Common protective movements govern unexpected falls from standing height

Journal of Biomechanics

Volumn 31, Issue 1, 1997, Pages 1-9

  Hsiao, E T ^a   Robinovitch, S N ^a  

^a SAN FRANCISCO GENERAL HOSPITAL   (United States)

Author keywords

Balance; Falls; Hip fracture; Protective responses; Wrist fracture

Indexed keywords

ACCIDENTS; BONE; HEALTH CARE; HEALTH RISKS; MEDICAL PROBLEMS; MUSCULOSKELETAL SYSTEM;

HIP FRACTURE; WRIST FRACTURE;

BIOMECHANICS;

ADULT; ARM; ARTICLE; BIOMECHANICS; BODY MOVEMENT; CASE REPORT; FALLING; FEMALE; HIP FRACTURE; HUMAN; HUMAN EXPERIMENT; MALE; NORMAL HUMAN; PELVIS; PRIORITY JOURNAL; WRIST; WRIST FRACTURE;

EID: 0345019840     PISSN: 00219290     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0021-9290(97)00114-0     Document Type: Article

References (25)

1. Brocklehurst, J.C., Exton-Smith, A.N., Lempert-Barber, S.M., Hunt, L.P., Palmer, M.K., 1978. Fracture of the femur in old age: a two-centre study of associated clinical factors and the cause of the fall. Age and Ageing 1, 7-15.
2. Chiu, J., Robinovitch, S.N., 1996. Transient impact response of the body during a fall on the outstretched hand. ASME International Mechanical Engineering Congress and Exposition, Altanta, GA, BED-Vol. 33, pp. 269-270.
3. Cooper, C., Campion, G., Melton, L.J. III, 1992. Hip fractures in the elderly: a world-wide projection. Osteoporosis International 2, 285-289.
4. Courtney, A.C., Wachtel, E.F., Myers, E.R., Hayes, W.C., 1994. Effects of loading rate on strength of the proximal femur. Calcified Tissue International 55, 53-58.
5. Gumming, R.G., Klineberg, R.J., 1994. Fall frequency and characteristics and the risk of hip fractures. Journal of the American Geriatrics Society 42, 774-778.
6. Cummings, S.R., Nevitt, M.C., 1989. A hypothesis: the cause of hip fractures. Journal of Gerontology 44, 107-111.
7. Greenspan, S.L., Myers, E.R., Maitland, L.A., Resnick, N.M., Hayes, W.C., 1994. Fall severity and bone mineral density as risk factors for hip fracture in ambulatory elderly. Journal of the American Medical Association 271, 128-133.
8. Grisso, J.A., Kelsey, J.L., Strom, B.L. et al., 1991. Risk factors for falls as a cause of hip fracture in women. New England Journal of Medicine 324, 1326-1331.
9. Gryfe, C.I., Amies, A., Ashley, M.J., 1977. A longitudinal study of falls in an elderly population, I: incidence and morbidity. Age and Ageing 6, 201-210.
10. Hayes, W.C., Myers, E.R., Morris, J.N., Gerhart, T.N., Yett, H.S., Lipsitz, L.A., 1993. Impact near the hip dominates fracture risk in elderly nursing home residents who fall. Calcified Tissue International 52, 192-198.
11. Henderson, J.M., Hunter, S.C., Berry, W.J., 1993. The biomechanics of the knee during the parachute landing fall. Military Medicine 158, 810-816.
12. Kim, K.J., Schultz, A.B., Ashton-Miller, J.A., Alexander, N.B., 1997. Impact characteristics of an outstretched arm when arresting a forward fall. 1997, ASME Summer Bioengineering Conference, Sunriver, OR, BED-Vol. 35, pp. 331-332.
13. Lotz, J.C., Hayes, W.C., 1990. The use of quantitative computed tomography to estimate risk of fracture of the hip from falls. Journal of Bone and Joint Surgery 72-A, 689-700.
14. Maki, B.E., Mcllroy, W.E., Perry, S.D., 1996. Influence of lateral destabilization on compensatory stepping responses. Journal of Biomechanics 29, 343-353.
15. Melton, L.J. III, Chao, E.Y.S., Lane, J., 1988. Biomechanical aspects of fractures. In: Riggs, B.L., Melton, L.J., (Eds.), Osteoporosis: Etiology, Diagnosis, and Management, Raven Press, New York, pp. 111-131.
16. Nevitt, M.C., Cummings, S.R., Kidd, S., Black, D., 1989. Risk factors for recurrent nonsyncopal falls: a prospective study. Journal of the American Medical Association 261, 2663-2668.
17. Nevitt, M.C., Cummings, S.R., 1993. Type of fall and risk of hip and wrist fractures: the study of osteoporotic fractures. Journal of the American Geriatrics Society 41, 1226-1234.
18. Overstall, P.W., Exton-Smith, A.N., Imms, F.J., Johnson, A.L., 1977. Falls in the elderly related to postual imbalance. British Medical Journal 1, 261-264.
19. Owen, R.A., Melton, L.J. III, Johnson, K.A., Ilstrup, D.M., Riggs, B.L., 1982. Incidence of Colles' fracture in a North American community. American Journal of Public Health 72, 605-607.
20. Praemar, A., Furner, S., Rice, D.P., 1992. Costs of musculoskeletal conditions. In: Musculoskeletal conditions on the United States, American Academy of Orthopaedic Surgeons, Park Ridge, IL, pp. 143-170.
21. Robinovitch, S.N., Hayes, W.C., McMahon, T.A., 1991. Prediction of femoral impact forces in falls on the hip. Journal of Biomechanical Engineering 113, 366-374.
22. Spaite, D.W., Criss, E.A., Valenzuela, T.D., Meislin, H.W., Ross, J., 1990. Geriatric injury: an analysis of prehospital demographics, mechanisms, and patterns. Annals of Emergency Medicine 19, 1418-1421.
23. Tinetti, M.E., Speechley, M., Ginter, S.F., 1988. Risk factors for falls among elderly persons living in the community. New England Journal of Medicine 319, 1701-1707.
24. van den Kroonenberg, A., Hayes, W.C., McMahon, T.A., 1996. Hip impact velocities and body configurations for experimental falls from standing height. Journal of Biomechanics 29, 807-811.
25. Wolfson, L.I., Whipple, R., Amerman, P., Kleinberg, A., 1986. Stressing the postural response: a quantitative method for testing balance. Journal of the American Geriatrics Society 34, 845-850.