Reactive Balance Training for Accidental Falls
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new training method called reactive balance training (RBT) to determine its effectiveness in helping older adults improve balance and reduce accidental falls. Researchers aim to discover whether a high-intensity version of RBT enhances balance reactions more quickly than a moderate-intensity version or walking exercises. They are also assessing whether the training's benefits persist after the program concludes. The trial seeks older adults who can stand and walk independently but may experience balance difficulties. As an unphased trial, it offers participants the chance to contribute to innovative research that could enhance balance training methods for older adults.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that reactive balance training is safe for older adults?
Studies have shown that Reactive Balance Training (RBT) is generally safe and beneficial. Research indicates that people who engage in RBT are less likely to fall compared to those who do not. For example, one study found that RBT participants reduced their risk of falling by 24%. This suggests that RBT not only improves balance but also lowers the chances of falling in daily life.
However, not all studies found RBT to be completely risk-free. Some reports noted that falls were slightly more common during the training itself. While RBT can help reduce falls over time, there might be a risk of falling during these exercises.
Overall, RBT has been shown to improve balance and reduce falls in the long run. Most people handle it well, but like any exercise program, some risks may occur during training sessions.12345Why are researchers excited about this trial?
Researchers are excited about Reactive Balance Training (RBT) for accidental falls because it offers a proactive approach to improving balance and preventing falls, unlike traditional methods that often focus on post-fall rehabilitation. Most current treatments for fall prevention involve exercises like strength training or tai chi, which enhance overall stability but may not directly address the body's response to sudden balance disruptions. RBT specifically targets the body's ability to react to unexpected perturbations, training participants through controlled, multi-directional balance challenges. This method could potentially lead to quicker and more effective improvements in balance recovery, reducing fall risks more efficiently.
What evidence suggests that this trial's treatments could be effective for improving balance reactions in older adults?
This trial will compare different intensities of Reactive Balance Training (RBT) to assess their effectiveness in reducing falls. Research has shown that RBT can greatly reduce falls in older adults. One study found that RBT nearly halves the chance of falling in everyday life compared to other exercises or doing nothing. This training helps individuals react quickly when they start to lose their balance, such as taking a step to steady themselves. It has proven effective for both slipping and tripping situations. Clinical evidence from the past 10–15 years supports RBT's ability to prevent falls and improve balance control.12346
Who Is on the Research Team?
Avril Mansfield, PhD
Principal Investigator
University Health Network, Toronto
Are You a Good Fit for This Trial?
This trial is for community-dwelling older adults aged between 65 and 80 who are at risk of accidental falls. It aims to determine if high-intensity reactive balance training (RBT) can improve their balance reactions faster than moderate-intensity RBT or a control program without RBT.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo reactive balance training (RBT) with either moderate or high intensity, or participate in a walking control group. Each participant completes 5 1-hour training sessions over 11 days.
Follow-up
Participants are monitored for improvements in balance reactions and other secondary outcomes post-training.
What Are the Treatments Tested in This Trial?
Interventions
- Reactive Balance Training
Find a Clinic Near You
Who Is Running the Clinical Trial?
Toronto Rehabilitation Institute
Lead Sponsor
Canadian Institutes of Health Research (CIHR)
Collaborator