{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T09:39:05Z","timestamp":1791279545001,"version":"4.1.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R21AG073892-01"],"award-info":[{"award-number":["1R21AG073892-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32HD057850"],"award-info":[{"award-number":["T32HD057850"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000890","name":"National Multiple Sclerosis Society","doi-asserted-by":"publisher","award":["MB-1807-31633"],"award-info":[{"award-number":["MB-1807-31633"]}],"id":[{"id":"10.13039\/100000890","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Falls are the leading cause of accidental injury among older adults. Current fall prevention programs are useful but do not target the key variable for injury (ie, impact force). An approach, which has shown promise in robust older adults, is to teach safe-falling strategies to reduce impact forces. In this single-anonymized, pilot randomized controlled trial, we explored the feasibility and preliminary efficacy of a safe-falling program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-four older adults at risk of injurious falls were randomly assigned either to Falling Safely Training (FAST), a standardized progressive training of safe-falling strategies, or an active control group consisting of evidence-based balance training. Participants underwent a series of experimentally induced falls at baseline, after the 4-week intervention, and 3 months after the intervention. Hip and head acceleration (proxies of impact force) and the number of head impacts experienced during the falls were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No adverse events were reported, and 11 of 12 FAST participants completed the intervention. The FAST group had a greater reduction in the number of fall-related head impacts following the intervention (odds ratio\u2005=\u20050.10, 95% CI: 0.02, 0.61, p\u2005=\u2005.012). This improvement coincided with a significant reduction in head acceleration in the FAST group compared to control (between-group mean difference\u2005=\u2005\u22129.54 m\/s2, p\u2005=\u2005.028). Hip acceleration decreased significantly in both groups (ps &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Teaching older adults at risk of falls safe-falling strategies is safe and feasible and has the potential to minimize fall-related head impacts and reduce fall morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/gerona\/glaf076","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T07:22:28Z","timestamp":1744183348000},"source":"Crossref","is-referenced-by-count":8,"title":["Strategies to Minimize Fall-related Injuries in Older Adults at Risk of Falls: The Falling Safely Training Study"],"prefix":"10.1093","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6571-4763","authenticated-orcid":false,"given":"Tobia","family":"Zanotto","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy Education, School of Health Professions, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]},{"name":"Landon Center on Aging, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1649-2436","authenticated-orcid":false,"given":"Lingjun","family":"Chen","sequence":"additional","affiliation":[{"name":"Landon Center on Aging, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]},{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R","family":"Fang","sequence":"additional","affiliation":[{"name":"Landon Center on Aging, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]},{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbas","family":"Tabatabaei","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianghua","family":"He","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Data Science, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley B","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Department of Family & Community Medicine, School of Medicine, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil B","family":"Alexander","sequence":"additional","affiliation":[{"name":"VA Ann Arbor Healthcare System Geriatric Research, Education and Clinical Center (GRECC) , Ann Arbor, Michigan ,","place":["USA"]},{"name":"Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan , Ann Arbor, Michigan ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob J","family":"Sosnoff","sequence":"additional","affiliation":[{"name":"Landon Center on Aging, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]},{"name":"Department of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center , Kansas City, Kansas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"2025062607183349200_CIT0001","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1001\/jama.2024.8481","article-title":"Interventions to prevent falls in community-dwelling older adults: US Preventive Services Task Force Recommendation Statement","volume":"332","author":"Force USPST","year":"2024","journal-title":"JAMA."},{"key":"2025062607183349200_CIT0002","doi-asserted-by":"publisher","first-page":"CD013789","DOI":"10.1002\/14651858.CD013789.pub2","article-title":"Population-based interventions for preventing falls and fall-related injuries in older people","volume":"1","author":"Lewis","year":"2024","journal-title":"Cochrane Database Syst Rev."},{"key":"2025062607183349200_CIT0003","doi-asserted-by":"publisher","first-page":"2973","DOI":"10.1111\/jgs.17375","article-title":"Interventions for preventing falls and fall-related fractures in community-dwelling older adults: a systematic review and network meta-analysis","volume":"69","author":"Dautzenberg","year":"2021","journal-title":"J Am Geriatr Soc."