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What is balance?
“Postural stability” is the ability to
maintain the body’s center of gravity
within its base of support; this is
commonly referred to as “balance”.
Adequate balance is required in gait
and other dynamic activities to prevent
falls. Postural stability is controlled in
the body by means of several systems:
the visual (eyes), vestibular (inner ear
balance), and proprioceptive systems.
Unfortunately, older adults often have
deficits in all of these systems.
Who can I contact?
Michael E. Rogers, PhD
Wichita State University
1-316-978-5959
Phil Page, PT, ATC
1-800-321-2135 ext. 350
The Hygenic Corporation
cares
ALWAYS CONSULT YOUR PHYSICIAN BEFORE
BEGINNING ANY EXERCISE PROGRAM.
THIS GENERAL INFORMATION IS NOT INTENDED
TO DIAGNOSE ANY MEDICAL CONDITION OR TO
REPLACE THE ADVICE OF YOUR HEALTHCARE
PROFESSIONAL. DISCUSS A SPECIFIC EXERCISE
PRESCRIPTION WITH YOUR HEALTHCARE
PROFESSIONAL. IF YOU EXPERIENCE ANY PAIN OR
DIFFICULTY WITH THESE EXERCISES, STOP AND
CONSULT YOUR HEALTHCARE PROVIDER.
Clinical & Rehabilitation Exercise System
By Michael E. Rogers, PhD &
Phil Page, PT, ATC
How to improve balance.
The proprioceptive system relies on
information from the joints and muscles
to coordinate unconscious reflexes in
order to maintain balance. These auto-
matic reflexes are known as balance
strategies. Balance training, walking,
and resistive exercise are used to
improve gait and balance strategies,
and to decrease fear and risk of falling.
Recommended Thera-Band ® Products
Falls are a leading cause of injury
and death in adults over 65 years
old. As many as one in four
persons over the age of 65 will
fall in their home. Falls often
result in fractures of the hip and
hand. As a result, prevention of
falls is of paramount importance
in older adults.
Exercise Ball
Lower
Body Kit
Stability
Trainer
Available From:
Older adults are especially at risk
because of impairments in
balance. However, several other
factors may increase risk of
falling, including: poor strength,
medications, dizziness, and
environmental factors, such as
slippery surfaces or obstacles in
the home.
Before beginning any balance training
program, be sure and consult with
your healthcare professional. They will
perform a comprehensive assessment
of your balance and can prescribe a
specific program for you.
For more information, visit
www.Thera-BandAcademy.com
©2001. The Hygenic Corporation. This page may be
reproduced by professionals for patient use only.
Thera-Band and Associated Colors are trademarks of The
Hygenic Corporation. Unauthorized use is strictly prohibited.
1-800-321-2135 www.thera-band.com
– P03747 –
Balance &
Preventing Falls
 
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Exercises to Improve Balance
Thera-Band ® Stability Trainer
Thera-Band ® Exercise Ball
Thera-Band ® Resistive Exercisers
Perform these exercises first on a firm surface. Progress
to the Stability Trainer. Use a chair or other support to
help maintain balance.
Perform these exercises first on a firm surface. Progress
to the Exercise Ball.
Perform these exercises first on a firm surface. Progress
to the Stability Trainer. Repeat each on both legs. Use a
chair or other support to help maintain balance.
BEGINNER
ONE-LEG BALANCE:____________
Balance on one leg. Begin on a
firm surface and progress to the
Stability Trainer. Use a chair for
support if needed. Repeat on
other leg.
CALF RAISE:____________
Balance on one leg. Go up
onto your toes. Begin on a firm
surface and progress to the
Stability Trainer. Use chair for
support if needed. Repeat on
other leg.
HANDS AND KNEES:____________
Begin on hands and knees, keeping
back straight. Progress to lift opposite
arm & leg. Alternate sides.
INTERMEDIATE
HIP RAISE:____________
Balance on one leg. Lift your hip
upward. Begin on a firm surface
and progress to the Stability
Trainer. Use chair for support
if needed. Repeat on other leg.
HANDS AND FEET ON BALL:___________
Begin on the ball with hands and feet
on the floor. Progress to lift opposite
arm & leg, keeping back straight.
Alternate sides.
4-DIRECTION KICK: Perform kicks in 4 directions
against the band. Hold & slowly return. Repeat on
other leg. Use chair for support if needed.
Color_____________ Reps_____________
ADVANCED
CHAIR SQUATS:____________
Hold band or tubing at waist.
Keep elbows straight. Slowly
lower to chair by bending knees
and hips; keep back straight.
Return to standing.
Color__________ Reps___________
HIP EXTENSION:____________
Balance on one leg. Extend your
hip behind your body. Begin on a
firm surface and progress to the
Stability Trainer. Use chair if
needed. Repeat on other leg.
KNEE BEND:____________
Balance on one leg. Bend your
knee. Begin on a firm surface
and progress to the Stability
Trainer. Use chair for support if
needed. Repeat on other leg.
SIT TO STAND:____________
Begin sitting on the ball with feet on the
floor. Stand up. Use support if needed.
Carefully return to sitting on the ball.
ANKLE FLEXION:
Pull toes back toward head
against band or tubing.
Slowly return and repeat.
Color________ Reps_________
References: Tinetti et al. 1994, NEJM 331 (13) : 821-827
Topp et al. 1996, Clin Nurs Res 5 (4) : 407-427
Rogers et al. 2001. J Occup Rehabil 11 : 291-298
ALWAYS CONSULT YOUR PHYSICIAN BEFORE BEGINNING ANY EXERCISE PROGRAM
PERSONS WITH SEVERE BALANCE DEFICITS SHOULD EXERCISE UNDER CLOSE SUPERVISION.
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