Questions Flashcards

1
Q

Why is the criterion HIC considered insufficient. Please describe

A

a) Skull fractures: In frontal collisions fractures is not the only problem. There is also a risk of brain injury, even without a fracture.
b) Linear only: HIC only consider linear acceleration but also rotational acceleration should be taken into account.
c) Impact direction (only frontal impacts), area of contact, stiffness of the impacting surface.

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2
Q

Why are long bones hollow? / Why are flat bones and some parts of distal bones hollow?

A

a) Storage of minerals and fat

b) Weight optimization: If the long bone wouldn’t be hollow, a lot of extra weight would be added to the skeleton

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3
Q

Synovial joints between bones have different degrees of freedom. Sketch 4 joints with different degrees of freedom, give example of where in the body they can be found.

A

a) plane joints, carpals, 3 DOF
b) Hinge joint, elbow (between Humerus and Ulna), 1 DOF
c) Pivot joint, between Ulna and Radius, 1DOF
d) Condyloid joint, between finger bones (Metacarpal and Phalanx), 3 DOF
e) Saddle joint, thumb (between Carpal and metacarpal #1), 2 DOF
f) Ball-and-socket joint, shoulder, 4 DOF

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4
Q

Provide a sketch of the human brain that show 4 anatomical lobes, 2 sulcus and 2 fissures

A
  • Occipital lobe, Parietal lobe, Frontal lobe, Temporal lobe
  • Parieto-occipital sulcus, Central sulcus
  • Preoccipital notch, Lateral notch
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5
Q

The top two vertebrae (closest to the head) are special. Please provide the names of these two and describe their characteristics.

A

Their names are:
C1 - Atlas
C2 - Axis

  • Atlas is special because it doesn’t have any spinous process or vertebral body, the vertebral arch goes all the way around.
  • Axis doesn’t have a spinous process. Axis has a dens which goes into Atlas.
  • The combination of Atlas and Axis makes it possible to rotate the head as indicating “no”
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6
Q

What are the most important pros and cons with volunteers, PMHSs and animals?

A
Volunteers:
\+ + Proper soft tissue response 
\+ Gross kinematics from film analysis and instruments 
\+ Detailed kinematics from high speed x-ray 
\+ + Muscle response 
- Military personnel and students 
- Awareness of impact 
- - Testing below point of injury 
- - Limited age distributions 
- No injury data 

PHMSs:
+ + Testing to failure
+ + Test isolated body segments: arm, head, leg
+ Local and gross kinematics
- - Limited number: poor possibility to select size, fitness, mostly older people
- - Soft tissue properties varies
- No physiological response: symptoms and soft tissue damage

Animals: 
\+ Instrumentation of body segments 
\+ + Intrusive probes 
\+ Specific physiological response 
\+ + Testing to injury and beyond 
- - Scaling required for transferring the info to human response data 
- - Ethical
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7
Q

In development of injury risk functions different regression techniques are used. What is the difference between non-parametric model and parametric model?

A

Non-parametric: No assumptions of the data is made fex that it should follow a certain distribution. Instead the data is plotted as it is.

Parametric: The data is assumed to follow a certain distribution and is then plotted accordingly

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8
Q

Bone material has properties dissimilar many of the more common engineering materials. List and explain four important dissimilarities and present why these are important to take into account when modeling bone material

A

a) Viscoelastic: The response changes with the speed which the load is applied
b) Non-linear: The response is non-linear
c) Anisotropic: The bone have different properties in different directions
d) Non-homogenius: The bone have a composite structure that is complex

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9
Q

What are the most important biomechanics differences between adults and children that require special attention when designing child restraints to be used in cars? Describe these differences and how these influence the interaction with restraints during a car collision?

