Trial reportPhysical therapy2024
Effects of Perturbation-Based Treadmill Training on Balance Performance, Daily Life Gait, and Falls in Older Adults: REACT Randomized Controlled Trial.
Trial report in Physical therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 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
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Influence of Reactive Balance Training Program Characteristics on Reactive Balance Control and Fall Risk: A Systematic Review and Meta-Regression.Gerontology · 2026Pooled 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
- Advances in gait research related to Alzheimer's disease.Frontiers in neurology · 2025Pooled it
- Trial
- Trial
- 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
- Assessment of the Impact of Treadmill Training with Digital Biofeedback on Functional Performance and Gait Parameters of Patients After Total Hip Replacement-A Randomized Study.Journal of clinical medicine · 2026Article
- Acceptability of treadmill perturbation-based balance training in older adults at risk of falling: A mixed-methods evaluation of participant and trainer perspectives.Aging clinical and experimental research · 2026Article
- Association Between Function-focused Training and Physical Function Among Community-dwelling Oldest-old Individuals: A Retrospective Study.Juntendo medical journal · 2026Article
- Article
- 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
- Effects of Virtual Reality Based on Fall Prevention Intervention: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- 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
- Comparative effectiveness of lower body positive pressure and traditional treadmill training on adults with mild balance impairment.Frontiers in aging · 2025Article
- Sensorimotor perturbation-induced cortical responses by a novel PES system: analysis of the N1 component in healthy adults and Parkinson's disease.Frontiers in human neuroscience · 2025Article
- Complexities and challenges of translating intervention success to real world gait in people with Parkinson's disease.Frontiers in neurology · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveThe aim of this study was to evaluate the effect of perturbation-based treadmill training on gait quality in daily life, a predictor of fall risk that was used as the primary outcome. An additional aim was to evaluate the effects on secondary outcomes, including balance, gait performance, self-efficacy, daily life physical activity, and falls.
methodsSeventy community-dwelling older adults (mean age = 74.73 [SD = 5.69] years; 46 women) at risk of falling were randomized and received 4 weeks of dual-task treadmill training, either with or without treadmill perturbations. Balance, gait performance, self-efficacy, and daily life trunk accelerometry at baseline, after intervention, and at a 6-month follow-up were assessed and compared within group over time and between groups for each time point, and their change rates between groups over time were also assessed.
resultsBoth groups improved in their balance, gait performance, and self-efficacy; the experimental group showed a significantly larger decrease in concern of falling and an increase in physical performance than the controls. These training effects did not translate into significant improvements in daily life gait quality or physical activity. However, the number of daily life falls and the percentage of fallers decreased significantly more in the experimental group.
conclusionA 4-week perturbation-based dual-task treadmill training program can improve self-efficacy, balance, and gait performance in a controlled setting and reduce daily life falls, although not through changes in quantity or quality of daily life gait. IMPACT: Perturbation-based treadmill training is a safe and efficient way to train older adults' balance recovery and gait performance, increase self-efficacy, and prevent falls.
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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.