Evidence map›Paper›PMID 41023447›Full record

ReviewZeitschrift fur Gerontologie und Geriatrie2025

[A good stumbler doesn't fall! : Treadmill perturbation-based balance training in geriatric rehabilitation].

Vanessa Haug, Gerd Mez, Rebecca Scheck, Christoph Leinert, Michael Denkinger, Tim Fleiner

Abstract readEnglish AbstractReview
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In one paragraph

Review in Zeitschrift fur Gerontologie und Geriatrie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Vanessa HaugAgaplesion Bethesda Klinik Ulm, Ulm, Deutschland. vanessa.haug@agaplesion.de.
Gerd MezAgaplesion Bethesda Klinik Ulm, Ulm, Deutschland.
Rebecca ScheckAgaplesion Bethesda Klinik Ulm, Ulm, Deutschland.
Christoph LeinertAgaplesion Bethesda Klinik Ulm, Ulm, Deutschland.
Michael DenkingerAgaplesion Bethesda Klinik Ulm, Ulm, Deutschland.
Tim FleinerInstitut für Geriatrische Forschung, Universitätsklinikum Ulm, Ulm, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreadmill perturbation-based balance training (PBT) is considered a promising approach to fall prevention in older adults. It aims to improve reactive balance control in response to unexpected disturbances-one of the most common causes of falls in everyday life.

objectiveTo introduce treadmill-based perturbation training as an innovative therapeutic method in geriatric rehabilitation and to provide practical insights into its implementation.

methodsThe article combines a narrative literature analysis on the use of PBT with a report on experiences from inpatient and outpatient geriatric rehabilitation at the Agaplesion Bethesda Klinik Ulm. The training takes place on treadmills with targeted, multidirectional perturbations under therapeutic supervision.

resultsRandomized studies and meta-analyses show that even small amounts of PBT can lead to a significant reduction in the fall rate (up to -46%) and the number of people who fall (up to -29%). In clinical practice, rehabilitation patients report an increased sense of security and greater confidence in their own mobility. Integrated into interdisciplinary rehabilitation processes, a standardized protocol with 40 perturbations per unit has been established. Implementation requires a step-by-step approach, careful indication, and team coordination.

conclusionTreadmill PBT can be easily integrated into geriatric rehabilitation concepts. Experience shows that training under controlled conditions addresses everyday fall mechanisms and strengthens the sense of safety of rehabilitation patients.

Indexed as

Accidental FallsExercise TestExercise TherapyPostural BalanceAgedAged, 80 and overGermanyHumansTreatment OutcomeAccidental falls/prevention & controlGeriatric rehabilitationPostural balanceReactive balance controlTraining concept

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Registered trials

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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.