About this Research Topic

Background

Perturbation-based balance training (also referred to as reactive balance training or perturbation training) utilizes a task-specific approach to balance training, applying repeated exposure to unpredictable mechanical perturbations that mimic balance disturbances experienced in daily life. The goal of this training is to specifically target and improve the ability to maintain and recover balance in situations that often lead to falls.

Since the early 2000’s, there has been increasing interest and research into this approach to fall prevention. It was established early on that both young and older adults can substantially and rapidly improve their balance recovery responses to avoid falling when exposed to repeated, large balance perturbations within a few sessions. Systematic review evidence also indicates the effects of perturbation-based balance training may extend beyond the laboratory, by reducing falls in everyday life by up to 50%. This is particularly promising given the relatively short time needed to achieve these benefits, in comparison to traditional exercise programs. However, despite the potential of this approach, many questions remain regarding its efficacy, mechanisms, optimal dose, type and presentation of perturbation, transfer or generalisability to daily life tasks, application/feasibility in various clinical populations and retention of the improvements over time.

Research on implementation of perturbation-based balance training into practice and new methods to induce perturbations are continuing to evolve, and a recent survey has shown many clinicians involved in fall prevention wish to learn more about perturbation-based balance training. Thus, perturbation-based balance training is an active and rapidly evolving research area with significant interest.

This Research Topic aims to collect contributions on the latest developments related to perturbation-based balance training. Articles that elucidate underlying mechanisms related to training effects, dose-response, retention and transfer, as well as articles investigating the application, optimisation or feasibility of perturbation-based balance training in clinical settings are especially encouraged. Similarly, reports of improved or new methodology (for example, equipment or training protocols) are welcome.

Keywords: Balance, Perturbations, Falls, Training, Aging

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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