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Cervical spine curvature during simulated rear crashes with energy-absorbing seat.
Spine J. 2011 Mar; 11(3):224-33.SJ

Abstract

BACKGROUND CONTEXT

Epidemiological studies indicate potential benefits of the Whiplash Protection System (WHIPS) for reducing neck injury risk.

PURPOSE

Our goal was to evaluate cervical spine curvature during simulated rear crashes of a Human Model of the Neck (HUMON) within a WHIPS seat with fixed head restraint (HR).

STUDY DESIGN

In vitro biomechanical study.

METHODS

The HUMON consisted of a human neck specimen mounted to the torso of BioRID II (Denton ATD, Inc., Milan, OH, USA) and carrying a surrogate head stabilized with muscle force replication. The HUMON was subjected to simulated rear crashes in a WHIPS seat (n=6) at 9.9, 12.0, and 13.3 g and in a seat with no WHIPS or HR (n=6) at 11.5 g. Statistical tests (p<.05) determined significant increases in spinal motion peaks during the crashes with WHIPS relative to physiologic and significant differences in spinal curvature peaks between WHIPS (12.0 g) and no WHIPS or HR (11.5 g).

RESULTS

The WHIPS absorbed crash energy during the initial 75 milliseconds, while peak lower cervical spine (LCS) extension occurred as late as 179 milliseconds. The average C7/T1 rotation peaks during the 13.3-g rear crashes with WHIPS significantly exceeded physiologic by 95% in flexion (4.3° vs. 2.2°) and more than 225% in extension (9.8° vs. 3.0°). The WHIPS caused a significant reduction in average peak normalized LCS extension as compared with no WHIPS or HR (1.2 vs. 3.7).

CONCLUSIONS

Although the peak LCS extension was significantly reduced due to WHIPS as compared with no WHIPS or HR, it exceeded physiologic as the cervical spine maintained a prolonged S-shaped curvature. Nonphysiologic LCS motion may occur even if head/HR contact occurs early, and injury is possible before head/HR contact even with a modern energy-absorbing seat. Future whiplash-reduction systems will most likely integrate active injury prevention systems with advanced features such as accident avoidance technology.

Authors+Show Affiliations

Biomechanics Research Laboratory, Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 333 Cedar St, PO Box 208071, New Haven, CT 06520-8071, USA. paul.ivancic@yale.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

21377605

Citation

Ivancic, Paul C., and Ming Xiao. "Cervical Spine Curvature During Simulated Rear Crashes With Energy-absorbing Seat." The Spine Journal : Official Journal of the North American Spine Society, vol. 11, no. 3, 2011, pp. 224-33.
Ivancic PC, Xiao M. Cervical spine curvature during simulated rear crashes with energy-absorbing seat. Spine J. 2011;11(3):224-33.
Ivancic, P. C., & Xiao, M. (2011). Cervical spine curvature during simulated rear crashes with energy-absorbing seat. The Spine Journal : Official Journal of the North American Spine Society, 11(3), 224-33. https://doi.org/10.1016/j.spinee.2011.01.025
Ivancic PC, Xiao M. Cervical Spine Curvature During Simulated Rear Crashes With Energy-absorbing Seat. Spine J. 2011;11(3):224-33. PubMed PMID: 21377605.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cervical spine curvature during simulated rear crashes with energy-absorbing seat. AU - Ivancic,Paul C, AU - Xiao,Ming, PY - 2010/07/08/received PY - 2010/12/13/revised PY - 2011/01/26/accepted PY - 2011/3/8/entrez PY - 2011/3/8/pubmed PY - 2011/7/20/medline SP - 224 EP - 33 JF - The spine journal : official journal of the North American Spine Society JO - Spine J VL - 11 IS - 3 N2 - BACKGROUND CONTEXT: Epidemiological studies indicate potential benefits of the Whiplash Protection System (WHIPS) for reducing neck injury risk. PURPOSE: Our goal was to evaluate cervical spine curvature during simulated rear crashes of a Human Model of the Neck (HUMON) within a WHIPS seat with fixed head restraint (HR). STUDY DESIGN: In vitro biomechanical study. METHODS: The HUMON consisted of a human neck specimen mounted to the torso of BioRID II (Denton ATD, Inc., Milan, OH, USA) and carrying a surrogate head stabilized with muscle force replication. The HUMON was subjected to simulated rear crashes in a WHIPS seat (n=6) at 9.9, 12.0, and 13.3 g and in a seat with no WHIPS or HR (n=6) at 11.5 g. Statistical tests (p<.05) determined significant increases in spinal motion peaks during the crashes with WHIPS relative to physiologic and significant differences in spinal curvature peaks between WHIPS (12.0 g) and no WHIPS or HR (11.5 g). RESULTS: The WHIPS absorbed crash energy during the initial 75 milliseconds, while peak lower cervical spine (LCS) extension occurred as late as 179 milliseconds. The average C7/T1 rotation peaks during the 13.3-g rear crashes with WHIPS significantly exceeded physiologic by 95% in flexion (4.3° vs. 2.2°) and more than 225% in extension (9.8° vs. 3.0°). The WHIPS caused a significant reduction in average peak normalized LCS extension as compared with no WHIPS or HR (1.2 vs. 3.7). CONCLUSIONS: Although the peak LCS extension was significantly reduced due to WHIPS as compared with no WHIPS or HR, it exceeded physiologic as the cervical spine maintained a prolonged S-shaped curvature. Nonphysiologic LCS motion may occur even if head/HR contact occurs early, and injury is possible before head/HR contact even with a modern energy-absorbing seat. Future whiplash-reduction systems will most likely integrate active injury prevention systems with advanced features such as accident avoidance technology. SN - 1878-1632 UR - https://www.unboundmedicine.com/medline/citation/21377605/Cervical_spine_curvature_during_simulated_rear_crashes_with_energy_absorbing_seat_ DB - PRIME DP - Unbound Medicine ER -