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ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2024

Investigating the relationship between sagittal spinal curvature and fall incidence and fall risk among elderly nursing home residents.

Samaneh Osanlou, Hadi Miri, Jeanne F Nichols, Mahdi Hosseinzadeh

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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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. The psychometric properties of the Dubousset Functional Test in patients with thoracic hyperkyphosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
4 · The record

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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

4 authors.

Samaneh OsanlouDepartment of Physical Education and Sports Sciences, Raja University, Qazvin, Iran.
Hadi MiriDepartment of Physical Education and Sport Sciences, Amir Kabir University of Technology, Tehran, Iran.
Jeanne F NicholsExercise and Physical Activity Resource Center (EPARC), Graduate School of Public Health & Human Longevity Science, University of California, San Diego, California, USA.
Mahdi HosseinzadehDepartment of Sport Injuries and Corrective Exercises, Sport Sciences Research Institute, No. 3, 5Th Alley, Miremad Street, Motahhari Street, Tehran, Iran. Metti@ssrc.ac.ir.ORCID http://orcid.org/0000-0001-6019-8205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Designing appropriate diagnostic and treatment methods to reduce fall risk and improve quality of life, as well as reduce the cost of care in elderlies. Our findings have potential for early diagnosis of those with a high probability of falling based on fairly simple clinical measures of hyperkyphosis, forward head, and lordosis.

introductionPoor balance is an underlying cause of falling in the elderly, for which a change in the natural curvature of the spine plays a major role. Little is known about the relationship between spinal curvatures and fall incidence in this population. We primarily aimed to investigate the relationship between sagittal plane spinal curvatures and fall incidence over 1 year among nursing facility residents. Secondarily, we aim to determine associations of sagittal plane spinal curvatures with participants' perception of fall risk and balance capability.

methodsParticipants (100 residents mean age 70.17 ± 6.01 years) underwent standing measures of sagittal plane spinal curvatures (flexible ruler technique) and forward displacement of the head relative to the cervical spine. The Tinetti Performance Oriented Mobility Assessment (POMA) and Fall Efficacy Scale assessed participants' perception of balance and fear of falling. Incident falls were self-reported monthly and tracked across 1 year. Spearman's correlations and logistic regression evaluated associations between fall incidence and spinal curvature. Predictive performance of spinal curvature and fall risk was determined by the corresponding ROC for defining a cut-off for variables of spinal curvature and fall risk indicators.

resultsPredictive performance of spinal curvature and fall risk factors indicated 84% and 77% of participants were correctly classified using models of kyphosis and head angle, respectively.

conclusionsOur study adds new data on spinal curvatures and incident falls among nursing facility residents. Efforts are needed to intervene to counter progression of spinal curvatures and improve fall prevention practices.

Indexed as

Accidental FallsHomes for the AgedNursing HomesPostural BalanceSpinal CurvaturesAgedAged, 80 and overFemaleGeriatric AssessmentHumansIncidenceKyphosisMaleMiddle AgedRisk AssessmentRisk FactorsFall incidenceFall riskHyperkyphosisOlder adultsPostural control

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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.