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Shapiro and Melzer Journal of NeuroEngineering and Rehabilitation 2010, 7:32
/content/7/1/32 JOURNAL OF NEUROENGINEERING
JNERAND REHABILITATION
S HO RT REPORT Open Access
Short report
Balance perturbation system to improve balance
compensatory responses during walking in old
persons
1 2
Amir Shapiro and Itshak Melzer*
Abstract
Ageing commonly disrupts the balance control and compensatory postural responses that contribute to maintaining
balance and preventing falls during perturbation of posture. This can lead to increased risk of falling in old adults (65
years old and over). Therefore, improving compensatory postural responses during walking is one of the goals in fall
prevention programs. Training is often used to achieve this goal. Most fall prevention programs are usually directed
towards improving voluntary postural control. Since compensatory postural responses triggered by a slip or a trip are
not under direct volitional control these exercises are less expected to improve compensatory postural responses due
to lack of training specificity. Thus, there is a need to investigate the use balance perturbations during walking to train
more effectively compensatory postural reactions during walking.
This paper describes the Balance Measure Perturbation System (BaMPer System) a system that provides small,
controlled and unpredictable perturbations during treadmill walking providing valuable perturbation, which allows
training compensatory postural responses during walking which thus hypothesize to improve compensatory postural
responses in older adults.
Introduction The c
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