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Based on pelvic restraint, head excursion and abdominal injury potential, results from this study suggest that in frontal impact at least, accessory child safety harness systems provide no better protection than lap-shoulder belt systems. When accessory child safety harness systems are misused the level of protection provided is seriously degraded. Given the high frequencies of child safety harness system misuse seen in eld observation studies, and the fact that even when correctly used these system provide no improvement over a lap-shoulder belt, it seems likely that the risks of injury outweigh any perceived bene t of a child safety harness system over a lap-shoulder system."


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