Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature Review

Understanding sciences behind fall-related hip fractures in older adults is important to develop effective interventions for prevention. The aim of this review is to provide biomechanical understanding and prevention strategies of falls and related hip fractures in older adults, in order to guide...

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Main Authors: Woochol Joseph Choi, Kitaek Lim, Seung-su Kim, Se-young Lee
Format: Article
Language:English
Published: Korean Research Society of Physical Therapy 2021-08-01
Series:Physical Therapy Korea
Subjects:
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author Woochol Joseph Choi
Kitaek Lim
Seung-su Kim
Se-young Lee
author_facet Woochol Joseph Choi
Kitaek Lim
Seung-su Kim
Se-young Lee
author_sort Woochol Joseph Choi
collection DOAJ
description Understanding sciences behind fall-related hip fractures in older adults is important to develop effective interventions for prevention. The aim of this review is to provide biomechanical understanding and prevention strategies of falls and related hip fractures in older adults, in order to guide future research directions from biomechanical perspectives. While most hip fractures are due to a fall, a few of falls are injurious causing hip fractures, and most falls are non-injurious. Fall mechanics are important in determining injurious versus non-injurious falls. Many different biomechanical factors contribute to the risk of hip fracture, and effects of each individual factors are known well. However, combining effects, and correlation and causation among the factors are poorly understood. While fall prevention interventions include exercise, vision correction, vitamin D intake and environment modification, injury prevention strategies include use of hip protectors, compliant flooring and safe landing strategies, vitamin D intake and exercise. While fall risk assessments have well been established, limited efforts have been made for injury risk assessments. Better understanding is necessary on the correlation and causation among factors affecting the risk of falls and related hip fractures in older adults. Development of the hip fracture risk assessment technique is required to establish more efficient intervention models for fall-related hip fractures in older adults.
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spelling doaj.art-a3c92fa5ae0e41319d97029d20a7e5bb2024-04-09T01:55:24ZengKorean Research Society of Physical TherapyPhysical Therapy Korea1225-89622287-982X2021-08-0128316116710.12674/ptk.2021.28.3.161Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature ReviewWoochol Joseph Choi0https://orcid.org/0000-0002-6623-3806Kitaek Lim1Seung-su Kim2Se-young Lee3Injury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University, Wonju, KoreaInjury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University, Wonju, KoreaInjury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University, Wonju, KoreaInjury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University, Wonju, KoreaUnderstanding sciences behind fall-related hip fractures in older adults is important to develop effective interventions for prevention. The aim of this review is to provide biomechanical understanding and prevention strategies of falls and related hip fractures in older adults, in order to guide future research directions from biomechanical perspectives. While most hip fractures are due to a fall, a few of falls are injurious causing hip fractures, and most falls are non-injurious. Fall mechanics are important in determining injurious versus non-injurious falls. Many different biomechanical factors contribute to the risk of hip fracture, and effects of each individual factors are known well. However, combining effects, and correlation and causation among the factors are poorly understood. While fall prevention interventions include exercise, vision correction, vitamin D intake and environment modification, injury prevention strategies include use of hip protectors, compliant flooring and safe landing strategies, vitamin D intake and exercise. While fall risk assessments have well been established, limited efforts have been made for injury risk assessments. Better understanding is necessary on the correlation and causation among factors affecting the risk of falls and related hip fractures in older adults. Development of the hip fracture risk assessment technique is required to establish more efficient intervention models for fall-related hip fractures in older adults.biomechanicsfallship fracturespreventionrisk assessment
spellingShingle Woochol Joseph Choi
Kitaek Lim
Seung-su Kim
Se-young Lee
Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature Review
Physical Therapy Korea
biomechanics
falls
hip fractures
prevention
risk assessment
title Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature Review
title_full Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature Review
title_fullStr Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature Review
title_full_unstemmed Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature Review
title_short Science of Falling and Injury in Older Adults - Do All Falls Lead to Death?: Literature Review
title_sort science of falling and injury in older adults do all falls lead to death literature review
topic biomechanics
falls
hip fractures
prevention
risk assessment
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AT kitaeklim scienceoffallingandinjuryinolderadultsdoallfallsleadtodeathliteraturereview
AT seungsukim scienceoffallingandinjuryinolderadultsdoallfallsleadtodeathliteraturereview
AT seyounglee scienceoffallingandinjuryinolderadultsdoallfallsleadtodeathliteraturereview