Wallace R B, Ross J E, Huston J C, Kundel C, Woodworth G
University of Iowa College of Medicine, Iowa City.
J Am Geriatr Soc. 1993 Mar;41(3):338-40. doi: 10.1111/j.1532-5415.1993.tb06715.x.
Hip fractures exact a heavy toll in the elderly population. While intervention strategies are being investigated to reduce the numbers of geriatric falls and to improve the body's resiliency, the geriatric population remains at risk for the mortality and morbidity associated with fractures. The Iowa FICSIT site is investigating the feasibility of passive protection of the proximal femur through the use of hip pads. The pad is designed to disperse throughout the pad the energy created in a fall. The focus of the Iowa trial is to determine if elderly will wear hip pads for the majority of their waking hours. Thirty subjects are being recruited from each of six elderly populations who are at high risk to fall and at increased risk of injury. To facilitate compliance, the following strategies are utilized: run-in period, graduated implementation, tailoring of wearing times, and self-report of compliance. Outcome measures include compliance rates and injuries sustained during falls.
髋部骨折给老年人群体带来了沉重负担。尽管人们正在研究干预策略以减少老年人跌倒的数量并提高身体的恢复能力,但老年人群体仍然面临与骨折相关的死亡和发病风险。爱荷华州FICSIT研究点正在研究通过使用髋部护垫对股骨近端进行被动保护的可行性。该护垫旨在将跌倒时产生的能量分散到整个护垫中。爱荷华州试验的重点是确定老年人是否会在大部分清醒时间佩戴髋部护垫。从六个跌倒风险高且受伤风险增加的老年人群体中各招募30名受试者。为了促进依从性,采用了以下策略:磨合期、逐步实施、调整佩戴时间以及自我报告依从情况。结果指标包括依从率和跌倒期间遭受的损伤。