None listed
Conditions
Brief summary
Falling is associated with several adverse effects on the heath of the older adult population. The majority of research on falls among older people has focused on prevention, with little attention to ‘how to fall’ as safely as possible. Previous research has shown that motor analogies can be used to promote safe-landing in the younger population (Oladi, Uiga, Hébert-Losier, & Masters, 2019; Oladi, Uiga, Hébert-Losier, & Masters, 2020). However, the efficacy of using this technique in older adults is unknown. The aim of this study is to determine whether a motor analogy can be used to promote safe landing in the older adult population. People 65 years and older will be eligible for participation, if they can walk without assistance for at least 6 meters, are able to stand without help for 1 minute, and pass the Physical Activity Readiness Questionnaire. We will attach multiple sensors to different body segments (head, trunk, hips, upper and lower extremities) of the participants and they will be randomly allocated to a control or analogy condition. Participants in the analogy condition will be required to complete a three-word crossword puzzle designed to prime them about how feathers land on the ground: soft, slow, silent. Participants in the control condition will be asked to complete a similar crossword puzzle that uses name of birds as neutral primes: swallow, shag, swan. They will then stand by a fully padded area and will be given an unexpected nudge (forward, backward or sideways) and will land on soft mattresses in the direction that the nudge is applied (i.e., a simulation of an unexpected fall). Participants in the analogy condition will be instructed to use a motor analogy: ‘land like a feather: soft, silent, slow’ while participants in the control condition will be instructed to: ‘land safely’. Data recorded from the sensors will be used to extract biomechanical parameters that characterise a safe fall, such as force applied to different body segments and fracture risk ratio of the wrists and hips. These parameters will be used to compare differences between the control and analogy groups. Based on our previous studies, we hypothesise that: using a motor analogy will result in safer landing (less fracture risk ratio, less impact force applied to body segments). References: Oladi, S., Uiga, L., Hébert-Losier, K., Masters, R.S.W., (2019). Using inertial measurement units to determine the potential efficacy of a motor analogy for improving landing from self-initiated falls. The Journal of Sport and Exercise Science, 3(1), 1-39. Oladi, S., Uiga, L., Hébert-Losier, K., Masters, R.S.W., (2020). Using a motor analogy to promote safe-landing from unexpected falls. The Journal of Sport and Exercise Science, 4(3), 1-42.
Interventions
Brief Name: Motor analogy Measurements and instrumentation: A 2D video camera (Canon, 25 frames per second) and 15 Delsys TrignoTM (Delsys Inc., Natrick, MA) inertial measurement units (IMU) will be used for data collection. The video camera will be positioned 3 meters from the side of the participants on a tripod (height 1.3 meters). The researcher will place 15 Delsys TrignoTM (Delsys Inc., Natrick, MA) inertial measurement unit (IMU) sensors on different body segments, described in the ‘sensor placement’ section. Acceleration data from the IMU sensors will be recorded at a frequency of 148.15 Hz using EMGworks Acquisition software (Version 4.5.4). A hand-held dynamometer (MyoMeter, M550; range: 0-50 kg) will be used to record the force applied when nudging each participant to fall. Procedure: Participants will be invited to a data collection session at the Human Performance Science Lab (TT 0.05) at the School of Health at the University of Waikato. Overall, the whole experiment will take approximately 1 hour and 30 minutes to 1 hour and 45 minutes. The procedure will be performed at the participant’s most comfortable pace and there will be an assistant standing by the participant at all times. The participant’s safety will be observed before performing each test and if there is any sign of potential harm the procedure will be immediately stopped. Furthermore, chairs will be placed close to the participants during all the procedures and they will be able to sit on them at any point during the experiment and participants will be provided with as many breaks as they want. 1. Sensor placement Fifteen small IMU sensors (dimension: 27 x 37 x 13 mm) will be attached on the following body segments using double sided tape: head, chest (aligned with the sternum), lower back (aligned with L3), upper arms (dorsal), wrists (dorsal), hands (dorsal), hip (greater trochanter) thighs (lateral), lower legs (lateral). 2. Crossword puzzle Participants in the analogy condition will be required to complete a three-word crossword puzzle designed to prime them about how feathers land on the ground: soft, slow, silent. 3. Falling onto a soft surface Participants will stand on a surface surrounded by a fully padded area in the laboratory. The research assistant will unexpectedly apply a gentle impulse (nudge) to the shoulder of the participant in one of 4 different directions using a hand held dynamometer. Participants will be asked to fall onto a padded area in the direction in which the impulse (nudge) is applied. In order to avoid anticipation of the applied impulse (nudge), participants will be asked to engage in a secondary task – counting backwards in 3’s. To control for the nudge applied to the participants, the research assistant will be blinded to the conditions and a hand-held dynamometer will be used to record the force applied for each nudge. The participant will fall in four directions: backward, forward, left-side, and right-side. Participants in the analogy condition will be instructed to “land like a feather”. After the participants land on the soft mattress the assistant will help them to get up and they will have a 2 minutes interval between each fall. The order of the falls will be randomized using a random order generator. The experimental procedure will be repeated twice (with different order of falls each time); in total, each participant will fall eight times during the experimental procedure.
Sponsors
Study design
Eligibility
Inclusion criteria
• Age: 65 years and older • Able to stand without help for 1 minute • Able to walk without a walking aid for 6 meters • Able to communicate in English, with no psychiatric or neurological impairments prohibiting participation • Able to score above 3 on the Mini-Cog test* • Able to pass the PARQ+ criterion** * The Mini-Cog test (mini cognition test) has been validated for dementia screening; the score of 1 to 3 is considered “possibly impaired”, and a score above 3 is considered "probably normal” (Borson et al., 2003). ** The PARQ+ (physical activity readiness questionnaire) offers safe screening of older adults prior to engaging in exercise or physical activity (Cardinal & Cardinal, 1995; Cardinal, Esters, & Cardinal, 1996); it is sensitive to underlying conditions such as osteoporosis, cardiovascular conditions, respiratory disease, previous surgery, arthritis, chronic conditions, high blood pressure, back problem, etc. Therefore, if a participant is not in a healthy physical condition they will be excluded.
Exclusion criteria
• Leg and/or foot amputation • Need external support other than walking aids to stand • Cannot stand without help for 1 minute • Cannot walk without walking aid for 6 meters • Cannot communicate in English, and have psychiatric or neurological impairments prohibiting participation • Score below 3 on the Mini-Cog test • Answer yes to 2 or more of the questions in the PARQ+ and require a doctor consultation for physical activity