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Perturbation-based balance training: Principles, mechanisms and implementation in clinical practice
Christopher McCrum1,2, Tanvi S Bhatt3, Marissa H G Gerards4,5
1Department of Nutrition and Movement Sciences, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, Netherlands.
Frontiers in Sports and Active Living
|October 24, 2022
Summary
Perturbation-based balance training effectively prevents falls in older adults. Further research is needed to optimize this promising approach for widespread clinical use in fall prevention strategies.
Area of Science:
- Gerontology
- Rehabilitation Science
- Biomechanics
Background:
- Falls are a major health concern for older adults.
- Traditional balance training methods have limitations.
- Perturbation-based balance training (PBBT) has emerged as a promising fall prevention strategy.
Purpose of the Study:
- To review key concepts, mechanisms, feasibility, and efficacy of PBBT.
- To synthesize current evidence for researchers and practitioners.
- To identify areas needing further investigation for clinical implementation.
Main Methods:
- Comprehensive literature review focusing on PBBT.
- Discussion of principles, mechanisms, and practical implementation.
- Analysis of evidence in healthy and clinical populations.
Main Results:
- PBBT is task-specific and enhances adaptation and retention.
- Dose-response relationships require further study.
- Safety, anxiety, and technology are key implementation considerations.
Conclusions:
- PBBT shows significant promise for fall prevention in older adults.
- Further research is essential to address fundamental and applied aspects.
- Optimizing PBBT requires investigation into clinical populations and training technologies.
