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Baker GH, Bohman K, Mansfield JA, Jakobsson L, Bolte JH. Comparison of child and ATD belt fit and posture on belt-positioning boosters during self-selected, holding device, and nominal conditions. ACCIDENT; ANALYSIS AND PREVENTION 2023; 192:107280. [PMID: 37699266 DOI: 10.1016/j.aap.2023.107280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 07/21/2023] [Accepted: 08/30/2023] [Indexed: 09/14/2023]
Abstract
OBJECTIVE Pediatric anthropomorphic test devices (ATDs) are important tools for the assessment of child occupant protection and should represent realistic child belt fit and posture on belt-positioning boosters. Previous comparisons have been made to children in either self-selected or nominal postural conditions. This study compares belt fit and postural measurements between pediatric ATDs and a single cohort of children assuming different postures on boosters: self-selected, holding a portable electronic device, and nominal. METHODS A cohort of children (n = 25) were evaluated in a stationary vehicle on five boosters and in three postural conditions: nominal, self-selected, and a representative holding electronic device position. The Hybrid III 6- and 10-year-old and Q-Series 6- and 10-year-old ATDs were evaluated in the same five boosters and in two postural conditions: nominal and a representative holding electronic device position. A 3D coordinate measurement device was used to quantify belt fit (shoulder belt score, lap belt score, maximum gap size, and gap length) and anatomic landmark positions (head, suprasternale, ASIS, and patella). Landmark positions and belt fit were compared between ATDs and children for each booster and postural condition, and Pearson correlations (r) were assessed across boosters. RESULTS ATDs generally represented Nominal child postures across boosters. In the Device condition, ATDs were seldom able to be positioned to represent both the torso and head position of children, due to limited ATD spinal flexibility. When the torso position was matched, the ATD head was more rear by 63 mm. Correlations between Nominal child and ATD belt fit and belt gap metrics were generally weak and not significant, with the exception of lap belt score (all ATDs p < 0.07, r = 0.8549-0.9857). DISCUSSION ATDs were generally able to represent realistic child postures and lap belt fit in Nominal and short duration Self-selected postures in a laboratory setting. However, these results display the potential difficulty of utilizing ATDs to represent more naturalistic child postures, especially the more forward head positions and flexed spinal posture associated with utilizing a portable electronic device.
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Affiliation(s)
- Gretchen H Baker
- Injury Biomechanics Research Center, the Ohio State University. 2063 Graves Hall, 333 W 10(th) Ave, Columbus, OH 43210, USA.
| | | | - Julie A Mansfield
- Injury Biomechanics Research Center, the Ohio State University. 2063 Graves Hall, 333 W 10(th) Ave, Columbus, OH 43210, USA
| | | | - John H Bolte
- Injury Biomechanics Research Center, the Ohio State University. 2063 Graves Hall, 333 W 10(th) Ave, Columbus, OH 43210, USA
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Graci V, Burns Iii J, Griffith M, Seacrist T. The effect of reclined seatback angles on the motion of booster-seated children during lateral-oblique low-acceleration impacts. ACCIDENT; ANALYSIS AND PREVENTION 2023; 188:107117. [PMID: 37216696 DOI: 10.1016/j.aap.2023.107117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 05/06/2023] [Accepted: 05/11/2023] [Indexed: 05/24/2023]
Abstract
Belt-positioning boosters (BPB) may prevent submarining in novel seating configurations such as seats with reclined seatbacks. However, several knowledge gaps in the motion of reclined child occupants remain as previous reclined child studies only examined responses of a child anthropomorphic test device (ATD) and the PIPER finite element (FE) model in frontal impacts. The aim of this study is to investigate the effect of reclined seatback angles and two types of BPBs on the motion of child volunteer occupants in low-acceleration far-side lateral-oblique impacts. Six healthy children (3 males, 3 females, 6-8 years, seated height: 66±3.2 cm, weight: 25.2±3.2 kg) were seated on two types of low-back BPB (standard and lightweight) on a vehicle seat and restrained by a 3-point simulated-integrated seatbelt on a low-acceleration sled. The sled exposed the participants to a low-speed lateral-oblique (80° from frontal) pulse (2 g). Three seatback recline angles (25°, 45°, 60° from vertical) with two BPB (standard and lightweight) were tested. A 10-camera 3D-motion-capture system (Natural Point Inc.) was used to capture peak lateral head and trunk displacements and forward knee-head distance. Three seat-belt load cells (Denton ATD Inc) captured peak seatbelt loads. Electromyography (EMG, Delsys Inc) recorded muscle activation. Repeated Measure 2-way ANOVAs were performed to evaluate the effect of seatback recline angle and BPB on kinematics. Tukey's post-hoc test for pairwise comparisons was used. P-level was set to 0.05. Peak lateral head and trunk displacement decreased with the increasing seatback recline angle (p < 0.005, p < 0.001, respectively). Lateral peak head displacement was greater in the 25° compared to the 60° condition (p < 0.002) and in the 45° condition compared to the 60° condition (p < 0.04). Lateral peak trunk displacement was greater in the 25° condition than the 45° condition (p < 0.009) and the 60° condition (p < 0.001), and in the 45° condition than the 60° condition (p < 0.03). Overall peak lateral head and trunk displacements and knee-head forward distance were slightly greater in the standard than the lightweight BPB (p < 0.04), however these differences between BPBs were small (∼10 mm). Shoulder belt peak load decreased as the reclined seatback angle increased (p < 0.03): the shoulder belt peak load was statistically greater in the 25° condition than the 60° condition (p < 0.02). Muscle activation from the neck, upper trunk, and lower legs showed great activation. Neck muscles activation increased with the increase in seatback recline angle. Thighs, upper arms, and abdominal muscles showed small activation and no effect of conditions. Child volunteers showed decreased displacement suggesting that reclined seatbacks placed the booster-seated children in a more favorable position within the shoulder belt in a low-acceleration lateral-oblique impact, compared to nominal seatback angles. BPB type seemed to minimally influence the children's motion: the small differences found may have been due to the slight difference in heights between the two BPBs. Future research with more severe pulses is needed to better understand reclined children's motion in far-side lateral-oblique impacts.
