Biomechanical simulations of forward fall arrests: effects of upper extremity arrest strategy, gender and aging-related declines in muscle strength

J Biomech. 2003 Mar;36(3):413-20. doi: 10.1016/s0021-9290(02)00396-2.

Abstract

Computer simulation was used to predict the extent to which age-related muscle atrophy may adversely affect the safe arrest of a forward fall onto the arms. The biomechanical factors affecting the separate risks for wrist fracture or head impact were examined using a two-dimensional, 5-link, forward dynamic model. The hypothesis was tested in older females that age-related loss in muscular strength renders the use of the arms ineffective in arresting a forward fall without either a torso impact exceeding 0.5m/s or distal forearm loads sufficient to fracture the wrist. The results demonstrate that typical age-related decline in arm muscle strength substantially reduces the ability to arrest a forward fall without the elbows buckling and, therefore, a risk of torso and/or head impact. The model predicted that older women with below-average bone strength risk a Colles fracture when arresting typical falls, particularly with an extended arm.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, U.S. Gov't, P.H.S.
  • Validation Study

MeSH terms

  • Accidental Falls / prevention & control*
  • Adult
  • Aged
  • Aging / physiology*
  • Computer Simulation
  • Elasticity
  • Female
  • Forearm / physiology*
  • Forearm Injuries / prevention & control
  • Humans
  • Male
  • Middle Aged
  • Models, Biological*
  • Movement / physiology*
  • Posture / physiology
  • Sensitivity and Specificity
  • Sex Factors
  • Statistics as Topic
  • Stress, Mechanical
  • Torque
  • Upper Extremity / physiology