Wheel Race Car Drivers
Wheel Race Car Drivers
Terry R Trammell MD
OrthoIndy
Trammell Motorsports and Consulting
Indy Racing League
Henry Bock MD
Indy Racing League
trt@[Link]
Introduction
• 11,000 cases of Spinal Cord Injury / year
in US
– 47.5% from MVA
• Spinal Cord Injury: Facts and Figures at a Glance.
2004, National Spinal Cord A Injury Statistical
Center.
• CIRENS Data
– Spinal Fractures 18.6% of Injuries in MVA
• Spine and Spinal Cord Injury in MVC: Smith and
Siegel New Jersey Medical School CIREN Center
trt@[Link]
Introduction
• Incidence of Spinal Fractures in Indy Car
– From 1984 – 1996
• 8.5% of drivers injured
• 9.8% of all injuries (12/123)
– Spinal Injuries in Indy Car – a 12 year experience
Presented at the ICMS Mtg Toronto CA 11/23/06
– IRL 1996 – 2005
• 21.1% of drivers injured
trt@[Link]
Introduction
PURPOSE OF INVESTIGATION
trt@[Link]
Material and Methods
Spinal fractures occurring in Open cockpit
Open wheel single occupant racecars
1996-2005 Seasons
IRL,IPS,CART, F-1,Toyota Atlantic, and
Champ Car
trt@[Link]
Materials and Methods
• Data Extracted
– Impact direction
– Fracture location
– Fracture type and severity
• Data Generated
– Impact Barrier test
– HYGE sled tests
– X-ray Analysis of Spinal Contour
– Measurement of Seated Position in race car
– Computer modeling
trt@[Link]
Material and Methods
• Driver Data
– Principal Author
• Initial or Final Treating Physician
• 35 of 36 surviving drivers
– Extracted from Medical Records
• Diagnostic Imaging (X-rays, CT and MRI)
• Autopsy Results in two
trt@[Link]
Materials and Methods
SPINAL REGIONS
Occipital – Cervical (O-C1-2)
Courtesy DaVinci
trt@[Link]
Materials and Methods
• Impact Vector Analysis in 35 of 38
– ADR – 2 data
– Accident reports
– Video tape
trt@[Link]
Materials and Methods
• ADR – 2 Crash Recorder
– Attached to the chassis of
race car
– 6 axis accelerometer
– Senses and records 1000
times/sec
• Prior to, during and after a
triggering event
– Records
• X,Y,Z accelerations
• Yaw rate
• Steering angle
trt@[Link]
Materials and Methods
Fracture Classification:
Comprehensive Classification System
Gertzbein in Controversies in Spine Surgery
Vol 1, 1999
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Materials and Methods
• Fracture classification
– Gertzbein’s Comprehensive Classification system
trt@[Link]
Materials and Methods
Definition of Fracture Severity:
1. Compression Fracture without Deformity
(vertebral contusion)
2. Compression Fracture
<10% compression (single endplate)
<15° angulation
3. Compression Fractures
>10%<30% compression
>15° <30° angulation
trt@[Link]
Materials and Methods
Definition of Fracture Severity:
4. Compression or single endplate burst fx
>30% compression
≥30° angulation
5. #4 + posterior column injury
Burst Fracture (both endplates)
6. Fracture Dislocation / Cord Injury
trt@[Link]
Materials and Methods
• Driver Seated Position in the Car
– Series of Measurements (direct and indirect)
• Seated in the car in race trim
– Belts tightened
• HANS
• Helmet
trt@[Link]
Materials and Methods
• X-ray Analysis of
Spinal contour in race
car
– Indy Pro Series tub
– X-rays obtained w/wo
HANS
• Upright
• Nose down
• Nose up
• Inverted
– Normal standing and
seated posture
trt@[Link]
Materials and Methods
• Barrier Impact Test
– Fully loaded Indy Car
– Rearward into a rigid
barrier
– Hybrid III with HANS
and Helmet
– High speed video
– Multiple channels
– Multiple
accelerometers
trt@[Link]
Materials and Methods
• HYGE Sled Tests
– Delphi – Vandalia OH
– 80 g pulse
– THOR ATD
• T8 and T12 load cells
• HANS
– Indy Car Posture
• Reclined 45°
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Material and Methods
• Computer Model
– MADYMO Full FE
Human body Model
• SAE MSEC # 2006-01-
3659
– MADYMO Facet
Human Body Model
– Correlated with sled
test
– Validated
trt@[Link]
