The biomechanics of injury and prevention

WANG Lizhen; FAN Yubo

doi:10.6052/1000-0992-19-020

Volume 50 Issue 1

Oct. 2020

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WANG Lizhen, FAN Yubo. The biomechanics of injury and prevention[J]. Advances in Mechanics, 2020, 50(1): 202004. doi: 10.6052/1000-0992-19-020

Citation:

WANG Lizhen, FAN Yubo. The biomechanics of injury and prevention[J]. Advances in Mechanics, 2020, 50(1): 202004. doi: 10.6052/1000-0992-19-020

WANG Lizhen, FAN Yubo. The biomechanics of injury and prevention[J]. Advances in Mechanics, 2020, 50(1): 202004. doi: 10.6052/1000-0992-19-020

Citation:

WANG Lizhen, FAN Yubo. The biomechanics of injury and prevention[J]. Advances in Mechanics, 2020, 50(1): 202004. doi: 10.6052/1000-0992-19-020

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The biomechanics of injury and prevention

doi: 10.6052/1000-0992-19-020

WANG Lizhen,
FAN Yubo^,

Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing Advanced Innovation Center for Biomedical Engineering, Beihang University, Beijing 100083, China

More Information

Corresponding author: FAN Yubo
Received Date: 2019-10-21
Publish Date: 2020-10-08

Abstract

Abstract

The biomechanics of injury and prevention is an important branch of modern biomechanics and a multi-disciplinary subject that is applied to the analysis of the mechanism of biological tissue or organ damage and its prevention. The goal of it is to prevent the human body from damage or minimize injury for tissue or organ when subjected to loads. It covers the study of the response of tissue subjected load, the mechanism and the tolerance of injury, and the methods and effective devices to reduce injury. Higher loads have high lethality due to its short-term action and explosiveness. Therefore, the ability to anti-injury under overload has been a severe constraint for the development of aircraft, the improvement of automobile performance and the enhancement of athletes' competitive ability. In particular, the emergence of the modern faster and more flexible fighter, the life-saving of supersonic ejection and the protective of maneuver flight of high load and load has presented new challenges for the subject of injury and prevention biomechanics but also provided enormous opportunities for the development of it. In recent years, the impact injury involved in aerospace, traffic accidents, sports and falls of the elder has presented the features of high incidence and low protection efficiency. However, it is difficult to obtain the actual data due to the damage caused by experiments to humans. Meanwhile, since the biological tissue has the characteristics of nonlinearity, viscoelasticity, regeneration and reconstruction, it involves how to describe the constitutive relations of biological tissue or organs, and the correlation between the anatomical features and its mechanical properties accurately. It also involves how to establish the mechanism and tolerance of tissue injury at multi-scales, the methods and the principle to design protective devices. The present paper focuses on the summarization of the major research contents and its methods to the biomechanics of injury and prevention. The types, mechanisms (including the response of the biomechanics and mechanobiology), tolerance, and the protective method of injury under complex loading for the human body are summarized, and the primary advancement and the possible tendency of development in these fields are introduced. The study on the biomechanics of injury and prevention is of great significance to protect and improve human safety under complex load. It could guide the establishment of standards and evaluation methods of musculoskeletal injuries involved in aerospace, transportation, and sports. This research is vital to guide the optimization design of protective devices and has great potential to the development and application of bionic engineering materials and protective devices.
- injury,
- prevention,
- injury tolerance,
- biomechanical response,
- mechanobiology

