Previewing Balance Gadgets

In addition to balance-specific exercises, you can find some helpful gadgets for training balance at equipment specialty stores. Three catalogs, Fitness Wholesale (800-537-5512), SPRI® (800-222-7774), and Power Systems® (800-321-6975), all sell these gadgets through their catalogs and through their online Web sites. Many of these training tools come with helpful manuals that demonstrate exercises.
One of my favorite is a balance board, a round board balanced on a knob or a ball. You stand on this and balance in a variety of oneand two-legged positions. With her background as a yoga and Pilates trainer, Shirley loves stability balls, foam rollers, and the BOSU®. Available worldwide, the BOSU is a dome-shaped training product that can be used right side up or upside down. That is why its name comes from “both sides up.” The BOSU comes with great workout routines.

Balance-specific Exercises

While you can improve balance by practicing ancient East Asian movement arts, you can also do balance-specific exercises. Whatever approach you choose to improve your balance is appropriate. The key is to select the exercises that appeal to you and motivate you to do them regularly. We think that balance-specific exercises like the ones listed below are taught best one-on-one or in small groups supervised by a trainer or physical therapist with a practiced eye and in-depth knowledge of anatomy and body alignment. However, you can also do a number of excellent drills on your own. Keep in mind that balance exercises are about quality not quantity. Focus hard when you perform the following moves, and don’t get frustrated if you’re not graceful at first. For example, walking across a low wooden beam, or pretending you are, requires a constant correction of knee, hip, and head alignment. All of your muscles from head to toe must work in synch in order for you to glide across the beam without extending your arms in the air or wandering off the edge. This can be tough at first, but with practice, you can master this move in just a few sessions. After a while, balance exercises awaken reflexes and add to body awareness and control on a subconscious level. This can translate into lasting improvements in posture and overall quality of movement.
Do these exercises two or three times a week at the end of your regular weight training sessions. Start with one set of each exercise and gradually work up to three sets. If you feel that you need more work, try an additional session or two each week. This type of training is deceptively challenging and can leave you feeling exhausted and sore if you overdo it at first. Even if you know other balance exercises, don’t do more than four moves in a session.

• Balance beam walk: Walk slowly across a low wooden beam, while maintaining a tall posture, keeping your knees forward and your hands relaxed at your sides. If you don’t have a balance beam, draw or tape a straight line 6 to 12 feet long on the floor. Place one foot directly in front of the other and stay as steady as possible. If you fall off the beam or wander off your line, simply get back on and continue from that point. See Figure 20-2.

Focus your eyes on the end of the beam to help you keep your balance.
Easier version: Extend your arms out to the side, but only as much as is necessary. Aim to make three back-and-forth trips.
Harder version: Walk backwards.

• Fulcrum: With your arms relaxed at your sides, stand on one foot with your other leg extended behind you and a few inches off the floor. Lean a few inches forward and maintain your balance for up to one minute. Then slowly bring your foot back to the floor, and repeat with your other leg. Do three to five repetitions with each leg.

Easier version: Rest your fingertips lightly against a wall, chair, or other sturdy object.
Harder version: Lean forward a few inches more. When you get good at this, lean forward until your torso is perpendicular to the floor.

• Ostrich: With your arms relaxed at your sides, stand on one foot with your opposite knee bent and your opposite foot a few inches off the floor directly in front of you. Hold this position for up to a minute, slowly return your foot to the floor, and then repeat with the other foot. Do three to five repetitions with each leg.

Easier version: Rest your fingertips lightly against a wall, chair, or some other sturdy object.
Harder version: Do the exercise with your eyes closed.

Practicing Yoga, Tai Chi, or Qigong

The ancient practices of hatha yoga, tai chi, and qigong that come to us from India and China are rooted in cultural traditions that included these exercises as a way of maintaining physical, mental, and spiritual well-being and balance. Numerous modern studies of these practices substantiate these benefits after putting them to the test with rigorous scientific analyses. All these practices are suitable for people of all ages, young and old, and are particularly attractive to older adults because they can be pursued on a gentle basis. While many American practitioners of yoga enjoy more vigorous styles, these exercises can be easily adapted to suit a variety of levels as shown in the accompanying photographs.

Keeping Your Balance

Special receptor cells located in your skin, muscles, joints, and tendons —the fancy term for these cells is proprioceptors — process information about your body’s orientation as it moves through space. For instance, when you walk across a lawn, your proprioceptors tell you things like “Okay, I’m putting my feet here now. The ground is spongy because it’s grass. It has a little give and isn’t completely uniform.”
The majority of these special receptor cells that are responsible for your postural stability are located in your multifidus, deep muscles located in your lower back. Your deep abdominals and deep back muscles are primarily responsible for your ability to maintain your balance. Unless you continue to challenge your core stabilizer muscles and your sense of balance, you lose your abilities. This process is explained by the popular saying, “Use it or lose it,” which is an accurate description.
As you age and allow these muscles to weaken, these proprioceptors become less sensitive, giving your brain less information and feedback to work with. Now when you walk across a lawn, you don’t get quite so much input about the texture or give of the surface, and you’re more likely to stumble on little inconsistencies of terrain. Slower reflexes and decreased muscular strength, combined with deteriorating eyesight and depth perception, also contribute to a diminished sense of equilibrium.
A fear of falling may be another reason that older people experience a loss of balance. Ironically, this fear may increase the risk of falling. When people worry about taking a tumble, they try to compensate by standing with their feet farther apart and walking with smaller steps. However, these adjustments actually prevent you from judging subtle cues from the environment, like the firmness of the ground and small changes in height of the surface you’re walking on.
What’s more, poor balance results in a shaky, unsteady gait. It becomes harder to go up or down stairs or negotiate high curbs and other obstacles that you may not otherwise give a second thought. You may find it more difficult to reach for objects on overhead shelves or to stand in tight spots on trains, in line, and in crowds with your feet close together. Fortunately, you can reduce or reverse some of these problems and, as a result, you can become less accident prone. One study looked at 110 men and women with an average age of 80. After three months of performing balance exercises regularly, most of the subjects had the body control of people three to ten years younger.

