and external auditory canal (ear) were determined as well as head rotation and shoulder belt force. A total of 40 trials were analyzed. Child volunteers had greater maximum forward displacement of the head and greater head rotation compared to the ATDs. The average maximum displacement for children ranged from 165 to 210 mm and 155 to 195 mm for the forehead and ear target, respectively. Corresponding values for the ATDs were 55 to 165 mm and 50 to 160 mm. The change in head angle was greater for short children than for tall children. Shoulder belt force was within the same range for short children when restrained on booster cushions or high-back booster seats. For tall children, the shoulder belt force was greater when restrained on booster cushions compared to being restrained by seat belts directly on the car seat. The forward displacement was within the same range for all children regardless of stature and restraint system. However, the maximum forward position depended on the initial seated posture and shoulder belt position on the shoulder. Differences could also be seen in the curvature of the neck and spine. Short children exhibited a greater flexion motion of the head, whereas a more upright posture at maximum forward position was exhibited by the tall children. The ATDs displayed less forward displacement compared to the children.

Research paper thumbnail of REAR SEAT SAFETY IN FRONTAL TO SIDE IMPACTS–FOCUSING ON OCCUPANTS FROM 3YRS TO SMALL ADULTS

This study presents a broad comprehensive research effort that combines expertise from industry a... more This study presents a broad comprehensive research effort that combines expertise from industry and academia and uses various methodologies with applied research directed towards countermeasures. The project includes real world crash data analysis, real world driving studies and crash testing and simulations, aiming at enhancing the safety of forward facing child occupants (aged 3y to small adults) in the rear seat during frontal to side impacts. The real world crash data analyses of properly restrained children originate from European as well as US data. Frontal and side impact crash tests are analyzed using different sizes of crash test dummies in different sitting postures. Side impact parameter studies using FE-models are run. The sitting posture and behavior of 12 children are monitored while riding in the rear seat. Also, the body kinematics and belt position during actual braking and turning maneuvers are studied for 16 rear seat child occupants and for various child dummies. Real world crash data indicates that several of the injured children in frontal impacts, despite being properly restrained, impacted the vehicle interior structure with their head/face resulting in serious injury. This was attributed to oblique crashes, pre-crash vehicle maneuvers or high crash severity. Crash tests confirm the importance of proper initial belt-fit for best protection. The crash tests also highlight the difficulty in obtaining the real world kinematics and head impact locations using existing crash

Research paper thumbnail of Children's and Adults’ Comfort Experience of Extra Seat Belts When Riding in the Rear Seat of a Passenger Car

Traffic Injury Prevention, 2015

The objective of this study was to explore passengers' comfort experience of extra seat b... more The objective of this study was to explore passengers' comfort experience of extra seat belts during on-road driving in the rear seat of a passenger car and to investigate how the use of extra belts affects children's and adults' attitudes to the product. Two different seat belt systems were tested, criss-cross (CC) and backpack (BP), consisting of the standard 3-point belt together with an additional 2-point belt. In total, 32 participants (15 children aged 6-10, 6 youths aged 11-15, and 11 adults aged 20-79, who differed considerably in size, shape, and proportions) traveled for one hour with each system, including city traffic and highway driving. Four video cameras monitored the test subject during the drive. Subjective data regarding emotions and perceived discomfort were collected in questionnaires every 20 min. A semistructured interview was held afterwards. All participant groups accepted the new products and especially the increased feeling of safety (P <.01); 56% preferred CC and 44% preferred BP but the difference was not significant. In total, 81% wanted to have extra seat belts in their family car. CC was appreciated for its symmetry, comfort, and the perceived feeling of safety. Some participants found CC unpleasant because the belts tended to slip close to the neck, described as a strangling feeling. BP was simpler to use and did not cause annoyance to the neck in the way CC did. Instead, it felt asymmetric and to some extent less safe than CC. Body size and shape affected seat belt fit to a great extent, which in turn affected the experience of comfort, both initially and over time. Perceived safety benefit and experienced comfort were the most determinant factors for the attitude toward the extra seat belts. The extra seat belts were perceived as being better than the participants had expected before the test, and they became more used to them over time. This exploratory study provided valuable knowledge from a user perspective for further development of new seat belt systems in cars. In addition to an increased feeling of safety, seat belt fit and comfort are supplementary influencing factors when it comes to gaining acceptance of new seat belt systems.

