Perturbation-based balance training: Principles, mechanisms and implementation in clinical practice.
Bhatt, Tanvi S
Gerards, Marissa H G
Rogers, Mark W
Lord, Stephen R
JournalFrontiers in sports and active living
MetadataShow full item record
AbstractSince the mid-2000s, perturbation-based balance training has been gaining interest as an efficient and effective way to prevent falls in older adults. It has been suggested that this task-specific training approach may present a paradigm shift in fall prevention. In this review, we discuss key concepts and common issues and questions regarding perturbation-based balance training. In doing so, we aim to provide a comprehensive synthesis of the current evidence on the mechanisms, feasibility and efficacy of perturbation-based balance training for researchers and practitioners. We address this in two sections: "Principles and Mechanisms" and "Implementation in Practice." In the first section, definitions, task-specificity, adaptation and retention mechanisms and the dose-response relationship are discussed. In the second section, issues related to safety, anxiety, evidence in clinical populations (e.g., Parkinson's disease, stroke), technology and training devices are discussed. Perturbation-based balance training is a promising approach to fall prevention. However, several fundamental and applied aspects of the approach need to be further investigated before it can be widely implemented in clinical practice.
Rights/TermsCopyright © 2022 McCrum, Bhatt, Gerards, Karamanidis, Rogers, Lord and Okubo.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/20051
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