A

a) Head mass proportions -> head load on neck
b) Head CG height -> neck loads
c) Higher vertebrae flexibility and sheering -> neck injury
d) Chest softer -> internal organ compression, less bone damage
e) Smaller ribcage -> exposed abdomen
f) Smaller iliac wing size -> poor belt interaction in frontal collisions
g) Shorter femur length -> extension of pelvis due to poor belt interaction

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10
Q

Provide the names of the bones labeled A through H

A
A: Parietal
B: Frontal 
C: Sphenoid 
D: Zygomatic 
E: Maxilla 
F: Mandible 
G: Temporal 
H: Occipital
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11
Q

Give names to the two muscles that are marked in the two sketches a) Shoulder and b) “Traps”

A

a) Shoulder: Deltoid

b) “Traps”: Trapezius

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12
Q

The spine consists of three main groups of vertebra. Provide the names, their numbers, and characteristics

A
  • Cervical, 7, lordotic, low, large flexion and extension, limited lateral bending, some rotation around vertical axis.
  • Thoracic, 12, kyphotic, low, limited flexion and extension, very limited lateral bending, and rotation around vertical axis.
  • Lumbar, 5, lordotic, large, rather large flexion and extension, limited rotation around vertical axis.
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13
Q

In accident data analysis it is common to assess the validity and reliability of the data. Describe these two terms.

A
  • Validity (accuracy to target): The extent to which the study measures what it is intended to measure.
    “Are the values describing what was supposed to be measured?”
  • Reliability (precision to other measurements): True level of the property being measured.
    “Will one get the same values if the measurements are repeated?”
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14
Q

Crash test dummies should preferably have anthropometry similar to that of humans. What other properties are important? List and explain six other properties (8 in total)

A

a) Anthropometry: Shape, size and mass distribution similar to human.
b) Bio-fidelity: The joints and stiffness of dummy similar to human.
c) Sensitivity: The dummy should be sensitive to crash loads.
d) Instrumentation: The dummy should be instrumented by suitable measurement equipment to measure the desired parameters.
e) The dummy should be easy to calibrate before testing to avoid mistakes.
f) Durability: The dummy should not break of fracture during the test.
g) Repeatability: If we repeat the test for several times with one dummy, the result should be the same.
h) Reproducibility: Two dummies should give the same result in identical test conditions.

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15
Q

Accident data are commonly, in the field of traffic safety, described based on what is included as being at the macroscopic level, intermediate level and microscopic level. Please describe these three levels and provide the names of one example database per level.

A
Macroscopic level, statistical data, police:
\+ all types of severities 
\+ "representative" of crashes in the region 
- few vehicle specific details 
- no detailed injury data 
STRADA Police (SWE) 
CARE/CADaS (EU) 
NASS-GES (US) 
Intermediate level, insurance: 
\+ Relatively low cost 
\+ Large dataset 
- no/little injury causation data 
- limited data access 
STRADA Hospital (SWE) 
Insurance databases 
Microscopic level, in-depth data, research: 
\+ detailed data in vehicle, occupant and infrastructure 
\+ identify accident causation 
\+ identify injury causation 
- high cost of data collection 
- not representative 
- limited data access 
NASS-CDS (US) 
FICA (SWE) 
INTACT (SWE) 
GIDAS(GER)
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16
Q

Describe what the term overuse injury means.

A

Muscle or joint injury, such as tendinitis or stress fracture, that’s caused by repetitive trauma as opposed to acute injuries, which occur in an instant.

17
Q

Describe weighting in NASS-GES. What is the difference if the NASS-data analysis is carried out weighted or unweighted?

A
  • The data is weighted according to how common each individual crash is in the database sample in comparison to how common each crash is in real life.
  • A low number means the crash is overrepresented in the database sample in comparison to all data.
  • A high number means the crash is more common in reality than it is represented in the database.
  • If the analysis is carried out using unweighted data it is only representative of the sample. If it is carried out used weighted data, it represents all crashes.
18
Q

Describe and exemplify how numerical models can be used to improve vehicle safety

A

a) Cost: The lower cost imply that more tests can be done compared to real life.
b) Sizes: Possibility to scale the HBMs to do tests on a more variant group.
c) Multipel crash scenarios: Possibilities to a wider span of crash scenarios.
d) Early and thereby allow for influencing design changes.

19
Q

What are the major disadvantages using scaling approach presented by Holbourn 1943? What alternatives are available?

