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Neck injuries resulting from rear end car impacts have attracted increasing attention in recent years. Although usually not life-threatening these injuries can have long-term consequences. The exact mechanism of injury has not yet been established. Several probable mechanisms occurring at different phases during the crash sequence have been suggested by researchers. The accident experience with existing seat and head restraint designs is summarized. The results show that there are many factors influencing the risk of neck injury. A high and fixed-in-position head restraint, positioned close to the head, is beneficial. Also, Individual factors, such as gender and height, and seating position, are shown to have influence on the injury risk.

A positive trend to more frequent use of child restraint systems (CRS) in Sweden, during the last 20 years, is shown in this report. During the same period, the overall injury risk, for different age groups of child occupants, has decreased substantially. This indicates the high effectiveness of the child restraint systems. Children need car occupant safety systems specially designed for their size. This paper clearly states the need for child safety systems and discusses benefits and drawbacks with regard to different restraints, ages and injuries. The analysis points out, that when a crash occurs, the maximum effect of a child restraint system is not reached, if the child is not using the correct system for their size. There is even a tendency that the injury risk increases when children switch from one restraint system to another, i.e. are at the youngest ages for which the specific restraint is recommended. The background data used, is based on Volvo's traffic accident research.