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本文引用的文献

1
Obesity among adults in the United States--no statistically significant change since 2003-2004.美国成年人肥胖情况——自2003 - 2004年以来无统计学显著变化。
NCHS Data Brief. 2007 Nov(1):1-8.
2
Rear seat occupant safety: kinematics and injury of PMHS restrained by a standard 3-point belt in frontal crashes.后排乘客安全:正面碰撞中受标准三点式安全带约束的PMHS的运动学和损伤情况
Stapp Car Crash J. 2008 Nov;52:295-325. doi: 10.4271/2008-22-0012.
3
Occupant restraint in the rear seat: ATD responses to standard and pre-tensioning, force-limiting belt restraints.后排乘客约束系统:人体模型对标准及预紧、限力安全带约束的响应
Ann Adv Automot Med. 2008 Oct;52:141-54.
4
Crash injury risks for obese occupants using a matched-pair analysis.采用配对分析评估肥胖驾乘人员的碰撞伤害风险。
Traffic Inj Prev. 2008 Mar;9(1):59-64. doi: 10.1080/15389580701737645.
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Tensile properties of the human muscular and ligamentous cervical spine.人体颈椎肌肉和韧带的拉伸特性。
Stapp Car Crash J. 2000 Nov;44:85-102. doi: 10.4271/2000-01-SC07.
6
Whole-body kinematic and dynamic response of restrained PMHS in frontal sled tests.在正面雪橇试验中受约束的人体模型(PMHS)的全身运动学和动力学响应。
Stapp Car Crash J. 2006 Nov;50:299-336. doi: 10.4271/2006-22-0013.
7
Thoracic response of belted PMHS, the Hybrid III, and the THOR-NT mid-sized male surrogates in low speed, frontal crashes.系安全带的人体模拟碰撞试验假人(PMHS)、Hybrid III假人和THOR-NT中型男性假人在低速正面碰撞中的胸部响应。
Stapp Car Crash J. 2006 Nov;50:191-215. doi: 10.4271/2006-22-0009.
8
Variation of neck muscle strength along the human cervical spine.颈部肌肉力量沿人体颈椎的变化。
Stapp Car Crash J. 2004 Nov;48:397-417. doi: 10.4271/2004-22-0017.
9
Increasing trends in waist circumference and abdominal obesity among US adults.美国成年人腰围和腹部肥胖呈上升趋势。
Obesity (Silver Spring). 2007 Jan;15(1):216-24. doi: 10.1038/oby.2007.505.
10
Development of ATD Installation Procedures Based on Rear-Seat Occupant Postures.基于后排乘客姿势的主动式头枕(ATD)安装程序的开发。
Stapp Car Crash J. 2005 Nov;49:381-421. doi: 10.4271/2005-22-0018.

肥胖对汽车驾乘人员约束系统的影响。

The effect of obesity on the restraint of automobile occupants.

作者信息

Forman Jason, Lopez-Valdes Francisco J, Lessley David, Kindig Matthew, Kent Richard, Bostrom Ola

机构信息

University of Virginia, Center for Applied Biomechanics.

出版信息

Ann Adv Automot Med. 2009 Oct;53:25-40.

PMID:20184830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3256798/
Abstract