Materials and Methods
In frontal
impact, up
to 30mph THOR dummy math model
THOR Physical dummy
Real
human
body At frontal and rear
impacts, under low
severity impacts
Human Body math model
trt@[Link]
Results
• Fracture Data • Seated Position
– Number – Measurements from
– Location driver in car
• Impact direction • HYGE sled tests
– Classification • Computer model
– Severity
• Barrier Impact Test
• Spinal Alignment
– X-ray analysis
trt@[Link]
Results
Spinal Fractures
• 36 - drivers sustained spinal injury
• 38 - incidents resulted in spinal injury
• Two drivers with two separate incidents
• 54 - spinal levels injured
• 9 sustained injury at more than one level
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Results
Fracture Location
Region of Injury
14
13
12
12
10
9
4
4
3
0
OCC Cervical Thoracic ThoracoLumbar LumboSacral
Region 3 9 12 13 4
trt@[Link]
Results
Cervical Fractures by Level
Fracture Location
4.5
3.5
2.5
Number
1.5
0.5
0
O-C2 C3 C4 C5 C6 C7
Level
trt@[Link]
Results
Fracture Location Thoracic Fractures
4.5
3.5
2.5
Number
1.5
0.5
0
T2 T3 T4 T5 T6 T7 T8 T9
Level
trt@[Link]
Results
Fracture Location Thoracolumbar Fractures
5
Number
0
T10 T11 T12 L1 L2
Level
trt@[Link]
Results
Fracture Location Lumbosacral Fractures
2.5
1.5
0.5
0
L3 L4 L5 Sacrum
Level
trt@[Link]
Results
Impact Direction
Impact Direction vs. Injury
25
20
15
10
0
Frontal Rearward Axial Poly
Direction 7 25 3 3
trt@[Link]
Results
Impact Direction v. Fracture Region
Impact Direction
8
1 Poly
Frontal
0
Axial
Rearward
Rearward
Fracture Region
Frontal
Axial
Cervical
Thoracic
ThoracoL
L/S
Poly
OC
OC
Cervical Thoracic ThoracoL L/S
Fracture Region
Frontal 2 0 2 4 0
Rearward 1 8 7 8 3
Axial 0 0 3 0 0
Poly 0 1 0 0 1
trt@[Link]
Results
Impact Direction Impact Direction vs. Cervical Level
3.5
2.5
Number 2
Total Number
Rearward Impacts
1.5
0.5
0
O-C2 C3 C4 C5 C6 C7
Level
trt@[Link]
Results
Impact Direction
Thoracic Fractures: Impact Direction Thoracolumbar Fractures: Impact Direction
4 7
3.5 6
3
5
2.5
4
Number 2 All Fractures Number
All Fractures
Rearward 3
Rearward Impact
1.5 Axial Force Only
2
1
0.5 1
0 0
T2 T3 T4 T5 T6 T7 T8 T9 T10 T11 T12 L1 L2
Level Level
trt@[Link]
Results
• Data Segregation
– Study of thoracic and thoraco- lumbar
fractures
– Fractures resulting from rearward impacts
• 22 cases (drivers injured)
– 13 incidents of thoracic and thoracolumbar fractures
» 19 levels fractured
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Results
Fracture Classification:
Comprehensive Classification System
Gertzbein in Controversies in Spine Surgery
Vol 1, 1999
trt@[Link]
Results
Fracture Type by Direction of Impact
Frontal Rearward
Type B2
Flexion Axial Compression Type A1
Axial Compression
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Results
Classification of Fractures from Rearward Impacts
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The Injury
FRACTURE SEVERITY CLASSIFICATION
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The Injury
Type 3: >10%<30%
compression;>15°<30°
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The Injury
Type 6: Fracture dislocation
4.5
3.5
2.5
1.5
1 T-3 -9
0.5 T11 - L1
0 T11 - L1
Overall T-3 -9
forward
Severity rearward
axial
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The Focus
REARWARD IMPACTS
• 67% of the injuries
• 63% levels injured
• 2.9 [Link]
index
• (frontal = 4.8)
• Large database
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Accident Analysis
Analysis of Crash Videos
and ADR data
+ x g’s = 60
-z g’s = 25
Δ V = 68 mph
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Accident Analysis
A Group 1 Type 4
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Accident Analysis
ADR – 2 Data
• 13 incidents of rearward impact with Th
and T/L spinal fractures
– Average ΔV G’s x z
67 72 43
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Barrier Impact Test
