Benefits Of Exercise For Fall Prevention & Balance

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What causes balance problems I'll explain stay tuned. Hey I'm Dr. Ekberg

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with Wellness For Life and if you'd like to truly master health by understanding

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how the body really works make sure that you subscribe and hit that notification

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bell, so that you don't miss anything. Balance is a really big deal because

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when you don't have it life becomes a challenge and more so falling is the

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number one cause a traumatic death in the elderly and we're all heading that

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way so it'd be good to know something about balance so that we can practice

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and improve it before it's too late so I'm gonna start by explaining the

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mechanics and the components of balance and then we're gonna move in to some

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exercises so that you can learn how to improve these things yourself so when

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you're standing up and you're just relaxing and maintaining your balance it

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looks as though you're kind of standing still but you're always falling a little

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bit you're falling forward and back and right and left but your body is

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compensating so quickly your brain is processing and compensating so quickly

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that it looks as you're standing absolutely still and the obvious example

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of one that isn't working so well is if someone is drunk because now they're not

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compensating so fast and they're moving all over the place and in the case of

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being drunk obviously the alcohol is interfering with the cortex and the

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cerebellum so your broader can't process appropriately but there's all kinds of

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other reasons why you may not be able to process including degeneration. Neural

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degeneration happens to all of us and we want to make sure that we slow it down

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so we have as much left as possible for as long as possible so let's look at

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whether the components in order for balance to work your brain needs

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information and there are three inputs we have vision we have vestibular input

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and we have proprioception so vision is pretty obvious it's you

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look you see what things look like and the brain uses that information to

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maintain balance. Vestibular that's the inner ear thing

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that's your semicircular canals and the cells that that transmit that

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information to the brain and this is the classic place for in the medicine in the

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medical world they always focus on the inner ear first because if you have many

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years if you have an inner ear infection if you have those stones are a little

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bit off-kilter than you could have balance problems you get a vertigo and

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dizziness and nausea and things like that but that's only one part and those

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are actually kind of rare most balance problems and most vertigo is more subtle

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and it's a problem with degeneration or incorrect or in not enough capacity to

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process and the last one is proprioception so your body sends

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information to the brain all the time and proprioception is all the

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information that every fiber and every cell is sending to your brain so that

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your brain knows where the stuff is and your brain has never heard or seen

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or touched or felt anything the brain only knows where the body parts are

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because the body parts are sending information to the brain and that's

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called proprioception so when all of this is working

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we have great balance we have the visual vestibular and the proprioceptive input

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the brain takes all of that input it processes hundreds of millions billions

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bits of information every second to create a picture to send information to

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the musculoskeletal system which is of course all the joints and muscles and

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then all of those cells all those body parts have receptors that they send

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information back to the brain in the form of proprioception so it's a it's a

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can tenuous loop that allows the brain to

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know where things are and to maintain balance by issuing the appropriate

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commands. So poor balance is when any one of these steps is compromised if we have

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poor visual input if we have poor vestibular input or if you have poor

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proprioceptive input or if the processing isn't keeping up if we have

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some brain degeneration which happens with aging it shouldn't happen with

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aging but it does because we are toxic and we are degenerating we are inactive

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and so forth and if the musculoskeletal system wasn't sending enough we don't

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move enough then the brain isn't getting enough proprioception so that's what

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causes poor balance that's what causes balance problems but we can also do

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something to improve on it and the visual is the least commonly involved

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because most people are so on line with their vision that's not something that

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varies a whole lot it's the other two that vary tremendously and those are the

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ones that we can work on so how do we do this well it's really simple so when you

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do this exercise you want to go where you can hold on to something I recommend

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a doorframe so that you can stand securely in the middle and hold on to

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both sides while you're trying these things out you also if you have some

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balance issues or if you're not real sure make sure that you have someone

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with you to watch you and catch you and guide you and let you know what's what's

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happening but at least start with the door frame so you can hold on tight and

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then what you do is you close your eyes and now what happens is you're taking

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out one third of the input for balance so if the other two parts are working

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perfectly then two out of three is still enough if I close my eyes now then I

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still have good balance and you may be able to see a very slight sway but

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probably not much at all people who have balance problems again you don't want to

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do this without having someone watching but if you close your eyes you probably

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start seeing about a half inch or an inch of sway and it might be more to one

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side and that indicates that the problem is more one-sided which is very typical

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so then what you do is you hold on to the doorframe and then you lift one leg

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so you lift one knee so you're standing on on one leg and then you hold on and

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you hold on very lightly and then you close your eyes and what you notice is

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that that foot starts acting it starts working a lot the muscles start working

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twice as hard they start working really really fast and what they're doing is

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they're increasing the proprioception so because we took the vision out we are

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relying on the other two now they have to increase their activity to keep up

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the more you work at this the more you activate those pathways and the more

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that you will exercise those systems and if you exercise them on a regular basis

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then you increase the strength of those pathways it's just like a muscle you

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work out if you work out a muscle it grows bigger if you work out a pathway

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it grows bigger and it gets better so by taking out the vision we can improve we

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can strengthen those other two so work on this you stand in the doorframe you

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hold on very lightly and then as you get better and better at this now you can

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hold on less and less and less until you

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don't have to hold on at all and if you work this for a while and you get really

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really good at it you should be able to stand up to 30 seconds on one leg with

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eyes closed that is how fantastic the body is when

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all of these systems are working together at a 100% so remember to start

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very very carefully hold on with both hands have someone there if you're not

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real sure and then have some fun with this and let me know how long you can

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stand on one leg let me know if there's a big difference between left and right

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for example and write me some some comments if you have some questions

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let's see you can can stand the longest if you're new to this channel you enjoy

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longer and live better and everyone needs that thanks for watching

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