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References

[1]	都承斐, 王丽珍, 柳松杨, 樊瑜波 . 2014. 机动飞行过载时操纵杆位置对飞行员操控影响的生物力学研究. 航天医学与医学工程, 27:286-290 (Du C F, Wang L Z, Liu S Y, Fan Y B . 2014. A biomechanical study on impact of position of flight control stick on operation efficiency in flight maneuvering acceleration. Space Medicine & Medical Engineering, 27: 286-290).
[2]	杜汇良, 黄世霖, 张金换 . 2004. 高G值着陆冲击下头、颈、胸、脊椎损伤因子及评价指标的研究. 中国临床康复, 8:1474-1475 (Du H L, Huang S L, Zhang J H . 2004. Study on evaluation guideline and injury factor of head, neck, thorax and vertebra during high G landing impact. Zhong Guo Linchuang Kangfu, 8: 1474-1475).
[3]	冯文树, 刘铁汉, 何杨举, 董勤忠, 简进章, 范建伟 . 1985. 高速摄影法测量跳伞着陆冲击力研究. 第四军医大学学报, 6:299-302 (Feng W S, Liu T H, He Y J, Dong Q Z, Jian J Z, Fan J W . 1985. Measurement of landing impact force in parachute jumping by high-speed photography. Journal of the Forth Military Medical College, 6: 299-302).
[4]	冯文树, 刘铁汉, 何杨举, 简进章, 范建伟 . 1986. 平台跳伞训练中着陆冲击力在人体上的分布. 生物医学工程学杂志, 3: 94-98 (Feng W S, Liu T H, He Y J, Jian J Z, Fan J W. 1986. The distribution of the landing impact forces on the human body when trained on the platform. Journal of Biomedical Engineering, 3: 94-98).
[5]	李毅, 伍骥, 郑超, 黄蓉蓉, 那雨虹, 扬帆, 苏斌, 王增顺 . 2014. 两种不同姿势模拟着陆足底生物力学特点. 空军医学杂志, 30:128-130 (Li Y, Wu J, Zheng C, Huang R R, Na Y H, Yang F, Su B, Wang Z S . 2014. Height dependent kinematics of the foot in response to variant landing positions. Medical Journal of Air Force, 30: 128-130).
[6]	刘炳坤, 马红磊, 姜世忠, 唐雷 . 2007. 人体颈部和腰部脊柱节段压缩生物力学性能研究. 航天医学与医学工程, 20:336-338 (Liu B K, Ma H L, Jiang S Z, Tang L . 2007. Study of biomechanical properties of human cervical and lumbar vertebral segments. Space Medicine & Medical Engineering, 20: 336-338).
[7]	柳松杨, 丛红, 王鹤, 杨春信, 吴铨, 杨毅 . 2010. 军机飞行员的颈部损伤研究. 医用生物力学, 25:262-265 (Liu S Y, Cong H, Wang H, Yang C X, Wu Q, Yang Y . 2010. Study on neck injuries in military pilots. Journal of Medical Biomechanics, 25: 262-265).
[8]	孙喜庆 . 2005. 航空航天生物动力学. 西安: 第四军医大学出版社.
[9]	王丽珍, 王亚伟, 樊瑜波 . 2017. 生物力学建模仿真与应用. 上海: 上海交通大学出版社.
[10]	王丽珍, 王亚伟, 樊瑜波 . 2015. 特殊载荷环境下飞行员颈部组织生物力学响应和损伤机理研究. 中国力学大会会议论文集, 184-185.
[11]	王亚伟, 柳松杨, 都承斐, 樊瑜波 . 2014. 基于飞行仿真的Herbst机动飞行员过载分析. 医用生物力学, 29:48-52 (Wang Y W, Liu S Y, Du C F, Fan Y B . 2014. Pilot load analysis under Herbst maneuver based on flight simulation. Journal of Medical Biomechanics, 29: 48-52).
[12]	王忠仁, 刘涛, 江岚, 杨磊, 陈松林, 李健 . 2010. 空降兵事故性伤害及其危险因素的流行病学调查. 解放军预防医学杂志, 28:124-125.
[13]	吴桂荣, 张云然, 刘炳坤, 杨连启, 高云峰, 田广庆, 朱青安, 郑世华, 童博仑 . 2006. 人体上肢高速气流吹袭耐受限度的研究. 航天医学与医学工程, 19:26-31 (Wu G R, Zhang Y R, Liu B K, Yang L Q, Gao Y F, Tian G Q, Zhu Q A, Zheng S H, Tong B L . 2006. Human upper-extremity tolerance limit to high speed windblast. Space Medicine & Medical Engineering, 19: 26-31).
[14]	吴明磊 . 2007. 空降兵低空高速大负重跳伞的生理学问题. 中国航空学会全国第六届安全救生学术交流会.
[15]	薛强, 张建国 . 2008. 人体头颈部冲击的生物力学研究及有限元模拟. 中国组织工程研究与临床康复, 12:9557-9560 (Xue Q, Zhang J G . 2008. Impact biomechanics researches and finite element simulation for human head and neck. Journal of Clinical Rehabilitative Tissue Engineering Research, 12: 9557-9560).
[16]	颜学用, 马旭 . 1985. 用充气护踝保护踝关节. 中国运动医学杂志, 4:176.
[17]	杨济匡, 许伟, 万鑫铭 . 2005. 研究汽车碰撞中头颈部动态响应的有限元模型的建立和验证. 湖南大学学报: 自然科学版, 32:6-12 (Yang J K, Xu W, Wan X M . 2005. Development and validation of a head-neck finite element model for the study of neck dynamic response in car impacts. Journal of Hunan University (Natural Science), 32:6-12).
[18]	于向丽, 刘辉, 叶林 . 2020. 武警某部新兵新训期间胫骨疲劳性骨膜炎发病情况的调查. 武警医学, 31:91-92.
[19]	张汉镔 . 1990. 飞行器安全救生. 北京: 北京航空航天大学出版社.
[20]	张选斌, 唐勇, 岳洪梅 . 2013. $pm$Gx加速度对航母舰载机飞行员的影响及防护对策. 人民军医, 56:1124-1125.
[21]	赵一明, 杨春信, 韩海鹰, 罗乖林, 徐晓东 . 2006. 弹射救生过程数值计算及损伤风险评估. 空气动力学学报, 24:314-318 (Zhao Y M, Yang C X, Han H Y, Luo G L, Xu X D . 2006. Numerical calculation of ejection process and injury crisis evaluation. Acta Aerodynamic Sinica, 24: 314-318).
[22]	郑超, 伍骥, 黄蓉蓉, 崔松超, 文偃伍, 李毅, 吴迪 . 2014. 模拟高空跳伞着陆状态下踝关节动态角速度与垂直反作用力的测定. 中华骨科杂志, 34:688-693 (Zheng C, Wu J, Huang R R, Cui S C, Wen Y W, Li Y, Wu D . 2014. Measurement of the angular velocity and perpendicular ground reaction force of the ankle joint in parachute landing simulation. Chinese Journal of Orthopedics, 34: 688-693).
[23]	Abian-Vicen J, Alegre L M, Fernandez-Rodriguez J M , et al. 2008. Ankle taping does not impair performance in jump or balance tests. Journal of Sports Science and Medicine, 7:350-356.
[24]	Amoroso P J, Ryan J B, Bickley B , et al. 1998. Braced for impact: Reducing military paratroopers' ankle sprains using outside-the-boot braces. Journal of Trauma, 45:575-580.
[25]	Andersen H T. 1988. Neck injury sustained during exposure to high-G forces in the F16B. Aviation Space & Environmental Medicine, 59:356-358.
[26]	Arampatzis A, Bruggemann G P, Klapsing G M. 2002. A three-dimensional shank-foot model to determine the foot motion during landings. Medicine and Science in Sports Exercise, 34:130-138.
[27]	Bandak F, Eppinger R. 1994. A three-dimensional FE analysis of the human brain under combined rotational and translational accelerations// Proceedings of the 38th Stapp Car Crash Conference, SAE Technical Paper Series, 942215.
