Perturbation-based balance training for falls prevention: Translating research into practice
Abstract
Perturbation-based balance training (PBT), a form of physical training that involves the intentional disruption of balance to enhance neuromuscular control and stability, has shown significant promise in controlled research environments. This talk explores translating perturbation training from experimental settings into practical applications for preventing falls in older adults. The talk highlights key methodologies, including the use of perturbation treadmills, and examines their impact on fall risk, injury prevention, and performance enhancement. Additionally, it addresses practical considerations for implementing perturbation training in various contexts, such as individualized program design, acceptability, assessment, and progression strategies. By bridging the gap between research and practice, this talk aims to provide a comprehensive framework for integrating perturbation training into fall prevention regimes, ultimately fostering broader adoption and optimizing physical health and performance in older populations.
Recommended literature
Hezel, N., Brüll, L., Arampatzis, A., & Schwenk, M. (2024). Acceptability of two perturbation-based balance training paradigms: Perturbation treadmill versus dynamic stability training in the presence of perturbations. Gerontology, 70 (6), 661–668. https://doi.org/10.1159/000538105
Brüll, L., Hezel, N., Arampatzis, A., & Schwenk, M. (2023). Comparing the effects of two perturbation-based balance training paradigms in fall-prone older adults: A randomized controlled trial. Gerontology, 69(7), 910–922. https://doi.org/10.1159/000530167
Adams, M., Brüll, L., Lohkamp, M., & Schwenk, M. (2021). The Stepping Threshold Test for reactive balance: Validation of two observer-based evaluation strategies to assess stepping behavior in fall-prone older adults. Frontiers in Sports and Active Living, 3(715392). https://doi.org/10.3389/fspor.2021.715392