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ACCELERATIONS AND JERKS ASSOCIATED WITH SHAKEN BABY SYNDROME

机译:摇摇晃晃的婴儿综合症所引起的加速和抽搐

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Shaken Baby Syndrome is a collection of injuries that have been associated with the violent shaking of an infant or small child. These injuries can then lead to serious brain damage or even death. It is therefore important to identify the exact mechanism that leads from the shaking to the observed injuries, but little experimental work has been done in this area. The first part of this study was designed to identify if a correlation exists between the physical characteristics of a person shaking a crash test dummy (CRABI) and the resulting accelerations and jerks associated with the motion of the dummy's head. This was done by placing a three axis accelerometer in the head and two in the body (one in the chest and one in the groin) of a median twelve month old male dummy to determine the acceleration of the head and body. In particular, the relative angular acceleration and jerk of the head relative to the body was determined, since it was felt to be a better predictor of brain damage than would be the absolute linear acceleration of the head. Similar work has been done in the past; however that study only considered the absolute acceleration of the head, and in only one direction. Since the present study allows the attitude of the head to be determined, a true relative angular acceleration of the head relative to the body was found. Consequently, it was found that no strong correlation existed between the absolute linear acceleration and any body characteristic, however a correlation (R~2) of 0.6 was found to exist between the body weight of the shaker and the maximum angular jerk of the dummy's head relative to its body, as compared to only a correlation of 0.5 when the shaker's body weight was compared to the absolute linear acceleration of the head. A two dimensional dynamic simulation was also developed that modelled the behavior of a child crash test dummy. The model included the legs, torso, and head of the dummy, and the elastic behavior of the neck. The model was created to allow the associated accelerations and jerks to be determined for inputs of various magnitude and temporal profiles. The model was then validated by comparing the simulation results to the test results obtained from the experimental study described above.
机译:摇晃的婴儿综合症是与婴儿剧烈摇动相关的伤害的集合。这些伤害会导致严重的脑损伤甚至死亡。因此,重要的是要确定从晃动到观察到的伤害的确切机理,但是在该领域几乎没有做过任何实验工作。本研究的第一部分旨在确定晃动碰撞测试假人(CRABI)的人的身体特征与假人头部运动相关的加速度和猛击之间是否存在相关性。通过在中位十二个月大的男性假人的头部中放置三轴加速度计,在身体中放置两个轴(在胸中放置一个,在腹股沟中放置一个)来确定头部和身体的加速度。特别是,确定了头部相对于身体的相对角加速度和加速度,因为与头部的绝对线性加速度相比,它被认为是更好的大脑损伤预测指标。过去已经做过类似的工作。然而,该研究仅考虑了头部的绝对加速度,并且仅在一个方向上进行了考虑。由于本研究可以确定头部的姿势,因此可以找到头部相对于身体的真实相对角加速度。因此,发现绝对线性加速度与任何身体特征之间均不存在强相关性,但是振动器的体重与假人头部的最大角加速度之间的相关性(R〜2)为0.6。相对于其身体,将振动器的体重与头部的绝对线性加速度进行比较时,其相关性仅为0.5。还开发了二维动态仿真,该仿真对儿童碰撞测试假人的行为进行了建模。该模型包括假人的腿,躯干和头部,以及脖子的弹性行为。创建该模型是为了为各种大小和时间轮廓的输入确定相关的加速度和加速度。然后通过将仿真结果与从上述实验研究中获得的测试结果进行比较来验证模型。

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