Literature DB >> 32632647

Perturbation in public transport as a basic concept for perturbation-based balance training for fall prevention.

Ulrich Lindemann1, Kim Sczuka2, Clemens Becker2, Jochen Klenk2,3,4.   

Abstract

INTRODUCTION: The aim of the study was to collect real-world sensor data on acceleration and deceleration while riding a bus or tram. With respect to the risk of suffering fall-related injuries while using public transportation, our interest was to understand the amplitude of real-world perturbations to translate them to innovative reactive balance training programs.
METHODS: Acceleration and deceleration data were collected during 12 days in buses and trams in a German city. A sensor, which was fixed to a vertical bar in the vehicle, measured the acceleration signals. Additionally, extreme values of deceleration during full braking were collected in a driving school bus.
RESULTS: For the incident type acceleration from standing extreme values of acceleration and jerking were higher in buses compared to trams with a maximum acceleration of 3.37 m/s2 and 1.80 m/s2, respectively, and extreme jerking of 13.30 m/s3 and -5.56 m/s3, respectively. Similarly, for the incident type deceleration approaching a stop extreme values of deceleration and jerking were higher in buses compared to trams with maximum deceleration of -3.12 m/s2 and -2.31 m/s2, respectively, and extreme jerking of -19.19 m/s3 and -10.83 m/s3, respectively. Extreme values for maximum deceleration and extreme jerking as simulated at the driving school were not reached during real-world measurements. The duration of incidents in acceleration from standing and deceleration approaching a stop was shorter for buses than for trams.
CONCLUSION: Acceleration and jerking values were higher in buses compared to trams. Based on this study, laboratory simulation paradigms can be developed to study balance responses in older persons and to design fall prevention interventions which are ecologically valid.
© 2020. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

Entities:  

Keywords:  Acceleration; Bus; Deceleration; Older persons; Tram

Mesh:

Year:  2020        PMID: 32632647     DOI: 10.1007/s00391-020-01755-w

Source DB:  PubMed          Journal:  Z Gerontol Geriatr        ISSN: 0948-6704            Impact factor:   1.281


  11 in total

1.  Thresholds for step initiation induced by support-surface translation: a dynamic center-of-mass model provides much better prediction than a static model.

Authors:  Y C Pai; B E Maki; K Iqbal; W E McIlroy; S D Perry
Journal:  J Biomech       Date:  2000-03       Impact factor: 2.712

2.  Effects of moveable platform training in preventing slip-induced falls in older adults.

Authors:  Prakriti Parijat; Thurmon E Lockhart
Journal:  Ann Biomed Eng       Date:  2011-12-02       Impact factor: 3.934

3.  Non-collision injuries in public buses: a national survey of a neglected problem.

Authors:  P Halpern; M I Siebzehner; D Aladgem; P Sorkine; R Bechar
Journal:  Emerg Med J       Date:  2005-02       Impact factor: 2.740

4.  Generalization of treadmill-slip training to prevent a fall following a sudden (novel) slip in over-ground walking.

Authors:  Feng Yang; Tanvi Bhatt; Yi-Chung Pai
Journal:  J Biomech       Date:  2012-11-08       Impact factor: 2.712

5.  Perturbation training can reduce community-dwelling older adults' annual fall risk: a randomized controlled trial.

Authors:  Yi-Chung Pai; Tanvi Bhatt; Feng Yang; Edward Wang
Journal:  J Gerontol A Biol Sci Med Sci       Date:  2014-06-24       Impact factor: 6.053

Review 6.  Is there a pattern in European bus and coach incidents? A literature analysis with special focus on injury causation and injury mechanisms.

Authors:  Pontus Albertsson; Torbjörn Falkmer
Journal:  Accid Anal Prev       Date:  2005-03

7.  Effect of a perturbation-based balance training program on compensatory stepping and grasping reactions in older adults: a randomized controlled trial.

Authors:  Avril Mansfield; Amy L Peters; Barbara A Liu; Brian E Maki
Journal:  Phys Ther       Date:  2010-02-18

8.  New intervention program for preventing falls among frail elderly people: the effects of perturbed walking exercise using a bilateral separated treadmill.

Authors:  Hiroyuki Shimada; Shuichi Obuchi; Taketo Furuna; Takao Suzuki
Journal:  Am J Phys Med Rehabil       Date:  2004-07       Impact factor: 2.159

Review 9.  Perturbation-based balance training for falls reduction among older adults: Current evidence and implications for clinical practice.

Authors:  Marissa H G Gerards; Christopher McCrum; Avril Mansfield; Kenneth Meijer
Journal:  Geriatr Gerontol Int       Date:  2017-06-16       Impact factor: 2.730

10.  Pilot comparative effectiveness study of surface perturbation treadmill training to prevent falls in older adults.

Authors:  Jon D Lurie; Alexandra B Zagaria; Dawna M Pidgeon; Judith L Forman; Kevin F Spratt
Journal:  BMC Geriatr       Date:  2013-05-16       Impact factor: 3.921

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