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Head kinematics during shaking associated with abusive head trauma

机译:头部晃动时头部运动学与头部外伤相关

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Abusive head trauma (AHT) is a potentially fatal result of child abuse but the mechanisms of injury are controversial. To address the hypothesis that shaking alone is sufficient to elicit the injuries observed, effective computational and experimental models are necessary. This paper investigates the use of a coupled rigid-body computational modelling framework to reproduce in vivo shaking kinematics in AHT. A sagittal plane OpenSim computational model of a lamb was developed and used to interpret biomechanical data from in vivo shaking experiments. The acceleration of the head during shaking was used to provide in vivo validation of the associated computational model. Results of this study demonstrated that peak accelerations occurred when the head impacted the torso and produced acceleration magnitudes exceeding 200 m s(-2). The computational model demonstrated good agreement with the experimental measurements and was shown to be able to reproduce the high accelerations that occur during impact. The biomechanical results obtained with the computational model demonstrate the utility of using a coupled rigid-body modelling framework to describe infant head kinematics in AHT. (C) 2015 Elsevier Ltd. All rights reserved.
机译:虐待性头部创伤(AHT)是虐待儿童的潜在致命结果,但伤害机制尚存争议。为了解决这样的假设,即单独晃动足以引起观察到的伤害,有效的计算和实验模型是必要的。本文研究了耦合刚体计算建模框架在重现AHT中体内振动运动学方面的应用。开发了羊羔的矢状面OpenSim计算模型,并将其用于解释体内振动实验的生物力学数据。摇动过程中头部的加速度用于提供相关计算模型的体内验证。这项研究的结果表明,当头部撞击躯干并产生超过200 m s(-2)的加速度时,会出现峰值加速度。该计算模型与实验测量值显示出良好的一致性,并被证明能够再现冲击过程中发生的高加速度。通过计算模型获得的生物力学结果证明了使用耦合刚体建模框架描述AHT中婴儿头部运动学的实用性。 (C)2015 Elsevier Ltd.保留所有权利。

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