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Background <p>Treadmill perturbation-based balance training (PBT) is considered a&#xa0;promising approach to fall prevention in older adults. It aims to improve reactive balance control in response to unexpected disturbances—one of the most common causes of falls in everyday life.</p> Objective <p>To introduce treadmill-based perturbation training as an innovative therapeutic method in geriatric rehabilitation and to provide practical insights into its implementation.</p> Methods <p>The article combines a&#xa0;narrative literature analysis on the use of PBT with a&#xa0;report on experiences from inpatient and outpatient geriatric rehabilitation at the Agaplesion Bethesda Klinik Ulm. The training takes place on treadmills with targeted, multidirectional perturbations under therapeutic supervision.</p> Results <p>Randomized studies and meta-analyses show that even small amounts of PBT can lead to a&#xa0;significant reduction in the fall rate (up to −46%) and the number of people who fall (up to −29%). In clinical practice, rehabilitation patients report an increased sense of security and greater confidence in their own mobility. Integrated into interdisciplinary rehabilitation processes, a&#xa0;standardized protocol with 40&#xa0;perturbations per unit has been established. Implementation requires a&#xa0;step-by-step approach, careful indication, and team coordination.</p> Conclusion <p>Treadmill PBT can be easily integrated into geriatric rehabilitation concepts. Experience shows that training under controlled conditions addresses everyday fall mechanisms and strengthens the sense of safety of rehabilitation patients.</p>

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  • 期刊论文

  • 发表日期：

    2025年9月29日

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  • Vanessa Haug,
  • Gerd Mez,
  • Rebecca Scheck,
  • Christoph Leinert,
  • Michael Denkinger,
  • Tim Fleiner

摘要

Background

Treadmill perturbation-based balance training (PBT) is considered a promising approach to fall prevention in older adults. It aims to improve reactive balance control in response to unexpected disturbances—one of the most common causes of falls in everyday life.

Objective

To introduce treadmill-based perturbation training as an innovative therapeutic method in geriatric rehabilitation and to provide practical insights into its implementation.

Methods

The article combines a narrative literature analysis on the use of PBT with a report on experiences from inpatient and outpatient geriatric rehabilitation at the Agaplesion Bethesda Klinik Ulm. The training takes place on treadmills with targeted, multidirectional perturbations under therapeutic supervision.

Results

Randomized studies and meta-analyses show that even small amounts of PBT can lead to a significant reduction in the fall rate (up to −46%) and the number of people who fall (up to −29%). In clinical practice, rehabilitation patients report an increased sense of security and greater confidence in their own mobility. Integrated into interdisciplinary rehabilitation processes, a standardized protocol with 40 perturbations per unit has been established. Implementation requires a step-by-step approach, careful indication, and team coordination.

Conclusion

Treadmill PBT can be easily integrated into geriatric rehabilitation concepts. Experience shows that training under controlled conditions addresses everyday fall mechanisms and strengthens the sense of safety of rehabilitation patients.