Balance Training



Balance: This is the ability to keep the body in equilibrium in either the static or dynamic positions.

The inability to balance or to coordinate movement may be due to weak muscles as a result of inactivity or it may be due to neurological deficit.

As a general principle balance is developed progressively by moving from the most stable to the least stable position. So balance training is given progressively in different position according to following order-

• Forearm support prone lying
• Forearm support prone kneeling
• Prone kneeling
• Prone kneeling with one limb lifted from the ground.
• Prone kneeling with two limbs lifted from the ground.
• Kneeling
• Half kneeling
• Sitting
• Long sitting,
• Walk standing
• Stride standing
• Closed standing
• Standing on unaffected limb
• Standing on affected limb

Placing the patient in different position, the patient is asked to maintain his position by his own muscular contraction. Here resistance is applied by the physiotherapist. The resistance is applied to following areas-

1. Head
2. Shoulder
3. Pelvis

The direction of resistance will be following ways

• Forward and backward
• Laterally
• Diagonally
• Rotation

Reference:
1. Tidy's Physiotherapy 12th Edition
2. Practical exercise therapy Margaret Hollis.

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