PIPages
Labs

Tanvi Bhatt

University of Illinois Chicago, IL·Medicine & Clinical Research

Falls are a leading cause of serious injury in older adults and in people living with neurological conditions. Many falls happen after a sudden slip or trip, when the body must react quickly to recover balance.

Fields

Medicine & Clinical Research

Neuroscience

Biomedical Engineering

Topics

fall prevention

falls

reactive balance

Grants
4 known grants, through Aug 2030

What they work on

  1. Test whether neuromuscular electrical stimulation (NMES), mild pulses that contract the quadriceps of the weaker leg, improves stability and limb support during 12 sessions of treadmill reactive balance training in people with moderate to severe chronic stroke.
  2. Examine neuromuscular and neuroplastic changes, including cortical signals and corticospinal excitability, after combined reactive balance training and NMES in highly impaired stroke survivors.
  3. Compare reactive stepping responses to slips and trips, with and without a simultaneous mental task, in older adults with mild cognitive impairment versus cognitively healthy older adults.
  4. Relate reactive balance control in older adults with mild cognitive impairment to brain structure and functional connectivity, and test a combined perturbation-based cognitive-motor training program.
  5. Compare 8 weeks of a low-equipment task-specific balance program with treadmill perturbation training and conventional balance training on reactive and volitional balance in at-risk older adults, in a randomized controlled trial.
  6. Measure 18-month retention of task-specific balance training on real-life falls and falls efficacy, and use simulation techniques to explore training-induced neuromuscular adaptations.

More about the research

Conventional balance exercises do little to train this reactive balance. This research studies how people recover from unexpected balance loss and designs training to lower fall risk. One key approach is perturbation training, in which people are repeatedly exposed to controlled slips and trips in a safe setting. The projects apply this idea to three at-risk groups: people with chronic stroke, older adults with mild cognitive impairment, and community-dwelling older adults. The lab also takes part in a center that turns behavioral research into health programs for aging adults.

Why it matters

About one in three older adults falls each year, and people with stroke fall about three times as often as healthy peers. These falls cause hip fractures, head injuries and heavy health care costs. This work could yield training programs that clinics and community facilities can actually deliver to lower fall risk: low-equipment balance training, electrical stimulation added to perturbation training for highly impaired stroke survivors, and combined cognitive-motor training for older adults with mild cognitive impairment.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Aging and task-specific training to reduce falls

NIH · Sep 2016 – Aug 2030

Midwest Roybal Center for Health Promotion and Translation

NIH · Sep 2003 – May 2029

Neuromechanisms of falls in older adults with MCI: Targeting assessment and training of reactive balance control

NIH · Sep 2021 – Aug 2027

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The school

University of Illinois Chicago: 42 labs on PI Pages, $532M a year on research, 359 research doctorates a year.

More about University of Illinois Chicago

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