ArticleAging clinical and experimental research2020
Effects of task-specific obstacle-induced trip-perturbation training: proactive and reactive adaptation to reduce fall-risk in community-dwelling older adults.
Article in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 59 citations in OpenAlex.
- 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
- Recovery strategies during trip-like support surface perturbations while walking in older adults with mild cognitive impairment.GeroScience · 2026Article
- Characteristics of fall recurrence among persistent, quasi-persistent, and transient fallers: a 3-year analysis from the SCOPE study.European geriatric medicine · 2026Article
- Article
- Utilizing Kernel Density Estimation and Butterfly Diagram to Characterize the Gait Variability in the Fallers: A Cross-Sectional Study.Health science reports · 2025Article
- Automatic gait EVENT detection in older adults during perturbed walking.Journal of neuroengineering and rehabilitation · 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
- Sternum drop during trip recovery differs between the laboratory and real world - An exploratory pilot study.PloS one · 2025Article
- Impact of Reactive Balance Training on a Perturbation Treadmill on Physical Performance in Geriatric Patients:Results of a Single-Center, Assessor Blinded Randomized Controlled Trial.Journal of clinical medicine · 2024Article
- Classification and Definitions of Compensatory Protective Step Strategies in Older Adults: A Scoping Review.Journal of clinical medicine · 2024Article
- A survey of Israeli physical therapists regarding reactive balance training.BMC geriatrics · 2023Article
- Trip-Related Fall Risk Prediction Based on Gait Pattern in Healthy Older Adults: A Machine-Learning Approach.Sensors (Basel, Switzerland) · 2023Article
- Kinematic Measures for Recovery Strategy Identification following an Obstacle-Induced Trip in Gait.Journal of motor behavior · 2023Article
- Provoking Artificial Slips and Trips towards Perturbation-Based Balance Training: A Narrative Review.Sensors (Basel, Switzerland) · 2022Review
- Article
- A proposed methodology for trip recovery training without a specialized treadmill.Frontiers in sports and active living · 2022Article
- Small directional treadmill perturbations induce differential gait stability adaptation.Journal of neurophysiology · 2022Article
- Exploring the Association Between Measures of Obesity and Measures of Trip-induced Fall Risk Among Older Adults.Archives of physical medicine and rehabilitation · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundTrips account for over half of outdoor falls among community-dwelling older adults.
aimsTo investigate to what extent obstacle-induced trip-perturbation training could reduce fall-risk among older adults and to see whether training effects could be retained short term.
methodsForty community-dwelling older adults were exposed to 24 repeated trip-perturbations given in a "blocked-and-mixed" manner during over-ground gait. Another trip was given 30 min post-training. For each trip, recovery strategies and outcomes (fall versus no fall) were analyzed. Within-trial changes to proactive and reactive dynamic center of mass stability, pre-trip toe clearance and trunk angle, trunk angle at recovery completion, and recovery step length were analyzed.
results48% of participants fell on their novel trip. The fall rate decreased significantly for subsequent trips, with no falls on the last trip. The decreased fall incidence resulted from improved feedforward and feedback adjustments for controlling center of mass stability and body kinematics. Proactive adaptations included reduced forward center of mass velocity, which lessened forward instability, and larger toe clearance, which increased the likelihood of obstacle avoidance. Reactive adjustments included reduced forward instability and improved trunk control (reduced forward rotation) at recovery step completion. Post-training, training effects were retained in terms of fall incidence, with slight decay in toe clearance and reactive stability.
conclusionsOlder adults demonstrated appropriate locomotor-based proactive and reactive adaptations to repeated obstacle-induced trips with short-term retention similar to young adults, and thus could reduce their fall-risk through such training.
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