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Affiliation(s)
- Valentina Graci
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, PA, United States; School of Biomedical Engineering, Science and Health System, Drexel University, Philadelphia, PA, United States.
| | - John Burns Iii
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, PA, United States
| | - Madeline Griffith
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, PA, United States
| | - Thomas Seacrist
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, PA, United States
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Albanese B, Cross SL, Brown J, Bilston LE, Koppel S, Bohman K, Arbogast KB, Olivier J, Charlton JL. Child restraint headrest and belt routing design features and their association with child passenger behavior and restraint misuse. TRAFFIC INJURY PREVENTION 2022; 23:446-451. [PMID: 35896022 DOI: 10.1080/15389588.2022.2098280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 06/27/2022] [Accepted: 07/01/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES Ergonomic design of child restraint systems (CRS) may facilitate optimal travel behavior and crash protection of child passengers during motor vehicle trips. However there have been few studies examining the relationship between CRS design and child passenger travel behavior. The aim of this study was to examine whether associations between CRS design features and child passenger behavior exist during real-world, everyday vehicle trips. METHODS Video from a naturalistic driving study (NDS) was analyzed in this study. Families drove an instrumented study vehicle for approximately two weeks with at least one child aged between one and eight years traveling in their own forward-facing (FF) CRS or belt positioning booster (BPB). Video for one child passenger was randomly selected from each trip for analysis. Video was coded for five-second epochs at nine time points (5%, 17%, 25%, 30%, 50%, 53%, 75%, 89% and 95% of trip length). Two types of child passenger travel behaviors were identified by manual review of the video and audio recordings: (i) optimal/suboptimal head position and (ii) correct/incorrect use of the internal harness/shoulder belt. Video screenshots were used to characterize CRS design features. Random effects logistic regression models were used to examine the associations between specific CRS design features and the travel behaviors of interest, whilst accounting for clustering of data by child and trip. RESULTS Suboptimal head position was associated with the absence of a height adjustable headrest and a narrow headrest wing width in FFCRS. Incorrect harness use in a FFCRS was associated with the absence of an adjustable headrest, in addition to headrest features such as wing width and depth. In BPBs, a reduction in suboptimal head position was associated with the absence of a sash belt guide, however no restraint design features were associated with incorrect shoulder belt use. CONCLUSIONS Some CRS design features may influence undesirable child passenger travel behavior. These early findings support enhanced and user-centric CRS design as a likely important mechanism to improve child passenger safety.
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Affiliation(s)
- Bianca Albanese
- Neuroscience Research Australia, Randwick, NSW, Australia
- The George Institute for Global Health, Newtown, Australia
- School of Medical Sciences, Faculty of Medicine, The University of New South Wales, Australia
| | - Suzanne L Cross
- Monash University Accident Research Centre, Monash University, Clayton, Australia
| | - Julie Brown
- Neuroscience Research Australia, Randwick, NSW, Australia
- The George Institute for Global Health, Newtown, Australia
| | - Lynne E Bilston
- Neuroscience Research Australia, Randwick, NSW, Australia
- Prince of Wales Clinical School, Faculty of Medicine, The University of New South Wales, Australia
| | - Sjaan Koppel
- School of Medical Sciences, Faculty of Medicine, The University of New South Wales, Australia
| | | | - Kristy B Arbogast
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Jake Olivier
- School of Mathematics and Statistics, University of New South Wales, Sydney, Australia
| | - Judith L Charlton
- Monash University Accident Research Centre, Monash University, Clayton, Australia
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Slusher G, Sarfare S, Falciani C, Belwadi A, Maheshwari J. Analysis of 6YO pediatric human body model kinematics and kinetics to determine submarining across naturalistic seating postures. TRAFFIC INJURY PREVENTION 2022; 23:S111-S116. [PMID: 35862895 DOI: 10.1080/15389588.2022.2092848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 06/17/2022] [Accepted: 06/18/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES The aim of this study was to analyze the kinematics and kinetics of a naturalistically seated 6-year-old (6YO) pediatric human body model and evaluate the metrics described by earlier studies for pediatric ATDs to indicate whether different postures and booster seats were more associated with submarining than others in a frontal impact. METHODS The PIPER 6YO pediatric human body model was restrained on a lowback (LBB) and a highback (HBB) booster child restraint seat (CRS) in four naturalistic seating postures: leaning-forward, leaning-inboard, leaning-outboard, and a pre-submarining posture, and a baseline reference seating position as per the FMVSS No. 213 protocol. A 2012 mid-size sedan finite element (FE) model was used as the vehicle environment. A standard 3-point lap-shoulder belt system was modeled to restrain the child and the CRS in the left-rear vehicle seat. Additionally, a No-CRS condition was modeled in a reference posture and pre-submarining posture in which the occupant's legs bent over the edge of the rear seat. 12 conditions were simulated in LS-DYNA R10.1.0, and kinematics and kinetics were compared to metrics as per prior literature: 1) maximum femur displacement and pelvis rotation, 2) maximum