},{"key":"2025062607183349200_CIT0004","doi-asserted-by":"publisher","first-page":"509","DOI":"10.15585\/mmwr.mm6718a1","article-title":"Deaths from falls among persons aged &gt;\/=65 years\u2014United States, 2007\u20132016","volume":"67","author":"Burns","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"2025062607183349200_CIT0005","doi-asserted-by":"publisher","first-page":"2131","DOI":"10.1001\/jama.2019.4185","article-title":"Mortality from falls among US adults aged 75 years or older, 2000\u20132016","volume":"321","author":"Hartholt","year":"2019","journal-title":"JAMA."},{"key":"2025062607183349200_CIT0006","doi-asserted-by":"publisher","first-page":"e2138911","DOI":"10.1001\/jamanetworkopen.2021.38911","article-title":"Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review","volume":"4","author":"Montero-Odasso","year":"2021","journal-title":"JAMA Netw Open"},{"key":"2025062607183349200_CIT0007","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.ss6609a1","article-title":"Traumatic brain injury-related emergency department visits, hospitalizations, and deaths\u2014United States, 2007 and 2013","volume":"66","author":"Taylor","year":"2017","journal-title":"MMWR Surveill Summ."},{"key":"2025062607183349200_CIT0008","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1080\/00222895.2020.1814195","article-title":"A motor learning approach to reducing fall-related injuries","volume":"53","author":"Hsieh","year":"2021","journal-title":"J Mot Behav."},{"key":"2025062607183349200_CIT0009","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/s00198-009-0934-x","article-title":"Martial arts fall training to prevent hip fractures in the elderly","volume":"21","author":"Groen","year":"2010","journal-title":"Osteoporosis Int"},{"key":"2025062607183349200_CIT0010","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1016\/j.jbiomech.2005.12.014","article-title":"Martial arts fall techniques decrease the impact forces at the hip during sideways falling","volume":"40","author":"Groen","year":"2007","journal-title":"J Biomech."},{"key":"2025062607183349200_CIT0011","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1016\/j.jbiomech.2018.12.002","article-title":"Preliminary investigation of teaching older adults the tuck-and-roll strategy: can older adults learn to fall with reduced impact severity","volume":"83","author":"Moon","year":"2019","journal-title":"J Biomech."},{"key":"2025062607183349200_CIT0012","doi-asserted-by":"publisher","first-page":"15140","DOI":"10.3390\/ijerph192215140","article-title":"High challenge exercise and learning safe landing strategies among community-dwelling older adults: a randomized controlled trial","volume":"19","author":"Arkkukangas","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"2025062607183349200_CIT0013","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1016\/j.apmr.2016.08.460","article-title":"Safe landing strategies during a fall: systematic review and meta-analysis","volume":"98","author":"Moon","year":"2017","journal-title":"Arch Phys Med Rehabil."},{"key":"2025062607183349200_CIT0014","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1136\/bmj.315.7115.1065","article-title":"Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women","volume":"315","author":"Campbell","year":"1997","journal-title":"BMJ"},{"key":"2025062607183349200_CIT0015","doi-asserted-by":"publisher","first-page":"101133","DOI":"10.1016\/j.conctc.2023.101133","article-title":"Minimizing fall-related injuries in at-risk older adults: the Falling Safely Training (FAST) study protocol","volume":"33","author":"Zanotto","year":"2023","journal-title":"Contemp Clin Trials Commun"},{"key":"2025062607183349200_CIT0016","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1056\/NEJMoa2002183","article-title":"A randomized trial of a multifactorial strategy to prevent serious fall injuries","volume":"383","author":"Bhasin","year":"2020","journal-title":"N Engl J Med."},{"key":"2025062607183349200_CIT0017","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1136\/jnnp.2005.068742","article-title":"Multiple balance tests improve the assessment of postural stability in subjects with Parkinson\u2019s disease","volume":"77","author":"Jacobs","year":"2006","journal-title":"J Neurol Neurosurg Psychiatry."},{"key":"2025062607183349200_CIT0018","doi-asserted-by":"publisher","first-page":"1500","DOI":"10.1093\/pm\/pny279","article-title":"Core outcome measures for chronic musculoskeletal pain research: recommendations from a veterans health administration work group","volume":"20","author":"Kroenke","year":"2019","journal-title":"Pain Med."},{"key":"2025062607183349200_CIT0019","doi-asserted-by":"publisher","first-page":"M28","DOI":"10.1093\/gerona\/50a.1.m28","article-title":"The Activities-specific Balance Confidence (ABC) scale","volume":"50A","author":"Powell","year":"1995","journal-title":"J Gerontol A Biol Sci Med Sci."},{"key":"2025062607183349200_CIT0020","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.archger.2009.06.003","article-title":"The short version of the Activities-specific Balance Confidence (ABC) scale: its validity, reliability, and relationship to balance impairment and falls in older adults","volume":"51","author":"Schepens","year":"2010","journal-title":"Arch Gerontol Geriatr."},{"key":"2025062607183349200_CIT0021","first-page":"1073","article-title":"Clinical and laboratory measures of postural balance in an elderly population","volume":"73","author":"Berg","year":"1992","journal-title":"Arch Phys Med Rehabil."