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Balance Adaptability

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How to Work on Balance Adaptability

Balance training is an important component of exercise programs in older adults. Building on from our traditional balance exercises, Balance Adaptability adds complexity to further challenge the three main sensory systems involved with balance – visual, vestibular, and proprioceptive.

Balance allows for safe and confident performance of functional tasks or recreational activities. The exercises below help people practice all three systems of balance to prepare for complex, dynamic environments encountered in everyday life.

Here are three options for improving your Balance Adaptability.

For more information about balance, check out our blog.

Level 1:

Unstable Surface

Level 2:

Head Turns

Level 3:

Eyes Closed


Level 1

Unstable Surface

Stand on a pillow, pad, or couch cushion to add challenge to your static balance practice.

The unstable surface makes it more difficult to receive information from the ground and make corrections at the foot & ankle.

Hold whatever foot position that leads to the desired challenge level (i.e. feet together, semi-tandem, tandem, single leg).

Level 2

Head Turns

Keep your balance while slowly rotating your head right to left or up and down. Have a stable object nearby for support.

Choose whatever foot position gives you a desired challenge level, standing on an unstable surface if necessary.

Level 3

Eyes Closed

Keep your balance with your eyes closed. Have a stable object nearby for support.

Choose whatever foot position gives you a desired challenge level, standing on an unstable surface if necessary.

🟢 What You Should Feel:

A safe, but challenging level of instability.

🔴 What You Shouldn’t Feel:

Unsafe (keep a stable object nearby for balance); or pain in the back or legs.

📶 Progression Criteria:

Progress to the next level or add resistance when you can maintain balance for 1 minute without instability.

More Variations & Progressions

Safety first!

For all of these exercises, find a level of challenge that feels right to you. Remember that you want to have some (but not excessive) instability in order to learn and practice.

Practice against a wall, in a doorway, or in the corner of a room for additional safety.

Remember to consult with your individual doctor or physical therapist with specific questions or concerns regarding exercise.

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