knee-head excursion and maximum change in torso angle, 3) lap belt trajectory relative to pelvis's coordinate frame. RESULTS The pre-submarining posture on the HBB depicted submarining in all metrics except for the lap belt trajectory. Only the pre-submarining posture in No-CRS depicted submarining through analysis of all metrics. For this pre-submarining No-CRS condition, the mid-abdominal compression was approximately 5 times greater than the average of the mid abdominal compression depths of all other cases and maximum abdominal pressure was at least 22.9 kPa higher than the rest of the conditions. CONCLUSIONS The results of this study suggest that metrics used to assess submarining for 6YO pediatric occupants in frontal impacts may need to be updated so that they are more accurate for both simulated and physical studies. In addition, the results of this study could be used to design booster seats that discourage postures that could lead to an increased likelihood of submarining-like characteristics in a frontal crash impact.
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Affiliation(s)
- Gianna Slusher
- Cooper Union for the Advancement of Science and Art, New York
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Pennsylvania
| | - Shreyas Sarfare
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Pennsylvania
| | - Clayton Falciani
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Pennsylvania
- School of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania
| | - Aditya Belwadi
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Pennsylvania
| | - Jalaj Maheshwari
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Pennsylvania
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Patton DA, Maheshwari J, Arbogast KB, Graci V. Head contacts in second-row pediatric occupants when the front-seat is reclined during automated emergency braking. Comput Methods Biomech Biomed Engin 2022; 25:1637-1648. [PMID: 35107393 DOI: 10.1080/10255842.2022.2032003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Seating configurations for autonomous driving will include reclined front seated occupants, which may expose child occupants seated directly behind to head impacts even in pre-crash scenarios. This study used mathematical modelling to investigate head contact for second-row child occupants seated behind a reclined front-seat during an automatic emergency braking (AEB) scenario. Although characterized by low speed (<1 m/s), head contacts were observed for a seatbelt-restrained 10-year-old and a 6-year-old in a low-back booster when the front-seat was reclined and in an aftward track position. Future seating configurations should consider the potential for head contact by second-row child occupants during crash-avoidance scenarios.
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Affiliation(s)
- Declan A Patton
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Jalaj Maheshwari
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Kristy B Arbogast
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.,Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Valentina Graci
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.,School of Biomedical Engineering, Science and Health System, Drexel University, Philadelphia, PA, USA
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Baker GH, Mansfield JA, Hunter RL, Bolte JH. Evaluation of static belt fit and belt torso contact for children on belt-positioning booster seats. TRAFFIC INJURY PREVENTION 2021; 22:S87-S92. [PMID: 34528844 DOI: 10.1080/15389588.2021.1967337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 08/04/2021] [Accepted: 08/08/2021] [Indexed: 06/13/2023]
Abstract
Objective: Previous studies have indicated that gap between the seatbelt and torso (reduced belt torso contact) for children on belt-positioning booster seats (BPBs) may lead to less torso engagement and increased likelihood of shoulder belt slip-off during evasive vehicle maneuvers, potentially increasing injury risk during crashes. However, current BPB belt fit measures do not quantify belt gap and may not be able to fully discriminate between designs which provide good vs. poor dynamic outcomes. The goal of this study was to evaluate both novel (belt gap characteristics) and conventional measures of seatbelt fit for BPB-seated children.Methods: Ten BPBs and three seatbelt anchor locations were investigated. Fifty volunteers (4-14 years) were recruited and each evaluated on six unique combinations of BPB and seatbelt anchor location on a vehicle rear seat in a laboratory setting. A 3 D coordinate measurement system quantified positions of anatomic, seatbelt, BPB, and vehicle reference points. Novel belt gap (gap size, length, location, and percent torso contact) and conventional belt fit (position of belt on shoulder and pelvis) metrics were calculated using anatomic and seatbelt landmarks. Variation in belt fit and belt gap outcomes due to BPB, seatbelt anchor location, and anthropometry were investigated.Results: BPBs produced significantly different outcomes, while seatbelt anchor location did not. BPBs with features that directly routed the lower portion of the shoulder belt more forward on the buckle side produced the largest (29.3 ± 12.6 mm) and longest (106.9 ± 68.2 mm) belt gap on average, while BPBs that pulled the belt less forward or did not directly route the belt produced the smallest (13.9 ± 6.7 mm) and shortest (16.9 ± 33.9 mm) gap on average. Belt gap outcomes were not strongly correlated with conventional belt fit metrics, indicating that evaluation of belt gap may provide additional insight when attempting to discriminate between BPBs which provide good vs. poor seatbelt engagement during vehicle maneuvers and crashes.Conclusions: This is the first study to evaluate belt gap characteristics for BPB-seated children. Results suggest that belt fit and belt gap are influenced by BPB design, particularly lower shoulder belt routings, and may have implications for belt engagement during dynamic events.
