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机动车追尾碰撞时颈椎的内部负荷:加速度和头枕间距的影响

Internal loads in the cervical spine during motor vehicle rear-end impacts: the effect of acceleration and head-to-head restraint proximity.

作者信息

Tencer Allan F, Mirza Sohail, Bensel Kevin

机构信息

Department of Orthopedics, University of Washington, Seattle, USA.

出版信息

Spine (Phila Pa 1976). 2002 Jan 1;27(1):34-42. doi: 10.1097/00007632-200201010-00010.


DOI:10.1097/00007632-200201010-00010
PMID:11805633
Abstract

STUDY DESIGN: This study used rigid-body and finite-element models of forces in the cervical spine resulting from a rear-end motor vehicle impact based on data from 26 volunteer experiments. OBJECTIVES: To define the magnitudes and directions of internal forces acting on the cervical spine during rear-end impact, and to determine the effects of increasing the impact acceleration and the initial position of the occupant's head with respect to the head restraint. SUMMARY OF BACKGROUND DATA: In a number of studies using volunteers or cadavers, the kinematics of the occupant during a rear-end impact related to "whiplash" of the cervical spine have been reported. Few studies have described the mechanism by which internal spine forces are produced and how they may be affected by interaction of the occupant with the seat and head restraint during impact. METHODS: From a companion study on the response of 26 volunteers to rear-end impact, experimental data on head and torso accelerations were developed. Rigid-body mathematical dynamic modeling of a 50th-percentile male was implemented, along with a finite-element seat model, lap belt, and shoulder belt. The model was first subjected to a rear-impact pulse similar to that used in the volunteer study, first with a peak of 3.5 G, then with a peak up to 12 G. Initial head-to-head restraint distance in the model was varied from 1 to 12.5 cm. RESULTS: The major cervical spine forces were upper and lower neck shear causing intervertebral relative anterior displacements. Increasing the peak acceleration magnitude caused increased neck shear force magnitudes. With the head initially positioned closer to the head restraint, the time difference between the occurrences of the peak upper and lower neck shear forces was smaller; the C7-T1 intervertebral shear displacements were reduced; the head moved more in phase with the torso; extension of the head and neck was reduced; and late head flexion was increased. CONCLUSIONS: In this simulation, anterior shear was the major internal force acting in the cervical spine during rear-end impact. Increasing impact acceleration magnitude directly increased shear force. When the head was initially closer to the head restraint, the magnitude of the shear force was unaffected, but the time difference between its occurrences in the upper and lower neck was decreased and intervertebral translations were reduced. These results suggest how the seat could be improved to reduce peals forces and the time differences between them.

摘要

研究设计:本研究基于26名志愿者实验的数据,使用了颈椎在追尾机动车碰撞中受力的刚体模型和有限元模型。 目的:确定追尾碰撞过程中作用于颈椎的内力大小和方向,并确定增加碰撞加速度以及乘员头部相对于头枕的初始位置的影响。 背景数据总结:在一些使用志愿者或尸体的研究中,已经报道了追尾碰撞过程中与颈椎“挥鞭样损伤”相关的乘员运动学情况。很少有研究描述脊柱内力产生的机制以及在碰撞过程中乘员与座椅和头枕的相互作用如何影响这些内力。 方法:从一项关于26名志愿者对追尾碰撞反应的配套研究中,得出了头部和躯干加速度的实验数据。实施了第50百分位男性的刚体数学动态建模,以及有限元座椅模型、腰部安全带和肩部安全带。该模型首先受到与志愿者研究中使用的类似的后碰撞脉冲,首先峰值为3.5G,然后峰值高达12G。模型中头部到头枕的初始距离从1厘米变化到12.5厘米。 结果:主要的颈椎力是上颈部和下颈部剪切力,导致椎间相对向前位移。增加峰值加速度大小会导致颈部剪切力大小增加。当头部最初位置更靠近头枕时,上颈部和下颈部剪切力峰值出现的时间差更小;C7-T1椎间剪切位移减小;头部与躯干的运动更同步;头部和颈部的伸展减小;后期头部屈曲增加。 结论:在本模拟中,前剪切力是追尾碰撞过程中作用于颈椎的主要内力。增加碰撞加速度大小直接增加剪切力。当头部最初更靠近头枕时,剪切力大小不受影响,但上颈部和下颈部出现剪切力的时间差减小,椎间平移减小。这些结果表明了如何改进座椅以减少峰值力及其之间的时间差。

相似文献

[1]
Internal loads in the cervical spine during motor vehicle rear-end impacts: the effect of acceleration and head-to-head restraint proximity.

Spine (Phila Pa 1976). 2002-1-1

[2]
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[3]
The response of human volunteers to rear-end impacts: the effect of head restraint properties.

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[4]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Finite Element Analysis of Head-Neck Kinematics in Rear-End Impact Conditions with Headrest.

Bioengineering (Basel). 2023-9-8

[2]
Research on Neck Response of Elderly Drivers in Rear Collision.

Biomed Res Int. 2022

[3]
Risk of cervical injuries in mixed martial arts.

Br J Sports Med. 2005-7

[4]
Assessing automobile head restraint positioning in Portland, Oregon.

Inj Prev. 2005-4

[5]
Validation of a head-neck computer model for whiplash simulation.

Med Biol Eng Comput. 2004-5

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