Balance Training for Fall Prevention

ML
Overseen ByMichael L Madigan, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Virginia Polytechnic Institute and State University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a new exercise program, called slip recovery training, can help workers regain balance after slipping. The trial includes two groups: one will engage in slip recovery training, while the other will perform a different balance exercise called alternative balance training. Researchers seek to assess whether slip recovery training can be implemented at work and effectively prevent falls. Potential participants include workers from Virginia Tech's Dining Services, Facilities, Housekeeping, and construction, as well as Veolia field workers in water distribution and construction, who are willing to complete the training and track falls for 12 weeks. As an unphased trial, this study offers participants the opportunity to contribute to innovative research that could enhance workplace safety and prevent falls.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. Since the trial involves balance training exercises and not medication, it's likely you can continue your current medications, but you should confirm with the trial organizers.

What prior data suggests that this balance training is safe for workers?

Research has shown that both slip recovery training and other balance exercises are generally safe for participants. These exercises improve balance and reduce the risk of falls, indicating they are well-tolerated.

One study found that even a single session of slip recovery training enhanced balance and decreased the chance of slipping. Another study demonstrated that this training helps maintain balance after slips are intentionally caused in a lab setting.

Alternative balance training also appears safe. Several studies have shown it effectively reduces falls by improving strength and balance. This type of training fits easily into daily routines, making it both safe and practical.

Overall, both types of training are safe and manageable for participants. There are no significant reports of negative effects from these exercises.12345

Why are researchers excited about this trial?

Researchers are excited about these balance training techniques because they offer innovative ways to prevent falls, especially in older adults. Slip Recovery Training is unique as it focuses on reactive and volitional stepping movements that simulate the real-life actions needed to regain balance after a slip, which is different from traditional exercises that don't typically mimic these sudden movements. Alternative Balance Training offers varied sensory conditions to challenge and improve standing balance and tandem walking, which could enhance stability in diverse environments. These methods provide practical, real-world approaches to balance training, which could be more effective than standard exercises that often focus only on general strength or mobility.

What evidence suggests that this trial's treatments could be effective for fall prevention?

This trial will compare two types of balance training: slip recovery training and alternative balance training. Research has shown that slip recovery training, which participants in one arm of this trial will receive, can greatly improve balance, particularly in regaining balance after slipping, thus reducing the risk of falls. One study found that even a single session of this specific training improved the ability to react and recover balance, crucial for preventing falls caused by slips. Another source emphasizes that slip recovery training significantly lowers the chances of falling by enhancing the body's response to slips.

Participants in another arm of this trial will receive alternative balance training. Studies indicate that this type of exercise helps reduce falls that cause injuries and improve both static and dynamic balance. These exercises also strengthen the lower body and enhance mobility, leading to fewer falls. Overall, both types of training have demonstrated benefits in improving balance and reducing fall risks, but slip recovery training specifically focuses on recovering from slips.12467

Who Is on the Research Team?

ML

Michael L Madigan, PhD

Principal Investigator

Virginia Polytechnic Institute and State University

Are You a Good Fit for This Trial?

This trial is for Virginia Tech workers in Dining Services, Facilities and Housekeeping, construction, and Veolia field workers in water distribution and main construction aged between 18-65. They must be willing to complete training sessions, lab testing, and daily falls tracking for 12 weeks. Those over 250 pounds or not cleared by the Physical Activity Readiness Questionnaire cannot join.

Inclusion Criteria

Virginia Tech workers in Dining Services, Facilities and Housekeeping, and construction
Veolia field workers in water distribution and water main construction
I am willing to attend training, lab tests, and track falls for 12 weeks.

Exclusion Criteria

Weigh over 250 pounds
Answer 'no' to all questions of the Physical Activity Readiness Questionnaire

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2 years

Training

Participants undergo slip recovery training or alternative balance training once weekly for 3 to 6 weeks

3-6 weeks
3-6 visits (in-person)

Laboratory Testing

Participants complete a laboratory session of testing with a lab-induced slip to validate field assessments

1 week
1 visit (in-person)

Follow-up

Participants are monitored for slips and falls through daily text messages and participate in focus group discussions

12 weeks
Daily virtual check-ins, 1 focus group discussion

What Are the Treatments Tested in This Trial?

Interventions

  • Alternative Balance Training
  • Slip Recovery Training
Trial Overview The study tests slip recovery training against an alternative balance training among workers at risk of slipping on the job. Participants will undergo weekly sessions for up to six weeks and report any falls for three months post-training. Some will also attend focus groups to discuss long-term feasibility.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Slip recovery trainingExperimental Treatment1 Intervention
Group II: Alternative balance trainingActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Virginia Polytechnic Institute and State University

Lead Sponsor

Trials
162
Recruited
26,900+

Published Research Related to This Trial

Balance training on a foam rubber pad significantly improves balance abilities in older adults more effectively than training on a stable surface, with benefits observed as early as 2 months into the program.
The foam rubber exercise group showed notable improvements in key balance tests compared to both the control group and the stable surface group, indicating that this method of training can enhance physical functioning with fewer exercise sessions.
Effects of a balance training program using a foam rubber pad in community-based older adults: a randomized controlled trial.Hirase, T., Inokuchi, S., Matsusaka, N., et al.[2022]
A 6-week strength training program improved balance recovery in older adults, with participants showing about 15%-30% improvements in their ability to recover from forward and lateral falls.
Power training did not result in greater improvements in balance recovery compared to strength training, suggesting that both types of training can be beneficial for enhancing balance in older adults.
The effects of strength and power training on single-step balance recovery in older adults: a preliminary study.Pamukoff, DN., Haakonssen, EC., Zaccaria, JA., et al.[2021]
A pilot study with 36 young adults demonstrated that two low-cost methods for slip recovery training, repeated unexpected slip training (UST) and volitional slip-recovery training (VST), significantly improved balance recovery ability compared to a control group.
UST enhanced proactive control and reactive stepping responses after slips, while VST improved the ability to stop the slipping foot, suggesting both methods could be effective and practical for fall prevention training.
Two Novel Slip Training Methods Improve the Likelihood of Recovering Balance After a Laboratory-Induced Slip.Allin, LJ., Nussbaum, MA., Madigan, ML.[2022]

Citations

Effectiveness of exercise interventions on fall prevention in ...Balance exercises reduce the rate of injurious falls, improve static, dynamic and reactive balance, lower extremity strength as well as mobility.
Domain-specific balance training reduces slip-related fall ...A single session of domain-specific balance training improved key components of reactive balance control and could significantly reduce slip-related fall risk.
Effectiveness of dual-task exercise in improving balance ...Meta-analysis indicated that DT exercise significantly improves dynamic balance and functional mobility, and reduces fall frequency. Meta- ...
Exercise for falls prevention in aged care: systematic review ...There is strong evidence that exercise reduces falls in older people living in the community, but its effectiveness in residential aged care ...
A randomized controlled trial on impact of group exercise ...A randomized controlled trial on impact of group exercise programme on fall risk, balance, strength, fear of fall and quality of life of older adults.
Integration of balance and strength training into daily life ...It was designed to reduce fall risk and resulted in a clinically important 31% reduction in the rate of falls compared with the control ...
The Effects of Physical Exercise on Balance and Prevention of ...There is overwhelming evidence that physical exercise can lower the risk of falling in elderly people, averting muscle mass reduction, and improving balance ...
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