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Slip and fall

Hwan Kwon Do, Geun Yeol Jo, Jun Koo Kwon, Woo Jin Kim
Pantothenate kinase-associated neurodegeneration (PKAN) is a neurodegenerative disorder characterized by iron accumulation in the globus pallidus (GP) of the brain (neurodegeneration with brain iron accumulation [NBIA]), which is characterized by dystonia and spasticity resulting in postural difficulties. A 33-month-old boy was admitted with a pronounced gait disturbance. Marked hypertonicity in the patient's both calf muscles was noted, resulting in waddling with repeated slip-falls. NBIA was suspected by high T2 intensity in the GP on brain MRI, then it was confirmed by detecting PANK2 mutation...
April 2018: Annals of Rehabilitation Medicine
Takeshi Yamaguchi, Ryosuke Okamoto, Kazuo Hokkirigawa, Kei Masani
We investigated age-related differences in the required coefficient of friction (RCOF) during 90° turning, the difference of RCOF during step and spin turn, and how affects observed differences. Sixteen healthy young and healthy older adults (eight men and eight women in each group) participated. Participants performed 90° step and spin turns to the right at a self-selected normal speed. Older adults turned with lower RCOF than the young adults during both step and spin turns. This was associated with reduced mediolateral (ML) RCOF component (RCOFML ) for the older adults...
May 3, 2018: Journal of Biomechanics
Ayodeji E Sotimehin, Andrea V Yonge, Aleksandra Mihailovic, Sheila K West, David S Friedman, Laura N Gitlin, Pradeep Y Ramulu
PURPOSE: To characterize the locations, circumstances, and outcomes of falls in patients with varying degrees of glaucoma. DESIGN: Prospective cohort study METHODS: Patients with suspected or diagnosed glaucoma completed monthly calendars reporting falls. After each fall, a 30-item questionnaire was administered to determine fall location, circumstances, and injury. Mean deviation on visual field (VF) testing was used to categorize glaucoma severity. MAIN OUTCOME MEASURES: Fall locations, circumstances, and outcomes...
May 8, 2018: American Journal of Ophthalmology
Behdin Nowrouzi-Kia, Basem Gohar, Jennifer Casole, Carla Chidu, Jennifer Dumond, Alicia McDougall, Behnam Nowrouzi-Kia
BACKGROUND: Mining is a hazardous occupation with elevated rates of lost-time injury and disability. OBJECTIVE: The purpose of this study is twofold: 1) To identify the type of lost-time injuries in the mining workforce, regardless of the kind of mining and 2) To examine the antecedent factors to the occupational injury (lost-time injuries). METHODS: We identified and extracted primary papers related to lost-time injuries in the mining sector by conducting a systematic search of the electronic literature in the eight health and related databases...
May 1, 2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Thomas VanVleet, Michelle Voss, Sawsan Dabit, Alex Mitko, Joseph DeGutis
BACKGROUND: Healthy aging is associated with a decline in multiple functional domains including perception, attention, short and long-term memory, reasoning, decision-making, as well as cognitive and motor control functions; all of which are significantly modulated by an individual's level of alertness. The control of alertness also significantly declines with age and contributes to increased lapses of attention in everyday life, ranging from minor memory slips to a lack of vigilance and increased risk of falls or motor-vehicle accidents...
May 3, 2018: BMC Psychology
Jun Sik Kim, Byung Yong Jeong
The study aimed to describe the characteristics of occupational injuries of female workers in the residential healthcare facilities for the elderly, and analyze human errors as causes of accidents. From the national industrial accident compensation data, 506 female injuries were analyzed by age and occupation. The results showed that medical service worker was the most prevalent (54.1%), followed by social welfare worker (20.4%). Among injuries, 55.7% were <1 year of work experience, and 37.9% were ≥60 years old...
May 3, 2018: International Journal of Occupational Safety and Ergonomics: JOSE
Ana Francisca Rozin Kleiner, Ilaria Pacifici, Claudia Condoluci, Chiarella Sforza, Manuela Galli
BACKGROUND: A slip occurs when the required friction (RCOF) to prevent slipping at the foot/floor interfaces exceeds the available friction. The RCOF is dependent upon the biomechanics features of individuals and their gait. On the other hand, the available friction depends on environmental features. Once individuals with crouch gait have their biomechanics of gait completely altered, how do they interact with a supporting surface? The aim was to quantify the RCOF in children with bilateral spastic cerebral palsy (BSCP) and crouch gait...