},{"key":"2025062607183349200_CIT0022","doi-asserted-by":"publisher","first-page":"E45","DOI":"10.1519\/JPT.0000000000000215","article-title":"Reliability, validity, and ability to identity fall status of the Berg Balance Scale, Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest in older adults who live in nursing homes","volume":"42","author":"Viveiro","year":"2019","journal-title":"J Geriatr Phys Ther."},{"key":"2025062607183349200_CIT0023","doi-asserted-by":"publisher","first-page":"M42","DOI":"10.1093\/gerona\/56.1.m42","article-title":"Elderly subjects\u2019 ability to recover balance with a single backward step associates with body configuration at step contact","volume":"56","author":"Hsiao","year":"2001","journal-title":"J Gerontol A Biol Sci Med Sci."},{"key":"2025062607183349200_CIT0024","doi-asserted-by":"publisher","first-page":"6804614","DOI":"10.1155\/2019\/6804614","article-title":"Age-related differences in head impact during experimentally induced sideways falls","volume":"2019","author":"Wood","year":"2019","journal-title":"Biomed Res Int."},{"key":"2025062607183349200_CIT0025","doi-asserted-by":"publisher","first-page":"985","DOI":"10.1007\/s40520-019-01459-1","article-title":"Impact of the backward chaining method on physical and psychological outcome measures in older adults at risk of falling: a systematic review","volume":"32","author":"Leonhardt","year":"2020","journal-title":"Aging Clin Exp Res."},{"key":"2025062607183349200_CIT0026","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1186\/s12877-024-05382-7","article-title":"Views and experiences of older people taking part in a safe-falling training program: lessons learned from the FAlling Safely Training (FAST) trial","volume":"24","author":"Zanotto","year":"2024","journal-title":"BMC Geriatr."},{"key":"2025062607183349200_CIT0027","doi-asserted-by":"publisher","first-page":"1497","DOI":"10.1093\/gerona\/glz018","article-title":"Comparison of treadmill trip-like training versus Tai Chi to improve reactive balance among independent older adult residents of senior housing: a pilot controlled trial","volume":"74","author":"Aviles","year":"2019","journal-title":"J Gerontol A Biol Sci Med Sci."},{"key":"2025062607183349200_CIT0028","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/s11357-017-9963-0","article-title":"Retention of the \u201cfirst-trial effect\u201d in gait-slip among community-living older adults","volume":"39","author":"Liu","year":"2017","journal-title":"Geroscience"},{"key":"2025062607183349200_CIT0029","doi-asserted-by":"publisher","first-page":"glae267","DOI":"10.1093\/gerona\/glae267","article-title":"Role of the upper limb in limiting head impact during laboratory-induced falls in at fall-risk older adults","volume":"80","author":"Chen","year":"2024","journal-title":"J Gerontol Ser A"},{"key":"2025062607183349200_CIT0030","doi-asserted-by":"publisher","first-page":"afac273","DOI":"10.1093\/ageing\/afac273","article-title":"Protective responses of older adults for avoiding injury during falls: evidence from video capture of real-life falls in long-term care","volume":"51","author":"Robinovitch","year":"2022","journal-title":"Age Ageing."},{"key":"2025062607183349200_CIT0031","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1186\/s12877-022-03041-3","article-title":"Injuries from falls by older adults in long-term care captured on video: prevalence of impacts and injuries to body parts","volume":"22","author":"Komisar","year":"2022","journal-title":"BMC Geriatr."},{"key":"2025062607183349200_CIT0032","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1111\/jgs.14041","article-title":"Head trauma from falling increases subsequent emergency department visits more than other fall-related injuries in older adults","volume":"64","author":"Southerland","year":"2016","journal-title":"J Am Geriatr Soc."},{"key":"2025062607183349200_CIT0033","doi-asserted-by":"publisher","first-page":"940","DOI":"10.1177\/02692155221087963","article-title":"Fall arrest strategy training improves upper body response time compared to standard fall prevention exercise in older women: a randomized trial","volume":"36","author":"Arnold","year":"2022","journal-title":"Clin Rehabil."},{"key":"2025062607183349200_CIT0034","doi-asserted-by":"publisher","first-page":"323","DOI":"10.3138\/ptc.2016-27EP","article-title":"Does fall arrest strategy training added to a fall prevention programme improve balance, strength, and agility in older women? A pilot study","volume":"69","author":"Arnold","year":"2017","journal-title":"Physiotherapy Canada. Physiotherapie Canada."}],"container-title":["The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/advance-article-pdf\/doi\/10.1093\/gerona\/glaf076\/62946842\/glaf076.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/article-pdf\/80\/7\/glaf076\/62946842\/glaf076.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/article-pdf\/80\/7\/glaf076\/62946842\/glaf076.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T07:18:37Z","timestamp":1750922317000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/biomedgerontology\/article\/doi\/10.1093\/gerona\/glaf076\/8115447"}},"subtitle":[],"editor":[{"given":"Roger A","family":"Fielding","sequence":"additional","affiliation":[{"name":"(Medical Sciences Section)"}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":34,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,6,10]]}},"URL":"https:\/\/doi.org\/10.1093\/gerona\/glaf076","relation":{},"ISSN":["1079-5006","1758-535X"],"issn-type":[{"value":"1079-5006","type":"print"},{"value":"1758-535X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,4,17]]},"article-number":"glaf076"}}