Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial
<b>Background/Objectives</b>: This clinical trial aimed to determine whether perturbation-based gait training (PBGT) on a split-belt treadmill enhances balance and muscle strength in older adults, comparing its effectiveness with walking-only training on a treadmill. <b>Methods<...
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MDPI AG
2025-02-01
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| Series: | Geriatrics |
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| Online Access: | https://www.mdpi.com/2308-3417/10/1/23 |
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| author | Kap-Soo Han Myoung-Hwan Ko |
| author_facet | Kap-Soo Han Myoung-Hwan Ko |
| author_sort | Kap-Soo Han |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: This clinical trial aimed to determine whether perturbation-based gait training (PBGT) on a split-belt treadmill enhances balance and muscle strength in older adults, comparing its effectiveness with walking-only training on a treadmill. <b>Methods</b>: This single-center, prospective, single-blind (assessor), randomized controlled trial included 24 older adults from the Rehabilitation Center of Jeonbuk National University Hospital. Participants were equally divided into the PBGT and control groups. Both groups underwent 12 training sessions, three times a week for 4 weeks, for a total of 43 min per session. The outcomes, including the Five Times Sit-to-Stand Test (FTSST), Falls Efficacy Scale International, timed up-and-go (TUG) test, functional reach test, and lower-extremity manual muscle test scores, were measured at three time points: pre-training, post-training, and four weeks after training. <b>Results</b>: While there were no significant differences between the two groups, the PBGT group demonstrated significant improvements in its FTSST and TUG values. <b>Conclusions</b>: Unpredictable perturbation training on a split-belt treadmill can be safely performed by older adults and may serve as an alternative exercise method to enhance physical performance and balance ability for fall prevention. |
| format | Article |
| id | doaj-art-807fa017de844e7eb1918f6a3fefd44a |
| institution | DOAJ |
| issn | 2308-3417 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj-art-807fa017de844e7eb1918f6a3fefd44a2025-08-20T02:44:53ZengMDPI AGGeriatrics2308-34172025-02-011012310.3390/geriatrics10010023Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled TrialKap-Soo Han0Myoung-Hwan Ko1Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 54907, Republic of KoreaResearch Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 54907, Republic of Korea<b>Background/Objectives</b>: This clinical trial aimed to determine whether perturbation-based gait training (PBGT) on a split-belt treadmill enhances balance and muscle strength in older adults, comparing its effectiveness with walking-only training on a treadmill. <b>Methods</b>: This single-center, prospective, single-blind (assessor), randomized controlled trial included 24 older adults from the Rehabilitation Center of Jeonbuk National University Hospital. Participants were equally divided into the PBGT and control groups. Both groups underwent 12 training sessions, three times a week for 4 weeks, for a total of 43 min per session. The outcomes, including the Five Times Sit-to-Stand Test (FTSST), Falls Efficacy Scale International, timed up-and-go (TUG) test, functional reach test, and lower-extremity manual muscle test scores, were measured at three time points: pre-training, post-training, and four weeks after training. <b>Results</b>: While there were no significant differences between the two groups, the PBGT group demonstrated significant improvements in its FTSST and TUG values. <b>Conclusions</b>: Unpredictable perturbation training on a split-belt treadmill can be safely performed by older adults and may serve as an alternative exercise method to enhance physical performance and balance ability for fall prevention.https://www.mdpi.com/2308-3417/10/1/23rehabilitationfallsunpredictable perturbationbalancetreadmill |
| spellingShingle | Kap-Soo Han Myoung-Hwan Ko Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial Geriatrics rehabilitation falls unpredictable perturbation balance treadmill |
| title | Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial |
| title_full | Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial |
| title_fullStr | Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial |
| title_full_unstemmed | Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial |
| title_short | Effects of Unpredictable Perturbation Training on a Split-Belt Treadmill on Physical Performance in Older Adults: A Randomized Controlled Trial |
| title_sort | effects of unpredictable perturbation training on a split belt treadmill on physical performance in older adults a randomized controlled trial |
| topic | rehabilitation falls unpredictable perturbation balance treadmill |
| url | https://www.mdpi.com/2308-3417/10/1/23 |
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