Analysis of Force Mitigation by Boots in Axial Impacts using a Lower Leg Finite Element Model.

Lower extremity injuries caused by floor plate impacts through the axis of the lower leg are a major source of injury and disability for civilian and military vehicle occupants. A collection of PMHS pendulum impacts was revisited to obtain data for paired booted/unbooted test on the same leg. Five sets of paired pendulum impacts (10 experiments in total) were found using four lower legs from two PMHS. The PMHS size and age was representative of an average young adult male. In these tests, a PMHS leg was impacted by a 3.4 or 5.8 kg pendulum with an initial velocity of 5, 7, or 10 m/s (42-288 J). A matching LS-DYNA finite element model was developed to replicate the experiments and provide additional energy, strain, and stress data. Simulation results matched the PMHS data using peak values and CORA curve correlations. Experimental forces ranged between 1.9 and 12.1 kN experimentally and 2.0 and 11.7 kN in simulation. Combat boot usage reduced the peak force by 36% experimentally (32% in simulation) by compressing the sole and insole with similar mitigations for calcaneus strain. The simulated Von Mises stress contours showed the boot both mitigating and shifting stress concentrations from the calcaneus in unbooted impacts to the talus-tibia joint in the booted impacts, which may explain why some previous studies have observed shifts to tibia injuries with boot or padding usage.

Biomechanical Response of Military Booted and Unbooted Foot-Ankle-Tibia from Vertical Loading.

A new anthropomorphic test device (ATD) is being developed by the US Army to be responsive to vertical loading during a vehicle underbody blast event. To obtain design parameters for the new ATD, a series of non-injurious tests were conducted to derive biofidelity response corridors for the foot-ankle complex under vertical loading. Isolated post mortem human surrogate (PMHS) lower leg specimens were tested with and without military boot and in different initial foot-ankle positions. Instrumentation included a six-axis load cell at the proximal end, three-axis accelerometers at proximal and distal tibia, and calcaneus, and strain gages. Average proximal tibia axial forces for a neutral-positioned foot were about 2 kN for a 4 m/s test, 4 kN for 6 m/s test and 6 kN for an 8 m/s test. The force time-to-peak values were from 3 to 5 msec and calcaneus acceleration rise times were 2 to 8 msec. Compared to the neutral posture, the "off-axis" measures (e.g. shear and bending moment) were much greater in magnitude in plantar- or dorsi-flexed posture. The results as a function of velocity demonstrated uniform increases with increasing test velocities. The response corridors supplied from the present investigation will serve as initial design parameters for the ATD lower leg, and can also be used for validation for a human computational model.

Foot-Ankle Fractures and Injury Probability Curves from Post-mortem Human Surrogate Tests.

This purpose of this study was to replicate foot-ankle injuries seen in the military and derive human injury probability curves using the human cadaver model. Lower legs were isolated below knee from seventeen unembalmed human cadavers and they were aligned in a 90-90 posture (plantar surface orthogonal to leg). The specimens were loaded along the tibia axis by applying short-time duration pulses, using a repeated testing protocol. Injuries were documented using pre- and post-test X-rays, computed tomography scans, and dissection. Peak force-based risk curves were derived using survival analysis and accounted for data censoring. Fractures were grouped into all foot-ankle (A), any calcaneus (B), and any tibia injuries (C), respectively. Calcaneus and/or distal tibia/pilon fractures occurred in fourteen tests. Axial forces were the greatest and least for groups C and B, respectively. Times attainments of forces for all groups were within ten milliseconds. The Weibull function was the optimal probability distribution for all groups. Age was significant (p < 0.05) for groups A and C. Survival analysis-based probability curves were derived for all groups. Data are given in the body of paper. Age-based, risk-specific, and continuous distribution probability curves/responses guide in the creation of an injury assessment capability for military blast environments.

Vertical accelerator device to apply loads simulating blast environments in the military to human surrogates.

