Practitioner guide
Reactive Step Training for Fall Prevention
The evidence for cognitive-motor stepping, and how to run it
Reactive Step Training for Fall Prevention
A free clinician guide to the evidence for cognitive-motor stepping, and how to run it.
This guide is for physical therapists, neuro rehab clinicians, and fall-prevention program directors. It covers the published evidence for reactive step training, including a 769-person randomized trial in Nature Medicine, the two mechanisms behind the effect, the QuickBoard stroke pilot honestly framed, and the practical steps for running stepping protocols with graded cognitive tasks in the clinic.
What this guide covers
- 1 The evidence that stepping, not screen games alone, is the active ingredient in fall reduction, including the Nature Medicine trial and the step-training meta-analysis.
- 2 The two mechanisms behind the effect: dual-task capacity and rapid force production, each with its citations.
- 3 How to run reactive stepping on QuickBoard: safety setup, Go/No-Go, Discrimination, and Stroop progressions, what to track, and how sessions map to CPT billing.
Common questions
The guide is written for physical therapists, neuro rehab clinicians, and fall-prevention program directors. It covers the published evidence for reactive step training, the two mechanisms behind the effect, and the practical steps for running stepping protocols with graded cognitive tasks in the clinic.
The evidence and mechanisms in the guide apply regardless of equipment. Running the reactive stepping protocols it describes, Go/No-Go, Discrimination, and Stroop progressions, requires the QuickBoard sensor board.
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