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Perturbation-based balance training

Principles, mechanisms and implementation in clinical practice

Bibliographic Data

ID5285121
AuthorsChristopher Mccrum (0000-0002-4927-1114, Maastricht University, corresponding author), Tanvi S Bhatt, Tanvi Bhatt (0000-0001-6417-1018, University of Illinois Urbana-Champaign), Marissa H G Gerards (0000-0001-7388-2356, Maastricht University), Kiros Karamanidis (0000-0002-1839-6643, London South Bank University), Mark W Rogers (0000-0001-7205-5623, University of Maryland, Baltimore), Stephen R Lord (0000-0002-7111-8802, UNSW Sydney), Yoshiro Okubo (0000-0003-1767-0230, UNSW Sydney)
Year2022
Volume4
Pages1015394-1015394
Publication date2022-10-06
Open AccessYes
TypeARTICLE
VenueFrontiers in Sports and Active Living (JOURNAL)
Journal identifiersISSN: 2624-9367 • E-ISSN: 2624-9367
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fspor.2022.1015394
PMID36275443
OpenAlexW4302304622
LanguageEN
Citations received5
References cited206

Since the mid-2000s, perturbation-based balance training has been gaining interest as an efficient and effective way to prevent falls in older adults. It has been suggested that this task-specific training approach may present a paradigm shift in fall prevention. In this review, we discuss key concepts and common issues and questions regarding perturbation-based balance training. In doing so, we aim to provide a comprehensive synthesis of the current evidence on the mechanisms, feasibility and efficacy of perturbation-based balance training for researchers and practitioners. We address this in two sections: "Principles and Mechanisms" and "Implementation in Practice." In the first section, definitions, task-specificity, adaptation and retention mechanisms and the dose-response relationship are discussed. In the second section, issues related to safety, anxiety, evidence in clinical populations (e.g., Parkinson's disease, stroke), technology and training devices are discussed. Perturbation-based balance training is a promising approach to fall prevention. However, several fundamental and applied aspects of the approach need to be further investigated before it can be widely implemented in clinical practice

Clinical Practice · Cognitive psychology · Fall prevention · Physical medicine and rehabilitation · Physical therapy · Poison control · Balance, Gait, and Falls Prevention · Cerebral Palsy and Movement Disorders · Computer Science · Diabetic Foot Ulcer Assessment and Management · Human Factors and Ergonomics · Medicine · Psychology

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  • Perturbation-based balance training

    Open Access•Christopher Mccrum, Tanvi S Bhatt et al.•Frontiers in Sports and Active…•2022

  • Measures of falls efficacy, balance confidence, or balance recovery confidence for perturbation-based balance training

    Open Access•Shawn Leng-Hsien Soh•Frontiers in Sports and Active…•2022

  • Effects of Taiji Stick exercise on strength, balance, and activities of daily living in older adults

    Open Access•Longfei Cao, Xiaoxiao Dong et al.•Frontiers in Public Health•2025

  • The Stepping Threshold Test for assessing reactive balance discriminates between older adult fallers and non-fallers

    Open Access•Natalie Hezel, Theresa Buchner et al.•Frontiers in Sports and Active…•2024

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  • Exercise for preventing falls in older people living in the community

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  • Perturbation-Based Balance Training Using Repeated Trips on a Walkway vs. Belt Accelerations on a Treadmill

    Open Access•Patrick Y H Song, Daina L Sturnieks et al.•Frontiers in Sports and Active…•2021

  • Biomechanical Mechanisms of Improved Balance Recovery to Repeated Backward Slips Simulated by Treadmill Belt Accelerations in Young and Older Adults

    Open Access•Héloïse Debelle, Constantinos N Maganaris et al.•Frontiers in Sports and Active…•2021

  • Adaptability to Balance Perturbations During Walking as a Potential Marker of Falls History in Older Adults

    Open Access•Marissa H G Gerards, Kenneth Meijer et al.•Frontiers in Sports and Active…•2021

  • Perturbation-based balance training

    Open Access•Christopher Mccrum, Tanvi S Bhatt et al.•Frontiers in Sports and Active…•2022

  • Perturbation Training for Fall-Risk Reduction in Healthy Older Adults

    Open Access•Tanvi Bhatt, Yiru Wang et al.•Frontiers in Sports and Active…•2021

Citations per year1.25
Citation span2022 - 2026 (5)
Highly citedNo

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