The objective of the study was to develop a simple device, Vertical accelerator (Vertac), to apply vertical impact loads to Post Mortem Human Subject (PMHS) or dummy surrogates because injuries sustained in military conflicts are associated with this vector; example, under-body blasts from explosive devices/events. The two-part mechanically controlled device consisted of load-application and load-receiving sections connected by a lever arm. The former section incorporated a falling weight to impact one end of the lever arm inducing a reaction at the other/load-receiving end. The "launch-plate" on this end of the arm applied the vertical impact load/acceleration pulse under different initial conditions to biological/physical surrogates, attached to second section. It is possible to induce different acceleration pulses by using varying energy absorbing materials and controlling drop height and weight. The second section of Vertac had the flexibility to accommodate different body regions for vertical loading experiments. The device is simple and inexpensive. It has the ability to control pulses and flexibility to accommodate different sub-systems/components of human surrogates. It has the capability to incorporate preloads and military personal protective equipment (e.g., combat helmet). It can simulate vehicle roofs. The device allows for intermittent specimen evaluations (x-ray and palpation, without changing specimen alignment). The two free but interconnected sections can be used to advance safety to military personnel. Examples demonstrating feasibilities of the Vertac device to apply vertical impact accelerations using PMHS head-neck preparations with helmet and booted Hybrid III dummy lower leg preparations under in-contact and launch-type impact experiments are presented.

Hybrid III Lower Leg Injury Assessment Reference Curves Under Axial Impacts Using Matched-Pair Tests.

The objective of the present study was to derive injury probability curves applicable to the Hybrid III dummy (also termed the Anthropomorphic Test Device, ATD) lower leg under axial impacts for military applications. A matched-pair approach was used. Axial impacts were delivered to below knee foot-ankle complex preparations of the lower leg of the ATD using pendulum and custom vertical accelerator devices. Military boot was used in some tests. Post mortem human surrogate (PMHS) preparations were used as matched-pair tests for injury outcomes. The alignment was such that the foot-ankle complex was orthogonal to the leg (below knee tibia-fibula complex), termed as the normal 90-90 posture. Injury outcomes from the biological surrogate focused on calcaneus and or distal tibia fractures with or without the involvement of articular surfaces. Peak lower tibia load cell forces were obtained from matched-pair dummy tests. Injury and force data were paired, censoring was assigned based on injury outcomes and survival analysis was done using the Weibull distribution to derive dummy-based probability curves. Mean peak forces were extracted at 5, 10, 20 and 50% probability levels. Normalized confidence interval sizes (NCIS) at ± 95% level were computed to determine the tightness-of-fit of the confidence bands. The NCIS data ranged from 0.34 to 0.78 and a peak force of 8.2 kN was associated at the ten percent injury probability level. Other data and curves are given in the body of the paper. The present Injury Assessment Reference Curves and Values (IARC and IARV) may be used in future tests for advancing safety in military environments. These survival analysis processes and IARC and IARV data may also be used in other applications.

Military boot attenuates axial loading to the lower leg.

Biomechanical tests to understand injury mechanisms and derive injury tolerance information using Post-Mortem Human Subjects (PMHS) have not used foot protection and they have primarily focused on civilian environments such as automotive and athletic- and sports-related events. As military personnel use boots, tests with the boot are required to understand their effect on attenuating lower leg loads. The purpose of this study was therefore, to determine the modulation of human lower leg kinematics with boot compressions and share of the force absorbed by the boot from underbody blast loading. Axial impacts were delivered to the Hybrid III dummy lower leg in the neutral position. The dummy leg was instrumented with its internal upper and lower tibia load cells, and in addition, a knee load cell was attached to the proximal end. Tests were conducted at 4.4 to 8.9 m/s, with and without boots, and repeat tests were done. Morphologies of the force-time responses were similar at the three load cell locations and for all input combinations and booted and unbooted conditions. However, booted tests resulted in considerably lower maximum forces (approximately two-third reduction) than unbooted tests. These results clearly show that boots can absorb a considerable share of the impact energy and decrease impact loads transmitted to the lower leg under vertical loading, thus necessitating the generation of tolerance data using PMHS for this environment.

