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17 - Volitional and Reactive Step Training

from Part II - Strategies for Prevention

Published online by Cambridge University Press:  04 November 2021

Stephen R. Lord
Affiliation:
Neuroscience Research Australia, Sydney
Catherine Sherrington
Affiliation:
Sydney Medical School
Vasi Naganathan
Affiliation:
Concord Hospital
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Summary

Step training can be defined as training of single or multiple volitional or reactive steps in an upright (standing or walking) position in response to an environmental challenge. For example, stepping onto a target, avoiding an obstacle, or responding to a postural perturbation large enough to require reconfiguration of the base of support [1]. Volitional step training uses stepping targets or distractors (no-go zones), whereas reactive step training exposes participants to repeated mechanical perturbations that displace body segments and induce unplanned stepping responses. Reactive step training is also referred to as ‘perturbation training’ [2], ‘reactive balance training’ [3], or ‘perturbation-based balance training’ [4].

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Chapter
Information
Falls in Older People
Risk Factors, Strategies for Prevention and Implications for Practice
, pp. 271 - 286
Publisher: Cambridge University Press
Print publication year: 2021

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