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H
V
Visor P
Height 69.1
Ch Rollbar V 14.8
es
t Rollbar H 7.8
Pivot 2.0
Visor 13.2
Chest 13.6
HANS 1.1
trt@[Link]
Spinal Contour
X-ray
acquisition
and
analysis
trt@[Link]
Spinal Contour
Normal Seated in race
car
Th Kyphosis 20° -
Th Kyphosis 59°
50°
T10 – L2 0° 55° T10 – L2 +17°
5 (kyphosis)
Lumbar Lordosis
40° - 80° -13° Lumbar Lordosis
- 5°
-40°
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Spinal Contour
SEAT CONTOUR and ALIGNMENT
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Seat Contours
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HYGE Sled Testing
ATD CALIBRATION & VALIDATION THOR
Hybrid III
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HYGE Sled Testing
New Sled Buck
designed and built to
accommodate
• THOR
• Variable seat back
angle
• Thigh – torso angle
• Complete visibility of
ATD
T-8_X_Y_Z [N]
Process Date: 06.29.2006
0
(+)-Force Y Max.: 4.087E+02[N]
Time of Max. Y: 0.0227[Sec]
(+)-Force Y Min.: -2.096E+03[N]
Time of Min. Y.: 0.0247[Sec]
-10000
CAC:
8360N
Test# IS66F010
Test# IS56F031 -20000
0 0.02 0.04 0.06 0.08 0.1 0.12 0.14 0.16 0.18 0.2
Time [Sec]
IRL Rear Impact, Pulse 107, THOR
1
3
R6
8
41
20 A
90C
1
V
2
4
5
7
3 IH ht
187li0H
I0
C1
33S
Ct
6S iftS
ltLd
5S 3S
5
A1
7E2
J0
18
727
Thor T8 Load Cell
SledChk Rev 5
Released By: WT
T
FtRL
6N 0R
O
Std Pulse: PlsI107 ATD Position: Buck/All Positions Test Type: Frontal Sled
20
Sled_X [G's]
T-12_X_Y_Z [N]
Std Pulse Accel. Min.: -82.1[G's] Process Date: 06.29.2006
Time of [Link]: 0.0121[Sec]
(X)-Force X Max.: 3.503E+02[N]
Time of Max. X: 0.0418[Sec]
(X)-Force X Min.: -2.810E+03[N]
-20 Time of Min. X.: 0.0309[Sec]
0
(+)-Force Y Max.: 7.912E+01[N]
Time of Max. Y: 0.0225[Sec]
(+)-Force Y Min.: -6.915E+02[N]
Time of Min. Y.: 0.0240[Sec]
-60
80g’s +x
CAC: -10000
CFC60
Page _____ of______
CAC:
Test# IS66F010
-100
0 0.02 0.04 0.06 0.08 0.1 0.12 0.14 0.16 0.18 0.2
Time [Sec] -20000
8430N
0 0.02 0.04 0.06 0.08 0.1 0.12 0.14 0.16 0.18 0.2
trt@[Link]
Computer Modeling
Full MADYMO FE HBM
• Unable to allow
IndyCar Seating
position (SAE 2006 -
01 -3659)
MADYMO Facet Model
• Adapted to position of
the reclined driver
posture
• Reliable at high g’s
MADYMO Facet Human Body Model
trt@[Link]
Computer Modeling
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Result Analysis – Overall Occupant
Kinematics
•HBM Positioning by Rotating the •Pre-positioned HBM From TASS
Whole body
Movie
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Result Analysis – Overall Occupant
Kinematics
•HBM Positioning by Rotating the •Pre-positioned HBM From TASS
Whole body
Movie
trt@[Link]
Result Analysis – Overall Occupant
Kinematics
•T=0ms •T=3ms
•T=6ms •T=35ms
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Result Analysis – Numerical
Stability
• Pre-positioned model
becoming unstable
after 35ms
– Excessive element
deformation
– Penetrations among
the internal organs,
the skeleton and the
skin
– Elbow joint dislocation
trt@[Link]
Computer Modeling
THUMS
• Total Human Model for Safety
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Discussion
PATHOPHYSIOLOGY • Superior endplate
• Load required to failed most commonly
produce fracture • Wedging
• Effect of rate of
application
• Effect of position
– Degree of flexion
trt@[Link]
Discussion
Loads to failure for Endplate and Vertebral
Body were rate dependant
– Higher velocity loading resulted in increased
likelihood of fracture
– Loads from 2500N - 6000N
– Thoracic Vertebral Fractures 4200N – 7600N
• Dependent on the age of the specimen
trt@[Link]
Discussion
Type and Severity of Fx Effect of loading rate
• Force on endplate and
– Magnitude vertebral body
– Point of application strength in human
– Rate of application lumbar vertebrae
– Associated moment • Ochia, R., Tencer, A.
