Can martial arts techniques reduce fall severity? An in vivo study of femoral loading configurations in sideways falls

Journal of Biomechanics

Volumn 45, Issue 9, 2012, Pages 1650-1655

  van der Zijden, A M ^a,b   Groen, B E ^a   Tanck, E ^b   Nienhuis, B ^a   Verdonschot, N ^b,c   Weerdesteyn, V ^a,b  

^a Sint Maartenskliniek ^*  (Netherlands)

^b RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

^c UNIVERSITY OF TWENTE   (Netherlands)

Author keywords

Fall techniques; Femoral fracture risk; Hip impact force; Loading conditions; Sideways falls

Indexed keywords

FALL TECHNIQUES; FEMORAL FRACTURES; IMPACT FORCE; LOADING CONDITION; SIDEWAYS FALLS;

FRACTURE; LOADS (FORCES); PHYSIOLOGICAL MODELS; STRESS ANALYSIS;

LOADING;

ADULT; ANALYTICAL PARAMETERS; ARTICLE; BODY POSITION; CONTROLLED STUDY; DISEASE SEVERITY; FALLING; FEMALE; FORCE; HIP; HUMAN; HUMAN EXPERIMENT; IMPACT FORCE; IN VIVO STUDY; KINEMATICS; LOADING CONFIGURATION; MALE; NORMAL HUMAN; PRIORITY JOURNAL; RISK REDUCTION; SPORT; STATISTICAL ANALYSIS;

ACCIDENTAL FALLS; ADOLESCENT; ADULT; BIOMECHANICS; FEMALE; FEMORAL FRACTURES; HIP; HUMANS; MALE; MARTIAL ARTS; WEIGHT-BEARING; YOUNG ADULT;

EID: 84861182110     PISSN: 00219290     EISSN: 18732380     Source Type: Journal    
DOI: 10.1016/j.jbiomech.2012.03.024     Document Type: Article

References (30)

