%0 Journal Article %1 Lo2003 %A Lo, J. %A McCabe, G. N. %A DeGoede, K. M. %A Okuizumi, H. %A Ashton-Miller, J. A. %D 2003 %J Clin Biomech (Bristol, Avon) %K AccidentalFalls Adaptation Physiological physiology Adult Cognition Hand Humans Male Motion PhysicalStimulation methods Posture %N 8 %P 730--736 %T On reducing hand impact force in forward falls: results of a brief intervention in young males. %V 18 %X OBJECTIVE: To test the working hypotheses that after a brief (10 min) intervention, (a) young adults can volitionally reduce fall-related wrist impact forces, and (b) no difference in impact force would exist between intervention and control groups at 3-weeks or 3-months follow-up. BACKGROUND: The wrist is the most commonly fractured site in the body at any age, most often as a result of impact with the ground while arresting a forward fall.Methods. Twenty-nine healthy young male volunteers participated. A 3-month intervention group (n=10) performed five standardized forward falls before and after a 10-min instructional intervention aimed at reducing wrist impact forces during the baseline visit. They, along with a 3-month control group (n=11) who did not receive the intervention, were remeasured in five trials at 3-weeks and 3-months follow-up, without intervening practice. A baseline control group (n=8) performed the five trials, then repeated them at the baseline visit without receiving the intervention. Unilateral body segment kinematics and bilateral hand-ground impact forces were measured and the hypotheses were tested using repeated measures analysis of variance. RESULTS: At the baseline visit, a significant group-by-trial-block interaction was found (P=0.02): the 3-month intervention group reduced their average maximum impact forces by 18\% from initial values (P=0.002); the baseline control group did not do so (0.5\% increase, P=0.91). The 3-month intervention (20 falls) and control (15 falls) groups did not differ at the 3-month follow-up (P=0.62); however, when the groups were combined their maximum impact force had decreased significantly (8.9\%, P=0.04) over that time. CONCLUSIONS: Healthy young males learned in 10 min to significantly reduce wrist impact forces in forward falls, but retention was poor at 3-weeks follow-up. Irrespective of group, however, after the 5 falls at 3-weeks subjects had taught themselves to reduce their impact forces at the 3-months follow-up. RELEVANCE: A brief educational intervention can significantly reduce forward fall-related impact forces in the short term. However, with or without the brief intervention, the experience of performing between 5-10 forward falls 3 weeks apart apparently resulted in decreased impact forces over the next 2 months, thereby reducing the risk of injury in these forward falls.

@article{Lo2003, abstract = {OBJECTIVE: To test the working hypotheses that after a brief (10 min) intervention, (a) young adults can volitionally reduce fall-related wrist impact forces, and (b) no difference in impact force would exist between intervention and control groups at 3-weeks or 3-months follow-up. BACKGROUND: The wrist is the most commonly fractured site in the body at any age, most often as a result of impact with the ground while arresting a forward fall.Methods. Twenty-nine healthy young male volunteers participated. A 3-month intervention group (n=10) performed five standardized forward falls before and after a 10-min instructional intervention aimed at reducing wrist impact forces during the baseline visit. They, along with a 3-month control group (n=11) who did not receive the intervention, were remeasured in five trials at 3-weeks and 3-months follow-up, without intervening practice. A baseline control group (n=8) performed the five trials, then repeated them at the baseline visit without receiving the intervention. Unilateral body segment kinematics and bilateral hand-ground impact forces were measured and the hypotheses were tested using repeated measures analysis of variance. RESULTS: At the baseline visit, a significant group-by-trial-block interaction was found (P=0.02): the 3-month intervention group reduced their average maximum impact forces by 18\% from initial values (P=0.002); the baseline control group did not do so (0.5\% increase, P=0.91). The 3-month intervention (20 falls) and control (15 falls) groups did not differ at the 3-month follow-up (P=0.62); however, when the groups were combined their maximum impact force had decreased significantly (8.9\%, P=0.04) over that time. CONCLUSIONS: Healthy young males learned in 10 min to significantly reduce wrist impact forces in forward falls, but retention was poor at 3-weeks follow-up. Irrespective of group, however, after the 5 falls at 3-weeks subjects had taught themselves to reduce their impact forces at the 3-months follow-up. RELEVANCE: A brief educational intervention can significantly reduce forward fall-related impact forces in the short term. However, with or without the brief intervention, the experience of performing between 5-10 forward falls 3 weeks apart apparently resulted in decreased impact forces over the next 2 months, thereby reducing the risk of injury in these forward falls.}, added-at = {2012-01-13T14:18:20.000+0100}, author = {Lo, J. and McCabe, G. N. and DeGoede, K. M. and Okuizumi, H. and Ashton-Miller, J. A.}, biburl = {https://www.bibsonomy.org/bibtex/236877047a318698acef8c4a1efefb73e/bunke}, file = {:_BIBUS_lo_2003_clin_biomech.pdf:PDF}, groups = {public}, institution = {09-2125, USA.}, interhash = {61901dd0231cc9ec92c84220c7f797d7}, intrahash = {36877047a318698acef8c4a1efefb73e}, journal = {Clin Biomech (Bristol, Avon)}, keywords = {AccidentalFalls Adaptation Physiological physiology Adult Cognition Hand Humans Male Motion PhysicalStimulation methods Posture}, month = Oct, number = 8, pages = {730--736}, pii = {S0268003303001244}, pmid = {12957559}, timestamp = {2012-01-13T16:01:00.000+0100}, title = {On reducing hand impact force in forward falls: results of a brief intervention in young males.}, username = {bunke}, volume = 18, year = 2003 }