Evidence map›Paper›PMID 36477785›Full record

Observational studyAge and ageing2022

Protective responses of older adults for avoiding injury during falls: evidence from video capture of real-life falls in long-term care.

Stephen N Robinovitch, Aleksandra Dojnov, Vicki Komisar, Yijian Yang, Nataliya Shishov, Ying Yu, Ian Bercovitz, Michael D Cusimano, Clemens Becker, Dawn C Mackey and 1 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 1% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Guideline
  2. Strategies to Minimize Fall-related Injuries in Older Adults at Risk of Falls: The Falling Safely Training Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Trial
  3. Trial
  4. Relating Real-World Falls to Laboratory Test Conditions.Annals of biomedical engineering · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Role of the Upper Limb in Limiting Head Impact During Laboratory-Induced Falls in at Fall-Risk Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. 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

11 authors at 5 institutions in 3 countries.

Stephen N RobinovitchDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Aleksandra DojnovDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Vicki KomisarDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Yijian YangDepartment of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-5831-186X
Nataliya ShishovDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Ying YuDepartment of Statistics and Actuarial Science, Simon Fraser University, Burnaby, BC, Canada.
Ian BercovitzDepartment of Statistics and Actuarial Science, Simon Fraser University, Burnaby, BC, Canada.
Michael D CusimanoDivision of Neurosurgery, Li Ka Shing Knowledge Institute, Injury Prevention Research Office, St. Michael's Hospital - Unity Health, Toronto, ON, Canada.
Clemens BeckerRobert Bosch Hospital, Stuttgart, Germany.
Dawn C MackeyDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Helen ChongDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Simon Fraser University · CAChinese University of Hong Kong · HKHeidelberg University · DESt. Michael's Hospital · CAUniversity of British Columbia · CA

Funding

CIHR AMG-100487CIHR TEI-138295CIHR TIR-103945
6 · The paper itself

Abstract

backgroundfalls are common in older adults, and any fall from standing height onto a rigid surface has the potential to cause a serious brain injury or bone fracture. Safe strategies for falling in humans have traditionally been difficult to study.

objectiveto determine whether specific 'safe landing' strategies (body rotation during descent, and upper limb bracing) separate injurious and non-injurious falls in seniors.

designobservational cohort study.

settingtwo long-term care homes in Vancouver BC.

methodsvideos of 2,388 falls experienced by 658 participants (mean age 84.0 years; SD 8.1) were analysed with a structured questionnaire. General estimating equations were used to examine how safe landing strategies associated with documented injuries.

resultsinjuries occurred in 38% of falls, and 4% of falls caused injuries treated in hospitals. 32% of injuries were to the head. Rotation during descent was common and protective against injury. In 43% of falls initially directed forward, participants rotated to land sideways, which reduced their odds for head injury 2-fold. Upper limb bracing was used in 58% of falls, but rather than protective, bracing was associated with an increased odds for injury, possibly because it occurred more often in the demanding scenario of forward landings.

conclusionsthe risk for injury during falls in long-term care was reduced by rotation during descent, but not by upper limb bracing. Our results expand our understanding of human postural responses to falls, and point towards novel strategies to prevent fall-related injuries.

Indexed as

Accidental FallsLong-Term CareAgedAged, 80 and overHumansfallsinjuryolder adultsolder peopleprotective responsesvideo capture

Identifiers

PMID36477785
PMCPMC9729006
OpenAlexW4311168495

What OpenQuestion holds

Textmetadata
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.