Trial reportBMJ open2018
Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial.
Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 61 papers, 5 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 Reactive Balance Training on Physical Fitness Post-stroke
Unblinded Quasi-Randomized Pilot Study Exploring the Benefits of the ZeroG TRiP System to Improve Patient Balance Following an Acute Stroke
Clinical Study of a Novel, Body-weight Supported, Balance-perturbation Module During the Rehabilitation of Gait and Balance Impairments Secondary to Stroke: A Multisite Randomized Control Trial
Environmental-Perturbation Balance Training Improves Functional Outcomes in Patients With Subacute Stroke: A Prospective Randomized Controlled Trial
Who cites it
61 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Physical Therapist Involved Physical Activity Interventions: A Systematic Review and Meta-Analysis.Journal of neurologic physical therapy : JNPT · 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
- Impact of Vestibular Rehabilitation and Dual-Task Training on Balance and Gait in Survivors of Stroke: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2025Pooled it
- Physical rehabilitation approaches for the recovery of function and mobility following stroke.The Cochrane database of systematic reviews · 2025Pooled it
- Perturbations during Gait: A Systematic Review of Methodologies and Outcomes.Sensors (Basel, Switzerland) · 2022Pooled it
- Is lateral external perturbation training more beneficial for protective stepping responses than voluntary stepping training in stroke? A pilot randomized control study.Journal of neuroengineering and rehabilitation · 2024Trial
- Effect of mediolateral leg perturbations on walking balance in people with chronic stroke: A randomized controlled trial.PloS one · 2024Trial
- 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
- Intense and unpredictable perturbations during gait training improve dynamic balance abilities in chronic hemiparetic individuals: a randomized controlled pilot trial.Journal of neuroengineering and rehabilitation · 2020Trial
- Neuromuscular organisation and robustness of postural control in the presence of perturbations.Scientific reports · 2019Trial
- The development and feasibility of treadmill-induced fall recovery training applied to individuals with chronic stroke.BMC neurology · 2019Trial
- A single session of trip-specific training modifies trunk control following treadmill induced balance perturbations in stroke survivors.Gait & posture · 2019Trial
- A domain-specific approach to characterizing balance confidence post-stroke.Topics in stroke rehabilitation · 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
- Feasibility of Aquatic Reactive Balance Training (AquaReBal) for Older Adults: Protocol for a Single-Arm Pre-Post Study.Gerontology · 2026Article
- A Robotic Assistance With Specialized Timing Improves Motor Performance: Implications for Movement Training.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026Article
- Article
- Comparison of Body Weight Support-Assisted Balance and Gait Training With or Without Balance Perturbations in Poststroke Rehabilitation: Multisite Randomized Controlled Trial.JMIR rehabilitation and assistive technologies · 2025Article
- Deficient Muscle Coordination Patterns of Reactive Stepping Responses in People With Chronic Stroke.Neurorehabilitation and neural repair · 2025Article
- Professional education and clinical application of balance control and reactive balance training: a cross-sectional national survey of Polish healthcare professionals.BMC medical education · 2025Article
1 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
10 authors.
Funding
Abstract
objectivesNo intervention has been shown to prevent falls poststroke. We aimed to determine if perturbation-based balance training (PBT) can reduce falls in daily life among individuals with chronic stroke.
designAssessor-blinded randomised controlled trial.
settingTwo academic hospitals in an urban area.
interventionsParticipants were allocated using stratified blocked randomisation to either 'traditional' balance training (control) or PBT. PBT focused on improving responses to instability, whereas traditional balance training focused on maintaining stability during functional tasks. Training sessions were 1 hour twice/week for 6 weeks. Participants were also invited to complete 2 'booster' training sessions during the follow-up.
participantsEighty-eight participants with chronic stroke (>6 months poststroke) were recruited and randomly allocated one of the two interventions. Five participants withdrew; 42 (control) and 41 (PBT group) were included in the analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was rate of falls in the 12 months post-training. Negative binomial regression was used to compare fall rates between groups. Secondary outcomes were measures of balance, mobility, balance confidence, physical activity and social integration.
resultsPBT participants reported 53 falls (1.45 falls/person-year) and control participants reported 64 falls (1.72 falls/person-year; rate ratio: 0.85(0.42 to 1.69); p=0.63). Per-protocol analysis included 32 PBT and 34 control participants who completed at least 10/12 initial training sessions and 1 booster session. Within this subset, PBT participants reported 32 falls (1.07 falls/person-year) and control participants reported 57 falls (1.75 falls/person-year; rate ratio: 0.62(0.29 to 1.30); p=0.20). PBT participants had greater improvement in reactive balance control than the control group, and these improvements were sustained 12 months post-training. There were no intervention-related serious adverse effects.
conclusionsThe results are inconclusive. PBT may help to prevent falls in daily life poststroke, but ongoing training may be required to maintain the benefits. TRIAL REGISTRATION NUMBER: ISRCTN05434601; Results.
Indexed as
Identifiers
What OpenQuestion holds
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.