Evidence map›Paper›PMID 40674318›Full record

ArticlePloS one2025

Sternum drop during trip recovery differs between the laboratory and real world - An exploratory pilot study.

Youngjae Lee, Neil B Alexander, Christopher T Franck, Michael L Madigan

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Youngjae LeeGrado Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, Virginia, United States of America.ORCID https://orcid.org/0000-0003-1352-9491
Neil B AlexanderDepartment of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
Christopher T FranckDepartment of Statistics, Virginia Tech, Blacksburg, Virginia, United States of America.
Michael L MadiganGrado Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, Virginia, United States of America.ORCID https://orcid.org/0000-0002-4299-3851

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
NIA NIH HHS P30 AG024824
6 · The paper itself

Abstract

The goal of this exploratory study was to compare sternum drop-the decrease in sternum height during an attempt to recover balance after tripping-between lab-induced trips and naturally occurring real-world trips. Twenty community-dwelling adults 71.8 (4.6) years old used three inertial measurement units (IMUs) and a wrist-worn voice recorder daily for three weeks to capture sternum drop during any naturally-occurring real-world trips. Participants then completed a single laboratory testing session during which they were intentionally exposed to two lab-induced trips while wearing the same IMUs to also evaluate sternum drop. All real-world trips resulted in recoveries while only 12 of the 22 lab-induced trips resulted in recoveries (the remaining 10 were falls). When including all lab-induced trips, sternum drop after real-world trips was 8.8 cm smaller (p < 0.001), exhibited less variance (p < 0.001), and was not associated with lab-induced trips (R2 = 0.005; p = 0.757). When only including lab-induced trips that resulted in recoveries, sternum drop after real-world trips did not differ from the lab (p = 0.163), exhibited less variance (p < 0.001) and was not associated with lab-induced trips (R2 = 0.006; p = 0.766). These results were likely dependent upon 1) our lab protocol that required participants to walk at a gait speed that was likely faster than typical gait speed in the real-world, and 2) the aggressive lab tripping obstacle height of 8.6 cm was likely taller than at least some real-world trips. While reducing gait speed and obstacle height in future laboratory studies may improve agreement with real-world trips, this would lower the physical demands during recovery and may not be as effective at revealing factors contributing to falls. Nevertheless, additional research appears warranted to clarify the linkage between lab and real-world trips. To our knowledge, this is the first study comparing tripping kinematics between the lab and real world.

Indexed as

Accidental FallsPostural BalanceSternumAgedBiomechanical PhenomenaFemaleHumansMalePilot Projects

Identifiers

PMID40674318
PMCPMC12270113

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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.