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Pediatric Wheelchair Transportation Safety: Transit Manual Wheelchair Design Guidelines and Injury Risk of 6-year-old Children in a Frontal Motor Vehicle Impact

Children with disabilities often cannot be seated in standard child seats or automobile seats because of physical deformities or poor trunk and head control. Therefore, when children with disabilities are transported to schools and developmental facilities, they often remain seated in their wheelchairs in vehicles such as school buses and family vans. Children who must travel seated in their wheelchairs are excluded from the protections dictated by the federal and state laws related to child protection in motor vehicle crashes. This dissertation investigated the safety of children in wheelchairs in transit, mainly using computer simulation software. Three pediatric manual wheelchairs were tested with a Hybrid III 6-year-old ATD in accordance with the ANSI/RESNA WC-19 standard. Using sled test data, a computer model representing a Zippie wheelchair seated with a Hybrid III 6-year-old ATD subjected to a 20g/48kph frontal crash was developed and validated in MADYMO. The injury risks of 6-year-old wheelchair occupants in a frontal impact motor vehicle crash was investigated by analyzing sled test data and by using the pediatric wheelchair computer model. The loads imposed on the wheelchair and occupant restraint system under 20g/48kph frontal impact conditions with varying wheelchair setup conditions was also investigated using the computer model. The study results showed that a 6-year-old wheelchair seated occupant may be subjected to a risk of neck and chest injuries in a frontal impact motor vehicle crash. Results also showed that altering wheelchair settings does have impact on kinematics and injury risk of a 6-year-old wheelchair occupant in a frontal motor vehicle crash. Changing wheelchair settings also had impact on wheelchair kinematics and loads imposed on the wheelchair and occupant restraint system. The study results presented in this dissertation will provide guidelines for manufacturers designing pediatric transit wheelchairs, seating, and occupant restraint system. The pediatric wheelchair model developed in this study will provide a foundation for studying the response of a manual pediatric wheelchair and a child occupant in crashes. Moreover, the model will promote the study of associated injury risks for pediatric wheelchair users in motor vehicle crashes.

Identiferoai:union.ndltd.org:PITT/oai:PITTETD:etd-12062004-090749
Date14 December 2004
CreatorsHa, DongRan
ContributorsRory A. Cooper, PhD, Gregory Shaw, PhD, Douglas A. Hobson, PhD, Gina E. Bertocci, PhD
PublisherUniversity of Pittsburgh
Source SetsUniversity of Pittsburgh
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.library.pitt.edu/ETD/available/etd-12062004-090749/
Rightsunrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.

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