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Did you know that in Canada, falls are the leading cause of injuries in older adults and a fall for an older adult can actually lead to death?[1] This is because when an older adult falls, oftentimes it results in a broken bone which becomes more and more lethal as you age.[1] The more you fall and break bones, the more likely you become to keep falling and breaking bones.[1] At Curovate, we want to educate people about issues like these so that we can do our part to preserve the health of older adults in Canada and globally.

In this article, I will showcase 7 exercises you can do at home every day that will improve your balance and mobility which will reduce your likelihood of falling! All of these exercises, as well as additional fall prevention information and balance exercises, can be found in our Curovate app for older adults following knee replacement and hip replacement. Find the app links at the end of this blog

1. Bridges With Alternating Leg Raises

This exercise targets your lower back, hip extensors, and hip flexors. Strengthening these muscles in your hips and thighs will help to maintain your balance by giving you greater control of your sway forwards and backwards. One study found that this exercise helps to improve your coordination, as well as your balance while sitting.[2] Complete 10 repetitions and 3 sets, where 1 repetition is lifting up (or bridging) then straightening your right leg, lowering your right leg and repeating with your left leg before returning to the starting position.

2. Front-Lying Hip Lifts

This exercise targets your hamstrings and glutes, the muscles at the back of your thighs and hips, which are crucial to maintain hip stability and to help keep your posture in an upright position, as opposed to slouched or generally forward-leaning position. This is backed up by a Belgian study that looked at how your hamstrings and glutes contribute significantly to maintaining your balance while walking and standing still.[3] Complete 12 repetitions and 3 sets per leg where 1 repetition is lifting the leg up away from the ground as far as you can, releasing back down and repeating with your other leg. Having a pillow under your stomach, as you see above, helps while doing this exercise.

3. Standing Side Leg Raises

This exercise will train the muscles that are mainly responsible for your hip stability from side to side, known as Hip Abductors. A study published in the Journal of Sports Medicine found that when your hip abductors get tired there’s an increase in your sway from side to side as well as front and back, making you less stable and more likely to fall.[4] Trust me, you’ll want to train these muscles! Complete 12 repetitions and 3 sets per leg where 1 repetition is raising your leg to the side as high as you can, lowering it back to the ground and then repeating with the other leg. Use a stable surface for support while you do this exercise.

4. Ball Squeeze While Lying

This exercise targets what are called the Hip Adductors. Hip adductors are key to maintaining your balance, especially when walking, standing still, or standing on one leg. A 2018 study of older adults found that your hip adductors contribute primarily to your ability to maintain your balance while standing still.[5] Complete 12 repetitions and 3 sets where 1 repetition is squeezing the ball as hard as is comfortable and then relaxing the legs.

5. Chair Squats

Chair squats are a great alternative to regular squats for someone struggling with their balance because there will always be support right behind them to catch them if they start to fall backwards. Even just squatting your body weight, with proper form, will improve your muscular strength and can improve your balance.[6] Complete 12 repetitions and 3 sets where 1 repetition is to stand straight up out of the chair and then sit right back down. Make sure the chair is stable and will not slide away from your body as you sit down.

6. Side Step Walking With A Resistance Band

This is another activity that targets the hip abductors, but in a slightly more demanding way because of the way the exercise bands add resistance to what you are doing. Again, you don't want these muscles to get tired easily so you'll want to keep them fit for the sake of your balance. This point is further backed up by a study from 2019 that highlights the "critical importance of the hip abductors/adductors in balance during all phases of standing and walking".[7] Complete 12 repetitions and 3 sets where 1 repetition is to walk sideways 5 feet in one direction and 5 feet sideways back the other direction.

7. Static Lunges

If you are already unstable, you may find it difficult to complete a full set, and this is when we recommend you do this activity while holding onto a surface. Lunges train the muscles of your thigh and hip including your quads, hamstrings, and hip extensors. A study of elderly women players found that a lunge-based training program increased muscular strength and improved balance as a result![8] Perform 10-12 repetitions for 1-3 sets.

Conclusion

Overall, there are many exercises and training programs out there that can improve your balance and lower your risk of falling. These 7 exercises I’ve listed are a very good starting point for anyone who wants to begin taking steps to be more stable because they have been tested in many studies and have shown to improve your balance and coordination in varying ways.[2-8] Our Curovate app showcases all of these exercises and many more that can and will help you on your journey to achieving stability! Find our app links below for your knee replacement and hip replacement recovery which includes these and many more falls prevention exercises!

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Reference

1. Canada, P. H. A. of. (2014, April 10). Seniors' Falls In Canada. Canada.ca. https://www.canada.ca/en/public-health/services/health-promotion/aging-seniors/publications/publications-general-public/seniors-falls-canada-second-report.html

2. Anne Shumway-Cook, William Gruber, Margaret Baldwin, Shiquan Liao, The Effect of Multidimensional Exercises on Balance, Mobility, and Fall Risk in Community-Dwelling Older Adults, Physical Therapy, Volume 77, Issue 1, 1 January 1997, Pages 46–57, https://doi.org/10.1093/ptj/77.1.46

3. Ilse Jonkers, Caroline Stewart, Arthur Spaepen, The complementary role of the plantarflexors, hamstrings and gluteus maximus in the control of stance limb stability during gait, Gait & Posture, Volume 17, Issue 3, 2003, Pages 264-272, ISSN 0966-6362, https://doi.org/10.1016/S0966-6362(02)00102-9.

4. Sarabon, N., Hirsch, K., & Majcen, Z. (2016). The acute effects of hip abductors fatigue on postural balance. Montenegrin Journal of Sports Science and Medicine, 5(1), 5-9.

5. Porto, J.M., Freire Júnior, R.C., Bocarde, L. et al. Contribution of hip abductor–adductor muscles on static and dynamic balance of community-dwelling older adults. Aging Clin Exp Res 31, 621–627 (2019). https://doi.org/10.1007/s40520-018-1025-7

6. Estape, D., Jacobs, P. L., Lopez, R., & Jacobs, P. (2006). Effects of Body Weight Squats on Balance and Upright Mobility in Participants with Incomplete SCI. Medicine & Science in Sports & Exercise, 38(Supplement). https://doi.org/10.1249/00005768-200605001-02642

7. DA Winter, Human balance and posture control during standing and walking, Gait & Posture, Volume 3, Issue 4, 1995, Pages 193-214, ISSN 0966-6362, https://doi.org/10.1016/0966-6362(96)82849-9.

8. Bloomfield, L. (2011). Effects of forward lunge training on balance control in elderly women (dissertation). Library and Archives Canada = Bibliothèque et Archives Canada, Ottawa.