Bergen G, Stevens MR, Burns ER. Falls and Fall Injuries Among Adults Aged ≥65 Years - United States, 2014. MMWR Morb Mortal Wkly Rep. 2016;65(37):993–8.

Article  PubMed  Google Scholar 

World Health Organization. Step Safely: Strategies for Preventing and Managing Falls across the Life-Course. Geneva: World Health Organization; 2021.

Google Scholar 

Montero-Odasso M, van der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022;51(9):afac205.

Timsina LR, Willetts JL, Brennan MJ, Marucci-Wellman H, Lombardi DA, Courtney TK, et al. Circumstances of fall-related injuries by age and gender among community-dwelling adults in the United States. PLoS ONE. 2017;12(5):e0176561.

Article  PubMed  PubMed Central  Google Scholar 

Cai Y, Leveille SG, Andreeva O, Shi L, Chen P, You T. Characterizing Fall Circumstances in Community-Dwelling Older Adults: A Mixed Methods Approach. J Gerontol A Biol Sci Med Sci. 2023;78(9):1683–91.

Article  PubMed  PubMed Central  Google Scholar 

Woollacott MH, Shumway-Cook A. Postural dysfunction during standing and walking in children with cerebral palsy: what are the underlying problems and what new therapies might improve balance? Neural Plast. 2005;12(2–3):211–9 (discussion 63-72).

Article  PubMed  PubMed Central  Google Scholar 

McCrum C. Fall Prevention in Community-Dwelling Older Adults. N Engl J Med. 2020;382(26):2579–80.

Article  PubMed  Google Scholar 

McCrum C, Bhatt TS, Gerards MHG, Karamanidis K, Rogers MW, Lord SR, et al. Perturbation-based balance training: Principles, mechanisms and implementation in clinical practice. Front Sports Act Living. 2022;4:1015394.

Article  PubMed  PubMed Central  Google Scholar 

Kim Y, Vakula MN, Bolton DAE, Dakin CJ, Thompson BJ, Slocum TA, et al. Which Exercise Interventions Can Most Effectively Improve Reactive Balance in Older Adults? A Systematic Review and Network Meta-Analysis. Front Aging Neurosci. 2021;13:764826.

Article  PubMed  Google Scholar 

Pai YC, Bhatt T, Yang F, Wang E. Perturbation training can reduce community-dwelling older adults’ annual fall risk: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2014;69(12):1586–94.

Article  PubMed  PubMed Central  Google Scholar 

Rieger MM, Papegaaij S, Steenbrink F, van Dieën JH, Pijnappels M. Effects of perturbation-based treadmill training on balance performance, daily life gait, and falls in older adults: REACT randomized controlled trial. Phys Ther. 2024;104(1):pzad136.

Rosenblatt NJ, Marone J, Grabiner MD. Preventing trip-related falls by community-dwelling adults: a prospective study. J Am Geriatr Soc. 2013;61(9):1629–31.

Article  PubMed  Google Scholar 

Sherrington C, Fairhall N, Kwok W, Wallbank G, Tiedemann A, Michaleff ZA, et al. Evidence on physical activity and falls prevention for people aged 65+ years: systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. Int J Behav Nutr Phys Act. 2020;17(1):144.

Article  PubMed  PubMed Central  Google Scholar 

Nørgaard JE, Andersen S, Ryg J, Stevenson AJT, Andreasen J, Oliveira AS, et al. Effect of Treadmill Perturbation-Based Balance Training on Fall Rates in Community-Dwelling Older Adults: A Randomized Clinical Trial. JAMA Netw Open. 2023;6(4):e238422.

Article  PubMed  PubMed Central  Google Scholar 

Wang Y, Wang S, Liu X, Lee A, Pai YC, Bhatt T. Can a single session of treadmill-based slip training reduce daily life falls in community-dwelling older adults? A randomized controlled trial. Aging Clin Exp Res. 2022;34(7):1593–602.

Article  PubMed  Google Scholar 

Okubo Y, Sturnieks DL, Brodie MA, Duran L, Lord SR. Effect of Reactive Balance Training Involving Repeated Slips and Trips on Balance Recovery Among Older Adults: A Blinded Randomized Controlled Trial. J Gerontol A Biol Sci Med Sci. 2019;74(9):1489–96.

Article  PubMed  Google Scholar 

Lee A, Bhatt T, Liu X, Wang Y, Pai YC. Can higher training practice dosage with treadmill slip-perturbation necessarily reduce risk of falls following overground slip? Gait Posture. 2018;61:387–92.

Article  PubMed  PubMed Central  Google Scholar 

Allin LJ, Brolinson PG, Beach BM, Kim S, Nussbaum MA, Roberto KA, et al. Perturbation-based balance training targeting both slip- and trip-induced falls among older adults: a randomized controlled trial. BMC Geriatr. 2020;20(1):205.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Brüll L, Hezel N, Arampatzis A, Schwenk M. Comparing the Effects of Two Perturbation-Based Balance Training Paradigms in Fall-Prone Older Adults: A Randomized Controlled Trial. Gerontology. 2023;69(7):910–22.