Research paper thumbnail of Misuse of Booster Cushions – An Observation Study of Children’s Performance during Buckling Up

Annals of advances in automotive medicine

Booster cushions are effective tools to protect children from injuries in car crashes, but there ... more Booster cushions are effective tools to protect children from injuries in car crashes, but there remains a large amount of misuse. The aim of this study was to assess potential misuse of booster cushions in an observational laboratory study, and to identify whether booster cushion design, age or clothing had any effect. 130 Swedish children from the ages of 4-12 years participated. Each child buckled up on an integrated and on an aftermarket booster cushion in the rear seat. The older children also buckled up with seat belt only. Interviews, observations and body measurements were performed. Time to buckle up and amount of belt slack were registered. Photographs were taken to document misuse. Results showed that 77% failed to perform correct belt routing on the aftermarket cushion, independent of age, although they were familiar with this system. The misuse rate for the integrated cushion was only 4%. No misuse was found for seat belt only. Few children tightened the belt. The belt slack increased when wearing winter jackets. This indicates the importance of adding pretensioners to the rear seat. Sled tests with HIII&TNO 6y dummies were also performed for the most frequent misuse situations found. The main conclusion is that an integrated booster cushion has many advantages compared to an aftermarket cushion regarding both safety and comfort. It is easy and quick to handle, has few possibilities for misuse, has an intuitive design, the buckling up sequence is equal to buckling up with an ordinary seat belt, and younger children can buckle up correctly.

Research paper thumbnail of New AIS1 Long-term Neck Injury Criteria Candidates Based on Real Frontal Crash Analysis

The AIS1 neck injury is the most frequent disabling injury in frontal impacts. Recent research ha... more The AIS1 neck injury is the most frequent disabling injury in frontal impacts. Recent research has shown that, similar to rear impacts, the crash pulse level rather than the speed change influence the risk of sustaining a short or long term injury. Also similar to rear impacts, different injury mechanisms have been proposed. In this study, new AIS1 neck injury criteria for frontal impacts were proposed and evaluated namely NICprotraction and the established AIS3+ criteria NIJ and upper neck flexion moment Myflexion. The NICprotraction calculation is analogous to NICmax shown to be applicable and relevant for evaluating the neck load in rear-end impacts. Totally 172 belted occupants involved in 144 real frontal crashes with recorded crash pulses were simulated and analysed using MADYMO models of the HIII 50th percentile male. The injury outcome in terms of short-term, long-term or no neck injury, as well as the crash pulse and the utilisation of airbag and belt-pretensioner were know...

Research paper thumbnail of Older Children’s Sitting Postures, Behaviour and Comfort Experience during Ride – A Comparison between an Integrated Booster Cushion and a High‐Back Booster

Sitting postures and comfort experience were analysed from six children aged 7‐9 (131‐145 cm) sea... more Sitting postures and comfort experience were analysed from six children aged 7‐9 (131‐145 cm) seated on an Integrated Booster Cushion (IBC) and a high‐back Booster (hbB) during 1 hour on‐road drives, respectively. Data were collected from video recordings, questionnaires and interviews. When seated on the IBC the most frequent posture was with the entire back and shoulders against the seat back and the head upright. On the hbB, the shoulders were seldom against the backrest. The most frequent lateral sitting posture for both boosters was upright with the seat belt in contact with the neck or mid‐shoulder. Moderate and extreme forward and lateral postures occurred occasionally. A positive attitude was found towards the IBC due to possibilities to move freely, the soft seat cushion and the absence of torso supports, but the short seat cushion created some inconvenience. The hbB was perceived hard, created a locked‐in feeling and felt unpleasant due to movements when changing postures....

Research paper thumbnail of Osvalder (IRCOBI 2013) Older Children's Sitting Postures, Behaviour and Comfort Experience during Ride..l

Research paper thumbnail of A Study of AIS1 Neck Injury Parameters in 168 Frontal Collisions Using a Restrained Hybrid III Dummy

Stapp car crash journal, 2000

The research of AIS1 neck injuries has focused on rearend collisions, but a great portion of thes... more The research of AIS1 neck injuries has focused on rearend collisions, but a great portion of these injuries occur in frontal impacts. AIS1 neck injuries in frontal impacts can be associated with seat belt use and it can be hypothesized that the seat belt may transfer injurious loads to the neck. This study investigates the influence of the restraint system on the neck loads by using mechanical as well as mathematical (MADYMO) models of the HIII 50(th) percentile dummy. The mathematical simulations were based on 168 frontal crash pulses collected from crash recorders, installed in passenger cars in Sweden. The neck loads were evaluated by a new neck injury criterion NIC(protraction), the upper neck flexion moment and the Nij criterion. It was found that a pretensioner, a load limiter or an airbag have the potential to reduce the neck loads below recently suggested reference values for long-term neck injuries only as well as short- plus long-term neck injuries. Moreover, the interacti...

