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Effectiveness of energy absorbing floors in reducing hip fractures risk among elderly women during sideways falls
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Neuronic Engineering.ORCID iD: 0000-0003-1104-2751
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Neuronic Engineering.ORCID iD: 0000-0002-3910-0418
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Neuronic Engineering.ORCID iD: 0000-0003-0125-0784
2024 (English)In: Journal of The Mechanical Behavior of Biomedical Materials, ISSN 1751-6161, E-ISSN 1878-0180, Vol. 157, article id 106659Article in journal (Refereed) Published
Abstract [en]

Falls among the elderly cause a huge number of hip fractures worldwide. Energy absorbing floors (EAFs) represent a promising strategy to decrease impact force and hip fracture risk during falls. Femoral neck force is an effective predictor of hip injury. However, the biomechanical effectiveness of EAFs in terms of mitigating femoral neck force remains largely unknown. To address this, a whole-body computational model representing a small-size elderly woman with a biofidelic representation of the soft tissue near the hip region was employed in this study, to measure the attenuation in femoral neck force provided by four commercially available EAFs (Igelkott, Kradal, SmartCells, and OmniSports). The body was positioned with the highest hip force with a -10 degrees trunk angle and +10 degrees degrees anterior pelvis rotation. At a pelvis impact velocity of 3 m/s, the peak force attenuation provided by four EAFs ranged from 5% to 19%. The risk of hip fractures also demonstrates a similar attenuation range. The results also exhibited that floors had more energy transferred to their internal energy demonstrated greater force attenuation during sideways falls. By comparing the biomechanical effectiveness of existing EAFs, these results can improve the floor design that offers better protection performance in high-fall-risk environments for the elderly.

Place, publisher, year, edition, pages
Elsevier BV , 2024. Vol. 157, article id 106659
Keywords [en]
Elderly sideways fall, Hip fracture, Energy absorbing floors, Finite element simulation, Femoral neck force
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:kth:diva-351422DOI: 10.1016/j.jmbbm.2024.106659ISI: 001274630200001PubMedID: 39029349Scopus ID: 2-s2.0-85198924220OAI: oai:DiVA.org:kth-351422DiVA, id: diva2:1888622
Note

QC 20240813

Available from: 2024-08-13 Created: 2024-08-13 Last updated: 2024-08-13Bibliographically approved

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Huang, QiZhou, ZhouKleiven, Svein

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