Much of life is a balancing act…from learning to sit up as an infant through avoiding falls in the later years. Balance is the ability to distribute your weight in a way that enables you to remain upright and steady. This requires multiple systems in your body to be working in sync with your brain, including: the central nervous system (spinal cord), the vestibular system (inner ear), the visual system (eyes), as well as position-sensing nerves, muscles and bones.
While balance is important at every stage of life, changes associated with aging such as weaker, more inflexible muscles, slower reflexes, worsening eyesight and fewer cells in the vestibular system can affect your balance. Inner ear disorders, Parkinson’s disease, stroke, neuropathy and dips in blood pressure can also impact balance. According to the Centers for Disease Control and Prevention, at least one out of every three people over 65 experiences a fall each year.
The good news is that a wide variety of exercises, from weight training and aerobics to simple daily walks, can help you maintain and significantly improve balance as you age. A consistent regimen of training rehabilitates and strengthens muscles and improves stability and postural alignment. The benefits extend to a person’s emotional and psychological well-being. According to experts, “fear of falling” is ironically one of the biggest predictors of a fall, and faithful adherence to an exercise routine that includes balance-specific training replaces the fear with confidence.
A program to improve balance does not need to be complicated. Begin slowly with regular walks, and try simple exercises such as balancing on one foot or following along with a guided routine on a DVD. More targeted balance training may be done at a fitness center or through the use of a personal trainer or physical therapist. Professionals can assist you in conditioning the core—the set of muscles, bones and joints that link the upper and lower body and enable you to bend, twist, rotate or stand in one spot without losing your balance. An effective core workout may include exercises such as squats, lunges, twists and ab crunches. Exercise experts also can introduce you to the use of specific equipment to challenge you while improving your balance, such as a BOSU (both sides utilized) balance trainer, a stability ball, or standing on a spongy, unstable surface.
Pilates, yoga, and the ancient Chinese art of tai chi, are also excellent for improving balance and core strength. Tai chi combines meditation with slow, graceful movements and deep breathing and relaxation, helping people achieve an inner serenity. This approach benefits both mind and body, shown in multiple studies to: build up bones, stabilize joints, lower blood pressure and heart rate, bolster cardiovascular health and immunity, enhance quality of sleep, reduce stress and enhance mood. Practicing tai chi has been shown to reduce falls in seniors by up to 45 percent, and has proven effective in helping people with Parkinson’s disease achieve better balance.
A fall can occur anywhere at any time at any age. Therefore, the importance of body balance in one’s daily life should not be minimized. The American College of Sports Medicine recommends a program that combines strength, balance, flexibility and endurance. Explore one of these options you believe may work for you, call my office…and get started!
For more information on the benefits of Concierge Medicine, please visit Wellesley Primary Care Medicine. To enroll as a new patient, please call us directly at (781) 705-7272. Current patients with any health concerns, should call Dr. Glaser’s office directly at (781) 431-2345. Thank you!