Trial reportBMC geriatrics2023
The effect of perturbation-based balance training on balance control and fear of falling in older adults: a single-blind randomised controlled trial.
Trial report in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 6 syntheses or guidelines 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
- 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
- Systematic review and meta-analysis of balance training in children with developmental disorders.PeerJ · 2026Pooled it
- Effect of virtual reality technology on balance ability intervention in stroke patients: a systematic review and meta-analysis.Frontiers in physiology · 2026Pooled it
- Effects of the computer-assisted rehabilitation environment on patient rehabilitation: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Effects of a Comprehensive Intervention Program of Static-Dynamic Balance Training Combined with Reminiscence Therapy on the Level of Healthy Aging Among Older Adults in a Rural Community: A Randomized Controlled Trial.Clinical interventions in aging · 2025Trial
- Effects of Taiji Stick exercise on strength, balance, and activities of daily living in older adults: a randomized controlled trial.Frontiers in public health · 2025Trial
- Wobble-board instability re-orthogonalizes postural geometry in older adults through exogenous constraint.GeroScience · 2026Article
- Effectiveness of home safety training and balance exercises in reducing fear of falling among older women: A quasi-experimental study in southern Iran.Preventive medicine reports · 2026Article
- Slower reactive stepping kinematics are associated with lower clinical balance function and delayed cortical evoked responses under challenging balance conditions after stroke.medRxiv : the preprint server for health sciences · 2025Article
- 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
- How disease threat affects the purchase intention of ultra-processed foods among high-pressure workers.Frontiers in nutrition · 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
- What are the hidden shortcomings of balance training research in older adults that prevent its transfer into practice? Scoping review.PloS one · 2025Article
- Exercise Prescription Training in Chronic Obstructive Pulmonary Disease: Benefits and Mechanisms.International journal of chronic obstructive pulmonary disease · 2025Review
- Effect of a Health Education Intervention to Reduce Fear of Falling and Falls in Older People: A Cluster Randomized Clinical Trial Protocol.Healthcare (Basel, Switzerland) · 2024Article
- 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
- The Effect of Perturbation-Based Balance Training vs Step Training on Reaction Time in Older Persons: A Review.Cureus · 2023Review
- Muscular and Kinematic Responses to Unexpected Translational Balance Perturbation: A Pilot Study in Healthy Young Adults.Bioengineering (Basel, Switzerland) · 2023Article
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
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerturbation-based balance training (PBT) is an emerging intervention shown to improve balance recovery responses and reduce falls in everyday life in older adults. However, perturbation interventions were heterogeneous in nature and need improvement. This study aims to investigate the effects of a PBT protocol that was designed to address previously identified challenges of PBT, in addition to usual care, on balance control and fear of falling in older adults at increased risk of falling.
methodsCommunity-dwelling older adults (age ≥ 65 years) who visited the hospital outpatient clinic due to a fall incident were included. Participants received PBT in addition to usual care (referral to a physiotherapist) versus usual care alone. PBT consisted of three 30-minute sessions in three weeks. Unilateral treadmill belt accelerations and decelerations and platform perturbations (shifts and tilts) were applied during standing and walking on the Computer Assisted Rehabilitation Environment (CAREN, Motek Medical BV). This dual-belt treadmill embedded in a motion platform with 6 degrees of freedom is surrounded by a 180° screen on which virtual reality environments are projected. Duration and contents of the training were standardised, while training progression was individualised. Fear of falling (FES-I) and balance control (Mini-BESTest) were assessed at baseline and one week post-intervention. Primary analysis compared changes in outcome measures between groups using Mann-Whitney U tests.
resultsEighty-two participants were included (PBT group n = 39), with a median age of 73 years (IQR 8 years). Median Mini-BESTest scores did not clinically relevantly improve and were not significantly different between groups post-intervention (p = 0.87). FES-I scores did not change in either group.
conclusionsParticipation in a PBT program including multiple perturbation types and directions did not lead to different effects than usual care on clinical measures of balance control or fear of falling in community-dwelling older adults with a recent history of falls. More research is needed to explore how to modulate PBT training dose, and which clinical outcomes are most suitable to measure training effects on balance control.
trial registrationNederlands Trial Register NL7680. Registered 17-04-2019 - retrospectively registered. https://www.trialregister.nl/trial/7680 .
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