My friend Trevor Blackwell, who made the first dynamically balancing biped (http://paulgraham.com/anybots.html ) told me that a 6' man has to move his feet in ~400 ms to avoid falling. I wonder if sometimes, when old people fall, the root of the problem is not balance per se but speed.
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Now I'm thinking about all my patients that I sent to falls clinic and wondering whether I should have checked their shoes first?
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You know, sprinters are trying to fall, letting the neuro system speed up their feet to save them.
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Inertial effects like that translate over a lot of controls. In cars it’s “unsprung mass” and it significantly changes handling. In rockets you could push a running engine around by hand (if the noise didn’t kill you), they only have big gimbal actuators to react against inertia.
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Lots of clinical evidence shows an association between processing speed and fall risk, and the good news is that processing speed can be improved through cognitive training -https://pubmed.ncbi.nlm.nih.gov/28390178/
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It also seems that the fashion is to put elders in bulkier shoes with thicker soles as they get older. If you've ever seen how often a toddler trips when they get shoes that are a few millimieters bigger than the last pair, you can see we're not making it easy.
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Top 3 factors of falling are poor balance, taking > 4 prescription meds, and muscle weakness. Those who have 0 risk factors have a 12% chance of falling; those with 3 have almost a 100% chance. Geriatric Dr.s examine feet as a leading indicator of muscle weakness.
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@XeroShoes the robots may need you!Thanks. Twitter will use this to make your timeline better. UndoUndo
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Shoes are "unsprung mass". Part of the suspension rather than what is being suspended. Reducing the unsprung mass makes a suspension more reactive - less inertia.
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It's also the lack of a raised heel. A heel immediately changes balance. Zero drop means better balance.
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a major reason why exoskeletons will not replace wheelchairs for a very long time...
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