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Affiliation(s)
- Gretchen H Baker
- Injury Biomechanics Research Center, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio
| | - Julie A Mansfield
- Injury Biomechanics Research Center, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio
| | - Randee L Hunter
- Injury Biomechanics Research Center, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio
| | - John H Bolte
- Injury Biomechanics Research Center, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio
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Singh H, Kathuria A. Analyzing driver behavior under naturalistic driving conditions: A review. ACCIDENT; ANALYSIS AND PREVENTION 2021; 150:105908. [PMID: 33310431 DOI: 10.1016/j.aap.2020.105908] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 11/20/2020] [Accepted: 11/22/2020] [Indexed: 06/12/2023]
Abstract
For a decade, researchers working in the area of road safety have started exploring the use of driving behavior data for a better understanding of the causes related to road accidents. A review of the literature reveals the excellent potential of naturalistic driving studies carried out by collecting vehicle performance data and driver behavior data during normal, impaired, and safety-critical situations. An in-depth understanding of driver behavior helps analyze and implement pre-crash safety measures - the development of enforcement policies, infrastructure design, and intelligent vehicle safety systems. The present paper attempts to review the naturalistic driving studies that have been undertaken so far. The paper begins with an overview of different methods for collecting unobtrusive driver behavior data during their day to day trip, followed by a discussion of various factors affecting driving behavior and their influence on vehicle performance parameters. The paper also discusses the strategies mentioned in the literature for improving driving behavior using naturalistic driving studies to enhance road safety. Some of the major findings of this review suggest that i) driver behavior is a major cause in the majority of the road accidents ii) drivers generally reduce their speed and increases headway as a compensatory measure to reduce the workload imposed during distracting activity and adverse weather conditions iii) mobile phone has emerged as a potential device for collecting naturalistic driving data and, iv) improvement in driving behavior can be achieved by providing feedback to the drivers about their driving behavior. This can be done by implementing usage-based insurance schemes such as pay as you drive (PAYD), pay how you drive (PHYD), and manage how you drive (MHYD). While a considerable amount of research has been done to analyze driving behavior under naturalistic conditions, some areas which are yet to be explored are highlighted in the present paper.
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Affiliation(s)
- Harpreet Singh
- Department of Civil Engineering, Indian Institute of Technology Jammu (IIT-JMU), Jammu, India.
| | - Ankit Kathuria
- Department of Civil Engineering, Indian Institute of Technology Jammu (IIT-JMU), Jammu, India.
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Maheshwari J, Sarfare S, Falciani C, Belwadi A. Analysis of Kinematic Response of Pediatric Occupants Seated in Naturalistic Positions in Simulated Frontal Small Offset Impacts: With and Without Automatic Emergency Braking. STAPP CAR CRASH JOURNAL 2020; 64:31-59. [PMID: 33636002 DOI: 10.4271/2020-22-0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Naturalistic driving studies have shown that pediatric occupants do not assume ideal seating positions in real-world scenarios. Current vehicle assessment programs and child restraint system (CRS) sled tests, such as FMVSS No. 213, do not account for a wide range of seating postures that are typically observed during real-world trips. Therefore, this study aims to analyze the kinematic and kinetic response of a pediatric human body model in various naturalistic seating positions in booster seats when subjected to a frontal offset impact in a full-vehicle environment, with and without the application of pre-crash automatic emergency braking (AEB). A 6YO (seated on a lowback and highback booster) and a 10YO (seated in no-CRS and on a lowback booster) PIPER pediatric human body model's response was explored in a reference, and two most commonly observed seating postures: forward-leaning and forward-inboard-leaning. The vehicle environment with a side-curtain airbag (SCAB) was subjected to a small offset barrier impact (25% overlap at 40MPH), with and without the application of a pre-crash automatic emergency braking (AEB). 24 conditions were simulated using finite element analysis. Cases with a pre-crash AEB resulted in relatively lower kinematic and kinetic values due to the occupant being in a more flexed position before impact compared to without-AEB cases, coupled with the increased ride-down effect due to AEB. Moreover, different seating postures resulted in substantially different kinematics and kinetics, the injury metrics crossing the injury assessment reference values in some cases. Therefore, to design a passive safety standard test for pediatric occupants, it is important to consider the possible postural changes that may occur.