Research paper thumbnail of Effect of Booster Seat Design on Children's Choice of Seating Positions During Naturalistic Riding

Annals of advances in automotive medicine / Annual Scientific Conference ... Association for the Advancement of Automotive Medicine. Association for the Advancement of Automotive Medicine. Scientific Conference, 2010

The purpose of this naturalistic study was to investigate the effect of booster seat design on th... more The purpose of this naturalistic study was to investigate the effect of booster seat design on the choice of children's seating positions during naturalistic riding. Data was collected through observations of children during in-vehicle riding by means of a film camera. The children were positioned in high back boosters in the rear seat while a parent drove the car. The study included two different booster designs: one with large head and torso side supports, and one with small head side supports and no torso side supports. Six children between three and six years of age participated in the study. Each child was observed in both boosters. The duration of the seating positions that each child assumed was quantified. The design with large side head supports resulted more often in seating positions without head and shoulder contact with the booster's back. There was shoulder-to-booster back contact during an average of 45% of riding time in the seat with the large head side supp...

Research paper thumbnail of Rear seat occupant thorax protection in near side impacts

Annals of advances in automotive medicine / Annual Scientific Conference ... Association for the Advancement of Automotive Medicine. Association for the Advancement of Automotive Medicine. Scientific Conference, 2009

Thoracic side-airbags (SAB) have proven to protect front seat occupants in side impacts. This ben... more Thoracic side-airbags (SAB) have proven to protect front seat occupants in side impacts. This benefit has not been evaluated for rear seat occupants who are typically small statured. The objective was to analyze field data from rear seat occupants in near side impacts, and evaluate the effect of a SAB in the rear seat, through full scale vehicle tests. A field study using the NASS-CDS database was performed to review rear seat crash characteristics, occupant injuries (Abbreviated Injury Scale 3+, AIS3+) and injury sources. Full scale tests were performed with the side impact dummy SID-IIs at two different crash severities, with and without SAB in a midsize passenger car. Field data showed that of all AIS3+ injured restrained occupants 13 years and older, 59% had AIS3+ thoracic injuries and 38% had AIS3+ head injuries. The thoracic injuries were distributed to lungs (60%), skeletal fractures (38%) and injuries to arteries (1,26%) and heart (0,1%). For AIS3+ injured children, age 4-12...

Research paper thumbnail of Pretensioner Loading to Rear-Seat Occupants During Static and Dynamic Testing

Traffic Injury Prevention, 2014

Pretensioners reduce the seat belt slack and couple the occupant early to the restraint system. T... more Pretensioners reduce the seat belt slack and couple the occupant early to the restraint system. There is a growing prevalence of rear seat pretensioners and it is essential to determine whether the load from the pretensioner itself can cause injuries to rear-seated children. The aim of the study was to investigate the loading to the neck, chest, and abdomen of various sizes of anthropometric test devices (ATDs) during the pretensioner deployment phase and the crash phase in low-severity frontal sled tests and during static deployment. Low-severity frontal sled tests were conducted with the Hybrid III (HIII) 3-year-old, HIII 6-year-old, HIII 5th percentile, and HIII 50th percentile ATDs. Two different retractor pretensioners with varying pretensioner force were used. The child ATDs were restrained on a booster cushion (BC), with and without a back. The loading to the neck and chest was compared to injury assessment reference values (IARVs) reported by Mertz et al. (2003). The chest loading to the HIII 5th percentile and HIII 50th percentile ATDs was also analyzed using age-related injury risk curves. Static pretensioner tests with the Q-series 10-year-old ATD, equipped with an advanced abdominal loading device, were conducted in standard ATD position and out-of-position with the lap belt positioned high on the abdomen. During the crash phase, head excursion and neck loading were reduced for both pretensioners for all ATDs compared to testing without a pretensioner. The pretensioner reduced chest deflection to the adult ATDs but not to child ATDs when seated on a BC with a back during the crash phase. When the back was removed, chest deflection was reduced below IARV. The head excursion was reduced for all ATDs with both pretensioners. During the pretensioner deployment phase, the chest deflection exceeded the IARV for the HIII 3-year-old with the stronger pretensioner when seated on booster with a back and it was reduced below the IARV with the lower force pretensioner. For all ATDs, neck and chest loading during the pretensioner deployment phase were reduced when a pretensioner with lower force was used. Abdominal loading to the Q10 in the static pretensioner deployments indicated a low risk of abdominal injury in all tested positions. This study indicates the need to balance the pretensioner force and seat belt geometry to gain good pretensioner performance in both the pretensioner deployment phase and the crash phase.

