Biomechanical Response of the Infant Head to Shaking: An Experimental Investigation.

Controversy exists regarding whether violent shaking is harmful to infants in the absence of impact. In this study, our objective was to characterize the biomechanical response of the infant head during shaking through use of an instrumented anthropomorphic test device (commonly referred to as a "crash test dummy" or surrogate) representing a human infant and having improved biofidelity. A series of tests were conducted to simulate violent shaking of an infant surrogate. The Aprica 2.5 infant surrogate represented a 5th percentile Japanese newborn. A 50th percentile Japanese adult male was recruited to shake the infant surrogate in the sagittal plane. Triaxial linear accelerometers positioned at the center of mass and apex of the head recorded accelerations during shaking. Five shaking test series, each 3-4 sec in duration, were conducted. Outcome measures derived from accelerometer recordings were examined for trends. Head/neck kinematics were characterized during shaking events; mean peak neck flexion was 1.98 radians (113 degrees) and mean peak neck extension was 2.16 radians (123 degrees). The maximum angular acceleration across all test series was 13,260 radians/sec2 (during chin-to-chest contact). Peak angular velocity was 105.7 radians/sec (during chin-to-chest contact). Acceleration pulse durations ranged from 72.1 to 168.2 ms. Using an infant surrogate with improved biofidelity, we found higher angular acceleration and higher angular velocity than previously reported during infant surrogate shaking experiments. Findings highlight the importance of surrogate biofidelity when investigating shaking.

Finite element model of ocular injury in abusive head trauma.

PURPOSE: To develop a finite element analysis of the eye and orbit that can be subjected to virtual shaking forces. METHODS: LS-DYNA computer software was used to design a finite element model of the human infant eye, including orbit, fat, sclera, retina, vitreous, and muscles. The orbit was modeled as a rigid solid; the sclera and retina as elastic shells; the vitreous as viscoelastic solid or Newtonian fluid; and fat as elastic or viscoelastic solid. Muscles were modeled as spring-damper systems. Orbit-fat, fat-sclera, sclera-retina, and vitreous nodes-retina interfaces were defined with the use of the tied surface-surface function in LS-DYNA. The model was subjected to angular acceleration pulses obtained from shaking tests of a biofidelic doll (Aprica 2.5 kg dummy). Parametric studies were conducted to evaluate the effect of varying the material properties of vitreous/fat on maximum stress and stress distribution. RESULTS: With the vitreous modeled as a Newtonian fluid, the repeated acceleration-deceleration oscillatory motion characteristic of abusive head trauma (AHT) causes cumulative increases in the forces experienced at the vitreoretinal interface. Under these vitreous conditions, retinal stress maximums occur at the posterior pole and peripheral retina, where AHT retinal hemorrhage is most often found. CONCLUSIONS: Our model offers an improvement on dummy and animal models in allowing analysis of the effect of shaking on ocular tissues. It can be used under certain material conditions to demonstrate progressive "stacking" of intraocular stresses in locations corresponding to typical AHT injury patterns, allowing a better understanding of the mechanisms of retinal hemorrhage patterns.

Design and Development of a THOR Based Small Female Crash Test Dummy.

This paper describes the design and development of a small female crash test dummy, results of biofidelity tests, and preliminary results from full scale 3 point belt and airbag type sled tests. The small female THOR was designed using the anthropometric data developed by Robbins for the 5(th) percentile female and biomechanical requirements derived from scaling the responses of the 50(th) percentile male. While many of the mechanical components of the NHTSA THOR 50(th) percentile male dummy were scaled according to the appropriate anthropometric data, a number of improved design features have been introduced in the new female THOR. These include; improved neck design, new designs for the head and neck skins: and new designs for the upper and lower abdomen. The lower leg, ankle and foot, known as THOR-FLx, were developed in an earlier effort and have been included as a standard part of the new female dummy. The instrumentation on the dummy is generally the same as in the male THOR-Alpha dummy. A few sensors, which were thought to be of secondary importance, were eliminated because of the limited volume within the female dummy. Scaled versions of the biofidelity tests defined for the male THOR were used to test the response of the new dummy.

Development of THOR-FLx: A Biofidelic Lower Extremity for Use with 5th Percentile Female Crash Test Dummies.

A new lower leg/ankle/foot system has been designed and fabricated to assess the potential for lower limb injuries to small females in the automotive crash environment. The new lower extremity can be retrofitted at present to the distal femur of the 5th percentile female Hybrid III dummy. Future plans are for integration of this design into the 5th percentile female THOR dummy now under development. The anthropometry of the lower leg and foot is based mainly on data developed by Robbins for the 5th percentile female, while the biomechanical response requirements are based upon scaling of 50th percentile male THOR-Lx responses. The design consists of the knee, tibia, ankle joints, foot, a representation of the Achilles tendon, and associated flesh/skins. The new lower extremity, known as THOR-FLx, is designed to be biofidelic under dynamic axial loading of the tibia, static and dynamic dorsiflexion, static plantarflexion and inversion/eversion. Instrumentation includes accelerometers, load cells, and rotary potentiometers to capture relevant kinematic and dynamic information from the foot and tibia. This paper will describe the performance requirements for THOR-FLx, the methodology used in its' development, results of component tests, and the biofidelity tests conducted on the full assembly.