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A Water-based Training Program That Include Perturbation Exercises to Improve Stepping Responses in Older Adults: Study Protocol for a Randomized Controlled Cross-over Trial by Itshak Melzer; Ori Elbar; Irit Tsedek; Lars IE Oddsson is a Medicine article available to read on EtoBox.

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## Background Gait and balance impairments may increase the risk of falls, the leading cause of accidental death in the elderly population. Fall-related injuries constitute a serious public health problem associated with high costs for society as well as human suffering. A rapid step is the most important protective postural strategy, acting to recover equilibrium and prevent a fall from initiating. It can arise from large perturbations, but also frequently as a consequence of volitional movements. We propose to use a novel water-based training program which includes specific perturbation exercises that will target the stepping responses that could potentially have a profound effect in reducing risk of falling. We describe the water-based balance training program and a study protocol to evaluate its efficacy (Trial registration number #NCT00708136). ## Methods/Design The proposed water-based training program involves use of unpredictable, multi-directional perturbations in a group setting to evoke compensatory and volitional stepping responses. Perturbations are made by pushing slightly the subjects and by water turbulence, in 24 training sessions conducted over 12 weeks. Concurren

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Author

Itshak Melzer; Ori Elbar; Irit Tsedek; Lars IE Oddsson

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2001-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2318)

Published

2008

Language

EN

Field

Medicine (Health Sciences)