Research paper thumbnail of Safety of children in cars: A review of biomechanical aspects and human body models

IATSS Research, 2014

ABSTRACT The protection of children in motor vehicle crashes has improved since the introduction ... more ABSTRACT The protection of children in motor vehicle crashes has improved since the introduction of child restraint systems. However, motor vehicle crashes remain one of the top leading causes of death for children. Today, computer-aided engineering is an essential part of vehicle development and it is anticipated that safety assessments will increasingly rely on simulations. Therefore, this study presents a review of important biomechanical aspects for the safety of children in cars, including child human body models, for scenarios ranging from on-road driving, emergency maneuvers, and pre-crash events to crash loading. The review is divided into four parts: Crash safety, On-road driving for forward facing children, Numerical whole body models, and Discussion and future outlook.

Research paper thumbnail of Kinematics and shoulder belt position of child rear seat passengers during vehicle maneuvers

Annals of advances in automotive medicine / Annual Scientific Conference ... Association for the Advancement of Automotive Medicine. Association for the Advancement of Automotive Medicine. Scientific Conference, 2011

Head impact to the seat back has been identified as one important injury causation scenario for s... more Head impact to the seat back has been identified as one important injury causation scenario for seat belt restrained, head-injured children and previous research highlighted vehicle maneuvers prior to impact as possible contributing factors. The aim was to quantify kinematics of child occupants during swerving maneuvers focusing on the child's lateral movement and seat belt position relative to the child's shoulder. A study was conducted on a closed-circuit test track with 16 children aged 4-12, restrained in the rear seat of a modern passenger vehicle. A professional driving instructor drove at 50 km/h making sharp turns in a repeatable fashion, resulting in inboard motion of the children. The children were exposed to two turns in each of two restraint systems. Shorter children were on a booster or highback booster cushion. The taller children were seated on a booster cushion or with only a lap and shoulder seat belt. Four film cameras were fixed in the vehicle monitoring t...

Research paper thumbnail of Headform Impact Tests to Assess Energy Management of Seat Back Contact Points Associated with Head Injury for Pediatric Occupants

SAE International Journal of Passenger Cars - Mechanical Systems, 2012

Research paper thumbnail of Kinematics and Shoulder Belt Position of Child Anthropomorphic Test Devices During Steering Maneuvers

Traffic Injury Prevention, 2013

The objective of this study was to quantify and compare the kinematics and shoulder belt position... more The objective of this study was to quantify and compare the kinematics and shoulder belt position of child anthropomorphic test devices (ATDs) during emergency steering maneuvers. Furthermore, the ATDs were compared to the results from child volunteers aged 4 to 12 in the same test setup (Bohman, Stockman, et al. 2011). A driving study was conducted on a test track comprising 4 ATDs: the Q6, Q10, and Hybrid III (HIII) 6- and 10-year-old ATDs restrained in the rear seat of a passenger vehicle. The ATDs were exposed to 2 repeated steering maneuvers in each restraint system. The Q6 and HIII 6-year-old were restrained on booster cushions as well as high-back booster seats. The Q10 and HIII 10-year-old were restrained on booster cushions or restrained by 3-point seat belts directly on the seat. Lateral motion of the forehead and upper sternum was determined, as well as shoulder belt movement on shoulder and torso tilting angle. All ATDs began to move approximately at the same point in time corresponding to a vehicle lateral acceleration of just below 0.2 g. In the later phase of the maneuver, Q10 had moved 26 percent less than the children when restrained by seat belt only and 35 percent less when on a booster cushion. Corresponding numbers for the HIII 10-year-old were 43 and 44 percent higher than for children. Compared to children, the Q6 had moved 34 percent less when restrained on a high-back booster seat and 31 percent less when on a booster cushion. Corresponding numbers for HIII 6-year-old were 7 and 28 percent higher than for children. Due to extensive variety of lateral displacements observed in the children, child performance range covers both ATD families for the evaluated sizes of 6- and 10-year-old ATDs. Compared to children, the HIII ATDs were closer with regards to mean values in the initial phase of the maneuver and the Q ATDs were closer in the end of the ramping phase of the lateral acceleration. The question regarding which ATD replicates better the behavior of children exposed to steering maneuvers still remains open. As shown in this study, it depends on the focus of the comparison and on what phase of the maneuver is of interest. This study provides valuable knowledge on how representative the current ATDs are for replicating potential precrash postures of children as a result of vehicle emergency steering maneuvers for a variety of restraint systems and ATD sizes.