• Direction & Ching, R.
– +x (rearward) Journal of
– -y (axial compression) Biomechanics
36 (2003) 1875-1881
trt@[Link]
Discussion
Major Injury Vector • Major Injury Vector
– Compression loading
of the end plate
• z axis (axial)
– Fracture types from
rearward impacts are
variants of axial
loading with some
flexion moment
trt@[Link]
Discussion
EJECTION SEAT INJURY STUDIES
Biomechanics of fracture
• Load path
– z axis
• Magnitude of load
– >20 g’s
• Rise time (rate)
– Crash pulse **
• Canon shell
• Rocket motor
• Spatial orientation of the
vertebral column
– out of position spinal
flexion
• Dampening effect of the Eccentric Load vs Facet Rotation *
seat material
trt@[Link]
Discussion
Common Factors
ejection vs. race car
• Fracture type
• Fracture severity
• Anatomical location
– Mid Thoracic
– Upper Lumbar
• Posture at impact
– Out of position
– Indy Car posture
trt@[Link]
Discussion
EJECTION SEAT INJURIES
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Discussion
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Discussion
Driver Kinematics
• Forward rotation of torso
– Out of position seating
• Ramping phenomenon
– Video analysis
– Rear impact barrier test
– HYGE sled tests
• Viano effect
trt@[Link]
Discussion
• Compressive Loads
– Ramping with inertial
loading
• Torso rise
• Frontal rise on impact
– Straightening of
thoracic kyphosis
• Viano data
VIANO EFFECT: Impact applied to the
thoracic kyphosis resulted in straightening
of the spine and a compressive load on
the spine remote from the point of force
application
trt@[Link]
Discussion
THOR in HYGE Sled
• z (axial) loads
produced in rearward
impact (+x)
– T8 and T12 load cells
• Ramping
Model Validation
trt@[Link]
Discussion
Seated Position
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The Mechanism
Seating Position Confirmed by xray
analysis and seat contour
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Discussion
Environmental Limitations
• Cockpit /Monocoque
dimensions fixed
• Maximum driver
height below roll hoop
• Driver size
– Anthropometry
• Height 67.9 inches
• Weight 164.5#
• Seated height 35.2 in
trt@[Link]
Discussion
Variation in Fx Level
• Load Path
– ADR shows -z loads
– Rear crash test high z
loads (compressive)
– Injuries consistent with
z loading
• Rear Crash test
demonstrated chassis
buckling and rise
trt@[Link]
Discussion
Variation in Fx Level
• Load Path
– ADR shows -z loads
– Rear crash test high z
loads (compressive)
– Injuries consistent with
z loading
• Rear Crash test
demonstrated chassis
buckling and rise
trt@[Link]
Discussion
Variation in Fx Level
• Load Path
– ADR shows -z loads
– Rear crash test high z
loads (compressive)
– Injuries consistent with
z loading
• Rear Crash test
demonstrated chassis
buckling and rise
trt@[Link]
Conclusions
• Spinal fractures
occurrence
increasing
– 8.5% to 21%
• 71.4% in rearward
impacts (+x)
• All fractures MIV is
in z axis (axial
compression)
trt@[Link]
Conclusions
• Rearward (+x) impact generates a
compressive (z) in the driver’s spine
– ADR-2 chassis accelerometer (z)
– ADR-2 ear accelerometer (z)
– Barrier Impact test with Hybrid III ATD
– HYGE sled test with THOR ATD
– MADYMO Facet HBM
• Load is sufficient to produce fracture
– ≥ 6000N or 20g’s vertical
trt@[Link]
Conclusions
• X-ray Analysis of Driver in Car
– Loss of normal spinal contours
• Loss of lumbar and cervical lordosis
• Accentuated Thoracic Kyphosis
• Thoracolumbar kyphosis
– Pre loads vertebral endplate
• Hydrostatic property of intervertebral
disc
