Promoting Generalized Learning in Balance Recovery Interventions

Autor: Sara A. Harper, Anne Z. Beethe, Christopher J. Dakin, David A. E. Bolton
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Brain Sciences, Vol 11, Iss 3, p 402 (2021)
Druh dokumentu: article
ISSN: 11030402
2076-3425
DOI: 10.3390/brainsci11030402
Popis: Recent studies have shown balance recovery can be enhanced via task-specific training, referred to as perturbation-based balance training (PBT). These interventions rely on principles of motor learning where repeated exposure to task-relevant postural perturbations results in more effective compensatory balance responses. Evidence indicates that compensatory responses trained using PBT can be retained for many months and can lead to a reduction in falls in community-dwelling older adults. A notable shortcoming with PBT is that it does not transfer well to similar but contextually different scenarios (e.g., falling sideways versus a forward trip). Given that it is not feasible to train all conditions in which someone could fall, this limited transfer presents a conundrum; namely, how do we best use PBT to appropriately equip people to deal with the enormous variety of fall-inducing scenarios encountered in daily life? In this perspective article, we draw from fields of research that explore how general learning can be promoted. From this, we propose a series of methods, gleaned from parallel streams of research, to inform and hopefully optimize this emerging field where people receive training to specifically improve their balance reactions.
Databáze: Directory of Open Access Journals
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