Unsteady on your feet?
by Manny


Losing balance and difficulty walking is more common than you think

There are multiple factors why we may lose our balance as we get older. For example, in an older population losing balance, falling or struggling with walking can be associated with the side effects of the medication a person may be taking, changes to a person’s eye sight or hearing or even related to other health problems such as loss of feeling in the feet noted in diabetics for example. One of the biggest causes however is associated with inactivity and the loss of muscle mass and strength associated with the normal ageing process. Our balance reactions also reduce as we become more dependent of objects to help us walk such as walking aids and sticks.

The loss of strength can also impact everyday tasks such as getting out of a chair or getting up and down stairs. This can have a profound effect on somebody not such physically but socially and psychologically.

Physiotherapists regularly use a test called the single leg stance test to identify a person’s balance reactions and the strength of the muscles around your hips, pelvis and lower back region. It involves standing on one leg and timing yourself. This is a movement pattern we use everyday such as walking, for example consider the act of standing on one leg when you move the other leg through or when you lift the leg up to ascend a flight of stairs.

How to perform the test:

Find a solid floor surface, not on carpet. Take your shoes off. Cross your arms and lift one leg up to a similar level to the other ankle. Keep your eyes open and fix on one point. You can time yourself up to 45 seconds. Stop the timing if you lose balance or your arms come away or if you have to put your leg down to the ground.

Watch the video to show you how. 

So what does this tell you?

Well, if you are not able to maintain your balance for more than 10 seconds research and experience indicates you have a significantly higher risk of falling, which obviously can be extremely dangerous depending on your age and health. It indicates that your balance reactions are not as good as they can be. Being unable to stand on one leg for a period of time can also indicate a loss of strength around the hip area and specific muscles that are key to maintaining stability around here.

What can you do?

Well, the simplest exercise to help improve this is simply to practice this movement regularly, trying to ensure your ability to stand on one leg for longer improves with time. I would also recommend a series of specific exercises to help strength the muscles which would make a significant difference to your balance.

Help is at Hand!

Do not despair as there is always something that can be done to help. Exercise and a well-designed and graduated exercise programme can help reduce and at times reverse these changes. Everyone can improve regardless of age.

Here at Urban, we are starting a brand-new class called the strong & steady class. Monday mornings at 10:30am. It is run by myself and is tailored to older individuals that have had a history of falling, find exercise difficult may be due to health-related problems or for individuals who find everyday tasks hard such as stair climbing or getting out of a low chair.

If you are interested or know somebody that would benefit from a supervised physio led programme drop us and email or call to find out more.

Written by Manny

It started with a passion for fitness!

At the age of 17, Manny qualified as a fitness instructor and worked in a large multinational health club. Eager to learn about this industry he went on to university obtaining degrees in physiology and sports science from Leeds University, a YMCA personal training qualification and a Master’s degree in Physiotherapy from Robert Gordon’s University, qualifying as a Chartered Physiotherapist in 2005.

The next four years he was a rotational physiotherapist at Royal Salford Foundation Trust, implementing his skills in a variety of settings and departments with the hospital. Promoted into more specialist role Manny soon moved to Derby City PCT and worked with local GPs to manage people’s musculoskeletal pains.

He then progressed to working with the military and obtained the team lead role at Bovington Camp in Wareham. Whilst running a busy and complex department he obtaining more specialist qualifications in orthopaedic medicine, injection therapy and acupuncture. Manny observed very high standards of physiotherapy and rehabilitation within the military and wanted to transfer these services to everyday people.  So 2012 Urban Health & Fitness was created by Manny with the sole aim of doing this. 

Manny now specialises in treating people with complex back pain and particularly people suffering with pain after back surgery. He actively engages with people, organisations and companies to reduce the incidence of back pain for the long term. He aims to ensure that all organisations no matter how big or small can prevent their staff from the epidemic that is spreading.  

Manny also advises and sits on two boards for a medium sized social enterprise company in Hampshire who deliver a range of care, dental, well-being and transport services throughout the south of England.  He is also on executive team member for the Christchurch Chamber of Trade and Commerce.

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