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  5. Lower limb posture affects the mechanism of injury in under-body blast
 
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Lower limb posture affects the mechanism of injury in under-body blast
File(s)
2018-GG-Posture_in_UBB-Ann_Biomed_Eng.pdf (2.3 MB)
Published version
OA Location
https://link.springer.com/article/10.1007/s10439-018-02138-4
Author(s)
Grigoriadis, Grigoris
Carpanen, Diagarajen
Webster, Claire E
Ramasamy, Arul
Newell, Nicolas
more
Type
Journal Article
Abstract
Over 80% of wounded Service Members sustain at least one extremity injury. The 'deck-slap' foot, a product of the vehicle's floor rising rapidly when attacked by a mine to injure the limb, has been a signature injury in recent conflicts. Given the frequency and severity of these combat-related extremity injuries, they require the greatest utilisation of resources for treatment, and have caused the greatest number of disabled soldiers during recent conflicts. Most research efforts focus on occupants seated with both tibia-to-femur and tibia-to-foot angles set at 90°; it is unknown whether results obtained from these tests are applicable when alternative seated postures are adopted. To investigate this, lower limbs from anthropometric testing devices (ATDs) and post mortem human subjects (PMHSs) were loaded in three different seated postures using an under-body blast injury simulator. Using metrics that are commonly used for assessing injury, such as the axial force and the revised tibia index, the lower limb of ATDs were found to be insensitive to posture variations while the injuries sustained by the PMHS lower limbs differed in type and severity between postures. This suggests that the mechanism of injury depends on the posture and that this cannot be captured by the current injury criteria. Therefore, great care should be taken when interpreting and extrapolating results, especially in vehicle qualification tests, when postures other than the 90°-90° are of interest.
Date Issued
2019-01-01
Date Acceptance
2018-09-21
Citation
Annals of Biomedical Engineering, 2019, 47 (1), pp.306-316
URI
http://hdl.handle.net/10044/1/64993
DOI
https://www.dx.doi.org/10.1007/s10439-018-02138-4
ISSN
0090-6964
Publisher
Springer (part of Springer Nature)
Start Page
306
End Page
316
Journal / Book Title
Annals of Biomedical Engineering
Volume
47
Issue
1
Copyright Statement
© 2018 The Author(s) Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
License URL
http://creativecommons.org/licenses/by/4.0/
Sponsor
The Royal British Legion
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30276492
PII: 10.1007/s10439-018-02138-4
Grant Number
Centre for Blast Injury Studie
Subjects
Anthropometric testing devices
Blast injury
Foot and ankle
Lower limb biomechanics
Lower limb posture
Post mortem human surrogates
Trauma biomechanics
Underbody blast
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2018-10-01
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