Objective-To examine effects of session intensity (number of slip exposures) and frequency on retention of acquired adaptation for prevention of backward balance loss following repeated-slip training.
Setting-Biomechanics research laboratory.
Participants-Healthy young subjects (N=46; 21 males).Intervention-Twenty-four subjects experienced a high-intensity session of 24 repeated right-side slips; 12 received additional single-slip sessions at a frequency of 1-week, 2-week, and 1-month, while the rest got no ancillary training. Another 24 subjects received a low-intensity initial session of a single slip; 12 received the same high-frequency ancillary training, while the rest got none. All groups were retested with a single-slip, 4 months after first session.Main Outcome Measures-Incidence of backward balance loss, gait stability, and limb support.Results-The high-intensity groups irrespective of ancillary training displayed similar improvements in all 3 outcome measures. Remarkably, the low-intensity group receiving ancillary training also significantly improved in all measures, with retention comparable to that observed in the other 2 groups. A single slip exposure without ancillary sessions was insufficient to yield longerterm effect.Conclusions-Frequent ancillary sessions may be unnecessary for slip-related fall prevention up to 4 months, if initial session intensity is sufficient. Furthermore, the minimum of a single slip may be as effective, if subject is exposed to frequent ancillary sessions.
KeywordsAccidental falls; Gait; Learning; RehabiliationThe rising susceptibility to falling with increasing age 1-3 poses a significant health threat to the older adult population. Falls are the leading cause of injury-related hospitalization leading to a decreased mobility and quality of life. Approximately 81% to 98% of hip fractures annually are caused by falls 4,5 with slips comprising 40% of outdoor falls among community-living adults 70 years of age or older. 6 These fractures require surgical intervention and extensive postsurgical management, at great cost both to patients and to the health care system. 2,4,7-9