1. Backman S. The proximal end of the femur: investigations with special reference to the etiology of femoral neck fractures; anatomical studies; roentgen projections; theoretical stress calculations; experimental production of fractures. Acta Radiologica Supplement 1957, 146:1-166.
2. Choi W.J., Hoffer J.A., Robinovitch S.N. The effect of positioning on the biomechanical performance of soft shell hip protectors. Journal of Biomechanics 2010, 43(5):818-825.
3. Courtney A.C., Wachtel E.F., Myers E.R., Hayes W.C. Effects of loading rate on strength of the proximal femur. Calcified Tissue International 1994, 55(1):53-58.
4. Cummings S.R., Melton L.J. Epidemiology and outcomes of osteoporotic fractures. Lancet 2002, 359(9319):1761-1767.
5. DeGoede K.M., Ashton-Miller J.A. Fall arrest strategy affects peak hand impact force in a forward fall. Journal of Biomechanics 2002, 35(6):843-848.
6. Della Croce U., Leardini A., Chiari L., Cappozzo A. Human movement analysis using stereophotogrammetry. Part 4: assessment of anatomical landmark misplacement and its effects on joint kinematics. Gait and Posture 2005, 21(2):226-237.
7. Greenspan S.L., Myers E.R., Kiel D.P., Parker R.A., Hayes W.C., Resnick N.M. Fall direction, bone mineral density, and function: risk factors for hip fracture in frail nursing home elderly. American Journal of Medicine 1998, 104(6):539-545.
8. Greenspan S.L., Myers E.R., Maitland L.A., Resnick N.M., Hayes W.C. Fall severity and bone-mineral density as risk-factors for hip fracture in ambulatory elderly. JAMA-Journal of the American Medical Association 1994, 271(2):128-133.
9. Groen B.E., Smulders E., de Kam D., Duysens J., Weerdesteyn V. Martial arts fall training to prevent hip fractures in the elderly. Osteoporosis International 2010, 21(2):215-221.
10. Groen B.E., Weerdesteyn V., Duysens J. Martial arts fall techniques decrease the impact forces at the hip during sideways falling. Journal of Biomechanics 2007, 40(2):458-462.
11. Hayes W.C., Myers E.R., Robinovitch S.N., van den Kroonenberg A., Courtney A.C., McMahon T.A. Etiology and prevention of age-related hip fractures. Bone 1996, 18(1):S77-S86.
12. Jarvinen T.L.N., Sievanen H., Khan K.M., Heinonen A., Kannus P. Shifting the focus in fracture prevention from osteoporosis to falls. British Medical Journal 2008, 336(7636):124-126.
13. Johnell O., Kanis J.A. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporosis International 2006, 17(12):1726-1733.
14. Kannus P., Leiponen P., Parkkari J., Palvanen M., Jarvinen M. A sideways fall and hip fracture. Bone 2006, 39(2):383-384.
15. Kannus P., Parkkari J., Koskinen S., Niemi S., Palvanen M., Jarvinen M., Vuori I. Fall-induced injuries and deaths among older adults. Journal of the American Medical Association 1999, 281(20):1895-1899.
16. Keyak J.H., Skinner H.B., Fleming J.A. Effect of force direction on femoral fracture load for two types of loading conditions. Journal of Orthopaedic Research 2001, 19(4):539-544.
17. Laing A.C., Robinovitch S.N. The force attenuation provided by hip protectors depends on impact velocity, pelvic size, and soft tissue stiffness. Journal of Biomechanical Engineering-Transactions of the ASME 2008, 130(6).
18. Leibson C.L., Tosteson A.N.A., Gabriel S.E., Ransom J.E., Melton L.J. Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study. Journal of the American Geriatrics Society 2002, 50(10):1644-1650.
19. Lo J., Ashton-Miller J.A. Effect of pre-impact movement strategies on the impact forces resulting from a lateral fall. Journal of Biomechanics 2008, 41(9):1969-1977.
20. Magaziner J., Lydick E., Hawkes W., Fox K.M., Zimmerman S.I., Epstein R.S., Hebel J.R. Excess mortality attributable to hip fracture in white women aged 70 years and older. American Journal of Public Health 1997, 87(10):1630-1636.
21. Nevitt M.C., Cummings S.R. Type of fall and risk of hip and wrist fractures-the study of osteoporotic fractures. Journal of the American Geriatrics Society 1994, 42(8):909.
22. Parkkari J., Kannus P., Palvanen M., Natri A., Vainio J., Aho H., Vuori I., Jarvinen M. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcified Tissue International 1999, 65(3):183-187.
23. Pinilla T.P., Boardman K.C., Bouxsein M.L., Myers E.R., Hayes W.C. Impact direction from a fall influences the failure load of the proximal femur as much as age-related bone loss. Calcified Tissue International 1996, 58(4):231-235.
24. Robinovitch S.N., Brumer R., Maurer J. Effect of the "squat protective response" on impact velocity during backward falls. Journal of Biomechanics 2004, 37(9):1329-1337.
25. Robinovitch S.N., Inkster L., Maurer J., Warnick B. Strategies for avoiding hip impact during sideways falls. Journal of Bone and Mineral Research 2003, 18(7):1267-1273.
26. Sabick M.B., Hay J.G., Goel V.K., Banks S.A. Active responses decrease impact forces at the hip and shoulder in falls to the side. Journal of Biomechanics 1999, 32(9):993-998.
27. Smulders E., 2011. Falls in Rheumatic Diseases. Risk Factors and Preventive Strategies in Osteoporosis and Rheumatoid Arthritis. Ph.D. Thesis. Uitgeverij BOXPress, Oisterwijk.
28. van den Kroonenberg A.J., Hayes W.C., McMahon T.A. Hip impact velocities and body configurations for voluntary falls from standing height. Journal of Biomechanics 1996, 29(6):807-811.
29. Weerdesteyn V., Groen B.E., van Swigchem R., Duysens J. Martial arts fall techniques reduce hip impact forces in naive subjects after a brief period of training. Journal of Electromyography and Kinesiology 2008, 18(2):235-242.
30. Youm T., Koval K.J., Kummer F.J., Zuckerman J.D. Do all hip fractures result from a fall?. American Journal of Orthopedics (Belle Mead NJ) 1999, 28(3):190-194.