{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:20:41Z","timestamp":1790115641904,"version":"4.0.1"},"reference-count":42,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,2,15]],"date-time":"2019-02-15T00:00:00Z","timestamp":1550188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Background: Reactive balance responses are critical for fall prevention. Perturbation-based balance training (PBBT) has shown a positive effect in reducing the risk of falls among older adults and persons with Parkinson\u2019s disease. Objective: To explore the effect of a short-term PBBT on reactive balance responses, performance-based measures of balance and gait and balance confidence. Methods: Thirty-four moderate-high functioning, subacute persons with stroke (PwS) (lower extremity Fugl-Meyer score 29.2 \u00b1 4.3; Berg Balance Scale [BBS] score 43.8 \u00b1 9.5, 42.0 \u00b1 18.7 days after stroke onset) hospitalized in a rehabilitation setting were randomly allocated to PBBT (n = 18) and weight shifting and gait training (WS&amp;GT) (n = 16). Both groups received 12 training sessions, 30 minutes each, for a period of 2.5 weeks. PBBT included unexpected balance perturbations during standing and treadmill walking, WS&amp;GT included weight shifting in standing and treadmill walking without perturbations. The main outcome measures, that is, multiple step-threshold and fall-threshold were examined at baseline, immediately postintervention, and about 5 weeks postintervention. The secondary outcome measures, that is, BBS, 6-minute walk test (6MWT), 10-meter walk test (10MWT), and Activity-specific Balance Confidence (ABC) scale were examined at baseline and immediately postintervention. Results: Compared with the WS&amp;GT group, immediately postintervention participants in the PBBT group showed higher multiple-step thresholds in response to forward and backward surface translations (effect size [ES] = 1.07 and ES = 1.10, respectively) and moderate ES in the ABC scale (ES = 0.74). No significant differences were found in fall-threshold, BBS, 6MWT, and 10MWT between the groups. Conclusions: Inclusion of perturbation training during rehabilitation of PwS improved reactive balance and balance confidence.<\/jats:p>","DOI":"10.1177\/1545968319829453","type":"journal-article","created":{"date-parts":[[2019,2,15]],"date-time":"2019-02-15T10:42:19Z","timestamp":1550227339000},"page":"213-224","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":88,"title":["Effects of Perturbation-Based Balance Training in Subacute Persons With Stroke: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"33","author":[{"given":"Shirley","family":"Handelzalts","sequence":"first","affiliation":[{"name":"Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel"},{"name":"Loewenstein Rehabilitation Hospital, Raanana, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Kenner-Furman","sequence":"additional","affiliation":[{"name":"Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel"},{"name":"Loewenstein Rehabilitation Hospital, Raanana, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganit","family":"Gray","sequence":"additional","affiliation":[{"name":"Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel"},{"name":"Loewenstein Rehabilitation Hospital, Raanana, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nachum","family":"Soroker","sequence":"additional","affiliation":[{"name":"Loewenstein Rehabilitation Hospital, Raanana, Israel"},{"name":"Tel-Aviv University, Tel-Aviv, 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