[28]	Beckwith J G, Zhao W, Ji S , et al. 2018. Estimated brain tissue response following impacts associated with and without diagnosed concussion. Annals Biomedical Engineering, 46:819-830.
[29]	Benedict J V. 1972. The investigation of vertebral injury sustained during aircrew ejection. Annual Technical Report.
[30]	Bostrom O, Svensson M Y, Aldman B. 1996. A new neck injury criterion candidate-based on injury findings in the cervical spinal ganglia after experimental neck extension trauma// Proceedings of international IRCOBI conference on the biomechanics of impact.
[31]	Bricknell M C, Craig S C. 1999. Military parachuting injuries: A literature review. Occupational Medicine, 49:17-26.
[32]	Buhrman J R. 1991. Vertical impact tests of humans and anthropomorphic manikins. DTIC Document.
[33]	Burton R R, Travis T W. 1999. Prevention of minor neck injuries in F-16 pilots. Aviation Space & Environmental Medicine, 70:720-720.
[34]	Caillot-Augusseau A, Lafage-Proust M H, Soler C , et al. 1998. Bone formation and resorption biological markers in cosmonauts during and after a 180-day space flight (Euromir 95). Clinical Chemistry, 44:578-585.
[35]	Caldwell E, Plaga J. 2005. The characterization of spinal compression in various-sized human and manikin subjects during +Gz impact. DTIC Document.
[36]	Carmeliet G, Bouillon R. 1999. The effect of microgravity on morphology and gene expression of osteoblasts in vitro. FASEB Journal, 13:S129-134.
[37]	Carmeliet G, Nys G, Bouillon R. 1997. Microgravity reduces the differentiation of human osteoblastic MG-63 cells. Journal of Bone and Mineral Research, 12:786-794.
[38]	Case S L, Moller K M, Nix N A , et al. 2018. Work-related nonfatal injuries in Alaska's aviation industry, 2000-2013. Safety Science, 104:239-245.
[39]	Chaudhary A, Wasti H. 2020. Patterns and severity of injuries in patients following road traffic accidents-a medicolegal aspects. Eastern Green Neurosurgery, 2:13-17.
[40]	Chubb R M, Braue G C, Shannon R H. 1967. Ejection capability versus the decision to eject. Aerospace Medicine, 38:900-904.
[41]	Clark J M, Hoshizaki T B. 2016. The ability of men's lacrosse helmets to reduce the dynamic impact response for different striking techniques in women's field lacrosse. American Journal of Sports Medicine, 44:1047-1055.
[42]	Collet P, Uebelhart D, Vico L , et al. 1997. Effects of 1- and 6-month spaceflight on bone mass and biochemistry in two humans. Bone, 20:547-551.
[43]	Collins R, McCarthy G W, Kaleps I , et al. 1997. Review of major injuries and fatalities in USAF ejections, 1981-1995. Biomedical Sciences Instrumentation, 33:350-353.
[44]	Cudejko T, Esch M, Noort J , et al. 2019. Decreased pain and improved dynamic knee instability mediate the beneficial effect of wearing a soft knee brace on activity limitations in patients with knee osteoarthritis. Arthritis Care & Research, 71:1036-1043.
[45]	Dai Z Q, Li Y H, Ding B , et al. 2006. Actin microfilaments participate in the regulation of the COL1A1 promoter activity in ROS17/2.8 cells under simulated microgravity. Advances Space Research, 38: 1159-1167.
[46]	De Heer H D, Kline J R, Charley B. 2020. Clinical Care of the Runner. Amsterdam: Elsevier.
[47]	De Horst M J K. 2002. Human head neck response in frontal, lateral and rear end impact loading: Modeling and validation. [PhD Thesis]. Eindhoven: Eindhoven University of Technology.
[48]	De Jager MJ. 1994. Mathematical head-neck models for acceleration impacts. [PhD Thesis]. Eindhoven: Eindhoven University of Technology.
[49]	Distefano L J, Padua D A, Brown C N , et al. 2008. Lower extremity kinematics and ground reaction forces after prophylactic lace-up ankle bracing. Journal of Athletic Training, 43:234-241.
[50]	Doty S B. 1985. Morphologic and histochemical studies of bone cells from SL-3 rats. Physiologist, 28:S225-226.
[51]	Du C F, Liu X Y, Wang L Z , et al. 2015. Restraint harness performance during flight maneuvers: A parametric study. Aerospace Medicine and Human Performance, 86:466-471.
[52]	Ekeland A. 1997. Injuries in military parachuting: A prospective study of 4499 jumps. Injury, 28:219-222.
[53]	Esat V, Acar M. 2009. Viscoelastic finite element analysis of the cervical intervertebral discs in conjunction with a multi-body dynamic model of the human head and neck. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 223:249-262.
[54]	Eppinger R, Takhounts E. 2001. Simon theoretical manual. Warrendale, NHTSA, 1-15.
[55]	Ewing C L, Thomas D J, Lustick L , et al. 1976. The effect of duration, rate of onset, and peak sled acceleration on the dynamic response of the human head and neck// Proceedings of the 20th Stapp Car Crash Conference, SAE Technical Paper Series, 760800.
[56]	Fan W, Guo L X. 2018. Finite element investigation of the effect of nucleus removal on vibration characteristics of the lumbar spine under a compressive follower preload. Journal of the Mechanical Behavior of Biomedical Materials, 78:342-351.
[57]	Fanton M G, Sganga J A, Camarillo D B. 2019. Vulnerable locations on the head to brain injury and implications for helmet design. Journal of Biomechanical Engineering, 141:121002.
[58]	Fass D, Buffinton C M, Sedmera D. 2007. 3D reconstruction and nonlinear finite element analysis of the embryonic left ventricle// ASME Summer Bioengineering Conference, SBC, 253-254.
