Professional education and clinical application of balance control and reactive balance training: a cross-sectional national survey of Polish healthcare professionals.

BACKGROUND

There is a gap in educational resources and knowledge translation for reactive balance training (RBT). This study aimed to examine current educational practices and training experiences related to balance control and RBT among Polish healthcare professionals.

METHODS

A cross-sectional online survey was distributed among members of a Polish regulated healthcare profession. Participants were eligible if they were licensed healthcare professionals involved in treating clients with balance or mobility impairments. The questionnaire included 55 items across six sections, covering demographics, clinical practice, treatment approaches, and knowledge, attitudes, barriers, facilitators, and clinical use of RBT. Data were analyzed using descriptive statistics and chi-square tests for group comparisons.

RESULTS

Of the 286 valid respondents, only 26.5% reported using RBT in clinical practice, while 54.2% either had not heard of it or did not use it. Non-users commonly reported first learning about RBT through the survey itself (44.0%). Conceptual confusion with other approaches such as Bobath concept and Proprioceptive Neuromuscular Facilitation was evident. Users demonstrated higher confidence, greater workplace support, and fewer safety concerns. All groups expressed strong interest in further training, particularly through hands-on workshops and instructional videos.

CONCLUSION

RBT remains underused in Poland, partly due to limited formal education and conceptual misunderstandings. Addressing these gaps through structured, hands-on training and institutional support may enhance implementation. These findings highlight the need for targeted educational strategies and broader knowledge translation efforts in underrepresented regions.