Upper and lower neck loads in belted human surrogates in frontal impacts.

The upper and lower neck loads in the restrained Hybrid III dummy and Test Device for Human Occupant Restraint (THOR) were computed in simulated frontal impact sled tests at low, medium, and high velocities; repeatability performance of the two dummies were evaluated at all energy inputs; peak forces and moments were compared with computed loads at the occipital condyles and cervical-thoracic junctions from tests using post mortem human surrogates (PMHS). A custom sled buck was used to position the surrogates. Repeated tests were conducted at each velocity for each dummy and sufficient time was allowed to elapse between the two experiments. The upper and lower neck forces and moments were determined from load cell measures and its locations with respect to the ends of the neck. Both dummies showed good repeatability for axial and shear forces and bending moments at all changes in velocity inputs. Morphological characteristics in the neck loading responses were similar in all surrogates, although the peak magnitudes of the variables differed. In general, the THOR better mimicked the PMHS response than the Hybrid III dummy, and factors such as neck design and chest compliance were attributed to the observed variations. While both dummies were not designed for use at the two extremes of the tested velocities, results from the present study indicate that, currently the THOR may be the preferred anthropomorphic testing device in crashworthiness research studies and full-scale vehicle tests at all velocities.

Comparison of head-neck responses in frontal impacts using restrained human surrogates.

The objective of the study was to evaluate the head and neck kinetics of three-point belted Hybrid III dummy and Test Device for Human Occupant Restraint (THOR) in frontal impacts, and compare their responses with data from post mortem human subjects (PMHS). Surrogates were placed on a buck, capable of accommodating different anthropometry with similar initial positioning. Duplicate tests were conducted at low, medium, and high (3.6, 6.9, and 15.8 m/s) velocities. Upper and lower neck forces and moments were determined from load cell measures and its locations with respect to the ends of the neck. Head excursion-time responses were more repeatable in the Hybrid III dummy than the THOR dummy. Hybrid III dummy response was more rigid in the sagittal plane. Peak THOR motions were closer to PMHS. Based on times of occurrences of peak excursions, THOR was closer to PMHS at all velocities, while Hybrid III dummy showed biofidelity at the medium and high velocities. Controlled positioning and testing with different surrogates provide an evaluation of inter-subject responses. THOR was more likely to "get the head where and when it needs to be" in frontal impacts. With the importance of testing at lower speeds due to recent recognition of real-world injuries, these data suggest that THOR may be an optimal dummy for frontal impacts. Comparisons of head-neck kinetic data with PMHS are valuable in frontal impact injury assessments.

Head motions using nine accelerometer package and angular rate sensors.

This study compared linear and angular accelerations and angular velocities of the head using two systems. The first sensor was a custom-developed pyramid nine accelerometer package (PNAP) in 3-2-2-2 configuration. The three corners of the base contained two biaxial accelerometers in the 2-2-2 array, and the vertex contained the tri-axial accelerometer. The second sensor was a recently available angular rate sensor. Both sensors were mounted on the periphery of the head of an intact post mortem human cadaver specimen (PMHS), exposed to impact loading. Using the dynamic equations of equilibrium and geometric properties of the head of the PMHS, linear location-specific acceleration data from the PNAP device were transformed to head angular accelerations and velocities and linear accelerations at its center of gravity. Using recorded angular velocity data from the rate sensor, angular and linear accelerations were obtained. A comparative evaluation of these data indicated that the angular rate sensor is preferable for rotational velocities and the PNAP device for angular accelerations. A combination of angular velocity data from the rate sensor and angular acceleration data from the PNAP device produced the most preferable temporal linear acceleration data at the center of gravity of the head. It may be prudent to use both sensors to obtain linear and angular acceleration and rotational velocity data from impact tests.