title: Prediction of postural risk of fall initiation based on a two-variable description of body dynamics: position and velocity of center of mass.
abstract: This research addresses the question: what is the risk of fall initiation at a certain human posture? There are postures from which no one is able to keep their balance and a fall will surely initiate (risk=1), and others from which everyone may regain their stability (risk=0). In other postures, only a portion of people can control their stability. One may interpret risk to chance of a fall to be initiated, and based on the portion of fallers assign a risk value to a given human posture (postural risk). Human posture can be mapped to a point in a 2-dimensional space: the x-v plane, the axes of which are horizontal components of the position and velocity of the center of mass of the body. For every pair of (x, v), the outcome of the balance recovery problem defines whether a person with a given strength level is able to regain their stability when released from a posture corresponding to that point. Using strength distribution data, we estimated the portion of the population who will initiate a fall if starting at a certain posture. A fast calculation approach is also introduced to replace the time-consuming method of solving the recovery problem many times. Postural risk of fall initiation for situations expressed by (x, v) pairs for the entire x-v plane is calculated and shown in a color-map.
authors.affiliation: Dept. of Mechanical and Environmental Informatics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, 152-8552 Tokyo, Japan. Electronic address: honarvarmahjoobin.m.aa@m.titech.ac.jp.
authors.forename: Mohammad Hadi
authors.initials: MH
authors.lastname: Honarvar
authors.forename: Motomu
authors.initials: M
authors.lastname: Nakashima
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D000843:Ankle Joint / Q000502:physiology; D006801:Humans; D007699:Kinesthesis / Q000502:physiology; D008962:Models, Theoretical; D053580:Muscle Strength / Q000502:physiology; D009949:Orientation / Q000502:physiology; D004856:Postural Balance / Q000502:physiology*; D011187:Posture / Q000502:physiology*; D018570:Risk Assessment; D019415:Torque; D016474:Weight-Bearing / Q000502:physiology*
keywords: 3720; Center of mass; Perturbed posture; Postural Risk of fall initiation; Stability