AIMS: The aim of this systematic review was to investigate the efficacy of perturbation-based balance training in the older adults to reduce risk and number of falls. METHODS: Multiple databases were searched for articles published between 2012 to 2021. The inclusion criteria were (1) patients >= 65 years of age, (2) land-based perturbation training, (3) randomized controlled trials (RCTs), (4) PBT intervention group, (5) controlled intervention group, (5) written in English, and (6) articles scoring 6/10 (good) or higher on the PEDro scale. RESULTS: Six articles met the inclusion criteria with a PEDro scale range of 6 to 8/10. A total of 793 subjects were included across the studies. CONCLUSIONS: PBT can be effective in improving various deficits predictive of falls. The effect was most pronounced in reactive balance control, balance confidence, and gait kinematics of recovery steps with mild effect in overall fall risk.
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