• Title/Summary/Keyword: The Fall

Search Result 7,952, Processing Time 0.035 seconds

The Effect on the Hip Muscle Activation of the Fall Direction and Knee Position During a Fall

  • Lee, Kwang Jun;Lim, Kitaek;Choi, Woochol Joseph
    • Physical Therapy Korea
    • /
    • v.28 no.1
    • /
    • pp.84-91
    • /
    • 2021
  • Background: A hip fracture may occur spontaneously prior to the hip impact, due to the muscle pulling force exceeding the strength of the femur. Objects: We conducted falling experiments with humans to measure the activity of the hip muscles, and to examine how this was affected by the fall type. Methods: Eighteen individuals fell and landed sideways on a mat, by mimicking video-captured real-life older adults' falls. Falling trials were acquired with three fall directions: forward, backward, or sideways, and with three knee positions at the time of hip impact, where the landing side knee was free of constraint, or contacted the mat or the contralateral knee. During falls, the activities of the iliopsoas (Ilio), gluteus medius (Gmed), gluteus maximus (Gmax) and adductor longus (ADDL) muscles were recorded. Outcome variables included the time to onset, activity at the time of hip impact, and timing of the peak activity with respect to the time of hip impact. Results: For Ilio, Gmed, Gmax, and ADDL, respectively, EMG onset averaged 292, 304, 350, and 248 ms after fall initiation. Timing of the peak activity averaged 106, 96, 84, and 180 ms prior to the hip impact, and activity at the time of hip impact averaged 72.3, 45.2, 64.3, and 63.4% of the peak activity. Furthermore, the outcome variables were associated with fall direction and/or knee position in all but the iliopsoas muscle. Conclusion: Our results provide insights on the hip muscle activation during a fall, which may help to understand the potential injury mechanism of the spontaneous hip fracture.

Effects of Long Term Care Hospital Care-givers' Fall Prevention Self Efficacy and Fall Prevention Health Belief on Fall Prevention Awareness (요양병원 간병사의 낙상예방효능감과 낙상예방건강신념이 낙상예방인지도에 미치는 영향)

  • Jung, Ji-Young;Park, Yoon-Ji;Jung, Gye Hyun
    • The Journal of the Korea Contents Association
    • /
    • v.15 no.2
    • /
    • pp.333-343
    • /
    • 2015
  • The purpose of this study is to investigate the factors that affect the fall prevention awareness of care-givers working at long-term care hospitals. A convenience sampling method was used to select care-givers who worked at 7 different long term care hospitals which were located in D city and N city. Data were collected from July 2014 to August 2014. 200 data were used for analysis out of 215 data which were collected. The hierarchical regression analysis reveals the following results: Firstly, the effects of care-givers' education level, certificate status, period of work experience and fall-related learning hours on their fall prevention awareness level were statistically significant. Secondly, among fall prevention health beliefs, perceived benefit, perceived disability, perceived sensitivity and self-efficacy were positively related to the level of fall prevention awareness. Thirdly, while such factors as perceived benefit, perceived sensitivity and self-efficacy showed positive effects on the fall prevention awareness, the period of work experience had negative effects. The regression model shows the power of explanation of 31.7 percents. In conclusion, the study suggests a fine-tuned program to improve care-givers' fall prevention awareness in a way of promoting fall prevention self-efficacy, perceived benefits and perceived sensitivity while considering the care-givers' period of work experience.

Fall experience and dual-task during gait performance for community-dwelling persons with stroke

  • Kim, Min-Kyu;Kim, Eunjeong;Hwang, Sujin;Son, Dongwook
    • Physical Therapy Rehabilitation Science
    • /
    • v.7 no.3
    • /
    • pp.109-113
    • /
    • 2018
  • Objective: The purpose of this study was to investigate the effects of fall experience and task complexity on gait performance in community-dwelling persons with chronic hemiparetic stroke. Design: Cross-sectional study. Methods: Thirty-three persons who had a history of stroke participated in this study. The participants included 18 persons (aged mean 54.0, mean score of 24.6 points on the Montreal Cognitive Assessment, MoCA) with fall experience (faller group) and 15 persons (aged mean 53.7, mean score of 24.7 points on the MoCA) without fall experience (non-faller group) in the previous six months. This study measured balance and gait performance at two different conditions (with/without 70% of water filled in a 200 cc cup). The participants were clinically assessed using the 10-meter walk test (10MWT), 6-minute walk test (6MWT), Berg Balance scale (BBS), Dynamic Gait Index (DGI), and Timed Up-and-Go (TUG) test. Results: After analyzation, persons in the faller group performed significantly better on the 10MWT, 6MWT, BBS, DGI, and the TUG test in the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). The persons in the non-faller group also performed significantly better in all outcome measures with the no-cup-carrying condition than those in the cup-carrying condition (p<0.05). However, there was no interaction between fall experience and task complexity in the two groups. Conclusions: Our results showed that balance and gait performance depended on fall experience and task complexity but fall experience did not interact with task complexity. Clinicians should consider fall prevention and task complexity during therapeutic approaches in persons with hemiparetic stroke.