[59]	Franklyn M, Stemper B D. 2017. Military Injury Biomechanics. Boca Raton: CRC Press.
[60]	Frederic H M, Robert B T. 2014. Human Anatomy (8th edition). City of Westminster: Pearson Publisher.
[61]	Gadd C W. 1966. Use of weighted impulse criterion for estimation injury hazard// Proceedings of the 10th Stapp Car Crash Conference, SAE Technical Paper Series, 660793.
[62]	Geertz A. 1954. Grenzen und Sonderprobleme bei der Anwendung von Sitzkatapulten. Technische Hochschule Stuttgart.
[63]	Green N D C. 2003. Acute soft tissue neck injury from unexpected acceleration. Aviation Space & Environmental Medicine, 74:1085-1090.
[64]	Gross A G. 1958 a. Impact thresholds of the brain concussion. The Journal of Aviation and Medicine, 29:725-732.
[65]	Gross A G. 1958 b. A new theory on the dynamics of brain concussion and brain injury. Journal of Neurosurgery, 15:548-561.
[66]	Gu G X, Takaffoli M, Buehler M J. 2017. Hierarchically enhanced impact resistance of bioinspired composites. Advanced Materials, 29:1700060.
[67]	Guignandon A, Lafage-Proust M H, Usson Y , et al. 2001. Cell cycling determines integrin-mediated adhesion in osteoblastic ROS 17/2.8 cells exposed to space-related conditions. FASEB Journal, 15:2036-2038.
[68]	Gurdjian E S, Lissner H R. 1944. Mechanism of head injury as studied by the cathode ray oscilloscope. Journal of Neurosurgery, 1:393-399.
[69]	Gurdjian E S, Lissner H R. 1961. Photo-elastic confirmation of the presence of shear strain at the craniospinal junction in closed head injury. Journal of Neurosurgery, 18:58-60.
[70]	Gurelik G, Ozdemir H B. 2020. Sports-related Eye Injuries. Berlin: Springer.
[71]	Hallel T, Naggan L. 1975. Parachuting injuries: A retrospective study of 83, 718 jumps. Journal of Trauma, 15:14-19.
[72]	Hamalainen O. 1993. Flight helmet weight,+Gz forces, and neck muscle strain. Aviation Space & Environmental Medicine, 64:55-57.
[73]	Hardy W N, Khalil T B, King A I. 1994. Literature review of head injury biomechanics. International Journal of Impact Engineering, 15:561-586.
[74]	Hasselberg M, Kirsebom M, B?ckstr?m J , et al. 2019. I did not feel like this at all before the accident: Do men and women report different health and life consequences of a road traffic injury? Injury Prevention, 25:307-312.
[75]	Hans-Wolfgang H. 1998. Crash tests and the head injury criterion. Teaching Mathematics and Its Applications, 17:162-170.
[76]	Holbourn A H S. 1943. Mechanics of head injuries. Lancet, 243:438-441.
[77]	Honkanen T. 2019. Fighter pilots' physical performance and spinal-injury induced flight duty limitations. [PhD Thesis]. Jyv?skyl?: University of Jyv?skyl?.
[78]	Hopper D M, McNair P, Elliott B C. 1999. Landing in netball: Effects of taping and bracing the ankle. British Journal of Sports Medicine, 33:409-413.
[79]	Hosey R R, Ryerson J E, Liu Y K. 1982. A finite-element model of the human head and neck during oblique-crown impact. Journal of Biomechanics, 16:379-401.
[80]	Hsieh T M, Tsai T C, Liu Y W , et al. 2016. How does the severity of injury vary between motorcycle and automobile accident victims who sustain high-grade blunt hepatic and/or splenic injuries? Results of a retrospective analysis. International Journal of Environmental Research and Public Health, 13:739-748.
[81]	Hu Z H, Metaxas D, Axel L. 2005. Computational modeling and simulation of heart ventricular mechanics from tagged MRI// Functional Imaging and Modeling of the Heart, Third International Workshop, Barcelona, Spain, 35:369-383.
[82]	Hughes-Fulford M. 1991. Altered cell function in microgravity. Experimental Gerontology, 26:247-256.
[83]	Hughes-Fulford M. 2002. Physiological effects of microgravity on osteoblast morphology and cell biology. Advances in Space Biology and Medicine, 8:129-157.
[84]	Hughes-Fulford M, Lewis M L. 1996. Effects of microgravity on osteoblast growth activation. Experimental Cell Research, 224:103-109.
[85]	Hughes-Fulford M, Rodenacker K, Jutting U. 2006. Reduction of anabolic signals and alteration of osteoblasts nuclear morphology in microgravity. Journal of Cellular Biochemistry, 99:435-449.
[86]	Hu Z H, Metaxas D, Axel L. 2005. Computational modeling and simulation of heart ventricular mechanics from tagged MRI// Functional Imaging and Modeling of the Heart, Third International Workshop, Barcelona, Spain, 35:369-383.
[87]	Jee W S, Wornski T J, Morey E R , et al. 1983. Effects of spaceflight on trabecular bone in rat. The American Journal of Physiology, 244:R310-314.
[88]	Johnson E S, Gaydos S J, Pavelites J J , et al. 2019. US army parachute mishap fatalities: 2010-2015. Aerospace Medicine and Human Performance, 90:637-642.
[89]	Jones J A, McCarten M, Manuel K , et al. 2007. Cataract formation mechanisms and risk in aviation and space crews. Aviation Space & Environmental Medicine, 78:A56-66.
[90]	Karnjanaparichat T, Pongvuthithum R. 2017. Adaptive tracking control of multi-link robots actuated by pneumatic muscles with additive disturbances. Robotica, 35:2139-2156.
[91]	Kasturi K, Kwok P, Lee C. 2005. Design and evaluation of protective devices for injury prevention during paratrooper landing// 18th AIAA Aerodynamic Decelerator Systems Technology Conference and Seminar. Munich, Germany, AIAA 2005-1632.
