Preliminary investigation of teaching older adults the tuck-and-roll strategy: Can older adults learn to fall with reduced impact severity

Moon, Yaejin; Bishnoi, Alka; Sun, Ruopeng; Shin, Jong Cheol; Sosnoff, Jacob J.

doi:10.1016/j.jbiomech.2018.12.002

Cited by 12 publications

(14 citation statements)

References 24 publications

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“…Future studies need to focus on the possible effects of different falling techniques since hip impact from falls has been shown to have a higher impact when falling forward or sideways than when falling backward [ 27 ]. As a way to address falling sideways, the tuck-and-roll strategy has been shown to reduce fall impact severity [ 28 ], and our results confirm that these suggested falling techniques (forward and sideways) are trainable for older adults.…”

Section: Discussionsupporting

confidence: 79%

High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

Arkkukangas

Bååthe

Ekholm

et al. 2022

IJERPH

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There is limited research on optimal exercise programs that effectively decrease falls and fall-related injuries in older populations. This randomized controlled trial (RCT) aimed to explore the effects of a 12-week Judo4Balance program on falling techniques, physical and psychological functions, health status, and physical activity levels among 200 community-dwelling older adults (79% women and 21% men) with a mean age of 72 years. The 200 participants were randomly allocated for the Judo4Balce program (n = 100) or control group (n = 100). The RCT intervention started in mid-January 2020 and was abruptly interrupted because of the COVID-19 pandemic. A restart of the RCT was initiated in September 2021, and the 12-week intervention was offered to two groups. This study reports the results from three points of assessment: baseline, 20-month follow-up, and 12-week postintervention. At 20 months follow-up, the control group had significantly decreased physical activity levels (summer p = 0.002 and winter p = 0.003); similar changes were not seen in the exercise group. In the exercise group, learning falling techniques in 6–9 weeks led to sustained fall competence at 20 months follow-up. Further, significant improvements in physical function (exercise group p = 0.009 and control group p < 0.001) and learning falling techniques (p < 0.001 for both groups) were noted in both groups after the 12-week intervention. This effective, supervised, group-based, high-challenge multicomponent exercise program needs to be further evaluated for possible impact on falls and fall-related injuries.

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Section: Discussionsupporting

confidence: 79%

High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

Arkkukangas

Bååthe

Ekholm

et al. 2022

IJERPH

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“…This study involves a secondary analysis of baseline data from a recently completed pilot, randomized controlled trial of a safe landing training study (NCT# 0017577)[12]. 15 young adults (5 females) and 10 older adults (3 females) participated in the experimental fall paradigm.…”

Section: Methodsmentioning

confidence: 99%

Age-Related Differences in Head Impact during Experimentally Induced Sideways Falls

Wood

Moon

Sun

et al. 2019

BioMed Research International

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Purpose. To examine head impact incidence and head acceleration during experimentally induced falls as a function of age. Methods. 15 young adults (21.2±2.7) and 10 older adults (61.9±4.3 years) underwent 6 experimentally induced sideways falls. Participants fell sideways onto a 20cm crash pad. The number of head impacts was tabulated from video recordings and head acceleration was calculated from motion capture data. A total of 147 falls were analyzed. Results. The young group underwent 88 falls, in which 11.4% resulted in head impact. The older group underwent 59 falls, in which 34.5% resulted in head impact. A proportion analysis revealed older adults had a significantly greater proportion of head impacts than young adults (X2(1) = 11.445, p = 0.001). A two-way ANOVA only revealed a main effect of head impact on acceleration (F(1,142) = 54.342, p<0.001). Conclusion. The older adults experienced a greater proportion of head impacts during sideways falls. Head impact resulted in greater head acceleration compared to no head impact. Collectively, this data highlights the possibility that age-related neuromuscular changes to head control may result in elevated risk of fall-related TBIs. Future research examining mechanisms underlying increases in fall-related head impact is warranted.

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“…A systematic review of 13 studies encompassing 219 individuals under 30 years of age identified seven safe-landing strategies and provided quantitative evidence indicating that these strategies can significantly reduce the risk of fall-related injury, as measured by kinetic or kinematic impact severity during a fall, in young and healthy individuals [ 22 ]. Importantly, previous studies, including our own, have shown the feasibility of teaching safe-falling strategies to older adults [ 23 , 24 ]. These investigations involved individuals over 60 years of age, who were taught movement strategies believed to reduce impact forces.…”

Section: Introductionmentioning

confidence: 96%

“…These investigations involved individuals over 60 years of age, who were taught movement strategies believed to reduce impact forces. Collectively, these studies revealed that older adults were able to 1) improve the mastery of such movement strategies [ 24 ], and 2) reduce the hip impact forces and head acceleration during experimentally induced falls [ 23 ]. Therefore, teaching safe-falling techniques may be an effective strategy to reduce fall-related injury in older adults.…”

Section: Introductionmentioning

confidence: 99%

Minimizing fall-related injuries in at-risk older adults: The falling safely training (FAST) study protocol

Zanotto¹,

Chen²,

Fang³

et al. 2023

Contemporary Clinical Trials Communications

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Preliminary investigation of teaching older adults the tuck-and-roll strategy: Can older adults learn to fall with reduced impact severity

Cited by 12 publications

References 24 publications

High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

High Challenge Exercise and Learning Safe Landing Strategies among Community-Dwelling Older Adults: A Randomized Controlled Trial

Age-Related Differences in Head Impact during Experimentally Induced Sideways Falls

Minimizing fall-related injuries in at-risk older adults: The falling safely training (FAST) study protocol

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