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Affiliation(s)
- J Maheshwari
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - S Sarfare
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - C Falciani
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- School of Computing and Informatics, Drexel University, Philadelphia, PA, USA
| | - A Belwadi
- Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA
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Maheshwari J, Sarfare S, Falciani C, Belwadi A. Pediatric occupant human body model kinematic and kinetic response variation to changes in seating posture in simulated frontal impacts - with and without automatic emergency braking. TRAFFIC INJURY PREVENTION 2020; 21:S49-S53. [PMID: 33095067 DOI: 10.1080/15389588.2020.1825699] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 09/08/2020] [Accepted: 09/12/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE The study quantifies the kinematics of children in booster child restraint systems (CRSs) in various naturalistic seating postures exposed to frontal impacts in a full-vehicle environment, with and without the application of pre-crash automatic emergency braking. METHODS The PIPER 6YO and 10YO pediatric human body models were positioned in CRSs. The 6YO was restrained on a lowback (LBB) and highback (HBB) booster, while the 10YO was positioned on an LBB and in a NoCRS condition. All simulations used the 3-point seatbelt. The child models were pre-positioned (gravity settled, seatbelt tensioned) in four naturalistic seating postures: leaning-forward, leaning-forward-inward, leaning-forward-outward, and a pre-submarining position, along with a baseline reference seating position. A 2012 Toyota Camry finite element (FE) model was used as the vehicle environment. A standard 3-point lap-shoulder belt system was modeled to restrain the child and CRS in the left-rear vehicle seat. Two vehicle impact cases were considered: with and without a pre-crash AEB. For with-AEB cases, a pre-crash phase was run to incorporate postural changes due to the application of AEB. All seating positions were ultimately subjected to a full-frontal rigid-barrier impact at 35 MPH. A total of 40 conditions were simulated in LS-DYNA. RESULTS Injury metrics varied widely for both occupants. Shoulder belt slippage was observed for the 6YO leaning-forward-inward on HBB. No head contact was observed for any simulated cases. Forward-leaning and forward-inward-leaning postures generally had greater head excursion across all seating postures. The lap belt rode over the pelvis for pre-submarining postures. Injury metrics for cases with pre-crash AEB were lower compared to their corresponding without-AEB cases. HIC15, head acceleration, upper neck tension force, and upper neck flexion moment were similar or lower for with-AEB scenarios. CONCLUSIONS Pre-crash AEB reduces the effect of the impact despite the same collision speed as cases without-AEB. This is primarily due to the limited travel distance of the occupant, thus, starting an earlier ride-down during the crash. Moreover, different initial seating postures lead to a wide range of injury exposures. Vehicle and child restraint design should incorporate these seating postures to ensure robust protection of the occupant in a crash.
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Affiliation(s)
- Jalaj Maheshwari
- Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Shreyas Sarfare
- Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Clayton Falciani
- Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
- School of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania
| | - Aditya Belwadi
- Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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Sartin E, McDonald CC, Long DL, Stavrinos D, Mirman JH. Variations in booster seat use by child characteristics. JOURNAL OF SAFETY RESEARCH 2020; 74:89-95. [PMID: 32951799 DOI: 10.1016/j.jsr.2020.04.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 03/23/2020] [Accepted: 04/16/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Child weight and height are the basis of manufacturer and best practice guidelines for child restraint system use. However, these guides do not address behavioral differences among children of similar age, weight, and height, which may result in child-induced restraint use errors. The objective of this study was to characterize child behaviors across age in relation to appropriate restraint system use during simulated drives. METHODS Fifty mother-child (4-8 years) dyads completed an installation into a driving simulator, followed by a simulated drive that was video-recorded and coded for child-induced errors. Time inappropriately restrained was measured as the total amount of the simulated drive spent in an improper or unsafe position for the restraint to be effective divided by the total drive time. Kruskal-Wallis tests were used to determine differences across age in the frequency of error events and overall time inappropriately restrained. RESULTS Children in harnessed seats had no observed errors during trips. Within children sitting in booster seats there were differences in time inappropriately restrained across age (p = 0.01), with 4 year-olds spending on average 67% (Median = 76%) of the drive inappropriately restrained, compared to the rest of the age categories spending less than 28% (Medians ranged from 3% to 23%). CONCLUSION Some children may be physically compatible with booster seats, but not behaviorally mature enough to safely use them. More research is needed that examines how child behavior influences child passenger safety. Practical Applications: Not all children physically big enough are behaviorally ready to use belt positioning booster seats. Primary sources of information should provide caregivers with individualized guidance about when it is appropriate to transition children out of harnessed seats. Additionally, best practice guidelines should be updated to reflect what behaviors are needed from children to safely use specific types of child restraint systems.
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Affiliation(s)
- Emma Sartin
- University of Alabama at Birmingham, Department of Psychology, Birmingham, AL, USA.
| | - Catherine C McDonald
- University of Pennsylvania, School of Nursing, Philadelphia, PA, USA; Children's Hospital of Philadelphia, Center for Injury Research and Prevention, Philadelphia, PA, USA.
| | - D Leann Long
- University of Alabama at Birmingham, Department of Biostatistics, Birmingham, AL, USA.
| | - Despina Stavrinos
- University of Alabama at Birmingham, Department of Psychology, Birmingham, AL, USA.