Benefiting from Good Posture

Improving your posture literally changes your life. Not only will you look taller, appear slimmer, and feel better, but also you’ll have fewer daily aches and pains. Regardless of your age and current level of fitness, improving your posture with the exercise programs listed later in this chapter benefit you. Everyone needs good posture, because it is important to musculoskeletal health and injury prevention. Older adults can dramatically reduce the odds of falling and maintain a good quality of life. Athletes can improve their performance on the playing field.
You’ll gain a few benefits from posture training.

• Prevent or reduce the likelihood of low back pain
• Reduce injuries
• Enhance joint efficiency
• Increase range of motion
• Improve flexibility
• More energy

Evaluating Your Posture

An easy and quick way to assess your posture is to look at yourself from a side profile. The following five points should align vertically:

• Ear
• Shoulder
• Hip
• Knee
• Ankle

Your posture should reflect the natural S-shaped curve of the spine. These curves help reduce impact forces on your body by allowing it to be more resilient. Imbalances in your body usually contribute to poor posture. These imbalances may result from any of the following:

• Muscle imbalances: Muscles create movement by working in combination with other muscles. In a well-balanced body, muscles co-exist in balance with each other. For example, weak shins usually co-exist with tight calves and contribute to tighter muscles along the back of the legs.
• Tight muscles: Tight muscles, often a result of muscle imbalances, also create stress on joints, and result in less flexibility and less ROM.
• Past injuries: Accidents from your youth such as broken bones and torn ligaments can permanently alter your posture. A broken leg can lead to one leg being shorter than another. A shoulder injury that tore ligaments can lead to lingering stiffness and a reduced ROM on one side of your body when compared to the other side.
• Genetics: Certain postural deviations can be part of your family heritage. For example, scoliosis, a curvature of the spine is often an inherited condition. Another congenital condition that affects posture is flat feet.

After you’ve identified the causes of your postural imbalances, start addressing them. If the reasons are muscular, use an exercise program to improve your posture. Following one of the suggested core routines would be a great start, because these routines are beginning workouts that are suitable for people at all levels of ability. If the reasons are due to injury or genetics, your healthcare provider can help you find appropriate support such as heel lifts or orthotics for your shoes. Whatever your condition, you can always improve and if you have ideal posture, then you can work to keep up your great shape to stay that way.
Wearing high-heeled shoes daily contributes to poor posture. If worn regularly, high heels cause tightening and shortening of the calves, tightness in the lower back, and knee pain. Your best bet is to vary your heel heights and not wear the same shoes two days in a row. Reserve your high-heeled fashion shoes for times when you don’t need to walk long distances. Also, buy your shoes a half size larger and invest in some comfortable insoles, or for fashion shoes, get the less noticeable narrow versions.

How to Have A Healthy Back?

Regular exercise is one of the best ways you can prevent back pain. Good body mechanics, or moving properly, as you sit, stand, bend over, pick things up, and push and pull furniture are also important. Repetitive motions, if performed incorrectly over time, can cause joint strain and injury. You aren’t helpless against back pain. What you do daily makes a powerful difference. Small changes can go a long way to preventing debilitating pain. Observe the following basic tips for a lifetime of back health.

• Exercise regularly: Following a consistent, balanced exercise program will go a long way toward keeping you fit and strong.
• Use good posture: You can practice good posture every waking moment and improve your posture. Naturally, you aren’t going to remember every minute, but the more times that you catch yourself slouching, the more often you can correct yourself and use your core stabilizers.
• Move properly: The most common way people injure their backs is when they bend over, pick something up, and turn their body as they stand. Practice good movement mechanics whenever you lift, bend, or pick up and carry anything. Even if you pick up a pencil, use good movement habits. That way when you pick up something that is heavier, you’re much more likely to do it properly.
• Check your desk setup: Make sure your desk at the office and at home is set up according to good ergonomic principles. Make sure that your chair fits your body and that your computer and monitor are positioned so that as you work, you use good posture.
• Use a headset: Many people spend a lot of time talking on the phone and bending their necks into awkward positions. Your head weighs anywhere from 8 to 12 pounds. If you hold it improperly, you can affect your overall posture. Use headsets whenever possible, especially for extended conversations.
• Use a backpack: People often carry heavy and unbalanced loads on their shoulders. Balance the weight by using a good quality backpack and avoid carrying things that are too heavy.
• Buy furniture that offers support: Every chair or couch that you sit on affects your posture, particularly if it’s a piece of furniture that you use often. A good bed is also important, because you spend one-third of your life sleeping, and if you’re not getting good support, it will affect your posture. Make sure the furniture in your life is also supporting a healthy back and good posture.