Beginner Supported Balance
A gentle entry routine for those new to balance work or feeling unsteady. Every drill is done with a stable support within arm's reach.
The evidence applies to the practice, not to these particular steps — they are one way to carry it out.
- 1Feet-Together Stand20s hold x 3One hand resting on counter; progress to fingertips only.Slot: static balanceScaffold: app-designed stepApp-designed prescriptionthe finding states no sets or duration for this.
9 options for this requirement
These are the practices the completed Round-2 reviews name for static balance. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Dance for balanceCompared in the review1 paper put it in this slot · dose unit not statedMulticomponent programmeCompared in the review1 paper put it in this slot · dose unit not statedOtago Exercise ProgrammeCompared in the review7 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Pilates for balanceCompared in the review2 papers put it in this slot · dose unit not statedProprioceptive trainingCompared in the review1 paper put it in this slot · dose unit not statedTai ChiCompared in the review7 papers put it in this slot · dose in repetitionsCannot be used here: This step's dose is measured in sets × time and this option's in repetitions. Converting between them is not something the research says, so the swap is refused rather than converted.
Tandem stance / walkingCompared in the review2 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
VR / exergamingCompared in the review2 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Yoga for balanceCompared in the review2 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
- 2Staggered Stance Hold20s hold x 2 per sideKeep support handy; swap lead foot.Slot: static balanceScaffold: app-designed stepApp-designed prescriptionthe finding states no sets or duration for this.
9 options for this requirement
These are the practices the completed Round-2 reviews name for static balance. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Dance for balanceCompared in the review1 paper put it in this slot · dose unit not statedMulticomponent programmeCompared in the review1 paper put it in this slot · dose unit not statedOtago Exercise ProgrammeCompared in the review7 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Pilates for balanceCompared in the review2 papers put it in this slot · dose unit not statedProprioceptive trainingCompared in the review1 paper put it in this slot · dose unit not statedTai ChiCompared in the review7 papers put it in this slot · dose in repetitionsCannot be used here: This step's dose is measured in sets × time and this option's in repetitions. Converting between them is not something the research says, so the swap is refused rather than converted.
Tandem stance / walkingCompared in the review2 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
VR / exergamingCompared in the review2 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Yoga for balanceCompared in the review2 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in sets × time and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
- 3Lateral Weight Shifts10 shifts x 2Small, controlled shifts side to side.Slot: dynamic balanceScaffold: app-designed stepApp-designed prescriptionthe finding states no sets for this.
10 options for this requirement
These are the practices the completed Round-2 reviews name for dynamic balance. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Agility drillsCompared in the review1 paper put it in this slot · dose unit not statedGait trainingCompared in the review1 paper put it in this slot · dose unit not statedMulticomponent programmeCompared in the review1 paper put it in this slot · dose unit not statedOtago Exercise ProgrammeCompared in the review7 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in repetitions and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Pilates for balanceCompared in the review1 paper put it in this slot · dose unit not statedProprioceptive trainingCompared in the review1 paper put it in this slot · dose unit not statedSquare-steppingCompared in the review1 paper put it in this slot · dose in repetitionsTandem stance / walkingCompared in the review2 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in repetitions and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
VR / exergamingCompared in the review1 paper put it in this slot · dose in durationCannot be used here: This step's dose is measured in repetitions and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
- 4Sit-to-Stand8 reps x 2Use a sturdy, non-rolling chair against a wall.Slot: strength-for-balanceScaffold: app-designed stepApp-designed prescriptionthe finding states no sets or reps for this.
4 options for this requirement
These are the practices the completed Round-2 reviews name for strength-for-balance. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Multicomponent programmeCompared in the review1 paper put it in this slot · dose unit not statedOtago Exercise ProgrammeCompared in the review10 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in repetitions and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Pilates for balanceCompared in the review2 papers put it in this slot · dose unit not stated - 5Heel Raises (Calf Raises)10 reps x 2Fingertips on chair; lower slowly.Slot: strength-for-balanceScaffold: app-designed stepApp-designed prescriptionthe finding states no sets or reps for this.
4 options for this requirement
These are the practices the completed Round-2 reviews name for strength-for-balance. The evidence rating on this routine belongs to the practice and its dose, not to any one of these. Choosing one changes what you read on this page only — it is not saved on any session in your week, and it never changes what the routine prescribes. To keep a choice, make it on the session itself in My Week.
