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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
Expansion and evaluation of data characterizing the structural behavior of the pediatric abdomen
John F Lamp1, Robert Salzar, Jason Kerrigan
1Center for Applied Biomechanics at the University of Virginia Duke University.
Insights
Pediatric abdominal response to seat belt loading was studied using post-mortem human subjects (PMHS) and a porcine model. Results show similar stiffness in both, validating the animal model for child safety research.
Area of Science:
- Biomechanical Engineering
- Pediatric Trauma Research
- Automotive Safety
Background:
- Abdominal injuries in children from motor vehicle collisions are a significant concern.
- Limited experimental data exists on pediatric abdominal response to seat belt loading.
- Previous research developed a porcine model and tested one pediatric post-mortem human subject (PMHS).
Purpose of the Study:
- To present results from an additional pediatric PMHS test series.
- To expand the evaluation of a porcine model using combined PMHS data.
- To compare pediatric and porcine abdominal responses to belt loading.
Main Methods:
- Conducted a series of tests on an additional pediatric (6-year-old female) PMHS.
- Performed quasi-static and dynamic (∼2 m/s) loading tests.
- Expanded evaluation of a characterized porcine model using combined PMHS data.
Main Results:
- Both pediatric PMHS exhibited similar abdominal stiffness across different levels and loading rates.
- Both PMHS and swine showed a consistent stiffness trend: lower abdomen stiffer than upper abdomen.
- Lower abdomen stiffness magnitude was slightly less in swine compared to PMHS, while upper abdomen responses were comparable.
Conclusions:
- The porcine model demonstrates good efficacy in replicating pediatric abdominal response to belt loading.
- The findings support the use of the porcine model for further research into child restraint systems.
- This study provides valuable data for improving child safety in motor vehicle collisions.
Abstract:
Despite the importance of abdominal injuries in children involved in motor vehicle collisions, only two papers have reported experimental data quantifying the pediatric abdominal response to belt loading. One developed and characterized a porcine model of the pediatric abdomen and the other presented a series of tests performed on a single pediatric (7-year-old female) post-mortem human subject (PMHS) and used the data to evaluate the efficacy of the porcine model. The current paper presents the results from an additional pediatric (6-year-old female) PMHS test series and an expanded evaluation of the porcine model using the combined PMHS data. The two PMHS exhibited remarkably similar abdominal stiffness, both by level (upper and lower) and by rate (quasi-static and ∼2 m/s dynamic). Both PMHS and swine exhibited the same stiffness trend by abdominal level (lower stiffer than upper: 3444 N reaction force at 30.5 mm of displacement compared to 1756 N in the 6-year-old dynamic tests). The magnitude of lower abdomen stiffness was slightly less in the swine than in the PMHS (the average dynamic PMHS response was 1086 N greater than the porcine envelopes at 30.5 mm displacement) while the upper abdomen PMHS responses fit within the porcine response envelope.
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