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Glerum KM, Zonfrillo MR, Fleisher L, McDonald CC. Systematic review of child restraint system interventions (2007-2018). TRAFFIC INJURY PREVENTION 2019; 20:866-872. [PMID: 31725324 DOI: 10.1080/15389588.2019.1666372] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2019] [Revised: 07/22/2019] [Accepted: 09/07/2019] [Indexed: 06/10/2023]
Abstract
Objective: To systematically review and summarize articles evaluating the effectiveness of child restraint system (CRS) interventions targeting parents/caregivers' knowledge of, overall rates of and/or proper use of CRSs published in a recent time period.Methods: Using multiple databases, we identified peer-reviewed journal articles published between January 1, 2007 and December 31, 2018 using selected key search terms. Inclusion criteria were: (1) evaluation of an intervention/program for child passenger safety targeting a parent or caregiver of a child (2) quantitative data-based results (i.e., change in knowledge, behavior, or observed outcomes), (3) English-language, and (4) peer-reviewed journal publication. Through a systematic review process and peer consensus, n = 23 articles met inclusion criteria. References of these articles were reviewed for inclusion using the same process and n = 12 additional articles were identified.Results: A total of n = 35 articles met inclusion criteria. Of the n = 35 articles, n = 9 were randomized controlled trials (RCTs), n = 4 were cluster RCTs, n = 11 were nonrandomized trials, and n = 11 were pretest post-test studies. Types of interventions included face-to-face education (n = 26), web/video-based education (n = 8) or written educational materials (n = 1). Of the articles reviewed, n = 20 involved distribution of free or subsidized CRSs to some or all subjects. N = 20 articles involved trained CRS technicians and/or CRS installation check-points. In terms of outcomes measured, n = 3 articles assessed changes in knowledge of CRS use, n = 22 assessed changes in CRS behaviors (which includes self-report or observed behavior change), and n = 10 assessed changes in both CRS knowledge and behaviors. All articles (n = 3) that measured changes in knowledge as their only outcome demonstrated positive effects while articles measuring behavioral outcomes (self-report or observed) (n = 32) had mixed results.Conclusions: This review included a wide range of articles of heterogeneous methodologies, sample sizes, and outcomes measured. Although different approaches to CRS interventions were effective in increasing awareness and knowledge, the effects on CRS use behaviors - whether self-reported or observed - were mixed. Future research is needed to increase appropriate CRS use and reduce the burden of motor vehicle crash-related injuries among children.
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Affiliation(s)
- Kimberly M Glerum
- The Warren Alpert Medical School, Brown University, Providence, Rhode Island
| | - Mark R Zonfrillo
- Departments of Emergency Medicine and Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island
| | - Linda Fleisher
- Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Catherine C McDonald
- Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
- Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
- School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania
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Cross SL, Koppel S, Arbogast KB, Bohman K, Rudin-Brown CM, Charlton JL. The common characteristics and behaviors of child occupants in motor vehicle travel. TRAFFIC INJURY PREVENTION 2019; 20:713-719. [PMID: 31567027 DOI: 10.1080/15389588.2019.1654093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Revised: 07/27/2019] [Accepted: 08/05/2019] [Indexed: 06/10/2023]
Abstract
Objective: Child occupant behavior and head position when travelling in child restraint systems (CRS) may have an effect on injury risk in the event of a motor vehicle crash. The current study aimed to describe the common characteristics and behaviors of child occupants during everyday, real-world motor vehicle travel in a sample of Australian families to identify potential safety implications of observed behaviors and head position within the CRS. Methods: Two instrumented study vehicles were used by 42 families for approximately two weeks. Continuous video and audio data were collected across 1,651 trips (over 600 hours). An online survey provided additional parent, familial and child occupant data. The characteristics and behaviors of 72 child occupants (aged 14 months to 9 years) who travelled in a forward-facing CRS (FFCRS) or a belt-positioning booster seat (BS) were observed and recorded by manual review of a sample of the video/audio recordings. One quarter of all trips (n = 414) was randomly selected for coding/analysis and, within each trip, one child occupant was selected who was travelling in a FFCRS or BS. Child occupant behaviors, head position within the FFCRS or BS, and other relevant information was coded for each trip during nine discrete five second intervals or 'epochs' (5%, 17%, 25%, 30%, 50%, 53%, 75%, 89% and 95% of trip duration). Results: In the majority of epochs (74%), child occupants' heads were observed to be 'optimally' positioned within the FFCRS or BS. For more than half of the epochs, child occupants were observed to be: correctly restrained (58%) and involved in an interaction with another vehicle occupant (59%). Bivariate analyses revealed that children travelling in a FFCRS were significantly more likely to be observed to have optimal head positions than those travelling in a BS (78% vs. 62%), χ2 (1) = 86.00, p < 0.001. Child occupants who were observed to be 'correctly' restrained were significantly more likely to be observed to have optimal head positions than those who were observed to be 'incorrectly' restrained (80% vs. 20%), χ2 (1) = 10.33, p < 0.01. Conclusions: This is the first naturalistic driving study (NDS) to specifically explore the factors associated with child occupants' head position when travelling in a CRS. Findings from the current study can be used to inform the positioning of anthropometric test dummies (ATD) in CRS testing, guide improvements to CRS/vehicle design, and develop targeted educational strategies to improve child occupant safety.
