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

dc.contributor.authorAviles, Jessicaen
dc.contributor.authorAllin, Leigh J.en
dc.contributor.authorAlexander, Neil B.en
dc.contributor.authorVan Mullekom, Jenniferen
dc.contributor.authorNussbaum, Maury A.en
dc.contributor.authorMadigan, Michael L.en
dc.date.accessioned2025-04-14T17:09:10Zen
dc.date.available2025-04-14T17:09:10Zen
dc.date.issued2018-12-21en
dc.description.abstractBackground: There is growing interest in using perturbation-based balance training to improve the reactive response to common perturbations (eg, tripping and slipping). The goal of this study was to compare the efficacy of treadmill-based reactive balance training versus Tai Chi performed at, and among independent residents of, older adult senior housing. Methods: Thirty-five residents from five senior housing facilities were allocated to either treadmill-based reactive balance training or Tai Chi training. Both interventions were performed three times per week for 4 weeks, with each session lasting approximately 30 minutes. A battery of balance tests was performed at baseline, and again 1 week, 1 month, 3 months, and 6 months post-training. The battery included six standard clinical tests of balance and mobility, and a test of reactive balance performance. Results: At baseline, no significant between-group differences were found for any balance tests. After training, reactive balance training participants had better reactive balance than Tai Chi participants. Maximum trunk angle was 13.5 smaller among reactive balance training participants 1 week after training (p =. 01), and a reactive balance rating was 24%-31% higher among reactive balance training participants 1 week to 6 months after training (p <. 03). Clinical tests showed minimal differences between groups at any time point after training. Conclusion: Trip-like reactive balance training performed at senior housing facilities resulted in better rapid balance responses compared with Tai Chi training.en
dc.description.versionPublished versionen
dc.format.extentPages 1497-1503en
dc.format.extent7 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1093/gerona/glz018en
dc.identifier.eissn1758-535Xen
dc.identifier.issn1079-5006en
dc.identifier.issue9en
dc.identifier.orcidMadigan, Michael [0000-0002-4299-3851]en
dc.identifier.orcidNussbaum, Maury [0000-0002-1887-8431]en
dc.identifier.orcidVan Mullekom, Jennifer [0000-0003-0123-2965]en
dc.identifier.other5298350 (PII)en
dc.identifier.pmid30668636en
dc.identifier.urihttps://hdl.handle.net/10919/125180en
dc.identifier.volume74en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/30668636en
dc.rightsPublic Domainen
dc.rights.urihttp://creativecommons.org/publicdomain/mark/1.0/en
dc.subjectBalance-biomechanicsen
dc.subjectExerciseen
dc.subjectFallsen
dc.subjectGait-biomechanicsen
dc.subject.meshHumansen
dc.subject.meshTai Jien
dc.subject.meshPilot Projectsen
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshHomes for the Ageden
dc.subject.meshFemaleen
dc.subject.meshMaleen
dc.subject.meshPostural Balanceen
dc.subject.meshIndependent Livingen
dc.subject.meshPhysical Conditioning, Humanen
dc.titleComparison of Treadmill Trip-Like Training Versus Tai Chi to Improve Reactive Balance Among Independent Older Adult Residents of Senior Housing: A Pilot Controlled Trialen
dc.title.serialJournals of Gerontology: Medical Sciencesen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dc.type.otherJournalen
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/Scienceen
pubs.organisational-groupVirginia Tech/Science/Statisticsen
pubs.organisational-groupVirginia Tech/Engineeringen
pubs.organisational-groupVirginia Tech/Engineering/Industrial and Systems Engineeringen
pubs.organisational-groupVirginia Tech/Faculty of Health Sciencesen
pubs.organisational-groupVirginia Tech/All T&R Facultyen
pubs.organisational-groupVirginia Tech/Engineering/COE T&R Facultyen

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