Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2014
Perturbation training can reduce community-dwelling older adults' annual fall risk: a randomized controlled trial.
Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07061314 (Comparison of Lower Limb COP and Muscle Activation During Single-Leg Deadlift Using Elastic and Inelastic Barbells), which is not on this map. Cited by 107 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of Lower Limb COP and Muscle Activation During Single-Leg Deadlift Using Elastic and Inelastic Barbells
Who cites it
107 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Influence of Reactive Balance Training Program Characteristics on Reactive Balance Control and Fall Risk: A Systematic Review and Meta-Regression.Gerontology · 2026Pooled it
- Exercise for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2019Pooled it
- Predictive and Reactive Locomotor Adaptability in Healthy Elderly: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2015Pooled it
- Trial
- Effects of Perturbation-Based Treadmill Training on Balance Performance, Daily Life Gait, and Falls in Older Adults: REACT Randomized Controlled Trial.Physical therapy · 2024Trial
- The effect of perturbation-based balance training on balance control and fear of falling in older adults: a single-blind randomised controlled trial.BMC geriatrics · 2023Trial
- Effect of Treadmill Perturbation-Based Balance Training on Fall Rates in Community-Dwelling Older Adults: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Can a single session of treadmill-based slip training reduce daily life falls in community-dwelling older adults? A randomized controlled trial.Aging clinical and experimental research · 2022Trial
- Comparison of Lateral Perturbation-Induced Step Training and Hip Muscle Strengthening Exercise on Balance and Falls in Community-Dwelling Older Adults: A Blinded Randomized Controlled Trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021Trial
- Surface Perturbation Training to Prevent Falls in Older Adults: A Highly Pragmatic, Randomized Controlled Trial.Physical therapy · 2020Trial
- Perturbation-based balance training targeting both slip- and trip-induced falls among older adults: a randomized controlled trial.BMC geriatrics · 2020Trial
- Effects of Dynamic Perturbation-Based Training on Balance Control of Community-Dwelling Older Adults.Scientific reports · 2018Trial
- Unexpected perturbations training improves balance control and voluntary stepping times in older adults - a double blind randomized control trial.BMC geriatrics · 2016Trial
- Early kinetic responses enhance biomechanical discrimination of falls and recoveries during sudden bilateral slips.Journal of biomechanics · 2026Article
- Optimal Reactive Balance Training Characteristics Poststroke: Secondary Analysis of a Clinical Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Article
- Associating Resting-State functional connectivity and improvements in reactive balance in Parkinson's Disease.Neuroscience letters · 2026Article
- Acceptability of treadmill perturbation-based balance training in older adults at risk of falling: A mixed-methods evaluation of participant and trainer perspectives.Aging clinical and experimental research · 2026Article
- Effects of an eight-week team handball intervention on balance and leg strength in older adults: a pilot study.Frontiers in sports and active living · 2026Article
- Validation of AI-based markerless gait event detection during perturbed walking using smartphone videos from two camera perspectives.Frontiers in sports and active living · 2026Article
- Article
47 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundPrevious studies indicated that a single session of repeated-slip exposure can reduce over 40% of laboratory-induced falls among older adults. The purpose of this study was to determine to what degree such perturbation training translated to the reduction of older adults' annual falls risk in their everyday living.
methodsTwo hundred and twelve community-dwelling older adults (≥65 years old) were randomly assigned to either the training group (N = 109), who then were exposed to 24 unannounced repeated slips, or the control group (N = 103), who merely experienced one slip during the same walking in the same protective laboratory environment. We recorded their falls in the preceding year (through self-reported history) and during the next 12 months (through falls diary and monitored with phone calls).
resultsWith this single session of repeated-slip exposure, training cut older adults' annual risk of falls by 50% (from 34% to 15%, p < .05). Those who experienced merely a single slip were 2.3 times more likely to fall during the same 12-month follow-up period (p < .05) than those who experienced the 24 repeated slips. Such training effect was especially prominent among those who had history of falls.
conclusionA single session of repeated-slip exposure could improve community-dwelling older adults' resilience to postural disturbances and, hence, significantly reduce their annual risk of falls.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.