Groen B E, Weerdesteyn V, Duysens J
Sint Maartenskliniek Research, Development and Education, P.O. Box 9011, 6500 GM Nijmegen, The Netherlands.
J Electromyogr Kinesiol. 2008 Apr;18(2):228-34. doi: 10.1016/j.jelekin.2007.06.002. Epub 2007 Aug 30.
Fall techniques that reduce fall severity may decrease the risk of hip fractures. A fundamental variable for fall severity is impact force, but impact velocity is also used. The purpose of the study was to determine whether impact velocity is valid to determine differences in fall severity between different techniques. Five young adults with martial arts (MA) experience performed sideways falls from kneeling height using three techniques: Block with arm (Block) and MA techniques with and without use of the arm to break the fall. In addition, one subject also performed MA falls from standing height. Linear regression analysis showed a moderate relation between hip impact velocity and force, which was depended on technique. In falls with comparable impact velocities, forces in MA falls were lower than forces in Block falls. Hence, differences in impact force could not be predicted by velocity. In conclusion, hip impact velocity may be useful to make an approximate prediction of impact force within fall techniques. However, to determine differences between techniques it was not always a valid predictor. When direct impact force measurements are not possible, methods combining impact velocity with energy estimates before and after impact might be more valid.
降低跌倒严重程度的跌倒技术可能会降低髋部骨折的风险。跌倒严重程度的一个基本变量是冲击力,但也会用到撞击速度。本研究的目的是确定撞击速度是否足以判定不同技术之间跌倒严重程度的差异。五名有武术经验的年轻人采用三种技术从跪姿高度侧身跌倒:用手臂阻挡(阻挡)以及使用和不使用手臂来缓冲跌倒的武术技术。此外,一名受试者还从站立高度进行了武术跌倒。线性回归分析表明,髋部撞击速度与力量之间存在适度关联,这取决于技术。在撞击速度相当的跌倒中,武术跌倒中的力量低于阻挡跌倒中的力量。因此,无法通过速度预测冲击力的差异。总之,髋部撞击速度可能有助于对跌倒技术中的冲击力进行大致预测。然而,要判定技术之间的差异,它并不总是一个有效的预测指标。当无法直接测量冲击力时,将撞击速度与撞击前后的能量估计相结合的方法可能更有效。