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Falls in older people often occur during ambulation, frequently due to trips or slips (Berg et al., 1997), and are associated with many negative health outcomes (Terroso et al., 2014). Consequently, adaptation and improvement of compensatory stepping responses (which are less effective in old age; Maki and Mcilroy, 2006) to mechanical perturbations, could reduce falls risk in older people. As involuntary stepping responses to unexpected perturbations are faster than voluntary steps (Luchies et al., 1999), unexpected perturbations may be the most appropriate stimulus for improving stepping responses (Oddsson et al., 2007).

Commentary: Older adults can improve compensatory stepping with repeated postural perturbations