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Task-Specific Training Reduces Trip-Related Fall Risk in Women

GRABINER, MARK D.; BAREITHER, MARY LOU; GATTS, STRAWBERRY; MARONE, JANE; TROY, KAREN L.

Medicine & Science in Sports & Exercise: December 2012 - Volume 44 - Issue 12 - p 2410–2414
doi: 10.1249/MSS.0b013e318268c89f
Applied Sciences

Purpose The potential of task-specific training as a fall-prevention intervention was studied. The primary purpose of the study was to determine the extent to which a task-specific training protocol decreased the number of falls by middle-age and older women after a laboratory-induced trip. Secondary purposes were to explore the ability of trunk kinematics during the initial recovery step and the length of the initial recovery step to correctly classify the trip outcome and to quantify the extent to which the training protocol affected these variables.

Methods Healthy community-dwelling women (n = 52) were assigned to either a training group or a control group that received no training. Training group women participated in an individually tailored, task-specific training protocol during which forward-directed stepping responses were necessary to avoid a fall after treadmill-delivered postural disturbances. Following the protocol, the ability to avoid a fall after a laboratory-induced trip was assessed. The primary outcome variable was the success (recover) or failure (fall) of the posttrip stepping response.

Results Compared with the control group, there were fewer falls by the trained women after the laboratory-induced trip (P < 0.001; odds ratio = 0.13). Using logistic regression, falls and recoveries after the trip were sensitively classified by trunk flexion angle at the completion of the initial recovery step and the length of the initial recovery step (sensitivity = 0.67, specificity = 0.98), the former of which improved as a result of the task-specific training protocol.

Conclusions The task-specific training protocol significantly reduced the number of falls after a laboratory-induced trip. Prospective study is required to determine whether this task-specific training reduces falls in the community and, consequently, may complement currently used exercise-based fall prevention intervention methods.

Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL

Address for correspondence: Mark D. Grabiner, Ph.D., F.A.C.S.M., Department of Kinesiology and Nutrition, University of Illinois at Chicago, 1919 W. Taylor St., Room 650, Chicago, IL 60612; E-mail: grabiner@uic.edu.

Submitted for publication November 2011.

Accepted for publication July 2012.

Deceased.

©2012The American College of Sports Medicine