Evidence map›Paper›PMID 36867950›Full record

ArticleJournal of biomechanics2023

Correlations between reach, lean and ladder tipping risk.

Christopher L Deschler, Erika M Pliner, Daina L Sturnieks, Stephen R Lord, Kurt E Beschorner

Abstract read
In one paragraph

Article in Journal of biomechanics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Christopher L DeschlerDepartment of Bioengineering, University of Pittsburgh, 301 Schenley Place, 4420 Bayard St, Pittsburgh, PA 15213, United States.
Erika M PlinerDepartment of Bioengineering, University of Pittsburgh, 301 Schenley Place, 4420 Bayard St, Pittsburgh, PA 15213, United States; Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia. Electronic address: erikapliner@ufl.edu.
Daina L SturnieksFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia; School of Biomedical Sciences, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia. Electronic address: d.sturnieks@neura.edu.au.
Stephen R LordFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia; School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia. Electronic address: s.lord@neura.edu.au.
Kurt E BeschornerDepartment of Bioengineering, University of Pittsburgh, 301 Schenley Place, 4420 Bayard St, Pittsburgh, PA 15213, United States.

Funding

Predicting slips during ladder climbing: novel methods for assessing shoe-rung frictionR01OH011799 · OH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BESCHORNER, KURT E · 2020 to 2023
$1.8M
Efficacy of balance training with intermittent sensory perturbationsF32AG072808 · NIA · UNIVERSITY OF FLORIDA · PI PLINER, ERIKA M · 2021 to 2023
$145k
NIA NIH HHS F32 AG072808NIOSH CDC HHS R01 OH011799
6 · The paper itself

Abstract

Overreaching is a common cause of ladder falls, which occur frequently among older adults in the domestic setting. Reaching and body leaning during ladder use likely influence the climber-ladder combined center of mass and subsequently center of pressure (COP) position (location of the resultant force acting at the base of the ladder). The relationship between these variables has not been quantified, but is warranted to assess ladder tipping risk due to overreaching (i.e. COP traveling outside the ladder's base of support). This study investigated the relationships between participant maximum reach (hand position), trunk lean, and COP during ladder use to improve assessment of ladder tipping risk. Older adults (n = 104) were asked to perform a simulated roof gutter clearing task while standing on a straight ladder. Each participant reached laterally to clear tennis balls from a gutter. Maximum reach, trunk lean, and COP were captured during the clearing attempt. COPwas positively correlated withmaximum reach(p < 0.001; r = 0.74) and trunk lean (p < 0.001; r = 0.85). Maximum reach was positively correlated with trunk lean (p < 0.001; r = 0.89). The relationship between trunk lean and COP was stronger than that between maximum reach and COP, denoting the importance of body positioning on ladder tipping risk. For this experimental setup, regression estimates indicate reaching and lean distance of 113 cm and 29 cm from the ladder midline, respectively, would lead to ladder tipping on average. These findings assist with developing thresholds of unsafe reaching and leaning on a ladder, which can aid in reducing ladder falls.

Indexed as

HandPostural BalanceAgedHumansAnd fallsBalanceLadder fallsReachingSlipsTrips

Identifiers

PMID36867950
PMCPMC13312277

What OpenQuestion holds

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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.