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Browse AllThe effect of seat belt misuse and/or misrouting is important to consider because it can influence occupant kinematics, reduce restraint effectiveness, and increase injury risk. As new seatbelt technologies are introduced, it is important to understand the prevalence of seatbelt misuse. This type of information is scarce due to limitations in available field data coding, such as in NASS-CDS and FARS. One explanation may be partially due to assessment complexity in identifying misuse and/or misrouting. An objective of this study was to first identify types of lap-shoulder belt misuse/misrouting and associated injury patterns from a literature review. Nine belt misuse/misrouting scenarios were identified including shoulder belt only, lap belt only, or shoulder belt under the arm, for example, while belt misrouting included lap belt on the abdomen, shoulder belt above the breasts, or shoulder belt on the neck. Next, the literature review identified various methods used to assess misuse