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Affiliation(s)
- Suzanne L Cross
- Accident Research Centre, Monash University , Clayton , Australia
| | - Sjaan Koppel
- Accident Research Centre, Monash University , Clayton , Australia
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Bilston LE, Kent N, Brown J. Cross-chest clips in child restraints: A crash testing study. TRAFFIC INJURY PREVENTION 2019; 20:720-725. [PMID: 31433676 DOI: 10.1080/15389588.2019.1650172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 07/25/2019] [Accepted: 07/26/2019] [Indexed: 06/10/2023]
Abstract
Objective: Cross-chest clips are widely used in North American child restraints but are less common in other countries, partially due to concerns over anterior neck contacts in frontal crashes. They have recently been reported to be associated with lower odds of injury in real-world crashes, but there is a paucity of crash test performance information. This study aimed to compare the dynamic performance of a small child occupant in frontal crash tests with and without cross-chest clips in place. Methods: Frontal sled tests at 49 km/h were conducted to compare 2 cross-chest clip designs to nonuse of a chest clip. Tests using a P3/4 anthropomorphic test device (ATD) to represent the smallest occupant in a forward-facing child restraint were conducted with the chest clips in the recommended position and also in an incorrect lower position and with and without additional harness slack present. Results: Though contacts were observed between the chest clips and the base of the ATD's neck, there was little difference observed in head excursion or ATD sensor loads in the presence of the chest clips. No detectable change in the neck forces or moments was detected at the time of the neck contacts. The position of the clips did not affect the results. Harness slack increased head excursion, as expected, but this effect did not differ between the tests with and without the clips. Conclusions: Cross-chest clips do not appear to greatly influence the dynamic performance of a forward-facing child restraint in a simulated frontal crash. Taken together with recent research suggesting a potential benefit in injury reduction from the clips in the real world, possibly due to maintaining the harness straps in place on a child's shoulders, it may be appropriate to re-evaluate safety standards that prevent their use.
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Affiliation(s)
- Lynne E Bilston
- Transurban Road Safety Research Centre, Neuroscience Research Australia , Randwick , New South Wales , Australia
- Prince of Wales Clinical School, University of New South Wales , Kensington , New South Wales , Australia
| | - Nicholas Kent
- Transurban Road Safety Research Centre, Neuroscience Research Australia , Randwick , New South Wales , Australia
| | - Julie Brown
- Transurban Road Safety Research Centre, Neuroscience Research Australia , Randwick , New South Wales , Australia
- School of Medical Sciences, University of New South Wales , Kensington , New South Wales , Australia
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Capriola-Hall NN, Wieckowski AT, Swain D, Tech V, Aly S, Youssef A, Abbott AL, White SW. Group Differences in Facial Emotion Expression in Autism: Evidence for the Utility of Machine Classification. Behav Ther 2019; 50:828-838. [PMID: 31208691 DOI: 10.1016/j.beth.2018.12.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Revised: 12/15/2018] [Accepted: 12/18/2018] [Indexed: 10/27/2022]
Abstract
Effective social communication relies, in part, on accurate nonverbal expression of emotion. To evaluate the nature of facial emotion expression (FEE) deficits in children with autism spectrum disorder (ASD), we compared 20 youths with ASD to a sample of typically developing (TD) youth (n = 20) using a machine-based classifier of FEE. Results indicate group differences in FEE for overall accuracy across emotions. In particular, a significant group difference in accuracy of FEE was observed when participants were prompted by a video of a human expressing an emotion, F(2, 36) = 4.99, p = .032, η2 = .12. Specifically, youth with ASD made significantly more errors in FEE relative to TD youth. Findings support continued refinement of machine-based approaches to assess and potentially remediate FEE impairment in youth with ASD.
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Bohman K, Arbogast KB, Loeb H, Charlton JL, Koppel S, Cross SL. Frontal and oblique crash tests of HIII 6-year-old child ATD using real-world, observed child passenger postures. TRAFFIC INJURY PREVENTION 2018; 19:S125-S130. [PMID: 29584494 DOI: 10.1080/15389588.2017.1385781] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Accepted: 09/25/2017] [Indexed: 06/08/2023]
Abstract
OBJECTIVE The aim of this study was to evaluate the consequences of frontal and oblique crashes when positioning a Hybrid III (HIII) 6-year-old child anthropometric test device (ATD) using observed child passenger postures from a naturalistic driving study (NDS). METHODS Five positions for booster-seated children aged 4-7 years were selected, including one reference position according to the FMVSS 213 ATD seating protocol and 4 based on real-world observed child passenger postures from an NDS including 2 user positions with forward tilting torso and 2 that combined both forward and lateral inboard tilting of the torso. Seventeen sled tests were conducted in a mid-sized vehicle body at 64 km/h (European New Car Assessment Programme [Euro NCAP] Offset Deformable Barrier [ODB] pulse), in full frontal and oblique (15°) crash directions. The rear-seated HIII 6-year-old child ATD was restrained on a high-back booster seat. In 10 tests, the booster seat was also attached with a top tether. In the oblique tests, the ATD was positioned on the far side. Three camera views and ATD responses (head, neck, and chest) were analyzed. RESULTS The shoulder belt slipped off the shoulder in all ATD positions in the oblique test configuration. In full frontal tests, the shoulder belt stayed on the shoulder in 3 out of 9 tests. Head acceleration and neck tension were decreased in the forward leaning positions; however, the total head excursion increased up to 210 mm compared to te reference position, due to belt slip-off and initial forward leaning position. CONCLUSIONS These results suggest that real-world child passenger postures may contribute to shoulder belt slip-off and increased head excursion, thus increasing the risk of head injury. Restraint system development needs to include a wider range of sitting postures that children may choose, in addition to the specified postures of ATDs in seating test protocols, to ensure robust performance across diverse use cases. In addition, these tests revealed that the child ATD is limited in its ability to mimic real-world child passenger postures. There is a need to develop child human body models that may offer greater flexibility for these types of crash evaluations.
