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RESEARCH PAPER / 2026-04-02

Hip Abductor Strength Predicts Injurious Falls and Mediates the Balance Confidence-Falls Relationship: A Competing Risk Model.

Tewodros Yosef, Julie A Pasco, Monica C Tembo, Kara L Holloway-Kew

School of Medicine, IMPACT, The Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, Victoria, Australia.School of Medicine, IMPACT, The Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, Victoria, Australia. · pubmed

Abstract

Falls are a major public health issue, largely driven by age-related declines in hip and lower limb muscle strength. Hip muscle strength plays a critical role in postural stability and falls prevention. Lower balance confidence increases fall risk by restricting activity participation, which may contribute to muscle weakness over time. This study examined the association between hip abductor and flexor strength and the incidence of injurious falls in older adults and investigated whether hip abductor and flexor strength mediate the relationship between balance confidence and incident injurious falls.

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Research summary

Hip abductor strength is associated with the incidence of injurious falls in older adults and mediates the relationship between balance confidence and falls. The study addresses a critical aspect of falls prevention in older adults, which is essential for promoting longevity and reducing age-related morbidity.

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