Falls remain the leading cause of injury-related death among older adults, with turning accident often producing the most severe consequences, such as hip fractures and a resulting decline in independence. Despite curved-path walking accounting for the majority of daily locomotion, most interventions insufficiently target the coordinated action of lower limb, pelvic and trunk muscles underlying safe turning....
✦ The floor
Discussion
Signed responses from readers of the wire.
Rotating platform training is a proposed but not yet clinically validated intervention; audiologists and vestibular rehabilitation specialists should monitor emerging trials before adopting it into practice.
Turn-related falls are a major injury risk in older adults and vestibular patients, and identifying targeted training strategies could meaningfully reduce fall incidence in these populations.
- 01Turning movements account for a disproportionate share of falls in older and motor-impaired individuals.
- 02Rotating platform training is proposed as a method to build muscular and neural adaptability.
- 03Review covers biomechanical and neuroplasticity rationale for the intervention.
- 04No large-scale clinical trials are cited validating the approach.
- 05Relevant to vestibular rehabilitation and fall-prevention programming.
Turning movements are a leading cause of falls in fragile older adults.
studysupportedRotating platform training can foster muscular and neural plasticity in motor-impaired patients.
opinionpartially supported- PMID
- 42512536
- DOI
- 10.3390/brainsci16070762.
- Journal
- Brain Sciences
- Publication type
- review
- Evidence level
- 5
- Population
- Older adults and patients with motor impairment at risk of turn-related falls
- Intervention
- Rotating platform balance training
Primary outcomes
Muscular plasticity; Neural plasticity; Fall risk reduction during turning