Institute of Engineering and Computational Mechanics, University of Stuttgart, Pfaffenwaldring 9, 70569, Stuttgart, Germany.
Institute of Sport and Movement Science, University of Stuttgart, Allmandring 28, 70569, Stuttgart, Germany.
Ann Biomed Eng. 2023 Apr;51(4):771-782. doi: 10.1007/s10439-022-03087-9. Epub 2022 Oct 12.
Occupants exposed to low or moderate crash events can already suffer from whiplash-associated disorders leading to severe and long-lasting symptoms. However, the underlying injury mechanisms and the role of muscle activity are not fully clear. Potential increases in injury risk of non-nominal postures, i.e., rotated head, cannot be evaluated in detail due to the lack of experimental data. Examining changes in neck muscle activity to hold and stabilize the head in a rotated position during pre-crash scenarios might provide a deeper understanding of muscle reflex contributions and injury mechanisms. In this study, the influence of two different head postures (nominal vs. rotation of the head by about 63 ± 9° to the right) on neck muscle activity and head kinematics was investigated in simulated braking experiments inside a driving simulator. The braking scenario was implemented by visualization of the virtual scene using head-mounted displays and a combined translational-rotational platform motion. Kinematics of seventeen healthy subjects was tracked using 3D motion capturing. Surface electromyography were used to quantify muscle activity of left and right sternocleidomastoideus (SCM) and trapezius (TRP) muscles. The results show clear evidence that rotated head postures affect the static as well as the dynamic behavior of muscle activity during the virtual braking event. With head turned to the right, the contralateral left muscles yielded higher base activation and delayed muscle onset times. In contrast, right muscles had much lower activations and showed no relevant changes in muscle activation between nominal and rotated head position. The observed delayed muscle onset times and increased asymmetrical muscle activation patterns in the rotated head position are assumed to affect injury mechanisms. This could explain the prevalence of rotated head postures during a crash reported by patients suffering from WAD. The results can be used for validating the active behavior of human body models in braking simulations with nominal and rotated head postures, and to gain a deeper understanding of neck injury mechanisms.
暴露于低强度或中等强度碰撞事件的乘员可能已经患有与挥鞭伤相关的疾病,导致严重且持久的症状。然而,其潜在的损伤机制和肌肉活动的作用尚未完全清楚。由于缺乏实验数据,无法详细评估非标称姿势(即头部旋转)的潜在伤害风险增加。在预碰撞情况下,检查颈部肌肉活动在保持和稳定旋转头部位置方面的变化,可能会提供对肌肉反射贡献和损伤机制的更深入理解。在这项研究中,通过使用头戴式显示器和组合平移-旋转平台运动来模拟驾驶模拟器内的制动场景,研究了两种不同头部姿势(标称与头部向右侧旋转约 63 ± 9°)对颈部肌肉活动和头部运动学的影响。通过可视化虚拟场景来实现制动场景,使用 3D 运动捕捉跟踪十七名健康受试者的运动学。表面肌电图用于量化左侧和右侧胸锁乳突肌(SCM)和斜方肌(TRP)的肌肉活动。结果表明,旋转头部姿势会影响虚拟制动事件中肌肉活动的静态和动态行为。头部向右转时,对侧的左侧肌肉会产生更高的基础激活和延迟的肌肉起始时间。相比之下,右侧肌肉的激活度较低,在标称和旋转头部位置之间,肌肉激活没有明显变化。观察到的延迟肌肉起始时间和旋转头部位置中增加的不对称肌肉激活模式被认为会影响损伤机制。这可以解释患有 WAD 的患者报告的挥鞭伤中旋转头部姿势的普遍性。结果可用于验证具有标称和旋转头部姿势的制动模拟中人体模型的主动行为,并深入了解颈部损伤机制。