Research paper thumbnail of Head Injury Causation Scenarios for Belted, Rear-Seated Children in Frontal Impacts

Traffic Injury Prevention, 2011

Head injuries are the most common serious injuries sustained by children in motor vehicle crashes... more Head injuries are the most common serious injuries sustained by children in motor vehicle crashes and are of critical importance with regard to long-term disability. There is a lack of understanding of how seat belt-restrained children sustain head injuries in frontal impacts. The aim of the study was to identify the AIS2+ head injury causation scenarios for rear-seated, belt-restrained children in frontal impacts, including the set of parameters contributing to the injury. In-depth crash investigations from two National Highway Traffic Safety Administration (NHTSA) databases, the National Automotive Sampling System-Crashworthiness Data System (NASS-CDS; 1997-2008) and the Crash Injury Research and Engineering Network (CIREN; 1996-2009), were collected and analyzed in detail. Selection criteria were all frontal impacts with principal direction of force (PDOF) of 11, 12, and 1 o'clock involving rear-seated, three-point belt-restrained, with or without booster cushion, children from 3 to 13 years with an AIS2+ head injury. Cases were analyzed using the BioTab method of injury causation assessment in order to systematically analyze the injury causation scenario for each case. There were 27 cases meeting the inclusion criteria, 19 cases with MAIS2 head injuries and 8 cases with MAIS3+ head injuries, including 2 fatalities. Three major injury causation scenarios were identified, including head contact with seatback (10 cases), head contact with side interior (7 cases,) and no evidence of head contact (9 cases). Head injuries with seatback or side interior contact typically included a PDOF greater than 10 degree (similar to the Insurance Institute for Highway Safety [IIHS] and EuroNCAP offset frontal testing) and vehicle maneuvers. For seatback contact, the vehicle's movements contributed to occupant kinematics inboard the vehicle, causing a less than optimal restraint of the torso and/or torso roll out of the shoulder belt. For side interior contact, the PDOF and/or maneuvers forced the occupant toward the side interior. The cases without evidence of head/face contact were characterized by high crash severity and accompanied by severe injuries to the thorax and spine. These data lead to increased understanding of the injury patterns and causation in this crash restraint scenario so that interventions to mitigate the burden of injury can be advanced.

Research paper thumbnail of Long-Term Medical Consequences for Child Occupants 0 to 12 Years Injured in Car Crashes

Traffic Injury Prevention, 2014

There is limited knowledge of the long-term medical consequences for children injured in car cras... more There is limited knowledge of the long-term medical consequences for children injured in car crashes. Thus, in the event of injury, the aim of the study was to specify patterns and risks of injuries resulting in permanent medical impairment of children (0-12 years) for different body regions and injury severity levels, according to Abbreviated Injury Scale (AIS). The aim was also to compare the impairment outcome with adults. Data were obtained from the Folksam insurance company, including reported car crashes from 1998 to 2010 with at least one injured child 0-12 years of age. In all, 2619 injured children with 3704 reported medical diagnoses were identified. All injuries were classified according to the AIS 2005 revision. If the child had not recovered within 1 year postinjury an assessment of permanent medical impairment (PMI) was made by one or several medical specialists. In all, 55 children sustained 59 injuries resulting in PMI of which 75 percent were at AIS 1 or AIS 2. The head and cervical spine were the body regions sustaining the most injuries resulting in PMI. Sixty-eight percent of all injuries resulting in PMI were AIS 1 injuries to the cervical spine, with the majority occurring in frontal or rear impacts. Given an injury to the cervical spine, the risk of injuries resulting in PMI was 3 percent, and older children (≥6 years) had a significantly higher risk (3% versus 1%) than younger children. The head was the second most commonly injured body region with injuries resulting in PMI (12/59), which were predominantly AIS 2+. In addition, mild traumatic brain injuries at AIS 1 were found to lead to PMI. Whereas for children the injuries leading to PMI were primarily limited to the head and cervical spine, adults sustained injuries that led to PMI from a more diverse distribution of body regions. The pattern of injuries resulting in permanent medical impairment is different for children and adults; therefore, safety priorities for children need to be based on child data. The majority of those injuries leading to PMI were at lower AIS levels. Furthermore, AIS 1 cervical spine and AIS 1+ head injuries should be given priority concerning mitigation of long-term consequences for children.

