Evidence map›Paper›PMID 19806286›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2009

Hip protectors: recommendations for biomechanical testing--an international consensus statement (part I).

S N Robinovitch, S L Evans, J Minns, A C Laing, P Kannus, P A Cripton, S Derler, S J Birge, D Plant, I D Cameron and 4 more

Abstract readConsensus Statement
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Human fall simulation testing method: where we are.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  2. Test systems for the biomechanical evaluation of hip protectors: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Pooled it
  3. Review
  4. Review
  5. Review
  6. Potential Solutions for the Mitigation of Hip Injuries Caused by Falls in Older Adults: A Narrative Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Review
  7. Article
  8. The Effect of Fall Biomechanics on Risk for Hip Fracture in Older Adults: A Cohort Study of Video-Captured Falls in Long-Term Care.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020
    Article
  9. Effect of fall characteristics on the severity of hip impact during a fall on the ground from standing height.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Article
  10. Biomechanical testing of hip protectors following the Canadian Standards Association express document.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
  11. Article
  12. Sideways fall-induced impact force and its effect on hip fracture risk: a review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Review
  13. Autonomy, choice, patient-centered care, and hip protectors: the experience of residents and staff in long-term care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2014
    Article
  14. Article
  15. Hip protectors: recommendations for conducting clinical trials--an international consensus statement (part II).Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2010
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 13 institutions in 7 countries.

S N RobinovitchSchool of Engineering Science and Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Vancouver, BC, Canada. stever@sfu.ca
S L Evans
J Minns
A C Laing
P Kannus
P A Cripton
S Derler
S J Birge
D Plant
I D Cameron
D P Kiel
J Howland
K Khan
J B Lauritzen
Harvard University · USCardiff University · GBImperial College London · GBNational Health Service · GBSimon Fraser University · CASwiss Federal Laboratories for Materials Science and Technology · CHThe University of Sydney · AUUniversity of British Columbia · CAUniversity of Copenhagen · DKUniversity of Waterloo · CAUrho Kaleva Kekkonen Institute · FIVancouver Coastal Health Research Institute · CAWashington University in St. Louis · US

Funding

Trochanteric Padding to Prevent Hip FracturesR01AG018461 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI KIEL, DOUGLAS P. · 2001 to 2005
$8.6M
CIHR 100487CIHR 103945CIHR 83200NIA NIH HHS R01 AG018461NIA NIH HHS R01 AG18461
6 · The paper itself

Abstract

introductionHip protectors represent a promising strategy for preventing fall-related hip fractures. However, clinical trials have yielded conflicting results due, in part, to lack of agreement on techniques for measuring and optimizing the biomechanical performance of hip protectors as a prerequisite to clinical trials.

methodsIn November 2007, the International Hip Protector Research Group met in Copenhagen to address barriers to the clinical effectiveness of hip protectors. This paper represents an evidence-based consensus statement from the group on recommended methods for evaluating the biomechanical performance of hip protectors. RESULTS AND

conclusionsThe primary outcome of testing should be the percent reduction (compared with the unpadded condition) in peak value of the axial compressive force applied to the femoral neck during a simulated fall on the greater trochanter. To provide reasonable results, the test system should accurately simulate the pelvic anatomy, and the impact velocity (3.4 m/s), pelvic stiffness (acceptable range: 39-55 kN/m), and effective mass of the body (acceptable range: 22-33 kg) during impact. Given the current lack of clear evidence regarding the clinical efficacy of specific hip protectors, the primary value of biomechanical testing at present is to compare the protective value of different products, as opposed to rejecting or accepting specific devices for market use.

Indexed as

Hip JointAccidental FallsEquipment DesignEvidence-Based MedicineHip FracturesHumansMaterials TestingProtective DevicesResearch DesignStress, Mechanical

Identifiers

PMID19806286
PMCPMC3471980
OpenAlexW2078833983

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.