A

The Holbourn require that:

  • The brain acts as an elastic medium
  • The brain tissue is homogenous
  • The brain is isotropic in nature
  • The brain has similar properties
  • The brain has similar shapes

Alternative is using FE-models of animals for the development of tissue criteria

20
Q

What types of brain injuries are common in traffic accidents? Please categorize these into groups based on location and injury type.

A
  • Focal: Contusion and Hematoma

- Diffuse: Concussion and DAI

21
Q

Describe how an “optimal” bicycle helmet protects the head fein injuries.

A
  • Outer layer from direct contact between structure and skull bone during impact
  • Inner layer cushion the impact
22
Q

What other important functions does bones have in addition to carrying load?

A

a) Protection
b) Movement
c) Carrying load
d) Mineral storage
e) Blood cell formation

23
Q

Describe how a traditional seatbelt protects the occupant from injuries and why it is designed as it is.

A
  • By reducing the force of secondary impacts with interior strike hazards
  • By keeping the occupant positioned correctly for maximum effectiveness of the airbag
  • By preventing occupants being ejected from the vehicle

Design:

  • Diagonal transfer load to the ribcage and clavicle and not to soft body segments.
  • Lap belt transfer load to the pelvis bones and not the soft body organs.
24
Q

What other important functions do muscles have in addition to produce force?

A
  • Produce force
  • Posture
  • Stabilizes
  • Heat
  • Protection
25
Q

Please provide a sketch of a cervical vertebrae. Label its important parts.

A
  • Body
  • Transverse process
  • Joint surface of the superior articular process
  • Joint surface of the inferior articular process
  • Spinous process
  • Arch
26
Q

What types of brain injuries are common in traffic accidents? Please explain why these occur.

A

Common injuries in traffic are:

  • Concussion
  • DAI
  • Hematoma: occur due to fracture but commonly due to blunt trauma.
  • Contusion: occur due to brain to skull contact.
  • Concussion and DAI occur when the head is exposed to rotational trauma or acceleration, this cause distortion of the brain tissue so that the axons/supporting structures are effected.
27
Q

Present experimental models used to determine the biomechanical response of the human body. Please include the most important advantage and the most important disadvantage for each model for full points.

A

PMHS, human cadavers – test to injury, poor soft tissue response + old

Human volunteers – proper physiological response, sub-injury level loading

Animals – physiological reactions, scaling required

Mechanical human surrogates/ATD – repeatable and reproducible, durable not always validated for the loading condition

Mathematical models – low cost and can be used early in the development of safety system, models of restraints are to be realistically modelled

28
Q

Present the main differences between cortical bone and cancellous bone. Give examples where these are in the skeleton.

A

Compact vs spongy. Compact on the surface of all bones and spongy in many interiors of bones; especially in the distal ends of long bones

29
Q

Describe three families, based on structural classifications, of joints that are found in the human body. For full point give the names of these families, describe their characteristics, and list one examples of these joints per family and for each example give the location of the joint in the human body.

A

Fibrous fibrous joint – Joined by dense regular connective tissue (that is rich in collagen fibers).

Cartilaginous joint – joined by cartilage. Two types; Primary and secondary cartilaginous joints.

1) Synchondrosis – Composed of hyaline cartilage and may ossify with age.
a. Bar e.g. the first sternocostal joint
b. Epiphyseal growth plate – temporary form of joint – e.g. between the epiphyses and diaphysis of long bones and between the occipital and the sphenoid.

2) Symphysis – is a fibrocartilaginous fusion between two bone and are permanent.
a. Manubriosternal joint (between the manubrium and the sternum), intervertebral discs, and the pubic symphysis.

Synovial joint – synovial cavity, articular capsule, articular cartilage, synovial fluid

(Facet joint – joint between two articular processes between two vertebrae)

30
Q

What is a risk factor? Give and explain a risk factor reported to be important for thorax injuries.

A

Risk factor is something that influences risk.
Risk factor is how likely a risk is to occur.