Effect of Preexisting Musculoskeletal Diseases on the 1-Year Incidence of Fall-related Injuries

  • Lee, Won-Kyung;Kong, Kyoung-Ae;Park, Hye-Sook
    • Journal of Preventive Medicine and Public Health
    • /
    • v.45 no.5
    • /
    • pp.283-290
    • /
    • 2012
  • Objectives: People who have chronic diseases, as well as gait imbalance or psychiatric drug use, may be susceptible to injuries from falls and slips. The purpose of this study was to evaluate the effect of musculoskeletal diseases on incidental fall-related injuries among adults in Korea. Methods: We analyzed data from the 4th Korea National Health and Nutrition Examination Survey (2007-2009), which are national data obtained by a rolling survey sampling method. The 1-year incidence of fall-related injuries was defined by health service utilization within the last year due to injury occurring after a slip and fall, and musculoskeletal diseases included osteoarthritis, rheumatoid arthritis, osteoporosis, and back pain. To evaluate the effects of preexisting musculoskeletal diseases, adults diagnosed before the last year were considered the exposed group, and adults who had never been diagnosed were the unexposed group. Results: The weighted lifetime prevalence of musculoskeletal disease was 32 540 per 100 000 persons. Musculoskeletal diseases were associated with a higher risk of fall-related injury after adjustment for sex, age, residence, household income, education, occupation, visual disturbance, paralysis due to stroke, and medication for depression (odds ratio [OR], 1.41; 95% confidence interval [CI], 1.03 to 1.93). As the number of comorbid musculoskeletal diseases increased, the risk of fall-induced injuries increased (p-value for trend <0.001). In particular, patients who had any musculoskeletal condition were at much higher risk of recurrent fall-related injuries (OR, 6.20; 95% CI, 1.06 to 36.08). Conclusions: One must take into account the risk of fall-related injuries and provide prevention strategies among adults who have musculoskeletal diseases.

Effect of Density Variation of High Tenacity PET Interlace Yarn on the Physical Properties of Pack Style Shock Energy Absorber (고강력 PET Interlace Yarn 밀도변화가 Pack Style Shock Energy Absorber의 물성에 미치는 영향)

  • Cho, Jin Won;Kwon, Sang Jun;Choe, Jong Deok;Kim, Sang Tae;Ji, Byung Chul;Yang, Seong Baek;Yeum, Jeong Hyun
    • Textile Coloration and Finishing
    • /
    • v.27 no.2
    • /
    • pp.132-141
    • /
    • 2015
  • Fall-arrest systems(maximum arrest force and allowable free-fall) have been widely applied to provide a safe stop during fall incidents for various industrial activities. Fabric structure affects on the mechanical properties of shock energy absorber. The object of this study is to perform the basic research for the evaluation of the capacity of fall arrest energy absorber in relation to the different interlace yarn density. In this work, pack style energy absorber was prepared by weaving 10 types(Interlace yarn density used high tenacity PET 1000D : 60, 59, 58, 57, 56, 55, 54, 53, 52, 51). The paper presents the results of theoretical investigations of the performance of adjustable absorber during fall arrest. Dynamic load tests based on the EU fall protection equipment standard(CE : EN355:2002) were conducted. Results showed that the maximum arrest force by dynamic load test of energy absorber was satisfied with global standard(below 6,000N). Also, Maximum allowable free-fall of energy absorber showed below 1.75m.

Effects of Mental Practice on Balance Ability and Fall Efficacy in Dwelling Elderly Population: Single Subject Design (상상연습이 노인의 균형 능력과 낙상효능감에 미치는 영향 : 단일대상연구)

  • Chung, Jun-Chul;Jung, Hae-Yoon;Lee, Chang-Dae;Yoo, Eun-Young
    • The Journal of Korean society of community based occupational therapy
    • /
    • v.5 no.2
    • /
    • pp.31-42
    • /
    • 2015
  • Objective : The aim of this study is to prove the effects of mental practice in balance ability of elderly population, and to investigate the possibility of application as an effective intervention method for fall prevention. Methods : This study provided mental practice to 3 subjects over 65 years old who have experienced fall, but do not have cognitive dysfunctions and independent in gait without any use of assistive devices from July to October, 2013. Within the individual case study, 4 sessions of initial baseline process (A), 5 sessions of mental practice (B), 4 sessions of re-initial baseline process (A') were proceeded using ABA design. Independent variable used mental practice for enhancing balance ability and fall efficacy in elderly population, and dependent variable were Berg Balance Scale (BBS) to find out the change in overall balance ability, Fall Efficacy Scale (FES) to see the change in fall efficacy, One-Leg Standing test(OLS), and Timed Up and Go Test (TUG) to determine the changes in both static and dynamic balance. Analysis of the results were provided via mean value and graph. Results : After the application of mental practice method, all of the subjects have shown increase in fall efficacy baseline values, and in addition, overall balance ability and both static and dynamic balances either increased or maintained. Conclusion : This study demonstrated that mental practice has positive effects on fall efficacy improvement and maintenance in elderly, thereby suggesting mental practice for fall prevention in elderly populations.

