Thoracic injury of Motorcyclists from Handlebar under Frontal impact in Thailand

Main Article Content

Pananya Chuadamrong
Saiprasit Koetniyom
Julaluk Carmai

Abstract

Motorcycle accidents can lead to chest injuries that result in high mortality rates among motorcyclists. Among the different types of front collisions involving motorcycles, front chest impact with the side of a four-wheeled vehicle was found to be the most likely cause of severe thoracic injury amoung motorcyclists in this research. The study analyzed information collected in Phuket from October 2021 to May 2022. The most common harmful part and angle of impact were extracted from the analysis of accident simulation.  The results from data statistical analysis significantly indicate that the side of a four-wheeler vehicle is the most influential area in causing more severe chest injuries in motorcyclists compared to other sites (P<0.05).  Notably, a handlebar is one of the most significant parts that cause thoracic injuries. The most influential area of a four-wheeler vehicle and the common thoracic injury of motorcyclists from the harmful parts were used to investigate the effectiveness of possible protective gear. Thus, a chest protective gear can play a critical role in providing thoracic protection. Therefore, the FE human body models of motorcyclist were simulated under front chest impact based on collected data analysis. As a result, it was found that the 2 cm thick rubber of thoracic protective gear is effective only in a 5th percentile female's chest from the left-frontal attack case. In addition, the findings of data analysis in this research can be used by policymakers and stakeholders to focus on reducing the impact of four-wheeler vehicle on motorcyclists and developing more effective protective gear to mitigate the severity of chest injuries in motorcycle accidents.

Article Details

How to Cite
[1]
P. Chuadamrong, S. Koetniyom, and J. Carmai, “Thoracic injury of Motorcyclists from Handlebar under Frontal impact in Thailand”, RMUTP Sci J, vol. 18, no. 2, pp. 105–120, Dec. 2024.
Section
บทความวิจัย (Research Articles)

References

World Health Organization. (2022, June 20). Road traffic injuries. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries

TDRI. (2020 November 11). Road Accidents Biggest Health Crisis. [Online]. Available: https://tdri.or.th/en/2020/11/road-accidents-biggest-health-crisis/

V.T. Veysi, V. S. Nikolaou, C. Paliobeis, N. Efstathopoulos and P. V. Giannoudis, “Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience,” International Orthopaedics, vol. 33, no.5, pp. 1425-1433, Mar. 2009.

M. Yadollahi, A. H. Arabi, A. Mahmoudi, M. Zamani and M. Farahmand, “Blunt thoracic injury mortality and clinical presentation”. Trauma Monthly, vol.23 no.4, pp. 3-7, Jul. 2018.

V. Kasantikul, Motorcycle accident causation and identification of countermeasures in Thailand: Bangkok Study, 1st ed. Bangkok: K.P. Printing, 2001.

Lai, X., Ma, C., Hu, J., & Zhou, Q, “ Impact direction effect on serious-to-fatal injuries among drivers in near-side collisions according to impact location: Focus on thoracic injuries,” Accident Analysis & Prevention, vol. 48, pp. 442-450. Sep. 2012.

de Rome, L., Ivers, R., Fitzharris, M., Haworth, N., Heritier, S., & Richardson, D. “Effectiveness of motorcycle protective clothing: Riders’ health outcomes in the six months following a crash,” Injury, vol.43, no.12, pp. 2035-2045. Dec. 2012.

Cheung, R., Shukla, M., Akers, K. G., Farooqi, A., & Sethuraman, U. “Bicycle handlebar injuries–a systematic review of pediatric chest and abdominal injuries,” The American Journal of Emergency Medicine, vol.51, pp. 13-21. Jan. 2022.

K. Wilde, A. Tilsen, S. Burzyński and W. Witkowski, “On estimation of occupant safety in vehicular crashes into roadside obstacles using non-linear dynamic analysis,” in MATEC Web of Conferences, EDP Sciences, Kombornia, Poland, 2019, vol. 285, p. 1-8.

United Nations Economic Commission for Europe. (2014, January 29) Current injury criteria ECE-R 94 comparison with USNCAP. [Online]. Available: https://wiki.unece.org/download/attachments/17760977/FI-24-06e.pdf?api=v2

W. Wei, “Recommendation for Modifying the Current Testing Standard for PTW Rider Chest Protectors,” in Proceeding of IRCOBI Asia 2020, Beijing: International Research Council on the Biomechanics of Injury, Beijing, China 2020, pp. 72-75.

Visa Kharmum, Prakorb Chartpuk, “Finite Element Analysis of Armor Piercing Bullet Penetrating Hard Steel Armor Plate,” RMUTP Research Journal, vol. 16, no.2, pp.171-185, Jul-Dec. 2022.

Pariente Jonathan1,2; Boussu François1,2; Veyet Frédérick, “NEW 3D TEXTILE COMPOSITE PROTECTION AGAINST ARMOUR PIERCING AMMUNITIONS,” RMUTP Research Journal, special issue 2014, pp. 109-112, Mar. 2015.

J. Carmai, S. Koetniyom, S., and Hossain, W. “Analysis of rider and child pillion passenger kinematics along with injury mechanisms during motorcycle crash,” Traffic injury prevention, vol.20(sup1), pp. S13-S20. May. 2019.

X. Wang, and X. Ji (2020). “Sample size estimation in clinical research: from randomized controlled trials to observational studies”. Chest, vol. 158, no.1, pp. S12-S20, Jul. 2020.

Toyota Motor Cooperation, THUMS Virtual Human Body: In Toyota Motor Corporation offers Free Access to THUMS Virtual Human Body, 6th ed. Toyota: Toyota Motor Corporation, 2020.

Aurimas Kudzinskas, Avery L . Callahan(2022, July 25). Anatomy, Thorax. [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK557710/

Condensed Chart AIS 85 co - ministry of public health. (n.d.). (1995). [Online]. Available: https://ddc.moph.go.th/uploads/ckeditor2/files/CONDENSED_CHART%20_AIS_85_EB%20(1).pdf

The European New Car Assessment Programme: Euro NCAP. (2023, April 12). EuroNCAP. [Online]. Available: https://www.euroncap.com/en

P. Logan, “A review of common motorcycle collision mechanism of injury,” EFORT open reviews, vol. 5, pp.544-548.Sep. 2020.

Won-Il Choi, “Pneumothorax,” Journal of Tuberculosis and Respiratory diseases, vol. 76, no.5, pp. 99-104, Mar. 2014.