Vehicle occupants were killed in 33% of all traffic accidents in Japan in 2017. Of the vehicles in vehicle-to-vehicle accidents, 54% were impacted from the front. In frontal impact accidents, when the lap belt moves away from the iliac crests of the pelvis of a vehicle occupant, the belt moves directly into the abdomen. Here, we investigated causes of abdominal injuries to vehicle occupants, because the abdomen is associated with the highest rates of severe injury and fatality. The purpose of this study was to clarify the correlation between downward movement of the seat and of the lap belt away from the iliac crests of a human occupant of a car, in the event of a frontal impact. We investigated this phenomenon by conducting simulations using an anthropomorphic 50th percentile male (AM50) human model wearing a three-point seatbelt. We set two deformable seat conditions: Vertical movement and lean forward movement. Our results revealed that the lap belt came off from both of the iliac crests during lean forward movement but only from one of the iliac crests during vertical movement. We concluded that abdominal injuries can be caused by downward movement together with forward rotation in the seat during vehicle-to-vehicle frontal impacts.Abstract: Vehicle occupants were killed in 33% of all traffic accidents in Japan in 2017. Of the vehicles in vehicle-to-vehicle accidents, 54% were impacted from the front. In frontal impact accidents, when the lap belt moves away from the iliac crests of the pelvis of a vehicle occupant, the belt moves directly into the abdomen. Here, we investigated causes of abdominal injuries to vehicle occupants, because the abdomen is associated with the highest rates of severe injury and fatality. The purpose of this study was to clarify the correlation between downward movement of the seat and of the lap belt away from the iliac crests of a human occupant of a car, in the event of a frontal impact. We investigated this phenomenon by conducting simulations using an anthropomorphic 50th percentile male (AM50) human model wearing a three-point seatbelt. We set two deformable seat conditions: Vertical movement and lean forward movement. Our results revealed that the lap belt came off from both of the iliac crests during lean forward movement but only from one of the iliac crests during vertical movement. We concluded that abdominal injuries can be caused by downward movement together with forward rotation in the seat during vehicle-to-vehicle frontal impacts.seating conditions. Furthermore, in the future, it is necessary to develop a design of a seat or a seat belt, such that the seat does not rotate during frontal impact. Author Contributions: Conceptualization, Y.M.; investigation, S.O.; writing-original draft, Y.M.; writing-review and editing, S.O.