ArticleClinical biomechanics (Bristol, Avon)2016
Kinematic and behavioral analyses of protective stepping strategies and risk for falls among community living older adults.
Article in Clinical biomechanics (Bristol, Avon), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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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.
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Who cites it
22 citing papers in PubMed.
- 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
- 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
- Low-dose hip abductor-adductor power training improves neuromechanical weight-transfer control during lateral balance recovery in older adults.Clinical biomechanics (Bristol, Avon) · 2018Trial
- Older Fallers' Comprehensive Neuromuscular and Kinematic Alterations in Reactive Balance Control: Indicators of Balance Decline or Compensation? A Pilot Study.Bioengineering (Basel, Switzerland) · 2025Article
- The stepping test, and infrared depth sensor, provide reliable measures of balance in community-dwelling older adults.Journal of physical therapy science · 2024Article
- Muscular and Kinematic Responses to Unexpected Translational Balance Perturbation: A Pilot Study in Healthy Young Adults.Bioengineering (Basel, Switzerland) · 2023Article
- A Cross-Sectional Study on Fall Direction and Lower Limb Loading in Response to a Perturbation on Laterally Inclined Platform.Applied bionics and biomechanics · 2023Article
- Article
- Characteristics of step responses following varying magnitudes of unexpected lateral perturbations during standing among older people - a cross-sectional laboratory-based study.BMC geriatrics · 2022Article
- Unconstrained slip mechanics and stepping reactions depend on slip onset timing.Journal of biomechanics · 2021Article
- Identifying and Characterizing Types of Balance Recovery Strategies Among Females and Males to Prevent Injuries in Free-Standing Public Transport Passengers.Frontiers in bioengineering and biotechnology · 2021Article
- Human Response to Longitudinal Perturbations of Standing Passengers on Public Transport During Regular Operation.Frontiers in bioengineering and biotechnology · 2021Article
- Tripping Avoidance Lower Extremity Exoskeleton Based on Virtual Potential Field for Elderly People.Sensors (Basel, Switzerland) · 2020Article
- Lateral Perturbation-Induced and Voluntary Stepping in Fallers and Nonfallers After Stroke.Physical therapy · 2020Article
- Effects of aging and target location on reaction time and accuracy of lateral precision stepping during walking.Journal of biomechanics · 2020Article
- Stepping characteristics during externally induced lateral reactive and voluntary steps in chronic stroke.Gait & posture · 2019Article
- Perturbation-evoked lateral steps in older adults: Why take two steps when one will do?Clinical biomechanics (Bristol, Avon) · 2019Article
- Effects of aging on hip abductor-adductor neuromuscular and mechanical performance during the weight transfer phase of lateral protective stepping.Journal of biomechanics · 2019Article
- Age-Related Differences in Head Impact during Experimentally Induced Sideways Falls.BioMed research international · 2019Article
- Lateral Perturbation-Induced Stepping: Strategies and Predictors in Persons Poststroke.Journal of neurologic physical therapy : JNPT · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundProtective stepping evoked by externally applied lateral perturbations reveals balance deficits underlying falls. However, a lack of comprehensive information about the control of different stepping strategies in relation to the magnitude of perturbation limits understanding of balance control in relation to age and fall status. The aim of this study was to investigate different protective stepping strategies and their kinematic and behavioral control characteristics in response to different magnitudes of lateral waist-pulls between older fallers and non-fallers.
methodsFifty-two community-dwelling older adults (16 fallers) reacted naturally to maintain balance in response to five magnitudes of lateral waist-pulls. The balance tolerance limit (BTL, waist-pull magnitude where protective steps transitioned from single to multiple steps), first step control characteristics (stepping frequency and counts, spatial-temporal kinematic, and trunk position at landing) of four naturally selected protective step types were compared between fallers and non-fallers at- and above-BTL.
findingsFallers took medial-steps most frequently while non-fallers most often took crossover-back-steps. Only non-fallers varied their step count and first step control parameters by step type at the instants of step initiation (onset time) and termination (trunk position), while both groups modulated step execution parameters (single stance duration and step length) by step type. Group differences were generally better demonstrated above-BTL.
interpretationFallers primarily used a biomechanically less effective medial-stepping strategy that may be partially explained by reduced somato-sensation. Fallers did not modulate their step parameters by step type at first step initiation and termination, instances particularly vulnerable to instability, reflecting their limitations in balance control during protective stepping.
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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.