trt@[Link]
Conclusions
• Development of Spinal Compressive (z)
loads is multifactoral
– Spinal alignment
– Ramping of the torso
– “Viano effect”
– Frontal rise of vehicle during impact
trt@[Link]
Conclusions
• Interaction of torso
with the seat
– Material
characteristics
• Energy management
• Variable density
– Control ramping
• Pelvic anchorage
• Promote/maintain
lumbar lordosis
trt@[Link]
Conclusions
Goal of Study to reduce
• Compressive loading of ≤ 6500 N
• Vertical g’s < 20 g’s
trt@[Link]
HYGE Sled Testing
New Sled Buck
designed and built to
accommodate
• THOR
• Variable seat back
angle
• Thigh – torso angle
• Complete visibility of
ATD
EEP 1.76# with carve out IS72F022 With EPS 1.5# IS72F024
trt@[Link]
Progress Report
Testing in February 2007
• Proof of Concept
– Carbon – Kevlar Shell
– Foam backed
• Reduced loads
– T8 z’s = 7500
– T12 z’s = 4700
• Excessive excursion
– Available space ~ 2 in
trt@[Link]
Progress Report
Testing in June 2007
• New Bracket design
– All restraint harness
anchor points out of
position relative to
ATD
– Invalid tests !
trt@[Link]
Progress Report
Testing in August 2007
• 8 sled runs
– EPS seats from Mk – 1
• Corrugated
– EPP seats from Createc
– Modular backing
• Fenestrated
• Corrugated
trt@[Link]
Progress Report
Results:
• Data wouldn’t trend
– T8 & T12 loads
remarkable similar
regardless of condition
• Unpredictable effects
of seat modification
trt@[Link]
Progress Report
Analysis of Results
• ATD unsupported by
seatback
• Lack of contact due to
error in original seat
molding - pour
• Original mold used to
form all subsequent seats
• All tests to date
unrepresentative of actual
event
trt@[Link]
The Problem
New Spine Fx’s in
2007
1 – IRL
2 – IPS
2 – Champ Car
trt@[Link]
Progress Report
• New seat mold made for THOR
• Bald Spot / Createc and Mk-1 have use of
mold
– Both have fabricated new seats with accurate
fit to THOR
• Carbon – Kevlar shell
• EPS and EPP backing and seats
trt@[Link]
Progress Report
Sled Testing at CAPE (preliminary results)
• 6 rearward runs
– BSS - 1.7# EPP
– Mk -1 - 1.5# EPS
– BSS - 1.0# EPS
– Mk- 1 - 1.5# EPS with Carbon Shell
– Mk- 1 - 0.5” EPS beads
trt@[Link]
Progress Report
trt@[Link]
Progress Report
Summary
• Injury mechanism validated
– Clinical review, sled test analysis, THUMS
• Seating platform design
– Seat parameters defined
• Softer seat with better energy management to
capture pelvis and prevent ramping
• Design to lessens loads below threshold as yet
unidentified
trt@[Link]
Guidelines
• Obtain Seat from either Bald Spot Sports
or Mark 1 Composites
– DO NOT MAKE IT YOURSELF from 2 part
foam
• Don’t press yourself into the mold when
making seat – try to maintain normal
contour
trt@[Link]
Desired Seat Contour
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Guidelines
• 2 inch minimum thickness of the back
• 1 inch minimum thickness of the bottom
• High friction surface
– Don’t cover the seat with glossy duct tape
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Guidelines
• Restraints
– Use a 7th center belt
– Use the Schroth HANS 2” over 3” shoulder
belts (HANS goes between the belts)
• Protect your knees
– Pad the forward side of the dash bulkhead
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Goal of Project
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Goal of Project
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Goal of Project
A Happy Ending
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The End
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