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Affiliation(s)
| | - Kristy B Arbogast
- b Center for Injury Research and Prevention, Children's Hospital of Philadelphia , Philadelphia , Pennsylvania
| | - Helen Loeb
- b Center for Injury Research and Prevention, Children's Hospital of Philadelphia , Philadelphia , Pennsylvania
| | - Judith L Charlton
- c Monash University Accident Research Centre, Monash University , Melbourne , Australia
| | - Sjaan Koppel
- c Monash University Accident Research Centre, Monash University , Melbourne , Australia
| | - Suzanne L Cross
- c Monash University Accident Research Centre, Monash University , Melbourne , Australia
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Loeb H, Kim J, Arbogast K, Kuo J, Koppel S, Cross S, Charlton J. Automated recognition of rear seat occupants' head position using Kinect™ 3D point cloud. JOURNAL OF SAFETY RESEARCH 2017; 63:135-143. [PMID: 29203011 DOI: 10.1016/j.jsr.2017.10.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Revised: 09/18/2017] [Accepted: 10/09/2017] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Child occupant safety in motor-vehicle crashes is evaluated using Anthropomorphic Test Devices (ATD) seated in optimal positions. However, child occupants often assume suboptimal positions during real-world driving trips. Head impact to the seat back has been identified as one important injury causation scenario for seat belt restrained, head-injured children (Bohman et al., 2011). There is therefore a need to understand the interaction of children with the Child Restraint System to optimize protection. METHOD Naturalistic driving studies (NDS) will improve understanding of out-of-position (OOP) trends. To quantify OOP positions, an NDS was conducted. Families used a study vehicle for two weeks during their everyday driving trips. The positions of rear-seated child occupants, representing 22 families, were evaluated. The study vehicle - instrumented with data acquisition systems, including Microsoft Kinect™ V1 - recorded rear seat occupants in 1120 driving 26 trips. Three novel analytical methods were used to analyze data. To assess skeletal tracking accuracy, analysts recorded occurrences where Kinect™ exhibited invalid head recognition among a randomly-selected subset (81 trips). Errors included incorrect target detection (e.g., vehicle headrest) or environmental interference (e.g., sunlight). When head data was present, Kinect™ was correct 41% of the time; two other algorithms - filtering for extreme motion, and background subtraction/head-based depth detection are described in this paper and preliminary results are presented. Accuracy estimates were not possible because of their experimental nature and the difficulty to use a ground truth for this large database. This NDS tested methods to quantify the frequency and magnitude of head positions for rear-seated child occupants utilizing Kinect™ motion-tracking. RESULTS This study's results informed recent ATD sled tests that replicated observed positions (most common and most extreme), and assessed the validity of child occupant protection on these typical CRS uses. SUMMARY Optimal protection in vehicles requires an understanding of how child occupants use the rear seat space. This study explored the feasibility of using Kinect™ to log positions of rear seated child occupants. Initial analysis used the Kinect™ system's skeleton recognition and two novel analytical algorithms to log head location. PRACTICAL APPLICATIONS This research will lead to further analysis leveraging Kinect™ raw data - and other NDS data - to quantify the frequency/magnitude of OOP situations, ATD sled tests that replicate observed positions, and advances in the design and testing of child occupant protection technology.
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Affiliation(s)
- Helen Loeb
- Center for Injury Research and Prevention at the Children's Hospital of Philadelphia, 3535 Market Street, Suite 1150, Philadelphia, PA, 19104, United States.
| | - Jinyong Kim
- Center for Injury Research and Prevention at the Children's Hospital of Philadelphia, 3535 Market Street, Suite 1150, Philadelphia, PA, 19104, United States
| | - Kristy Arbogast
- Center for Injury Research and Prevention at the Children's Hospital of Philadelphia, 3535 Market Street, Suite 1150, Philadelphia, PA, 19104, United States
| | - Jonny Kuo
- Monash University Accident Research Centre, 21 Alliance Lane, Clayton VIC 3800, Melbourne, Australia.
| | - Sjaan Koppel
- Monash University Accident Research Centre, 21 Alliance Lane, Clayton VIC 3800, Melbourne, Australia.
| | - Suzanne Cross
- Monash University Accident Research Centre, 21 Alliance Lane, Clayton VIC 3800, Melbourne, Australia.
| | - Judith Charlton
- Monash University Accident Research Centre, 21 Alliance Lane, Clayton VIC 3800, Melbourne, Australia.
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