Comparison of force attenuation properties of four different hip protectors under simulated falling conditions in the elderly: an in vitro biomechanical study

Kannus, Pekka; Parkkari, Jari; Poutala, J.

doi:10.1016/s8756-3282(99)00154-4

Cited by 101 publications

(53 citation statements)

References 46 publications

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“…When a person falls on the hip, the hip protector will shunt away the energy towards the soft tissues around the hip and/or a part of the energy will be absorbed by the hip protector. Depending on the protector type, there may be differences in force attenuation capacity [10]. Hip protectors may be particularly important for elderly people who have osteoporosis and carry a high risk for falls.…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

Schoor

Devillé

Bouter

et al. 2002

Osteoporosis International

129

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Abstract. Hip fractures may be prevented by the use of external hip protectors, but compliance is often poor. Therefore, the objective of this study was to assess the determinants of compliance with hip protectors by systematically reviewing the literature. A literature search was performed in PubMed, Embase and the Cochrane Library. Primary acceptance with hip protectors ranged from 37% to 72% (median 68%); compliance varied between 20% and 92% (median 56%). However, in most studies it was not very clear how compliance was defined (e.g., average wearing time on active days and during waking hours, number of user-days per all available follow-up days, percentage falls with hip protector) and how it was measured. To provide more insight in the compliance percentages, the different methods of defining and measuring compliance were presented for the selected studies, when provided. Because of the heterogeneity in study design of the selected studies and the lack of quantitative data in most studies, results regarding the determinants of compliance could not be statistically pooled. Instead a qualitative summary of the determinants of compliance was given. The reasons most frequently mentioned for not wearing hip protectors, were: not being comfortable (too tight/ poor fit); the extra effort (and time) needed to wear the device; urinary incontinence; and physical difficulties/ illnesses. In conclusion, compliance is a very complex, but important issue in hip protector research and implementation. Based on the experiences of elderly people who wear the hip protectors, adjustments should be made to the protector and the underwear, while maintaining the force attenuation capacity. Furthermore, methods to improve the compliance should be developed, and their effectiveness tested.

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Section: Introductionmentioning

confidence: 99%

Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

Schoor

Devillé

Bouter

et al. 2002

Osteoporosis International

129

View full text Add to dashboard Cite

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“…Data were acquired at a rate of 10kHz and processed by computer. The entire surrogate pelvis was mounted on a steel springs (stiffness = 75 kN/m) to give the entire unit an effective stiffness comparable to that of a female pelvis as suggested by Kannus and Parkkari et al [15].…”

Section: Methodsmentioning

confidence: 99%

The Force Attenuation Effect of Foam Mattress in Simulated Sideways Fall of Hip on Level Surface

Lam

Yip

Wang

et al. 2004

Biomed. Eng. Appl. Basis Commun.

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“…The force-attenuation properties of different hip protectors have been demonstrated in several in vitro biochemical studies (13).…”

Section: Hip Protectorsmentioning

confidence: 99%

The efficacy of modern spinal orthoses and hip protectors used in the management of osteoporosis: a review

Colobățiu¹,

Mirel²

2016

Balneo

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Globally, osteoporosis is considered a widespread metabolic bone disease, vertebral fractures being probably one of the most common clinical manifestations encountered in osteoporotic patients. Non-pharmacologic therapies of osteoporosis include, among others, the use of different types of orthoses, such as spinal orthoses or hip protectors. To date there is a limited number of studies that evaluate the efficacy of spinal orthoses and hip protectors used in osteoporotic patients, therefore providing insufficient information to clinicians regarding these aspects. This article reviewed the use and efficacy of the most commonly prescribed spinal orthoses and hip protectors in osteoporotic patients. According to a significant number of studies, modern spinal orthoses proved to be effective in the management of vertebral fractures in osteoporotic patients. However, the efficacy of hip protectors in reducing the impact of falls onto the hip and preventing hip fractures still seems to be controversial. Osteoporosis is a condition that should be treated using a comprehensive approach that includes both pharmacological and non-pharmacological treatment options. Orthoses, such as modern spinal orthoses or back braces and hip protectors might represent an efficacious nonpharmacological option in the management of osteoporotic vertebral or hip fractures.

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Comparison of force attenuation properties of four different hip protectors under simulated falling conditions in the elderly: an in vitro biomechanical study

Cited by 101 publications

References 46 publications

Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

The Force Attenuation Effect of Foam Mattress in Simulated Sideways Fall of Hip on Level Surface

The efficacy of modern spinal orthoses and hip protectors used in the management of osteoporosis: a review

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