The risk factor for chest injuries is, for example, not wearing a seat belt. The seat belt prevents hitting the steering wheel / dashboard and flying out of the car

31
Q

Sketch a synovial joint and name the most important parts of this joint. Describe the main characteristics of this family of joints and list three examples of where these joints can be found in the human body.

A

Important parts (max 3p): Synovial fluid/cavity, Articular cartilage alt hyaline, Articular capsule alt synovial membrane and fibrous capsule (Ligaments bonus 1 p if not full)

The main characteristics of this family of joints are: High flexibility (1p)

Examples 1st rib, elbow, knee, etc (1p)

32
Q

In the impact biomechanics the following tissue properties are important: Nonlinearity, Viscoelastic and Anisotropic. Please give examples of these phenomena in the human body. For full points you must include an explanation of the property and the effect this has on the human response to impact loads.

A

Nonlinear (almost linear stress-strain curve) - Material deformation is non-linear. An increment in load will not result in linearly increased strain/risk of injury.

Viscoelastic: is the property of materials that exhibit both viscous and elastic characteristics when undergoing deformation. In general the stiffness of a material that is viscous increases with increased impact velocity. The elasticity brings the matrial back to its origibla shape.

Materials that have viscous response can resist higher loads at higher load rates.

Anisotropic; mech properties at tissue level being directionally dependent, which implies different properties in different directions, as opposed to isotropy.

Explanation 0.5 each properties effect this has on the human response to impact loads 0.5p each (max 1p).

33
Q

Draw a typical long bone of a young person and label from a biomechanical point of view at least four important parts. (0.25 each, 1 p max)

A

Proximal epiphysis, Diaphysis, distal epiphysis, metaphysis (or epiphysial line)

Alt.: articular cartilage, compact bone, sponge bone, (medullary cavity alt. yellow bone marrow), epiphysial line, periosteum.
______________________________________

What are the functions of these parts (0.5 p each and 2 p max)?

Proximal and distal epiphysis – joint formation
Diaphysis main load carrying unit (shat)
Metaphysis includes the (or epiphysial line) epiphyseal plate which is the growth plate of the long bone

Alt: Cartilage - Smooth joint surface
Compact bone – main load carrying unit
Sponge bone – load carrying unit and blood cell formation
Epiphysial line) epiphyseal plate which is the growth plate of the long bone
_________________________________________

Long bones provide structure, support and mobility. What two other functions are commonly found in long ones? (0.5p each max 1p)

Mineral Storage
Blood Cell Formation

34
Q

Present important differences between adults and children that call for the use of booster cushions. (3p)

A

a. Child upper leg length shorten than that of adults - makes hip flexed 1p
b. Lesser height and iliac wing angle - require belt angle to be more recline to get a proper belt to pelvis interaction 1p
c. Essential to restrain child shoulder (0,5p) and not the neck (for comforts reasons mainly since discomfort increases miss usage rate)
d. Seating height - Interaction with side impact protection (bag) 0,5p

35
Q

Crash pulse and intrusion influence injury outcome for occupants in a car crash. Please discuss how these two influences the injury risk in frontal collisions. When are pulses high and when are they low in these types of collisions? (2p)

A

Occupant compartment intrusion is considered as an objective metric for quantifying the deformation severity of a vehicle structure. In general, a large compartment intrusion increases the injury probability of lower extremity of occupants.

The vehicle crash pulse is closely related to the head and chest injuries of occupants. Injury responses of dummy head and chest are also closely associated with restraint system performance.

36
Q

Present the important steps required in the development of a FE model of a human head intended to be used to estimate head injury risk for car occupants in car crashes. (3p)

A

e. Identify common head injury type and mechanism in these collisions
f. Identify target group
g. Source anthropometry/CT-scans etc for meshing
h. Mesh
i. Assign material models and material properties
j. Assess/address robustness of the model
k. Validate at component level
l. Validate overall kinematics
m. Validate the measurements to be used in the injury criterion/criteria to be used
n. Develop/tune injury criteria and risk functions
o. Evaluate the injury risk criteria and risk function to be used with real -world data.
0. 5 each (if not a, c and j not included then -1 p each) max 3 p