As obesity rates increase, the protection of obese occupants will become increasingly important in vehicle and restraint design. As a first step in this effort, this study seeks to compare the kinematics, dynamics, and injuries of obese post mortem human surrogates (PMHS) to (approximately) 50(th) percentile adult male PMHS in frontal impact sled tests with a force-limiting, pre-tensioning restraint system. Forty-eight km/h, frontal impact sled tests were performed with a sled buck representing the rear seat occupant compartment of a 2004 mid-sized sedan. The restraint system consisted of a 3-point belt with a pretensioner and a progressive force-limiter at the retractor. The test subjects were either obese PMHS or approximately 50(th) percentile adult male PMHS. Instrumentation included accelerometer packages on the spine. Deformation of the subjects' chests were measured using chestbands placed nominally at the superior-inferior locations of the 4(th) and 8(th) ribs. Tension in the restraint system was measured at the upper shoulder belt, lower shoulder belt, and the lap belt. Motion of the head, shoulder, pelvis, and knee were recorded using high-speed video. Two obese PMHS (average mass 137 kg, average stature 186 cm) and three approximately mid-sized male PMHS (average mass 68 kg, average stature 176 cm) were tested. The obese PMHS exhibited significantly greater forward motion of the head and the pelvis compared to the mid-sized PMHS. The obese PMHS also exhibited backwards torso rotation at the time of maximum forward excursion, whereas the mid-sized PMHS did not. The obese PMHS exhibited average maximum chest compressions of approximately 44% (+/- 9% standard deviation) of their initial chest depths, and exhibited 26 g (+/- 2 g) average 3 ms clip maximum chest resultant acceleration. In comparison, the mid-sized PMHS exhibited averages of 29% (+/- 9%) maximum chest compression and 35 g (+/- 4 g) maximum 3 ms clip chest acceleration. The obese PMHS exhibited 7 and 2 rib fractures, with maximum chest AIS scores of 3 and 2. The mid-sized PMHS exhibited 12, 2, and 17 rib fractures, with maximum chest AIS scores of 4, 1, and 4, respectively. This study is the first (to the authors' knowledge) to compare the kinematic, dynamic, and injury behaviors of obese and mid-sized PMHS in frontal impact sled tests with a force-limiting, pretensioning restraint system. The unfavorable kinematics observed with the obese PMHS highlights the difficulty of designing restraint systems to adequately restrain obese occupants, even with currently available advanced restraint technologies.

摘要

随着肥胖率的上升,在车辆和约束系统设计中保护肥胖驾乘者将变得愈发重要。作为这项工作的第一步,本研究旨在通过一个带有限力预紧式约束系统的正面碰撞雪橇试验,比较肥胖尸体人类 surrogate(PMHS)与(约)第50百分位成年男性 PMHS 的运动学、动力学和损伤情况。以代表一辆2004年中型轿车后排座椅乘员舱的雪橇台车进行了48公里/小时的正面碰撞雪橇试验。约束系统由一条带有预紧器和卷收器处渐进式限力器的三点式安全带组成。试验对象为肥胖 PMHS 或约第50百分位成年男性 PMHS。测量仪器包括脊柱上的加速度计组件。使用名义上放置在第4和第8肋骨上下位置的胸带来测量受试者胸部的变形。在肩带上部、肩带下部和腰部带上测量约束系统中的张力。使用高速摄像机记录头部、肩部、骨盆和膝盖的运动。测试了两名肥胖 PMHS(平均体重137千克,平均身高186厘米)和三名约为中等身材的男性 PMHS(平均体重68千克,平均身高176厘米)。与中等身材的 PMHS 相比,肥胖 PMHS 的头部和骨盆向前运动明显更大。肥胖 PMHS 在最大向前偏移时还表现出躯干向后旋转,而中等身材的 PMHS 则没有。肥胖 PMHS 的胸部平均最大压缩量约为其初始胸部深度的44%(±9%标准差),平均3毫秒剪辑最大胸部合成加速度为26克(±2克)。相比之下,中等身材的 PMHS 的最大胸部压缩量平均为29%(±9%),最大3毫秒剪辑胸部加速度为35克(±4克)。肥胖 PMHS 出现了7处和2处肋骨骨折,胸部最高 AIS 评分为3分和2分。中等身材的 PMHS 分别出现了12处、2处和17处肋骨骨折,胸部最高 AIS评分分别为4分、1分和4分。据作者所知,本研究首次在带有限力预紧式约束系统的正面碰撞雪橇试验中比较了肥胖和中等身材 PMHS 的运动学、动力学及损伤行为。肥胖 PMHS 观察到的不利运动学情况凸显了设计约束系统以充分约束肥胖驾乘者的困难,即使采用目前可用的先进约束技术也是如此。