Differences of Fall Risk in Older Adults Crossing Obstacles at Different Heights with the Dominant or Non-dominant Leg
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    Abstract:

    Objective To study the fall risk of older adults stepping over obstacles of different heights with their dominant or non-dominant legs and provide references for developing fall prevention measures for the elderly during obstacle-crossing. Methods Sixteen older adults randomly stepped over obstacles at 15%, 30%, and 45% of their leg heights with their dominant and non-dominant legs. A three-dimensional (3D) motion capture system and 3D force platform were used to record kinematic and kinetic data. Results When older adults used their non-dominant leg to step over obstacles, the dynamic stability in the anterior-posterior direction of the trailing leg at 30% of leg length height was significantly lower than that at 15% of leg length height (P < 0.05, Cohen’s d = 0.628); the vertical toe clearance of the trailing leg was significantly smaller than that of the dominant leg (P = 0.041, Cohen's d = 0.516), and the vertical toe clearance (P<0.001, Cohen's d = 0.685) and anterior-posterior toe clearance (P = 0.043, Cohen's d = 0.616) of the leading leg were significantly greater than those of the dominant leg. Conclusions Compared to stepping over obstacles with the dominant leg, older adults have a greater risk of falling in the anterior-posterior direction before obstacles when using the non-dominant leg. There is also a greater risk of the trailing leg tripping over obstacles of different heights.

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YANG Chen, SUN Wei, CHEN Yan. Differences of Fall Risk in Older Adults Crossing Obstacles at Different Heights with the Dominant or Non-dominant Leg[J]. Journal of medical biomechanics,2024,39(5):946-953

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History
  • Received:April 10,2024
  • Revised:May 19,2024
  • Adopted:
  • Online: October 25,2024
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