Article  PubMed  Google Scholar 

Trampisch US, Petrovic A, Daubert D, Wirth R. Fall prevention by reactive balance training on a perturbation treadmill: is it feasible for prefrail and frail geriatric patients? A pilot study. Eur Geriatr Med. 2023;14(5):1021–6.

Article  PubMed  PubMed Central  Google Scholar 

Pai YC, Bhatt T, Wang E, Espy D, Pavol MJ. Inoculation against falls: rapid adaptation by young and older adults to slips during daily activities. Arch Phys Med Rehabil. 2010;91(3):452–9.

Article  PubMed  PubMed Central  Google Scholar 

Pai YC, Wening JD, Runtz EF, Iqbal K, Pavol MJ. Role of feedforward control of movement stability in reducing slip-related balance loss and falls among older adults. J Neurophysiol. 2003;90(2):755–62.

Article  PubMed  Google Scholar 

Karamanidis K, Epro G, McCrum C, König M. Improving Trip- and Slip-Resisting Skills in Older People: Perturbation Dose Matters. Exerc Sport Sci Rev. 2020;48(1):40–7.

Article  PubMed  Google Scholar 

Steib S, Klamroth S, Gaßner H, Pasluosta C, Eskofier B, Winkler J, et al. Perturbation During Treadmill Training Improves Dynamic Balance and Gait in Parkinson’s Disease: A Single-Blind Randomized Controlled Pilot Trial. Neurorehabil Neural Repair. 2017;31(8):758–68.

Article  PubMed  Google Scholar 

McCrum C, Vaes AW, Delbressine JM, Koopman M, Liu WY, Willems P, et al. A pilot study on the feasibility and effectiveness of treadmill-based perturbations for assessing and improving walking stability in chronic obstructive pulmonary disease. Clin Biomech (Bristol, Avon). 2022;91:105538.

Article  Google Scholar 

Aviles J, Allin LJ, Alexander NB, Van Mullekom J, Nussbaum MA, Madigan ML. Comparison of Treadmill Trip-Like Training Versus Tai Chi to Improve Reactive Balance Among Independent Older Adult Residents of Senior Housing: A Pilot Controlled Trial. J Gerontol A Biol Sci Med Sci. 2019;74(9):1497–503.

Article  PubMed  Google Scholar 

Bieryla KA, Madigan ML. Proof of concept for perturbation-based balance training in older adults at a high risk for falls. Arch Phys Med Rehabil. 2011;92(5):841–3.

Article  PubMed  Google Scholar 

Lurie JD, Zagaria AB, Ellis L, Pidgeon D, Gill-Body KM, Burke C, et al. Surface Perturbation Training to Prevent Falls in Older Adults: A Highly Pragmatic Randomized Controlled. Trial Phys Ther. 2020;100(7):1153–62.

Article  PubMed  Google Scholar 

Devasahayam AJ, Farwell K, Lim B, Morton A, Fleming N, Jagroop D, et al. The effect of reactive balance training on falls in daily life: an updated systematic review and meta-analysis. Phys Ther. 2022;103(1):pzac154.

Gerards MHG, Sieben J, Marcellis R, de Bie RA, Meijer K, Lenssen AF. Acceptability of a perturbation-based balance training programme for falls prevention in older adults: a qualitative study. BMJ Open. 2022;12(2):e056623.

Article  PubMed  PubMed Central  Google Scholar 

Whitten J, O’Leary B, Graham D, Grocke-Dewey M, Riley J, Harper D, et al. The Acceptability of a Community-Based Perturbation-Based Balance Training to Older Adults and Healthcare Professionals. Gerontol Geriatr Med. 2024;10:23337214241246844.

Article  PubMed  PubMed Central  Google Scholar 

Hezel N, Brüll L, Arampatzis A, Schwenk M. Acceptability of Two Perturbation-Based Balance Training Paradigms: Perturbation Treadmill versus Dynamic Stability Training in the Presence of Perturbations. Gerontology. 2024;70(6):661–8.

Article  PubMed  Google Scholar 

Hezel N, Sloot LH, Wanner P, Becker C, Bauer JM, Steib S, et al. Feasibility, effectiveness and acceptability of two perturbation-based treadmill training protocols to improve reactive balance in fall-prone older adults (FEATURE): protocol for a pilot randomised controlled trial. BMJ Open. 2023;13(9):e073135.

Article  PubMed  PubMed Central  Google Scholar 

Lee J, Geller AI, Strasser DC. Analytical review: focus on fall screening assessments. Pm r. 2013;5(7):609–21.

Article  PubMed  Google Scholar 

Montero-Odasso M, van der Velde N, Ryg J, Masud T. Falls risk stratification. One size doesn't fit all. Age Ageing. 2025;54(1):afae292.

Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189–98.

Article