Trial reportBMC geriatrics2016
Unexpected perturbations training improves balance control and voluntary stepping times in older adults - a double blind randomized control trial.
Trial report in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01439451 (Effect of Balance Perturbation to Improve Gait and Balance Control and Prevent Falls in Elderly Persons -A Randomized Control Trial), which is not on this map. Cited by 47 papers, 6 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.
Effect of Balance Perturbation to Improve Gait and Balance Control and Prevent Falls in Elderly Persons -A Randomized Control Trial
Who cites it
47 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Perturbation-based balance training on treadmills for falls prevention in older adults: a review of training protocols and reporting recommendations (ProRePBT).BMC geriatrics · 2026Pooled it
- Influence of Reactive Balance Training Program Characteristics on Reactive Balance Control and Fall Risk: A Systematic Review and Meta-Regression.Gerontology · 2026Pooled it
- The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review.International journal of environmental research and public health · 2023Pooled it
- A Systematic Review Exploring the Theories Underlying the Improvement of Balance and Reduction in Falls Following Dual-Task Training among Older Adults.International journal of environmental research and public health · 2022Pooled it
- Perturbations during Gait: A Systematic Review of Methodologies and Outcomes.Sensors (Basel, Switzerland) · 2022Pooled it
- Repeated Gait Perturbation Training in Parkinson's Disease and Healthy Older Adults: A Systematic Review and Meta-Analysis.Frontiers in human neuroscience · 2021Pooled it
- Feedback-based perturbation balance training during stationary cycling improves reactive and proactive balance among older adults: a single-blinded randomised controlled trial.Age and ageing · 2025Trial
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- 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
- Perturbation-Based Balance Exercise Using a Wearable Device to Improve Reactive Postural Control.IEEE journal of translational engineering in health and medicine · 2023Trial
- 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
- Neuromuscular organisation and robustness of postural control in the presence of perturbations.Scientific reports · 2019Trial
- Neuromuscular characteristics of dynamic balance control in patients with sarcopenia: a combined analysis of surface electromyography and limits of stability.Frontiers in aging neuroscience · 2026Article
- Speed of Voluntary Step Execution May Predict Survival among Older Adults: An Explorative Study.Gerontology · 2026Article
- Dose-response relationship of treadmill perturbation-based balance training for improving reactive balance in older adults at risk of falling: results of the FEATURE randomized controlled pilot trial.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025Article
- Effects of single-session perturbation-based balance training with progressive intensities on resilience and dynamic gait stability in healthy older adults.Frontiers in bioengineering and biotechnology · 2025Article
- Reduced adaptability to balance perturbations in older adults with probable cognitive impairment after a severe fall.PloS one · 2024Article
- The ground reaction force pattern during walking under vestibular-demanding task with/without mastoid vibration: implication for future sensorimotor training in astronauts.Frontiers in physiology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFalls are common among elderly, most of them occur while slipping or tripping during walking. We aimed to explore whether a training program that incorporates unexpected loss of balance during walking able to improve risk factors for falls.
methodsIn a double-blind randomized controlled trial 53 community dwelling older adults (age 80.1±5.6 years), were recruited and randomly allocated to an intervention group (n = 27) or a control group (n = 26). The intervention group received 24 training sessions over 3 months that included unexpected perturbation of balance exercises during treadmill walking. The control group performed treadmill walking with no perturbations. The primary outcome measures were the voluntary step execution times, traditional postural sway parameters and Stabilogram-Diffusion Analysis. The secondary outcome measures were the fall efficacy Scale (FES), self-reported late life function (LLFDI), and Performance-Oriented Mobility Assessment (POMA).
resultsCompared to control, participation in intervention program that includes unexpected loss of balance during walking led to faster Voluntary Step Execution Times under single (p = 0.002; effect size [ES] =0.75) and dual task (p = 0.003; [ES] = 0.89) conditions; intervention group subjects showed improvement in Short-term Effective diffusion coefficients in the mediolateral direction of the Stabilogram-Diffusion Analysis under eyes closed conditions (p = 0.012, [ES] = 0.92). Compared to control there were no significant changes in FES, LLFDI, and POMA.
conclusionsAn intervention program that includes unexpected loss of balance during walking can improve voluntary stepping times and balance control, both previously reported as risk factors for falls. This however, did not transferred to a change self-reported function and FES.
trial registrationClinicalTrials.gov REGISTRATION NUMBER: NCT01439451 .
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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.