Threshold-based Pre-impact Fall Detection and its Validation Using the Real-world Elderly Dataset (임계값 기반 충격 전 낙상검출 및 실제 노인 데이터셋을 사용한 검증)

  • Dongkwon Kim;Seunghee Lee;Bummo Koo;Sumin Yang;Youngho Kim
    • Journal of Biomedical Engineering Research
    • /
    • v.44 no.6
    • /
    • pp.384-391
    • /
    • 2023
  • Among the elderly, fatal injuries and deaths are significantly attributed to falls. Therefore, a pre-impact fall detection system is necessary for injury prevention. In this study, a robust threshold-based algorithm was proposed for pre-impact fall detection, reducing false positives in highly dynamic daily-living movements. The algorithm was validated using public datasets (KFall and FARSEEING) that include the real-world elderly fall. A 6-axis IMU sensor (Movella Dot, Movella, Netherlands) was attached to S2 of 20 healthy adults (aged 22.0±1.9years, height 164.9±5.9cm, weight 61.4±17.1kg) to measure 14 activities of daily living and 11 fall movements at a sampling frequency of 60Hz. A 5Hz low-pass filter was applied to the IMU data to remove high-frequency noise. Sum vector magnitude of acceleration and angular velocity, roll, pitch, and vertical velocity were extracted as feature vector. The proposed algorithm showed an accuracy 98.3%, a sensitivity 100%, a specificity 97.0%, and an average lead-time 311±99ms with our experimental data. When evaluated using the KFall public dataset, an accuracy in adult data improved to 99.5% compared to recent studies, and for the elderly data, a specificity of 100% was achieved. When evaluated using FARSEEING real-world elderly fall data without separate segmentation, it showed a sensitivity of 71.4% (5/7).

The diet of three commercial fishes based on stomach contents in the Yellow Sea

  • Heeyong Kim;Wongyu Park;Jung Hwa Choi
    • Fisheries and Aquatic Sciences
    • /
    • v.26 no.10
    • /
    • pp.628-636
    • /
    • 2023
  • Stomach contents of three commercially important species, anchovy (Engraulis japonica), small yellow croaker (Larimichthys polyactis) and yellow goosefish (Lophius litulon) were analyzed to investigate difference of prey between Spring and Fall. Trawl surveys for target fishes were conducted at 12 stations by the RV Tamgu-8 in the Yellow Sea-Korean side in Spring and Fall 2008 as a part of the United Nations Development Programme/Global Environment Facility (UNDP/GEF), Yellow Sea Large Marine Ecosystem (YSLME) survey. Stomach contents of 50 individuals of each species were analyzed to species level of prey, if the number of specimens was more than 50 for each species. Fullness and digestion condition of stomach contents were determined by five and six levels, respectively. In anchovy stomachs, 23 species in Spring and 15 species in Fall were identified, respectively. Stomach contents were mostly occupied by copepods and euphausiids, mostly Euphausia spp., calyptopis in Spring while by copepods and amphipods in Fall. In small yellow croaker stomachs, 23 species in Spring and 11 species in Fall were identified. Stomach contents were mostly occupied by copepods and euphausiids in Spring, but by only euphausiids in Fall. Total 368 yellow goosefish (151 in Spring and 217 in Fall) were captured, but stomach contents only in Fall were analyzed. Most of stomach contents were anchovy with small proportion of Hakodate sand shrimp, Tanaka's snailfish, Pacific cod, and miscellaneous things. The present research unveiled that main food items of plankton feeder were distinctly different by species and seasons in the Yellow Sea-Korean side, as coincided with previous reports.

New Launching Concept for Free-Fall Lifeboats and Validation by Model Experiments and Numerical Simulations

  • Arai, Makoto
    • Journal of Ship and Ocean Technology
    • /
    • v.6 no.1
    • /
    • pp.1-15
    • /
    • 2002
  • A new concept for launching free-fall lifeboats, proposed by Yokohama National University is described in this paper. It has been pointed out that, using the conventional single-skid free-fall system, the potential for dangerous lifeboat motions (in which the lifeboat moves backward or jerks on the surface after entering the water) increases with the fall height of the lifeboat. One of the principal causes of this undesirable motion is vertical rotation of the lifeboat during its restricted fall at the edge of the launching skid. Thus a new "double-skid"launching concept is proposed to effectively eliminate the rotation of the lifeboat at the skid end and to enable the lifeboat to move smoothly after entering the water. In order to evaluate the performance of the proposed method, a series of model experiments and numerical simulations is carried out in which two lifeboat models with overall lengths of 1 meter and 6 meters are used. The effects of design parameters such as skid angle and skid height are investigated, and an example of the implementation of this new system at the stern of a large merchant ship is illustrated.