[92]	Ke G J, Zhou E L, Zhu K , et al. 2020. Retinal break associated with traumatic lens dislocation or subluxation requiring vitrectomy. Graefe's Archive for Clinical and Experimental Ophthalmology, 258:693-697.
[93]	Kenner V H, Goldsmith W. 1973. Impact on a simple physical model of the head. Journal of Biomechanics, 6:1-11.
[94]	Kernozek T, Durall C J, Friske A , et al. 2008. Ankle bracing, plantar-flexion angle, and ankle muscle latencies during inversion stress in healthy participants. Journal of Athletic Training, 43:37-43.
[95]	Kleinberger M, Sun E, Eppinger R , et al. 1998. Development of improved injury criteria for the assessment of advanced automotive restraint systems. National Highway Traffic Safety Administration.
[96]	Knapik J J, Craig S C, Hauret K G , et al. 2003. Risk factors for injuries during military parachuting. Aviation Space & Environmental Medicine, 74:768-774.
[97]	Knapik J J, Darakjy S, Swedler D , et al. 2008. Parachute ankle brace and extrinsic injury risk factors during parachuting. Aviation Space & Environmental Medicine, 79:408-415.
[98]	Knapik J J, Spiess A, Swedler D I , et al. 2010. Systematic review of the parachute ankle brace: Injury risk reduction and cost effectiveness. American Journal of Preventive Medicine, 38:S182-188.
[99]	Knapik J, Steelman R. 2016. Risk factors for injuries during military static-line airborne operations: A systematic review and meta-analysis. Journal of Athletic Training, 51:962-980.
[100]	Kong W, Kasturi K, Lee C. 2001. Biomechanical modeling of paratrooper landing// 16th AIAA Aerodynamic Decelerator Systems Technology Conference. Massachusetts, AIAA 2001-2029.
[101]	Kopecky J A, Ripperger E A. 1969. Close brain injury: An engineering analysis. Journal of Biomechanics, 2:29-34.
[102]	Kuennen B C, Buhrman J R. 2004. Pilot Harness Suspension Study. DTIC Document.
[103]	Kumaresan S, Radhakrishnan S, Ganesan N. 1995. Generation of geometry of closed human head and discretisation for finite element analysis. Medical and Biological Engineering and Computing, 33:349-353.
[104]	Kumaresan S, Radhakrishnan S. 1996. Importance of partitioning membranes of the brain and the influence of the neck in head injury modelling. Medical and Biological Engineering and Computing, 34:27-32.
[105]	Kumei Y, Shimokawa H, Katano H , et al. 1996. Microgravity induces prostaglandin E2 and interleukin-6 production in normal rat osteoblasts: Role in bone demineralization. Journal of Biotechnology, 47:313-324.
[106]	Kunisada T, Kawai A, Inoue H , et al. 1997. Effects of simulated microgravity on human osteoblast-like cells in culture. Acta Medica Okayama, 51:135-140.
[107]	Kwok P, Kong W, Kasturi K , et al. 2003. A biomechanical study on the parachute landing fall// 17th AIAA Aerodynamic Decelerator Systems Technology Conference and Seminar, AIAA, 2003-2149.
[108]	Lecompte J, Maisetti O, Guillaume A , et al. 2008. Neck strength and EMG activity in fighter pilots with episodic neck pain. Aviation Space & Environmental Medicine, 79:947-952.
[109]	Leupp D G. 1982. ACES II negative Gz restraint investigation. Scientific and Technical Aerospace Reports. Defense Technical Information Center.
[110]	Lewis M E. 2006. Survivability and injuries from use of rocket-assisted ejection seats: Analysis of 232 Cases. Aviation Space & Environmental Medicine, 77:936-943.
[111]	Lewis M E. 2002. Spinal injuries caused by the acceleration of ejection. Journal of the Royal Army Medical Corps, 148:22-26.
[112]	Li Y, Wu J, Zheng C , et al. 2013. The effect of landing surface on the plantar kinetics of Chinese paratroopers using half-squat landing. Journal of Sports Science and Medicine, 12:409-413.
[113]	Lissner H R, Lebow M, Evans F G. 1960. Experimental studies on the relation between acceleration and intracranial pressure changes in man. Surgery Gynecology & Obstetrics, 111:320-339.
[114]	Liu X Y, Wang L Z, Wang C , et al. 2013. Mechanism of traumatic retinal detachment in blunt impact: A finite element study. Journal of Biomechanics, 46:1321-1327.
[115]	Liu X Y, Wang L Z, Wang C , et al. 2014 a. Prediction of globe rupture caused by primary blast: A finite element analysis. Computer Methods and Programs Biomedicine, 18:1024-1029.
[116]	Liu X Y, Wang L Z, Ji J , et al. 2014 b. A mechanical model of the cornea considering the crimping morphology of collagen fibrils. Investigative Ophthalmology & Visual Science, 55:2739-2746.
[117]	Lopik D W V, Acar M. 2007. Dynamic verification of a multi-body computational model of human head and neck for frontal, lateral, and rear impacts. Proceedings of the Institution of Mechanical Engineers Part K Journal of Multi-body Dynamics, 221:199-217.
[118]	Lu S, Fan X Y, Liu S J , et al. 2020. Biomechanism of resistance to retinal injury in woodpecker's eyes. Science China Life Science, 63: doi: 10.1007/s11427-019-1664-1.
[119]	Ly C K, Yusof M Y P M, Hasmi A H , et al. 2018. Death of two military pilots in Hawk-108 fighter jet crash. Journal of Forensic Science and Medicine, 4:101-103.
