Hip protectors: recommendations for biomechanical testing—an international consensus statement (part I)

Introduction Hip protectors represent a promising strategy for preventing fall-related hip fractures. However, clinical trials have yielded conflicting results due, in part, to lack of agreement on techniques for measuring and optimizing the biomechanical performance of hip protectors as a prerequis...

Full description

Saved in:
Bibliographic Details
Published in:Osteoporosis international Vol. 20; no. 12; pp. 1977 - 1988
Main Authors: Robinovitch, S. N., Evans, S. L., Minns, J., Laing, A. C., Kannus, P., Cripton, P. A., Derler, S., Birge, S. J., Plant, D., Cameron, I. D., Kiel, D. P., Howland, J., Khan, K., Lauritzen, J. B.
Format: Journal Article
Language:English
Published: London Springer-Verlag 01.12.2009
Springer
Springer Nature B.V
Subjects:
Accidental Falls
Biological and medical sciences
Biomechanics
Biomechanics. Biorheology
Clinical trials
Consensus Statement
Diseases of the osteoarticular system
Endocrinology
Equipment Design
Evidence-Based Medicine - methods
Fractures
Fundamental and applied biological sciences. Psychology
Hip Fractures - etiology
Hip Fractures - prevention & control
Hip Joint
Humans
Injuries of the limb. Injuries of the spine
Materials Testing - methods
Medical sciences
Medicine
Medicine & Public Health
Orthopedics
Osteoporosis. Osteomalacia. Paget disease
Personal protective equipment
Protective Devices - standards
Research Design
Rheumatology
Stress, Mechanical
Tissues, organs and organisms biophysics
Traumas. Diseases due to physical agents
Biomechanics
Prevention
Materials testing
Aged
Hip Fractures
Standards
Osteoporosis
Diseases of the osteoarticular system
Fracture
Trauma
Hip
Recommendation
ISSN:0937-941X, 1433-2965, 1433-2965
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction Hip protectors represent a promising strategy for preventing fall-related hip fractures. However, clinical trials have yielded conflicting results due, in part, to lack of agreement on techniques for measuring and optimizing the biomechanical performance of hip protectors as a prerequisite to clinical trials. Methods In November 2007, the International Hip Protector Research Group met in Copenhagen to address barriers to the clinical effectiveness of hip protectors. This paper represents an evidence-based consensus statement from the group on recommended methods for evaluating the biomechanical performance of hip protectors. Results and conclusions The primary outcome of testing should be the percent reduction (compared with the unpadded condition) in peak value of the axial compressive force applied to the femoral neck during a simulated fall on the greater trochanter. To provide reasonable results, the test system should accurately simulate the pelvic anatomy, and the impact velocity (3.4 m/s), pelvic stiffness (acceptable range: 39-55 kN/m), and effective mass of the body (acceptable range: 22-33 kg) during impact. Given the current lack of clear evidence regarding the clinical efficacy of specific hip protectors, the primary value of biomechanical testing at present is to compare the protective value of different products, as opposed to rejecting or accepting specific devices for market use.
Bibliography:SourceType-Scholarly Journals-1
ObjectType-News-1
content type line 14
ObjectType-Conference-2
ObjectType-Article-1
ObjectType-Feature-2
content type line 23
ObjectType-Article-2
ObjectType-Feature-1
ObjectType-Feature-4
ObjectType-Article-3
ISSN:0937-941X
1433-2965
1433-2965
DOI:10.1007/s00198-009-1045-4