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Previous research on slip and fall accidents has suggested that pressurized fluid between the shoe and floor is responsible for initiating slips yet this effect has not been verified experimentally. This study aimed to 1) measure hydrodynamic pressures during slipping for treaded and untreaded conditions; 2) determine the effects of fluid pressure on slip severity; and 3) quantify how fluid pressures vary with instantaneous resultant slipping speed, position on the shoe surface, and throughout the progression of the slip. Eighteen subjects walked on known dry and unexpected slippery floors, while wearing treaded and untreaded shoes. Fluid pressure sensors, embedded in the floor, recorded hydrodynamic pressures during slipping. The maximum fluid pressures (mean+/−standard deviation) were significantly higher for the untreaded conditions (124 +/−75 kPa) than the treaded conditions (1.1 +/−0.29 kPa). Maximum fluid pressures were positively correlated with peak slipping speed (r = 0.87), suggesting that higher fluid pressures, which are associated with untreaded conditions, resulted in more severe slips. Instantaneous resultant slipping speed and position of sensor relative to the shoe sole and walking direction explained 41% of the fluid pressure variability. Fluid pressures were primarily observed for untreaded conditions. This study confirms that fluid pressures are relevant to slipping events, consistent with fluid dynamics theory (i.e. the Reynolds equation), and can be modified with shoe tread design. The results suggest that the occurrence and severity of unexpected slips can be reduced by designing shoes/floors that reduce underfoot fluid pressures.

Objective: The current state of the art human body models (HBMs) underpredict the number of fractured ribs. Also, it has not been shown that the models can predict the fracture locations. Efforts have been made to create subject specific rib models for fracture prediction, with mixed results. The aim of this study is to evaluate if subject-specific finite element (FE) rib models, based on state-of-the-art clinical CT data combined with subject-specific material data, can predict rib stiffness and fracture location in anterior-posterior rib bending. Method: High resolution clinical CT data was used to generate detailed subject-specific geometry for twelve FE models of the sixth rib. The cortical bone periosteal and endosteal surfaces were estimated based on a previously calibrated cortical bone mapping algorithm. The cortical and the trabecular bone were modeled using a hexa-block algorithm. The isotropic material model for the cortical bone in each rib model was assigned subject-specific material data based on tension coupon tests. Two different modeling strategies were used for the trabecular bone. The capability of the FE model to predict fracture location was carried out by modeling physical dynamic anterior-posterior rib bending tests. The rib model predictions were directly compared to the results from the tests. The predicted force-displacement time history, strain measurements at four locations, and rotation of the rib ends were compared to the results from the physical tests by means of CORA analysis. Rib fracture location in the FE model was estimated as the position for the element with the highest first principle strain at the time corresponding to rib fracture in the physical test. Results: Seven out of the twelve rib models predicted the fracture locations (at least for one of the trabecular modeling strategies) and had a force-displacement CORA score above 0.65. The other five rib models, had either a poor force-displacement CORA response or a poor fracture location prediction. It was observed that the stress-strain response for the coupon test for these five ribs showed significantly lower Young's modulus, yield stress, and elongation at fracture compared to the other seven ribs. Conclusion: This study indicates that rib fracture location can be predicted for subject specific rib models based on high resolution CT, when loaded in anterior-posterior bending, as long as the rib's cortical cortex is of sufficient thickness and has limited porosity. This study provides guidelines for further enhancements of rib modeling for fracture location prediction with HBMs.

The data from the current study showed that both KBABs and SWABs affected the kinematics of all surrogates during frontal sled tests. The results of the objective rating analysis indicated that the HIII and THOR-M had comparable overall biofidelity scores. The THOR-M slightly outperformed the HIII for the acceleration and angular velocity data. However, the HIII scored slightly better than the THOR-M for the excursion data. The most notable difference in biofidelity was for the knee excursions, where the HIII had a much higher average ISO score. Only the biofidelity of the HIII and THOR-M with regard to occupant kinematics was evaluated in this study; therefore, future work will evaluate the biofidelity of the ATDs in terms of lower extremity loading, thoracic response, and neck loading.

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