Multicomponent programmeCompared in the review1 paper put it in this slot · dose unit not statedOtago Exercise ProgrammeCompared in the review10 papers put it in this slot · dose in durationCannot be used here: This step's dose is measured in repetitions and this option's in duration. Converting between them is not something the research says, so the swap is refused rather than converted.
Pilates for balanceCompared in the review2 papers put it in this slot · dose unit not stated
Safety, and where each line comes from2 reported by the review's sources21 product safeguard (app-authored)4 source silent
Each line below says where it comes from. “Reported by the review’s sources” is the source’s own words about adverse events or contraindications. “Product safeguard” is written by this app, not by the research. “Source silent” means the studies behind this routine report nothing on that point, which is not the same as saying it carries no risk.
Who should modify or avoid this
- Reported by the review's sourcesAbsolute: Cognitive problems, inability to provide informed consent, certain medical conditions (e.g., osteoporosis, severe cardiopulmonary disease), use of certain medicationsSR09.4 · canon row 2738, contraindications field · The effect of perturbation-based balance training on balance control and fear of falling in older adults: a single-blind randomised controlled trial · studied: WHAT: Perturbation-based balance training (PBT) consisting of three 30-minute sessions over three weeks. Specific exercises include unilateral treadmill belt accelerations and decelerations, platform perturbations, gait adaptability…
- Product safeguard (app-authored)Begin beside a solid support; progress stance only when steady.From this routine’s block record, written by this app.
- Product safeguard (app-authored)Ideal entry point for older and unsteady adults.From this routine’s block record, written by this app.
- Product safeguard (app-authored)Designed for adults who can stand unaided. A recent fall, a balance or vision condition, or a fear of falling changes what is appropriate here and calls for support within reach.
Prerequisites
- Product safeguard (app-authored)Written for beginner level. Equipment: chair, none. Warm up before the working sets, and learn each movement at a light load or short range before adding effort.
- Source silentThe sources behind this routine's finding report nothing on prerequisites or starting level.
Hazards and adverse events
- Reported by the review's sourcesOne training-related adverse event was reported, but details are not provided.SR09.4 · canon row 2738, adverse events field · The effect of perturbation-based balance training on balance control and fear of falling in older adults: a single-blind randomised controlled trial · studied: WHAT: Perturbation-based balance training (PBT) consisting of three 30-minute sessions over three weeks. Specific exercises include unilateral treadmill belt accelerations and decelerations, platform perturbations, gait adaptability…
- Product safeguard (app-authored)Feet-Together Stand: Fall risk: keep a chair or counter within arm's reach; progress only when a stance feels secure.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Staggered Stance Hold: Fall risk: keep support nearby; a good bridge stance before tandem work.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Lateral Weight Shifts: Fall risk: keep support in reach; a gentle entry drill to single-leg loading.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Sit-to-Stand: Fall risk: use a stable, non-rolling chair against a wall; key strength driver for standing balance.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Heel Raises (Calf Raises): Fall risk: rising onto toes reduces base—keep light support until steady.From the exercise catalogue, written by this app.
Progression and regression
- Product safeguard (app-authored)Feet-Together Stand: regress with Stand near a counter and rest one hand on it; Widen stance slightly if unsteady; Reduce hold time to 10s and progress with Close eyes; Stand on a foam pad; Add slow head turns.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Staggered Stance Hold: regress with Hand on counter; Shorten the stagger; Hold 10s and progress with Eyes closed; Shift more weight to the front leg; Foam pad.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Lateral Weight Shifts: regress with Hold a counter; Smaller shifts; Feet wider and progress with Lift the unloaded foot briefly; Eyes closed; Add reach to the loaded side.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Sit-to-Stand: regress with Push off the armrests or thighs; Use a higher/firmer seat; Fewer reps and progress with No hands; Slow 3-second lowering; Single-leg-assisted stand.From the exercise catalogue, written by this app.
- Product safeguard (app-authored)Heel Raises (Calf Raises): regress with Two-hand support; Smaller range; Fewer reps and progress with No hands; Single-leg heel raise; Eyes closed at top.From the exercise catalogue, written by this app.
- Source silentThe sources behind this routine's finding report nothing on how to progress or regress it.
Stop conditions
- Product safeguard (app-authored)Stop if you lose balance without support to hand, feel dizzy or lightheaded, or cannot recover a stumble in one step; sit down and rest before continuing.