April 11, 2018: Clinical Biomechanics
Forough Madehkhaksar, Jochen Klenk, Kim Sczuka, Katharina Gordt, Itshak Melzer, Michael Schwenk
Most falls occur after a loss of balance following an unexpected perturbation such as a slip or a trip. Greater understanding of how humans control and maintain stability during perturbed walking may help to develop appropriate fall prevention programs. The aim of this study was to examine changes in spatiotemporal gait and stability parameters in response to sudden mechanical perturbations in medio-lateral (ML) and anterior-posterior (AP) direction during treadmill walking. Moreover, we aimed to evaluate which parameters are most representative to quantify postural recovery responses...
2018: PloS One
Pratik Kanabur, Anirudh Gowd, Julia A Bulkeley, Caleb J Behrend, Jonathan J Carmouche
Dislocation of the sacrococcygeal joint is a rare injury from trauma to the buttocks, most often from falling backwards. Standard of care for this injury has not been determined because it is rare. Left untreated this can cause coccydynia in the long-term. Here we present a case report to describe the treatment of an anterior sacrococcygeal dislocation with closed manual reduction. A 13-year-old female presented to the emergency department with buttock pain after slipping backwards down the stairs. On X-ray the coccyx was in bayonette apposition to the anterior distal sacrum and shortened by 6 mm...
December 2017: Trauma Case Reports
Snezana Kusljic, Sachin Perera, Elizabeth Manias
Background/Study context: We investigated various parameters related to falls including age-dependent physiological changes, regular medicine use and different types of falls experienced. There is a lack of research investigating the impact of health status, sex, polypharmacy and ageing on different types of falls such as unspecified fall on the same level, mechanical fall on the same level relating to slipping, tripping or loosing balance, fall from a chair, vehicle and fall as a result of syncope, fall from steps or stairs and fall from the height...
March 28, 2018: Experimental Aging Research
Richard M Kesler, Faith F Bradley, Grace S Deetjen, Michael J Angelini, Matthew N Petrucci, Karl S Rosengren, Gavin P Horn, Elizabeth T Hsiao-Wecksler
Risk of slips, trips, and falls in firefighters may be influenced by the firefighter's equipment and duration of firefighting. This study examined the impact of a four self-contained breathing apparatus (SCBA) -three SCBA of increasing size and a prototype design- and three work cycles -one bout (1B), two bouts with a five-minute break (2B), and two bouts back-to-back (BB)- on gait in 30 firefighters. Five gait parameters (double support time, single support time, stride length, step width, and stride velocity) were examined pre- and post-firefighting activity...
March 23, 2018: Ergonomics
Francis K W Wong, Albert P C Chan, Andy K D Wong, Carol K H Hon, Tracy N Y Choi
A study on electrical and mechanical (E&amp;M) works-related accidents for public sector projects provided the opportunity to gain a better understanding of the causes of accidents by analyzing the circumstances of all E&amp;M works accidents. The research aims to examine accidents of E&amp;M works which happened in public sector projects. A total of 421 E&amp;M works-related accidents in the "Public Works Programme Construction Site Safety and Environmental Statistics" (PCSES) system were extracted for analysis...
March 10, 2018: International Journal of Environmental Research and Public Health
Sunwook Kim, Maury A Nussbaum, Mohammad Iman Mokhlespour Esfahani, Mohammad Mehdi Alemi, Bochen Jia, Ehsan Rashedi
Adopting a new technology (exoskeletal vest designed to support overhead work) in the workplace can be challenging since the technology may pose unexpected safety and health consequences. A prototype exoskeletal vest was evaluated for potential unexpected consequences with a set of evaluation tests for: usability (especially, donning & doffing), shoulder range of motion (ROM), postural control, slip & trip risks, and spine loading during overhead work simulations. Donning/doffing the vest was easily done by a wearer alone...