[120]	Manen O, Clément J, Bisconte S , et al. 2014. Spine injuries related to high-performance aircraft ejections: A 9-year retrospective study. Aviation Space & Environmental Medicine, 85:66-70.
[121]	Marie P J, Jones D, Vico L , et al. 2000. Osteobiology, strain, and microgravity: Part I. Studies at the cellular level. Calcified Tissue International, 67:2-9.
[122]	Mathys R, Ferguson S J. 2012. Simulation of the effects of different pilot helmets on neck loading during air combat. Journal of Biomechanics, 45:2362-2367.
[123]	Matsui Y, Oikawa S. 2018. Effect of seat condition on abdominal injuries to vehicle occupants in frontal impact accidents. Applied Science, 8:2047.
[124]	Meana M, Alegre L M, Elvira J L L , et al. 2008. Kinematics of ankle taping after a training session. International Journal of Sports Medicine, 29:70-76.
[125]	Mines M, Thach A, Mallonee S , et al. 2000. Ocular injuries sustained by survivors of the Oklahoma City bombing. Ophthalmology, 107:837-843.
[126]	Mondal P, Arunachalam S. 2020. Finite element modelling of car seat with Hyperelastic and viscoelastic foam material properties to assess vertical vibration in terms of acceleration. Engineering, 12:177-193.
[127]	Moore C W, Rice C L. 2018. Rare muscular variations identified in a single cadaveric upper limb: A four-headed biceps brachii and coracobrachialis brevis muscle variant. Anatomical Science International, 93:311-316.
[128]	Morey E R, Baylink D J. 1978. Inhibition of bone formation during space flight. Science, 201:1138-1141.
[129]	Mufti O, Mathew S, Harris A , et al. 2019. Ocular changes in traumatic brain injury: A review. European Journal of Ophthalmology, doi: 10.1177/1120672119866974.
[130]	Nachemson A. 1960. Lumbar intradiscal pressure: Experimental studies on post-mortem material. Acta Orthopaedica Scandinavica, 31:1-104.
[131]	Nadeau S, Salmanzadeh H, Ahmadi M , et al. 2019. Aviation deicing workers, global risk assessment of musculoskeletal injuries. International Journal of Industrial Ergonomics, 71:8-13.
[132]	National Research Council. 2001. Materials Research to Meet 21st Century Defense Needs: Interim Report. Washington, DC: The National Academies Press.
[133]	Newman D G, David O. 2011. The geometry of high angle of attack maneuvers and the implications for Gy-induced neck injuries. Aviation Space & Environmental Medicine, 82:819-824.
[134]	Newman D G. 2016. High G Flight: Physiological Effects and Countermeasures. Farnham: Ashgate Publishing Limited.
[135]	Newman J A, Shewchenko N, Welbourne E. 2000. A proposed new biomechanical head injury assessment function the maximum power index// Proceedings of the 44th Stapp Car Crash Conference, SAE Technical Paper, 44:215-247.
[136]	Newman J A. 1986. A generalized acceleration model for brain injury threshold (GAMBIT)// Proceeding of International IRCOBI Conference on the Biomechanics of Impact, Zurich, 121-131.
[137]	Nigg B M. 1985. Biomechanics, load analysis and sports injuries in the lower extremities. Sports Medicine, 2:367-379.
[138]	Niu W X, Wang Y, He Y , et al. 2010 a. Effects of ankle stabilizers on electromyographic activities of lower extremity muscles during simulated half-squat parachute landing. Journal of Medical Biomechanics, 25:36-40.
[139]	Niu W X, Wang Y, He Y, Fan Y, Zhao Q. 2010 b. Biomechanical gender differences of the ankle joint during simulated half-squat parachute landing. Aviation Space & Environmental Medicine, 81:761-767.
[140]	Niu W X, Wang Y, He Y , et al. 2011. Kinematics, kinetics, and electromyogram of ankle during drop landing: A comparison between dominant and non-dominant limb. Human Movement Science, 30:614-623.
[141]	Niu W X, Zhang M, Fan Y B , et al. 2013 a. Dynamic postural stability for double-leg drop landing. Journal of Sports Science, 31:1074-1081.
[142]	Niu W X, Fan Y B. 2013 b. Terrain stiffness and ankle biomechanics during simulated half-squat parachute landing. Aviation Space & Environmental Medicine, 84:1262-1267.
[143]	Niu W X, Feng T N, Jiang C H , et al. 2014. Peak vertical ground reaction force during two-leg landing: A systematic review and mathematical modeling. BioMed Research International, 2014: 126860.
[144]	Oganov V S. 2004. Modern analysis of bone loss mechanism in microgravity. Journal of Gravitational Physiology, 11:143-146.
[145]	Ommaya A K, Hirsch A E, Martinez J L. 1966. The role of whiplash in cerebral concussion// Proceedings of the 10th Stapp Car Crash Conference, SAE Technical Paper, 660804.
[146]	Ommaya A K, Thibault L, Bandak F A. 1994. Mechanisms of impact head injury. International Journal of Impact Engineering, 15:535-560.
[147]	Palmer D, Cooper D, Emery C , et al. 2020. Olympic-career related sports injury epidemiology: The retired olympian musculoskeletal health study (ROMHS). British Journal of Sports Medicine, 54:A33.
[148]	Panzer M B, Fice J B, Cronin D S. 2011. Cervical spine response in frontal crash. Medical Engineering & Physics, 33:1147-1159.
[149]	Perper Y. 2019. On the spinal cord injury during attempted cervical interlaminar epidural injection of steroids. Pain Medicine, 20:854-855.
[150]	Petras A F, Hoffman E P. 1983. Roentgenographic skeletal injury patterns in parachute jumping. American Journal of Sports Medicine, 11:325-328.
