Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2021
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.
Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline 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
- 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
- Efficacy of hip abductors exercise training combined with repetitive transcranial magnetic stimulation on knee osteoarthritis: A randomized controlled trial.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024Trial
- Effect of mediolateral leg perturbations on walking balance in people with chronic stroke: A randomized controlled trial.PloS one · 2024Trial
- Effect of Treadmill Perturbation-Based Balance Training on Fall Rates in Community-Dwelling Older Adults: A Randomized Clinical Trial.JAMA network open · 2023Trial
- A pilot study on aging-related effects on step performance: The role of muscle quality, size, and strength.Scientific reports · 2026Article
- Review
- Resistance training effects on gait parameters in older adults-a systematic review with multilevel meta-analysis and meta-regression.GeroScience · 2026Review
- Deficient Muscle Coordination Patterns of Reactive Stepping Responses in People With Chronic Stroke.Neurorehabilitation and neural repair · 2025Article
- Evaluating the Test-Retest Reliability of Five Low-Cost, Perturbation-Based Functional Tests for Balance Recovery in Older Adults.Sports (Basel, Switzerland) · 2025Article
- Combined effects of Tai-Chi gait with mediolateral ground support perturbation on dynamic balance control.Sports medicine and health science · 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
- Post-Physical Therapy 4-Month In-Home Dynamic Standing Protocol Maintains Physical Therapy Gains and Improves Mobility, Balance Confidence, Fear of Falling and Quality of Life in Parkinson's Disease: A Randomized Controlled Examiner-Blinded Feasibility Clinical Trial.Journal of frailty, sarcopenia and falls · 2024Article
- Assisting Standing Balance Recovery for Parkinson's Patients with a Lower-Extremity Exoskeleton Robot.Sensors (Basel, Switzerland) · 2024Article
- Trends in Multicomponent Training Research in the Aged Population: A Bibliometric Analysis.Healthcare (Basel, Switzerland) · 2024Article
- Classification and Definitions of Compensatory Protective Step Strategies in Older Adults: A Scoping Review.Journal of clinical medicine · 2024Article
- Proprioceptive and Strength Exercise Guidelines to Prevent Falls in the Elderly Related to Biomechanical Movement Characteristics.Healthcare (Basel, Switzerland) · 2024Review
- Balancing act: Unraveling the link between muscle strength, proprioception, and stability in unilateral hip osteoarthritis.PloS one · 2024Article
- Effects of Physiatrist and Physiotherapist-supervised Therapeutic Exercise on Physical Function in Frail Older Patients with Multimorbidity.Progress in rehabilitation medicine · 2023Article
- Age-related changes in protective arm reaction kinematics, kinetics, and neuromuscular activation during evoked forward falls.Human movement science · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThis factorial, assessor-blinded, randomized, and controlled study compared the effects of perturbation-induced step training (lateral waist-pulls), hip muscle strengthening, and their combination, on balance performance, muscle strength, and prospective falls among older adults.
methodsCommunity-dwelling older adults were randomized to 4 training groups. Induced step training (IST, n = 25) involved 43 progressive perturbations. Hip abduction strengthening (HST, n = 25) utilized progressive resistance exercises. Combined training (CMB, n = 25) included IST and HST, and the control performed seated flexibility/relaxation exercises (SFR, n = 27). The training involved 36 sessions for a period of 12 weeks. The primary outcomes were the number of recovery steps and first step length, and maximum hip abduction torque. Fall frequency during 12 months after training was determined.
resultsOverall, the number of recovery steps was reduced by 31% and depended upon the first step type. IST and CMB increased the rate of more stable single lateral steps pre- and post-training than HST and SFR who used more multiple crossover and sequential steps. The improved rate of lateral steps for CMB exceeded the control (CMB/SFR rate ratio 2.68). First step length was unchanged, and HST alone increased hip torque by 25%. Relative to SFR, the fall rate ratios (falls/person/year) [95% confidence interval] were CMB 0.26 [0.07-0.90], IST 0.44 [0.18-1.08], and HST 0.30 (0.10-0.91).
conclusionsBalance performance through stepping was best improved by combining perturbation and strength training and not strengthening alone. The interventions reduced future falls by 56%-74% over the control. Lateral balance perturbation training may enhance traditional programs for fall prevention.
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.