Neck Injury Risk in Out-of-Position Rear Impact Scenarios Using a Reference Geometry-Based Head Repositioning

Rear-end vehicle collisions may lead to whiplash-associated disorders (WADs), comprising a variety of neck and head pain responses. Specifically, increased axial head rotation has been associated with the risk of injuries during rear impacts, while specific tissues, including the capsular ligaments, have been implicated in pain response. Given the limited experimental data for out-of-position rear impact scenarios, computational human body models (HBMs) can inform the potential for tissue-level injury. Previous studies have considered external boundary conditions to reposition the head axially but were limited in reproducing a biofidelic movement. The objectives of this study were to implement a novel head repositioning method to achieve targeted axial rotations and evaluate the tissue-level response for a rear impact condition. The repositioning method used reference geometries to rotate the head to three target positions, showing good correspondence to reported interverbal rotations. Under a 7 g rear impact scenario, the head-turned models were compared with the neutral position and demonstrated increases in the maximum capsular ligament distractions. Increased head rotation was associated with increased ligament distractions. The locations with critical ligament distractions shifted to the lower cervical spine (below C3) and lateral portion of the capsular ligaments for the head-turned position cases. The proposed repositioning method introduced in this study enabled the model to achieve steady head rotations with realistic cervical spine movements, increasing the biofidelity of out-of-position rear impact simulations.