[151]	Peyron P A, Margueritte E, Baccino E. 2018. Suicide in parachuting: A case report and review of the literature. Forensic Science International, 286:e8-13.
[152]	Polanco M A, Littell J D. 2011. Vertical drop testing and simulation of anthropomorphic test devices// 67th Annual Forum of the American Helicopter Society, Virginia.
[153]	Prasad P, King A I, Ewing C L. 1974. The role of articular facets during +Gz acceleration. Journal of Applied Mechanics. 41:321-326.
[154]	Raddin J J, Scott W, Bomar J, Smith H B L , et al. 1992. Adapting the ADAM manikin technology for injury probability assessment. DTIC Document.
[155]	Rahmat M F, Sunar N H, Salim S N S , et al. 2011. Review on modeling and controller design in pneumatic actuator control system. International Journal on Smart Sensing and Intelligent Systems, 4:630-661.
[156]	Raj R N, Shankar K. 2020. Multi-objective goal programming for low altitude seat ejections with fuzzy logic-based decision-making. Human Factors and Mechanical Engineering for Defense and Safety, 4:1-6.
[157]	Ransley M, Day M S. 2005. What makes a good restraint systems?// Safe Europe Cardiff.
[158]	Roberts W E, Mozsary P G, Morey E R. 1982. Suppression of osteoblast differentiation during weightlessness. The Physiologist, 24:S75-76.
[159]	Robinson R M, Kothera C S, Wereley N M. 2015. Variable recruitment testing of pneumatic artificial muscles for robotic manipulators. IEEE/ASME Transactions on Mechatronics, 20:1642-1652.
[160]	Rosenfeld J V, McDermott F T, Laidlaw J D , et al. 2000. The preventability of death in road traffic fatalities with head injury in Victoria, Australia. Journal of Clinical Neuroscience, 7:507-514.
[161]	Rowe K W, Brooks C J. 1984. Head and neck injuries in Canadian forces ejections. Aviation Space & Environmental Medicine, 55:313-315.
[162]	Ruan, J S, Khalil T, King A I. 1994. Dynamic response of the human head to impact by three-dimensional finite element analysis. Journal Biomechanical Engineering, 116:44-50.
[163]	Ruff S. 1950. Brief acceleration: Less than one second. German Aviation Medicine, 1:584-598.
[164]	San H N, Lu G X. 2019. A review of recent research on bio-inspired structures and materials for energy absorption applications. Composites Part B Engineering, 181:107496.
[165]	Sarkar D, Nagaya T, Koga K , et al. 2000. Culture in vector-averaged gravity under clinostat rotation results in apoptosis of osteoblastic ROS17/2.8 cells. Journal of Bone and Mineral Research, 15:489-498.
[166]	Sawkins K, Refshauge K, Kilbreath S , et al. 2007. The placebo effect of ankle taping in ankle instability. Medicine and Science in Sports and Exercise, 39:781-787.
[167]	Schall D G. 1983. Non-ejection cervical spine fracture due to defensive aerial combat maneuvering in an RF-4C: A case report. Aviation Space & Environmental Medicine, 54:1111-1116.
[168]	Schall D G. 1989. Non-ejection cervical spine injuries due to +Gz in high performance aircraft. Aviation Space & Environmental Medicine, 60:445-456.
[169]	Schmidt M D, Sulsky S I, Amoroso P J. 2005. Effectiveness of an outside-the-boot ankle brace in reducing parachuting related ankle injuries. Injury Prevention, 11:163-168.
[170]	Schmitt K, Muser M H, Niederer P. 2001. A new neck injury criterion candidate for rear-end collisions taking into account shear forces and bending moment// Proceeding of the 17th International Technical Conference on the Enhanced Safety of Vehicles, Technical Papers, 0175.
[171]	Schneider N S, Shimayoshi T, Amano A , et al. 2006. Mechanism of the Frank-Starling law—A simulation study with a novel cardiac muscle contraction model that includes titin and troponin I. Journal of Molecular Cellular Cardiology, 41:522-536.
[172]	Sell T C, Chu Y C, Abt J P , et al. 2010. Minimal additional weight of combat equipment alters air assault soldiers' landing biomechanics. Military Medicine, 175:41-47.
[173]	Sheard P W. 2008. Ocular tear film bubble formation after breath-hold diving. Undersea & Hyperbaric Medicine, 35:79-82.
[174]	Song R Z, Suo S F, Jia X H , et al. 2019. Research on head-neck injuries of pilots during emergency ejection from the aircraft. Journal of Physics: Conference Series, 1213:052100.
[175]	Sridhar M S, Joshi V V, Biswal P. 2019. Analysis of ejection injury of spine in aviators. International Journal of Science Research, 8:40-43.
[176]	Str?hle M, Wallner B, Woyke S , et al. 2018. Aviation accidents in the Austrian Mountains-A 10-year retrospective study. AINS-Anasthesiologie Intensivmedizin, 53:1-3.
[177]	Stuhmiller J H, Ho K H, Vander V M J , et al. 1996. A model of blast overpressure injury to the lung. Journal of Biomechanics, 29:227-234.
[178]	Stuhmiller J, Phillips Y, Richmond D. 1991. The Physics and Mechanisms of Primary Blast Injury, Conventional Warfare: Ballistic, Blast, and Burn Injuries. Washington, DC: Surgeon General Department of the Army.
[179]	Sylvester W. 1987. Helmet mounted displays for tactical aircraft. Safe Journal, 17:24-28.
[180]	Tendulkar A P, Harken A H. 2006. Mechanics of the normal heart. Journal of Cardiac Surgery, 21:615-620.
[181]	Teo E C, Zhang Q H, Huang R C. 2007. Finite element analysis of head-neck kinematics during motor vehicle accidents: Analysis in multiple planes. Medical Engineering & Physics. 29:54-60.
