Inoculation Against Falls: Balance Intervention Strategies: Difference between revisions

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A special category of [[Reactive Balance: Intervention Strategies|reactive balance intervention strategies]] is demonstrating value in reducing falls. Inoculation against falls uses the same principle as reactive balance intervention strategies by including a moving surface in the intervention. The patient is actually walking while the surface instability is introduced. The surface movement can be a board popping up causing a trip. The surface movement can also be a fast sliding sensation after the person steps down causing a slip.<ref>Okubo Y, Brodie MA, Sturnieks DL, Hicks C, Carter H, Toson B, Lord SR. [https://www.ncbi.nlm.nih.gov/pubmed/30226887 Exposure to trips and slips with increasing unpredictability while walking can improve balance recovery responses with minimum predictive gait alterations.] PLoS one. 2018;13(9):e0202913.</ref>
A special category of [[Reactive Balance: Intervention Strategies|reactive balance intervention strategies]] is demonstrating value in reducing falls. Inoculation against falls uses the same principle as reactive balance intervention strategies by including a moving surface in the intervention. The patient is actually walking while the surface instability is introduced. The surface movement can be a board popping up causing a trip. The surface movement can also be a fast sliding sensation after the person steps down causing a slip.<ref>Okubo Y, Brodie MA, Sturnieks DL, Hicks C, Carter H, Toson B, Lord SR. [https://www.ncbi.nlm.nih.gov/pubmed/30226887 Exposure to trips and slips with increasing unpredictability while walking can improve balance recovery responses with minimum predictive gait alterations.] PLoS one. 2018;13(9):e0202913.</ref>


<br>  
Stephen Lord discusses the relevance of slip or trip training to reduce falls.
 
{{#ev:youtube|dyWyz_x6wF0}} <ref>Motor Impairment. Stephen Lord talks about fall prevention through perturbation training. https://www.youtube.com/watch?v=dyWyz_x6wF0</ref>
== Indication  ==
== Indication  ==


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I presented at the American Physical Therapy Association Combined Sections Meeting with Clive (the researcher in the below video) and Tiffany Shubert about the current research on inoculation against falls. The ability to really take reactive balance intervention strategies to the next level to inoculate against falls is quite new. This video demonstrates what it may look like in the research lab.
I presented at the American Physical Therapy Association Combined Sections Meeting with Clive (the researcher in the below video) and Tiffany Shubert about the current research on inoculation against falls. The ability to really take reactive balance intervention strategies to the next level to inoculate against falls is quite new. This video demonstrates what it may look like in the research lab.
{{#ev:youtube|cYkyQEyhynM}} <ref>Associated Press. Treadmill 'Trips' May Reduce Falls for Elderly. Available from: https://www.youtube.com/watch?v=cYkyQEyhynM</ref>
{{#ev:youtube|cYkyQEyhynM}} <ref>Associated Press. Treadmill 'Trips' May Reduce Falls for Elderly. Available from: https://www.youtube.com/watch?v=cYkyQEyhynM</ref>
This particular example isn't exactly like the research in laboratories. In a way, it accomplishes the same idea. Although the walking surface is not moving, in this video friction has been substantially reduced. With the reduced friction, the patient would need to control their center of gravity with their momentum to not slip and slide.
{{#ev:youtube|UHdHB6cnokA}} <ref>Industrial Biodynamics. Slip Simulator System. Available from: https://www.youtube.com/watch?v=UHdHB6cnokA</ref>
   
   



Revision as of 02:59, 13 February 2019

Original Editor - Selena Horner

Top Contributors - Selena Horner and Kim Jackson  

Trip and Slip Perturbation

Description[edit | edit source]

A special category of reactive balance intervention strategies is demonstrating value in reducing falls. Inoculation against falls uses the same principle as reactive balance intervention strategies by including a moving surface in the intervention. The patient is actually walking while the surface instability is introduced. The surface movement can be a board popping up causing a trip. The surface movement can also be a fast sliding sensation after the person steps down causing a slip.[1]

Stephen Lord discusses the relevance of slip or trip training to reduce falls.

[2]

Indication[edit | edit source]

add text here relating to the indication for the intervention

Clinical Presentation[edit | edit source]

add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures. 

Resources[edit | edit source]

I presented at the American Physical Therapy Association Combined Sections Meeting with Clive (the researcher in the below video) and Tiffany Shubert about the current research on inoculation against falls. The ability to really take reactive balance intervention strategies to the next level to inoculate against falls is quite new. This video demonstrates what it may look like in the research lab.

[3]

This particular example isn't exactly like the research in laboratories. In a way, it accomplishes the same idea. Although the walking surface is not moving, in this video friction has been substantially reduced. With the reduced friction, the patient would need to control their center of gravity with their momentum to not slip and slide.

[4]



add appropriate resources here, including text links or content demonstrating the intervention or technique

References[edit | edit source]

  1. Okubo Y, Brodie MA, Sturnieks DL, Hicks C, Carter H, Toson B, Lord SR. Exposure to trips and slips with increasing unpredictability while walking can improve balance recovery responses with minimum predictive gait alterations. PLoS one. 2018;13(9):e0202913.
  2. Motor Impairment. Stephen Lord talks about fall prevention through perturbation training. https://www.youtube.com/watch?v=dyWyz_x6wF0
  3. Associated Press. Treadmill 'Trips' May Reduce Falls for Elderly. Available from: https://www.youtube.com/watch?v=cYkyQEyhynM
  4. Industrial Biodynamics. Slip Simulator System. Available from: https://www.youtube.com/watch?v=UHdHB6cnokA