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低速后碰撞中头颈部复合体的动力学

Kinetics of the head-neck complex in low-speed rear impact.

作者信息

Stemper Brian D, Yoganandan Naryan, Pintar Frank A

机构信息

Department of Neurosurgery, Medical College of Wisconsin, V.A. Medical Center, Marquette University, Milwaukee, Wisconsin, USA.

出版信息

Biomed Sci Instrum. 2003;39:245-50.

Abstract

A comprehensive characterization of the biomechanics of the cervical spine in rear impact will lead to an understanding of the mechanisms of whiplash injury. Cervical kinematics have been experimentally described using human volunteers, full-body cadaver specimens, and isolated and intact head-neck specimens. However, forces and moments at the cervico-thoracic junction have not been clearly delineated. An experimental investigation was performed using ten intact head-neck complexes to delineate the loading at the base of the cervical spine and angular acceleration of the head in whiplash. A pendulum-minisled apparatus was used to simulate whiplash acceleration of the thorax at four impact severities. Lower neck loads were measured using a six-axis load cell attached between the minisled and head-neck specimens, and head angular motion was measured with an angular rate sensor attached to the lateral side of the head. Shear and axial force, extension moment, and head angular acceleration increased with impact severity. Shear force was significantly larger than axial force (p < 0.0001). Shear force reached its maximum value at 46 msec. Maximum extension moment occurred between 7 and 22 msec after maximum shear force. Maximum angular acceleration of the head occurred 2 to 18 msec later. Maximum axial force occurred last (106 msec). All four kinetic components reached maximum values during cervical S-curvature, with maximum shear force and extension moment occurring before the attainment of maximum S-curvature. Results of the present investigation indicate that shear force and extension moment at the cervico-thoracic junction drive the non-physiologic cervical S-curvature responsible for whiplash injury and underscore the importance of understanding cervical kinematics and the underlying kinetics.

摘要

对颈椎在追尾碰撞中的生物力学进行全面表征,将有助于理解挥鞭伤的机制。颈椎运动学已通过人体志愿者、全身尸体标本以及分离的完整头颈部标本进行了实验描述。然而,颈胸交界处的力和力矩尚未明确界定。本研究使用十个完整的头颈部复合体进行了一项实验性研究,以确定颈椎基部的负荷以及挥鞭伤中头部的角加速度。使用摆锤 - 小型滑车装置在四种撞击严重程度下模拟胸部的挥鞭加速度。使用连接在小型滑车和头颈部标本之间的六轴测力传感器测量下颈部负荷,并使用连接在头部侧面的角速率传感器测量头部角运动。剪切力、轴向力、伸展力矩和头部角加速度随撞击严重程度增加。剪切力显著大于轴向力(p < 0.0001)。剪切力在46毫秒时达到最大值。最大伸展力矩出现在最大剪切力之后的7至22毫秒之间。头部的最大角加速度在2至18毫秒后出现。最大轴向力最后出现(106毫秒)。所有四个动力学分量在颈椎S形弯曲期间达到最大值,最大剪切力和伸展力矩在达到最大S形弯曲之前出现。本研究结果表明,颈胸交界处的剪切力和伸展力矩驱动了导致挥鞭伤的非生理性颈椎S形弯曲,并强调了理解颈椎运动学和潜在动力学的重要性。

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