Evidence map›Paper›PMID 40243432›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2025

Strategies to Minimize Fall-related Injuries in Older Adults at Risk of Falls: The Falling Safely Training Study.

Tobia Zanotto, Lingjun Chen, James R Fang, Abbas Tabatabaei, Jianghua He, Shelley B Bhattacharya, Neil B Alexander, Jacob J Sosnoff

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2025. 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

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

1 citing paper in PubMed.

  1. 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

8 authors.

Tobia ZanottoDepartment of Occupational Therapy Education, School of Health Professions, University of Kansas Medical Center, Kansas City, Kansas, USA.ORCID 0000-0002-6571-4763
Lingjun ChenLandon Center on Aging, University of Kansas Medical Center, Kansas City, Kansas, USA.ORCID 0000-0003-1649-2436
James R FangLandon Center on Aging, University of Kansas Medical Center, Kansas City, Kansas, USA.
Abbas TabatabaeiDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, Kansas City, Kansas, USA.
Jianghua HeDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, Kansas, USA.
Shelley B BhattacharyaDepartment of Family & Community Medicine, School of Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Neil B AlexanderVA Ann Arbor Healthcare System Geriatric Research, Education and Clinical Center (GRECC), Ann Arbor, Michigan, USA.
Jacob J SosnoffLandon Center on Aging, University of Kansas Medical Center, Kansas City, Kansas, USA.

Funding

Kansas University Training Program in Neurological and Rehabilitation SciencesT32HD057850 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Jacob J. Sosnoff · 2009 to 2026
$3.4M
Minimizing Fall-Related Injury in Older Adults: a motor learning approachR21AG073892 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SOSNOFF, JACOB J. · 2021 to 2022
$429k
National Multiple Sclerosis Society MB-1807-31633NIA NIH HHS R21 AG073892NICHD NIH HHS T32 HD057850NIH HHS 1R21AG073892-01NIH HHS T32HD057850
6 · The paper itself

Abstract

backgroundFalls are the leading cause of accidental injury among older adults. Current fall prevention programs are useful but do not target the key variable for injury (ie, impact force). An approach, which has shown promise in robust older adults, is to teach safe-falling strategies to reduce impact forces. In this single-anonymized, pilot randomized controlled trial, we explored the feasibility and preliminary efficacy of a safe-falling program.

methodsTwenty-four older adults at risk of injurious falls were randomly assigned either to Falling Safely Training (FAST), a standardized progressive training of safe-falling strategies, or an active control group consisting of evidence-based balance training. Participants underwent a series of experimentally induced falls at baseline, after the 4-week intervention, and 3 months after the intervention. Hip and head acceleration (proxies of impact force) and the number of head impacts experienced during the falls were collected.

resultsNo adverse events were reported, and 11 of 12 FAST participants completed the intervention. The FAST group had a greater reduction in the number of fall-related head impacts following the intervention (odds ratio = 0.10, 95% CI: 0.02, 0.61, p = .012). This improvement coincided with a significant reduction in head acceleration in the FAST group compared to control (between-group mean difference = -9.54 m/s2, p = .028). Hip acceleration decreased significantly in both groups (ps < .001).

conclusionsTeaching older adults at risk of falls safe-falling strategies is safe and feasible and has the potential to minimize fall-related head impacts and reduce fall morbidity.

Indexed as

Accidental FallsWounds and InjuriesAgedAged, 80 and overFeasibility StudiesFemaleHumansMalePilot ProjectsPostural BalanceAccidental injuryAccident preventionAgingFallsMotor skill learning

Identifiers

PMID40243432
PMCPMC12199160

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.