BALANCE & FALL PREVENTION

One third of all American seniors (65+) fall annually.  Falls are the leading cause of nonfatal injuries treated in emergency departments and the third leading cause of injury-related deaths [1].  The vast majority of these injuries and deaths are caused by a simple loss of balance.  Balance is something we tend to take for granted – that is until we lose it.  This loss may be sudden as in a trip or gradual as it occurs in aging.  As we lose balance, we realize how critical it is to carrying out normal daily activities.


Maintaining balance is actually accomplished through the use of three body systems: visual, vestibular, and proprioception.  Using our visual system, we rely on our eyes to help keep us orientated with our surroundings.  The vestibular systems uses the fluid in your inner ear as it actually acts similarly to an air bubble in a level. Proprioception refers to your body’s ability to physically feel the things around it, for example feeling the cushion of thick carpet under your feet.


Accurately assess balance with
Bertec's Balance Plate

Many things can affect our ability to balance.  Ailments such as Parkinson’s disease, Ménière’s disease, labyrinthitis, and stroke can rob a person of his balance.  Aging can also affect balance.  As we age, our nerves, muscles, and joints may become weaker and less responsive.  Other conditions like getting a new prosthetic or orthotic may influence balance (hopefully for the better).  Though balance is relatively easy to influence, it is not as easy to accurately assess.

To assess balance, doctors, physical therapists, and clinicians have many tests from which to choose.  The problem with most tests is that they do not offer a quantifiable assessment that can be compared to past performances or others’ performances.  Computerized posturography is a balance test that gives a physician a postural stability score under various testing conditions, and it allows that score to be easily compared.

Balance Systems

When we are standing still, we are actually swaying even though we may not realize it.  This amount of sway is called postural stability, and that stability correlates with our ability to remain upright.  Bertec’s BalanceCheck™ computerized posturography systems accurately measure the amount of sway, provide a balance score, and then compare that score to the scores of age-matched peers.

BalanceCheck™ assesses postural sway using four protocols.  Individuals stand as still as possible on the balance platform for ten seconds at a time for each condition – eyes open, flat surface; eyes closed, flat surface; eyes open, perturbed (foam) surface; and eyes closed, perturbed (foam) surface. 

*Umbrellas not included.

These protocols are designed in such a way that they are individually testing each of the body systems responsible for maintaining balance.  Fortunately balance lost can often be regained with BalanceCheck™ Trainer.  BalanceCheck™ Trainer includes a variety of customizable protocols focusing on functional-based rehabilitation.  All protocols use visual biofeedback to present real-time feedback to the patient.  The training protocols include exercises for static balance, dynamic balance, and limits of stability.  By learning to move his center of pressure to desired target areas (stationary or mobile), the patient regains balance.

To read support for BalanceCheck™, please read the Amin and Girardi papers in our Research Publications section.

Bertec’s devotion to fall prevention and balance improvement goes beyond our equipment.  We strive to increase the awareness of the seriousness of falls and the treatability of balance disorders.  As such, we are a member of the national Falls Free Coalition and the Falls Prevention Coalition of Central Ohio, and we sponsor a research competition offering our BalanceCheck™equipment as awards.

[1] Office of Statistics and Programming, National Center for Injury Prevention and Control, CDC

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