Evidence map›Paper›PMID 39117404›Full record

Trial reportBMJ open2024

Perturbation-based balance training of older adults and effects on physiological, cognitive and sociopsychological factors: a secondary analysis from a randomised controlled trial with 12-month follow-up.

Jens Eg Nørgaard, Stig Andersen, Jesper Ryg, Jane Andreasen, Anderson de Souza Castelo Oliveira, Andrew James Thomas Stevenson, Mathias Brix Brix Danielsen, Martin Gronbech Jorgensen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04733222 (Effect of Treadmill Slip- and Trip-perturbation Training on Falls Among Community-dwelling Older Adults), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT04733222 nacompletednot on this map

Effect of Treadmill Slip- and Trip-perturbation Training on Falls Among Community-dwelling Older Adults: A Randomized, Controlled Trial

TypeinterventionalSponsorAalborg University HospitalRan2021 to 2022Enrolled140ConditionsAccidental Fall, Accident PreventionArmsPerturbation training, Treadmill walking
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Selective associations between cognitive practice effects and reactive balance adaptation in multiple sclerosis.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2026
    Article
  3. Article
  4. 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 · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jens Eg NørgaardDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0002-5256-6108
Stig AndersenDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-3632-5213
Jesper RygDepartment of Geriatric Medicine, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-8641-3062
Jane AndreasenDepartment of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark.
Anderson de Souza Castelo OliveiraDepartment of Materials and Production, Aalborg University, Aalborg, Denmark.
Andrew James Thomas StevensonDepartment of Health, Science and Technology, Aalborg University, Aalborg, Denmark.ORCID 0000-0003-1045-4738
Mathias Brix Brix DanielsenDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0001-7431-5257
Martin Gronbech JorgensenDepartment of Geriatric Medicine, Aalborg University Hospital, Aalborg, Denmark mgj@rn.dk.ORCID 0000-0002-3189-644X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerturbation-based balance training (PBT) has shown promising, although diverging, fall-preventive effects; however, the effects on important physical, cognitive and sociopsychological factors are currently unknown. The study aimed to evaluate these effects on PBT at three different time points (post-training, 6-months and 12-months) in community-dwelling older adults compared with regular treadmill walking.

methodsThis was a preplanned secondary analysis from a randomised, controlled trial performed in Aalborg, Denmark, between March 2021 and November 2022. Community-dwelling older adults aged ≥65 were randomly assigned to participate in four sessions (lasting 20 min each) of either PBT (intervention) or regular treadmill walking (control). All participants were assigned to four testing sessions: pretraining, post-training, 6-month follow-up and 12-month follow-up. At these sessions, physical, cognitive and sociopsychological measures were assessed.

resultsIn total, 140 participants were randomly allocated to either the PBT or control group. Short-term (pretraining to post-training) between-group differences were seen for choice stepping reaction time (-49 ms, 95% CI -80 to -18), dual-task gait speed (0.05 m/s, 95% CI 0.01 to 0.09) favouring the PBT group. However, these improvements were not sustained at the 6-month and 12-month follow-up. No significant between-group differences were found in other physical, cognitive or sociopsychological factors.

conclusionsThis study showed that PBT, in the short term, improved choice stepping reaction time and dual-task gait speed among community-dwelling older adults. Yet, these improvements were not retained for 6- or 12-months. The healthy state of the study's population may have imposed a ceiling effect limiting the ability to show any clinically relevant effects of PBT. TRIAL REGISTRATION NUMBER: NCT04733222.

Indexed as

Accidental FallsCognitionExercise TherapyIndependent LivingPostural BalanceAgedAged, 80 and overDenmarkFemaleFollow-Up StudiesHumansMaleReaction TimeWalkingAgedGaitRandomized Controlled Trial

Identifiers

PMID39117404
PMCPMC11404139

What OpenQuestion holds

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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.