[182]	Turner R T, Evans G L, Wakley G K. 1995. Spaceflight results in depressed cancellous bone formation in rat humeri. Aviation Space & Environmental Medicine, 66:770-774.
[183]	Umale S, Deck C, Bourdet N , et al. 2017. Experimental and finite element analysis for prediction of kidney injury under blunt impact. Journal of Biomechanics, 52:2-10.
[184]	Vanderbeek R D. 1988. Period prevalence of acute neck injury in US air force pilots exposed to high G forces. Aviation Space & Environmental Medicine, 59:1176-1180.
[185]	Verdijk R M, Herwig-Carl M C. 2020. Fetal and Neonatal Eye Pathology. Berlin: Springer.
[186]	Versace J. 1971. A review of the severity index// Proceedings of the 15th Stapp Car Crash Conference, SAE Technical Paper, 710881, 711-196.
[187]	Visvikis C, Carroll J, Klimitsch C. 2017. Sensitivity of the Q-series abdominal pressure twin sensors to loading type and position in dynamic restraint system loading tests// Proceedings of the International IRCOBI Conference, Antwerp, Belgium, IRC-17-39.
[188]	Vogel J M, Whittle M W. 1976. Bone mineral changes: The second manned Skylab mission. Aviation Space & Environmental Medicine, 47:396-400.
[189]	Wais V, Kündgen L, Bohl S R , et al. 2018. Reduced-toxicity conditioning for allogeneic hematopoietic cell transplantation in elderly or comorbid patients with AML using fludarabine, BCNU and melphalan: Disease stage at transplant determines outcome. Bone, Marrow Transplant, 53:94-96.
[190]	Wang L Z, Cheung J T M, Pu F , et al. 2011 a. Why do woodpeckers resist head impact injury: A biomechanical investigation. PloS One, 6:e26490.
[191]	Wang L Z, Lu S, Liu X Y , et al. 2013. Biomechanism of impact resistance in the woodpecker's head and its application. Science China Life Science, 56:715-719.
[192]	Wang L Z, Zhang H Q, Fan Y B. 2011b. Comparative study of the mechanical properties, micro-structure, and composition of the cranial and beak bones of the great spotted woodpecker and the lark bird. Science China Life Science, 54:1036-1041.
[193]	Wang Y W, Wang L Z, Du C F , et al. 2016. A comparative study on dynamic stiffness in typical finite element model and multi-body model of C6-C7 cervical spine segment. International Journal for Numerical Methods in Biomedical Engineering, 32:02750.
[194]	Wang Y W, Wang L Z, Liu S Y , et al. 2018. A two-step procedure for coupling development and usage of a pair of human neck models. Computer Methods in Biomechanics and Biomedical Engineering, 21:413-426.
[195]	Ward C, Thompson R. 1975. The development of a detailed finite element brain model// Proceedings of the 19th Stapp Car Crash Conference, SAE Technical Paper, 641-674.
[196]	Whitting J W, Steele J R, Jaffrey M A , et al. 2007. Parachute landing fall characteristics at three realistic vertical descent velocities. Aviation Space & Environmental Medicine, 78:1135-1142.
[197]	Willinger R, Taleb L, Kopp C M. 1995. Modal and temporal analysis of head mathematical models. Journal of Neurotrauma, 12:743-754.
[198]	Winfield D L, Hering D H, Cole D. 1991. Engineering derivatives from biological systems for advanced aerospace applications. National Aeronautics and Space Administration Contractor Report, 177594.
[199]	Wronski T J, Morey-Holton E R. 1982. Skeletal abnormalities in rats induced by simulated weightlessness. Metabolic Bone Disease and Related Research, 4:69-75.
[200]	Wu D, Zheng C, Wu J , et al. 2018 a. Prophylactic ankle braces and the kinematics and kinetics of half-squat parachute landing. Aerospace Medicine and Human Performance, 89:141-146.
[201]	Wu D, Zheng C, Wu J , et al. 2018 b. Protective knee braces and the biomechanics of the half-squat parachute landing. Aerospace Medicine and Human Performance, 89:26-31.
[202]	Yamamoto S, DeWitt D S, Prough D S. 2018. Impact & blast traumatic brain injury: Implications for therapy. Molecules, 23:245.
[203]	Yanagida Y, Fujiwara S, Mizoi Y. 1989. Differences in the intracranial pressure caused by a blow and/or a fall-an experimental study using physical models of the head and neck. Forensic Science International, 41:135-145.
[204]	Yang Y, Saegusa R, Hashimoto S, Aoyama N. 2006. Modeling of the individual left ventricle for cardiac resynchronization therapy// IEEE International conference on robotics and biomimetics, ROBIO, Kunming, China, 1432-1437.
[205]	Ye C Y, Li J M, Hao S Y , et al. 2020. Identification of elders at higher risk for fall with statewide electronic health records and a machine learning algorithm. International Journal of Medical Informatics, 137:104105.
[206]	Zayzafoom M, Gathings W E, McDonald J M. 2004. Modeled microgravity inhibits osteogenic differentiation of human mesenchymal stem cells and increase adipogenesis. Endocrinology, 145:2421-2432.
[207]	Zerath E, Holy X, Robert S G , et al. 2000. Spaceflight inhibits bone formation independent of corticosteroid status in growing rats. Journal of Bone and Mineral Research, 15:1310-1320.
[208]	Zhang S N, Derrick T R, Evans W , et al. 2008. Shock and impact reduction in moderate and strenuous landing activities. Sports Biomechanics, 7:296-309.