ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2020
The Effect of Fall Biomechanics on Risk for Hip Fracture in Older Adults: A Cohort Study of Video-Captured Falls in Long-Term Care.
Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05245097 (Mitigation of Major Hip Injury Due to Fall in an At-Risk, Older Adult Population With a Wearable Smart Belt), which is not on this map. Cited by 53 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Mitigation of Major Hip Injury Due to Fall in an At-Risk, Older Adult Population With a Wearable Smart Belt
Who cites it
53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.
- Perturbation-based balance training on treadmills for falls prevention in older adults: a review of training protocols and reporting recommendations (ProRePBT).BMC geriatrics · 2026Pooled it
- 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 · 2025Pooled it
- Characteristics of fragility hip fracture-related falls in the older adults: A systematic review.The journal of nutrition, health & aging · 2024Pooled it
- Does hip protector prevent falls and hip fractures? An umbrella review of meta-analyses.BMC geriatrics · 2024Pooled it
- Abdominal aortic calcification and skeletal outcomes in hospitalized patients with surgically treated fragility fractures: a retrospective cohort study.Archives of osteoporosis · 2026Article
- DXA-derived biofidelic finite element models for quantifying the efficacy of hip protectors.JBMR plus · 2026Article
- AI-driven appendicular skeletal muscle mass index (ASMI) prediction and low muscle mass detection from routine hip X-rays: a novel opportunistic case finding tool.European geriatric medicine · 2026Article
- To fall or not to fall: the question of hip fracture prevention.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026Article
- Fall Prevention Interventions and Fracture Risk in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.Clinics and practice · 2026Review
- Associations Between Health Literacy, Environmental Factors, and Fall Prevention Behaviors Among Community-Dwelling Older Adults in Northern Thailand: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- The Association Between Spinopelvic Parameters and Hip Fracture Types.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Neural mechanisms underlying the effects of visual input on static balance in older adults with mild cognitive impairment.Frontiers in neuroscience · 2026Article
- Validity of multiple human pose estimation tools for measuring knee impact angles in video-captured falls of older adults.PloS one · 2026Article
- Beyond bone density: toward an integrated bone- muscle-function framework for fragility fracture prevention.Frontiers in medicine · 2026Article
- Neuromuscular characteristics of dynamic balance control in patients with sarcopenia: a combined analysis of surface electromyography and limits of stability.Frontiers in aging neuroscience · 2026Article
- Longitudinal trajectories of total, cognitive-affective, and somatic depressive symptoms in relation to hip fracture risk: evidence from the HRS and ELSA cohorts.Frontiers in public health · 2026Article
- Association of Fall Timing and Location With Clinical Characteristics in Geriatric Hip Fracture Patients: A Cross-Sectional Study.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Risk of fragility fracture of pelvis in endometrial cancer survivors : A national claim database study.Archives of osteoporosis · 2025Article
- Examination of Proprioceptive Reliance During Backward Walking in Individuals With Multiple Sclerosis.Journal of neurologic physical therapy : JNPT · 2025Article
- Hip Fractures: Clinical, Biomaterial and Biomechanical Insights into a Common Health Challenge.Bioengineering (Basel, Switzerland) · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
Over 95% of hip fractures in older adults are caused by falls, yet only 1% to 2% of falls result in hip fracture. Our current understanding of the types of falls that lead to hip fracture is based on reports by the faller or witness. We analyzed videos of real-life falls in long-term care to provide objective evidence on the factors that separate falls that result in hip fracture from falls that do not. Between 2007 and 2018, we video-captured 2377 falls by 646 residents in two long-term care facilities. Hip fracture was documented in 30 falls. We analyzed each video with a structured questionnaire, and used generalized estimating equations (GEEs) to determine relative risk ratios (RRs) for hip fracture associated with various fall characteristics. All hip fractures involved falls from standing height, and pelvis impact with the ground. After excluding falls from lower than standing height, risk for hip fracture was higher for sideways landing configurations (RR = 5.50; 95% CI, 2.36-12.78) than forward or backward, and for falls causing hip impact (3.38; 95% CI, 1.49-7.67). However, hip fracture risk was just as high in falls initially directed sideways as forward (1.14; 95% CI, 0.49-2.67), due to the tendency for rotation during descent. Falling while using a mobility aid was associated with lower fracture risk (0.30; 95% CI, 0.09-1.00). Seventy percent of hip fractures involved impact to the posterolateral aspect of the pelvis. Hip protectors were worn in 73% of falls, and hip fracture risk was lower in falls where hip protectors were worn (0.45; 95% CI, 0.21-0.99). Age and sex were not associated with fracture risk. There was no evidence of spontaneous fractures. In this first study of video-captured falls causing hip fracture, we show that the biomechanics of falls involving hip fracture were different than nonfracture falls for fall height, fall direction, impact locations, and use of hip protectors. © 2020 The Authors. Journal of Bone and Mineral Research published by American Society for Bone and Mineral Research.
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Registered trials
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.