- Source silentThe sources behind this routine's finding report no stop conditions.
When to seek supervision or clearance
- Product safeguard (app-authored)Two or more falls in the past 12 months, or any fall with injuryFrom this routine’s block record, written by this app.
- Product safeguard (app-authored)Dizziness, lightheadedness, or fainting during standing or movementFrom this routine’s block record, written by this app.
- Product safeguard (app-authored)New or worsening unsteadiness, neurological symptoms, or numbness in the feetFrom this routine’s block record, written by this app.
- Product safeguard (app-authored)Fear of falling severe enough to restrict daily activityFrom this routine’s block record, written by this app.
- Product safeguard (app-authored)Ask a clinician or physiotherapist before starting if you have fallen in the past year, have a condition affecting balance or vision, or feel unsteady on your feet; do the first sessions with someone present.
- Product safeguard (app-authored)Signs of a medical emergency (chest pain or pressure, trouble breathing, fainting, sudden weakness or numbness) mean 911 or your local emergency services; thoughts of self-harm or suicide mean the 988 Suicide & Crisis Lifeline. This app does not diagnose, treat or give personalised medical advice.
- Source silentThe sources behind this routine's finding report nothing on supervision or clearance.
How to do it
- This foundational series narrows the base of support in stages, feet apart, feet together, semi-tandem, tandem, then single-leg, each held for timed intervals near support.
What the evidence says
It is an equipment-free way to start. Be aware that one high-quality pooled analysis found exercise improved balance overall yet not static balance specifically; treat this series as an on-ramp to task-specific work rather than as the training itself.
- Agreement
- Not computed: the review summary this entry was written from says “conflicts”, “Convergence”, and all 3 sources that state a direction at this claim report no effect. Direction recorded for 3 of 5 sources; not yet recorded for the rest. A review summary is the written synthesis this entry was first built from; it is not one of the sources counted here.
- The claim's outcome
- Outcome not yet recorded
- Certainty
- No source states a certainty rating.
What each source measured and concluded (5)
- What it measured
- Balance performance in trained and non-trained tasks.
- How it measured it
- Time at stability during stance on different surfaces and estimates of center of pressure movement on a force platform; validated using the Physiotherapy Evidence Database (PEDro) scale.
- How it was read
- read in full text
- What the review says it includes
- meta-analysis, systematic review
- Studies and participants, as stated
- N = 102 participants across 6 studies
- Heterogeneity, as stated
- LIMITATIONS: The study is limited by the small number of studies included in the meta-analysis, moderate heterogeneity in some categories due to task and method diversity, and only considering English-language published studies.
- What it measured
- Balance performance in two untrained balance tasks (tilt-board and sensoboard), peak power in countermovement jumps.
- How it measured it
- Balance tasks: specific tasks with hands on hips, performance estimated with a stopwatch; Peak power: force plate (Leonardo Mechanograph GRFP) during countermovement jumps.
- Direction it states for the claim's outcome
- No effect
- How it was read
- read in full text
- What it measured
- Static balance
- How it measured it
- One-legged stance test, Berg balance scale, Romberg test, short physical performance battery (balance test); validated tools
- Direction it states for the claim's outcome
- No effect
- How it was read
- read in full text
- What the review says it includes
- meta-analysis
- Studies and participants, as stated
- N = 335 participants across 8 studies
- What it measured
- Number of falls, physical functioning (via SPPB), fear of falling (via Falls Efficacy Scale International), daily physical activity (via hip-worn triaxial accelerometer).
- How it measured it
- Falls: self-report diary verified by telephone calls; Physical functioning: SPPB; Fear of falling: Falls Efficacy Scale International; Daily physical activity: hip-worn triaxial accelerometer.
- How it was read
- read in full text
- What it measured
- Balance control via Mini-BESTest. 2. HOW was it measured? Validated measurement tool (Mini-BESTest). 3. SECONDARY OUTCOMES: Fear of falling via FES-I. 4. COMPARED TO: Compared to usual care alone.
- How it measured it
- Validated measurement tool (Mini-BESTest). 3. SECONDARY OUTCOMES: Fear of falling via FES-I. 4. COMPARED TO: Compared to usual care alone.
- Direction it states for the claim's outcome
- No effect
- How it was read
- read in full text