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Turns and Turn-Related Falls: Stepping on a Rotating Platform as a Potential Approach to Foster Adapted Muscular and Neural Plasticity in Fragile Persons and Patients with Motor Impairment
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Political, Historical, Religious and Cultural Studies (from 2013). Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Center for Societal Risk Research, CSR (from 2020). Karlstad Univ, Dept Polit Hist Religious & Cultural Studies, S-65188 Karlstad, Sweden.;Karlstad Univ, Ctr Societal Risk Res, S-65188 Karlstad, Sweden..ORCID iD: 0000-0001-8518-1522
Independent Researcher, 20123 Milan, Italy.
2026 (English)In: Brain Sciences, E-ISSN 2076-3425, Vol. 16, no 7, article id 762Article in journal (Refereed) Published
Abstract [en]

Falls remain the leading cause of injury-related death among older adults, with turning accident often producing the most severe consequences, such as hip fractures and a resulting decline in independence. Despite curved-path walking accounting for the majority of daily locomotion, most interventions insufficiently target the coordinated action of lower limb, pelvic and trunk muscles underlying safe turning. This leaves a large proportion of older adults and patients with motricity problems and movement disorders at heightened risk of life-altering injuries. Addressing this gap requires innovative strategies that proactively build on recent physiological research and improve turning strength and neuromuscular control of steering. Gait problems have often been addressed through the use of linear treadmills, which emphasise the symmetry and automaticity of walking but ignore the fact that more than half of daily locomotion involves deviations from the trajectory. In this perspective article, we review the differences between linear and curved walking. We also put forward the hypothesis that a turntable rotating parallel to the horizontal plane represents a potential solution. Such a device could allow individuals to step in place while the surface moves beneath them, simulating the natural rotation of legs, pelvis, and trunk involved in turning. The exercise is designed to train the muscle synergies and proprioceptive responses critical for turning, while minimising stress on vestibular systems, and enhancing task-specific neuroplasticity and proprioception.

Place, publisher, year, edition, pages
MDPI, 2026. Vol. 16, no 7, article id 762
Keywords [en]
ageing, frailty, curved walking, falls, gait rehabilitation, movement disorders
National Category
Health Sciences
Research subject
Risk and Environmental Studies
Identifiers
URN: urn:nbn:se:kau:diva-111926DOI: 10.3390/brainsci16070762ISI: 001832261400001PubMedID: 42512536Scopus ID: 2-s2.0-105045989041OAI: oai:DiVA.org:kau-111926DiVA, id: diva2:2090811
Available from: 2026-08-10 Created: 2026-08-10 Last updated: 2026-08-13Bibliographically approved

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