Minimizing Fall-Related Injury in Older Adults: a motor learning approach
最大限度地减少老年人跌倒相关的伤害:一种运动学习方法
基本信息
- 批准号:10287052
- 负责人:
- 金额:$ 23.26万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-09-05 至 2023-06-30
- 项目状态:已结题
- 来源:
- 关键词:AccelerationAccidental InjuryBalance trainingCessation of lifeCommunitiesCraniocerebral TraumaDataDevelopmentEducational process of instructingEffectivenessElderlyFall preventionFundingFutureGoalsHeadHelmetHip InjuriesHip region structureHourInjuryInterventionInvestigationLearningMeasuresMotionMovementMusculoskeletalParticipantPatternPhaseProceduresProtocols documentationPublic HealthRandomizedRiskRisk ReductionSamplingSeriesStandardizationTechniquesTestingTissuesTrainingTraining ProgramsTranslationsbasebone strengthequilibration disorderevidence baseexercise programfall injuryfall riskfallsfollow-uphigh rewardhigh riskinjury preventioninjury-related deathinnovationminimal riskmotor learningnovelnovel strategiesparticipant safetypower analysispragmatic trialpreventprogramsproject-based learningrisk minimizationsafety and feasibilitystandard careyoung adult
项目摘要
PROJECT SUMMARY
Falls are the leading cause of accidental injury and death among older adults. Fall related injuries occur when
the impact force of the fall is greater than tissue strength. An alternative approach to current practice is
teaching older adults protective movements that reduce the impact force when they to fall. This high risk/high
reward approach is fundamentally different from traditional approaches in injury prevention.
There is evidence that teaching safe landing strategies (i.e. movement patterns) can significantly reduce hip
impact forces and head acceleration in young adults. Recent pilot data suggests that older adults can learn to
fall so that they minimize their impact forces and head acceleration. However, the sample was limited to older
adults with minimal risk of falls. Consequently it is not clear if older adults at risk of falls can safely learn to fall
safely.
The ultimate goal of this innovative proposal is to set the stage for the development of a novel approach to
reduce fall related injuries in older adults. The immediate goal of this proposed R21 is to determine the
feasibility of Falling Safely Training program in an at-fall risk older adult group, the key measureable stages of
FAST mastery, and, most importantly, the effect size, compared to Otago Exercise Program (an evidence-
based fall risk reduction program) controls, to inform a larger future trial. The current investigation, is a
necessary step, to determine if teaching older adults at risk of falls in a standardized progressive program is
safe (Aim 1), and whether at risk older adults can learn to fall with reduced head acceleration and hip impact
forces (Aim 2). 28 participants will be randomized into one of two groups (fall training or balance training). All
participants will perform standardized sideway falls and have their hip impact and head acceleration quantified
utilizing validated techniques. Participants will undergo 8 standardized progressive training sessions, undergo
baseline and post training assessments and a 3-month follow-up session. Consistent with the principles of
motor learning, learning will be quantified with changes in hip impact force and head acceleration following
training, and 3-month retention. The overall goal of this project is to systematically determine whether training
older adults to fall safely has potential utility as a strategy to reduce fall-related injuries which can be combined
with current fall prevention efforts.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Jacob J. Sosnoff其他文献
Next Steps in Wearable Technology and Community Ambulation in Multiple Sclerosis
- DOI:
10.1007/s11910-019-0997-9 - 发表时间:
2019-09-04 - 期刊:
- 影响因子:5.200
- 作者:
Mikaela L. Frechette;Brett M. Meyer;Lindsey J. Tulipani;Reed D. Gurchiek;Ryan S. McGinnis;Jacob J. Sosnoff - 通讯作者:
Jacob J. Sosnoff
Frailty and Falls in People Living With Multiple Sclerosis
- DOI:
10.1016/j.apmr.2021.10.025 - 发表时间:
2022-05-01 - 期刊:
- 影响因子:
- 作者:
Tobia Zanotto;Irina Galperin;Anat Mirelman;Shahar Yehezkiyahu;John Estes;Lingjun Chen;Keren Regev;Arnon Karni;Tanja Schmitz-Hübsch;Friedemann Paul;Sharon G. Lynch;Abiodun E. Akinwuntan;Hannes Devos;Jeffrey M. Hausdorff;Jacob J. Sosnoff - 通讯作者:
Jacob J. Sosnoff
Balance and Gait Alterations Observed More Than 2 Weeks After Concussion
脑震荡后两周以上观察到的平衡和步态变化
- DOI:
10.1097/phm.0000000000001152 - 发表时间:
2019 - 期刊:
- 影响因子:3
- 作者:
Tyler A. Wood;Katherine L. Hsieh;R. An;Randy A. Ballard;Jacob J. Sosnoff - 通讯作者:
Jacob J. Sosnoff
Unplanned gait termination in individuals with multiple sclerosis
- DOI:
10.1016/j.gaitpost.2017.01.016 - 发表时间:
2017-03-01 - 期刊:
- 影响因子:
- 作者:
Kathleen L. Roeing;Yaejin Moon;Jacob J. Sosnoff - 通讯作者:
Jacob J. Sosnoff
Effect of acute unloaded arm versus leg cycling exercise on the soleus <em>H</em>-reflex in adults with multiple sclerosis
- DOI:
10.1016/j.neulet.2010.05.086 - 发表时间:
2010-08-02 - 期刊:
- 影响因子:
- 作者:
Jacob J. Sosnoff;Robert W. Motl - 通讯作者:
Robert W. Motl
Jacob J. Sosnoff的其他文献
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{{ truncateString('Jacob J. Sosnoff', 18)}}的其他基金
Vestibular and neck muscle contributions to head control in response to induced head perturbations and falls in balance-impaired older adults
前庭和颈部肌肉对头部控制的贡献,以应对平衡受损老年人的头部扰动和跌倒
- 批准号:
10789703 - 财政年份:2023
- 资助金额:
$ 23.26万 - 项目类别:
Minimizing Fall-Related Injury in Older Adults: a motor learning approach
最大限度地减少老年人跌倒相关的伤害:一种运动学习方法
- 批准号:
10480865 - 财政年份:2021
- 资助金额:
$ 23.26万 - 项目类别:
Propulsion Mechanics Variability and Shoulder Pain in Manual Wheelchair Users
手动轮椅使用者的推进机制变异性和肩部疼痛
- 批准号:
8110839 - 财政年份:2011
- 资助金额:
$ 23.26万 - 项目类别:
Propulsion Mechanics Variability and Shoulder Pain in Manual Wheelchair Users
手动轮椅使用者的推进机制变异性和肩部疼痛
- 批准号:
8248306 - 财政年份:2011
- 资助金额:
$ 23.26万 - 项目类别:
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