March 7, 2018: Applied Ergonomics
J S Barajas, D S Peterson
BACKGROUND: Protective steps are critical for fall prevention and are altered in people with Parkinson's disease (PD). Previous work suggests that perturbation training, in which patients are exposed to repeated slips, may improve protective postural responses. However, these studies typically take the average performance of several postural responses before and after training. To reduce falls in the community, training must improve protective stepping after the first perturbation exposure...
May 2018: Journal of Neurology
Ingrid Svensson, Chuansi Gao, Amitava Halder, Gunvor Gard, Måns Magnusson
Working and walking environments often involve standing positions on different surfaces with inclination and different friction. In this study, standing balance of thirteen participants during sudden and irregular external perturbation to calf muscles while standing was investigated. The aim of the study was to evaluate the combined effect of surface inclination and friction on standing balance. The main findings when eyes closed revealed that the standing utilised coefficient of friction (μSUCOF ) increased when the surface was inclined for both high and low friction materials...
March 3, 2018: Industrial Health
Feng Yang, Fabricio Saucedo, Mu Qiao
The purpose of this pilot study was to establish the efficacy and feasibility of a single-session treadmill-based stance-slip perturbation program on preventing slip-related falls while walking over the ground among young adults. Two groups (training vs. control) of healthy young participants were respectively exposed to a treadmill-based stance-slip perturbation training protocol and a placebo training protocol. Post training, both groups experienced an unexpected overground gait-slip. Our results indicated that 28...
April 27, 2018: Journal of Biomechanics
Richard M Kesler, Grace S Deetjen, Faith F Bradley, Michael J Angelini, Matthew N Petrucci, Karl S Rosengren, Gavin P Horn, Elizabeth T Hsiao-Wecksler
Slips, trips and falls are leading causes of fireground injuries. A functional balance test (FBT) was used to investigate the effects of self-contained breathing apparatus (SCBA) size and design, plus firefighting work cycle. During the FBT, subjects walked along a narrow platform and turned in defined spaces, with and without an overhead obstacle. Thirty firefighters wore three varying-sized standard SCBAs and a low-profile prototype SCBA during three simulated firefighting work/rest cycles. Firefighters were tested pre- and post-firefighting activity (one bout, two bouts with a 5-min break, or back-to-back bouts with no break)...
May 2018: Applied Ergonomics
Anna Lee, Tanvi Bhatt, Xuan Liu, Yiru Wang, Yi-Chung Pai
BACKGROUND: Perturbation training is an emerging paradigm to reduce idiopathic falls (without clinical signs or symptoms) in older adults. While a higher threat dosage (intensity) in motor learning often directly relates to greater adaptation, retention, and generalization, little is known whether increasing the practice dosage (repetition) of slip-perturbation training would necessarily improve its outcomes. RESEARCH QUESTION: Can higher practice dosage of treadmill slip-perturbation training lead to greater generalization to an overground slip immediately after the training? METHODS: Forty-five community-dwelling older adults (73...
March 2018: Gait & Posture
Dwayne Van Eerd, Era Mae Ferron, Teresa D'Elia, Derek Morgan, Frances Ziesmann, Benjamin C Amick
BACKGROUND: Long-term care (LTC) workers are at significant risk for occupational-related injuries. Our objective was to evaluate the implementation process of a participatory change program to reduce risk. METHODS: A process evaluation was conducted in three LTC sites using a qualitative approach employing structured interviews, consultant logs and a focus group. RESULTS: Findings revealed recruitment/reach themes of being "voluntold", using established methods, and challenges related to work schedules...
April 2018: Applied Ergonomics
Ivan Pang, Yoshiro Okubo, Daina Sturnieks, Stephen R Lord, Matthew A Brodie
BACKGROUND AND PURPOSE: Falls among older people are a serious health issue. Remote detection of near falls may provide a new way to identify older people at high risk of falling. This could enable exercise and fall prevention programs to target the types of near falls experienced and the situations that cause near falls before fall-related injuries occur. The purpose of this systematic review was to summarize and critically examine the evidence regarding the detection of near falls (slips, trips, stumbles, missteps, incorrect weight transfer, or temporary loss of balance) using wearable devices...
January 30, 2018: Journal of Geriatric Physical Therapy
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