Research paper thumbnail of Kinematics of Child Volunteers and Child Anthropomorphic Test Devices During Emergency Braking Events in Real Car Environment

Traffic Injury Prevention, 2013

The objective of this study was to present, compare, and discuss the kinematic response of childr... more The objective of this study was to present, compare, and discuss the kinematic response of children and child anthropomorphic test devices (ATDs) during emergency braking events in different restraint configurations in a passenger vehicle. A driving study was conducted on a closed-circuit test track comprising 16 children aged 4 to 12 years old and the Q3, Hybrid III (HIII) 3-year-old, 6-year-old, and 10-year-old ATDs restrained on the right rear seat of a modern passenger vehicle. The children were exposed to one braking event in each of the 2 restraint systems and the ATDs were exposed to 2 braking events in each restraint system. All events had a deceleration of 1.0 g. Short children (stature 107-123 cm) and the Q3, HIII 3-year-old, and 6-year-old were restrained on booster cushions as well as high-back booster seats. Tall children (stature 135-150 cm) and HIII 10-year-old were restrained on booster cushions or restrained by 3-point belts directly on the car seat. Vehicle data were collected and synchronized with video data. Forward trajectories for the forehead and external auditory canal (ear) were determined as well as head rotation and shoulder belt force. A total of 40 trials were analyzed. Child volunteers had greater maximum forward displacement of the head and greater head rotation compared to the ATDs. The average maximum displacement for children ranged from 165 to 210 mm and 155 to 195 mm for the forehead and ear target, respectively. Corresponding values for the ATDs were 55 to 165 mm and 50 to 160 mm. The change in head angle was greater for short children than for tall children. Shoulder belt force was within the same range for short children when restrained on booster cushions or high-back booster seats. For tall children, the shoulder belt force was greater when restrained on booster cushions compared to being restrained by seat belts directly on the car seat. The forward displacement was within the same range for all children regardless of stature and restraint system. However, the maximum forward position depended on the initial seated posture and shoulder belt position on the shoulder. Differences could also be seen in the curvature of the neck and spine. Short children exhibited a greater flexion motion of the head, whereas a more upright posture at maximum forward position was exhibited by the tall children. The ATDs displayed less forward displacement compared to the children.

Research paper thumbnail of REAR SEAT SAFETY IN FRONTAL TO SIDE IMPACTS–FOCUSING ON OCCUPANTS FROM 3YRS TO SMALL ADULTS

This study presents a broad comprehensive research effort that combines expertise from industry a... more This study presents a broad comprehensive research effort that combines expertise from industry and academia and uses various methodologies with applied research directed towards countermeasures. The project includes real world crash data analysis, real world driving studies and crash testing and simulations, aiming at enhancing the safety of forward facing child occupants (aged 3y to small adults) in the rear seat during frontal to side impacts. The real world crash data analyses of properly restrained children originate from European as well as US data. Frontal and side impact crash tests are analyzed using different sizes of crash test dummies in different sitting postures. Side impact parameter studies using FE-models are run. The sitting posture and behavior of 12 children are monitored while riding in the rear seat. Also, the body kinematics and belt position during actual braking and turning maneuvers are studied for 16 rear seat child occupants and for various child dummies. Real world crash data indicates that several of the injured children in frontal impacts, despite being properly restrained, impacted the vehicle interior structure with their head/face resulting in serious injury. This was attributed to oblique crashes, pre-crash vehicle maneuvers or high crash severity. Crash tests confirm the importance of proper initial belt-fit for best protection. The crash tests also highlight the difficulty in obtaining the real world kinematics and head impact locations using existing crash