Evidence map›Paper›PMID 32166627›Full record

ArticleAnnals of biomedical engineering2020

Is There an Optimal Recovery Step Landing Zone Against Slip-Induced Backward Falls During Walking?

Shuaijie Wang, Yi-Chung Pai, Tanvi Bhatt

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

3 authors.

Shuaijie WangDepartment of Physical Therapy, University of Illinois at Chicago, 1919, W Taylor St, (M/C 898), Chicago, IL, 60612, USA.
Yi-Chung PaiDepartment of Physical Therapy, University of Illinois at Chicago, 1919, W Taylor St, (M/C 898), Chicago, IL, 60612, USA.
Tanvi BhattDepartment of Physical Therapy, University of Illinois at Chicago, 1919, W Taylor St, (M/C 898), Chicago, IL, 60612, USA. tbhatt6@uic.edu.

Funding

Aging and task-specific training to reduce fallsR01AG050672 · NIA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BHATT, TANVI · 2016 to 2025
$2.9M
PERTURBATION TRAINING FOR FALL-RISK REDUCTION AMONG OLDER ADULTSR01AG044364 · NIA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BHATT, TANVI · 2013 to 2018
$1.5M
NIA NIH HHS R01 AG044364NIA NIH HHS R01-AG044364NIA NIH HHS R01 AG050672NIA NIH HHS R01-AG050672-02
6 · The paper itself

Abstract

Recovery stepping in response to forward slips has the potential to not only rebuild the base of support to prevent backward falling, but also provide extra limb support to prevent downward falling. Hence, recovery stepping is often necessary for fall prevention following an unexpected slip. However, less is known about whether recovery foot placement could affect the likelihood of recovery following a slip. The purpose of this study was to determine whether there is an optimal recovery landing zone within which older adults have a higher likelihood of recovery. 195 participants experienced a novel, unannounced forward slip while walking on a 7-m walkway. The center of mass (COM) stability (computed from its position and velocity), vertical limb support (computed from change in hip kinematics), and recovery limb joint moments (computed from joint kinematics and ground reaction force) in the sagittal plane were analyzed. The results showed that a longer distance between recovery foot landing position and the projected COM position at recovery foot touchdown (relative recovery step placement) was conducive to stability improvement but adverse to limb support enhancement, and vice versa for a shorter distance. Relative recovery step placement could predict the recovery likelihood with an accuracy of 67.3%, and the recovery rate was greater than 50% when the distance between recovery foot and COM is less than 0.3 × foot length. This study also found more posterior stepping could be attributed to insufficient ankle plantar flexor and hip flexor moments in the pre-swing phase, while more anterior stepping was induced by insufficient hip and knee extensor moments in the following swing phase.

Indexed as

Accidental FallsAgedBiomechanical PhenomenaFootHumansJointsLower ExtremityWalkingJoint momentLimb supportOptimal landing zoneRecovery stepStability

Identifiers

PMID32166627
PMCPMC8314641

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Registered trials

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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.