Benefits Of Exercise For Fall Prevention & Balance
What causes balance problems I'll explain stay tuned. Hey I'm Dr. Ekberg
with Wellness For Life and if you'd like to truly master health by understanding
how the body really works make sure that you subscribe and hit that notification
bell, so that you don't miss anything. Balance is a really big deal because
when you don't have it life becomes a challenge and more so falling is the
number one cause a traumatic death in the elderly and we're all heading that
way so it'd be good to know something about balance so that we can practice
and improve it before it's too late so I'm gonna start by explaining the
mechanics and the components of balance and then we're gonna move in to some
exercises so that you can learn how to improve these things yourself so when
you're standing up and you're just relaxing and maintaining your balance it
looks as though you're kind of standing still but you're always falling a little
bit you're falling forward and back and right and left but your body is
compensating so quickly your brain is processing and compensating so quickly
that it looks as you're standing absolutely still and the obvious example
of one that isn't working so well is if someone is drunk because now they're not
compensating so fast and they're moving all over the place and in the case of
being drunk obviously the alcohol is interfering with the cortex and the
cerebellum so your broader can't process appropriately but there's all kinds of
other reasons why you may not be able to process including degeneration. Neural
degeneration happens to all of us and we want to make sure that we slow it down
so we have as much left as possible for as long as possible so let's look at
whether the components in order for balance to work your brain needs
information and there are three inputs we have vision we have vestibular input
and we have proprioception so vision is pretty obvious it's you
look you see what things look like and the brain uses that information to
maintain balance. Vestibular that's the inner ear thing
that's your semicircular canals and the cells that that transmit that
information to the brain and this is the classic place for in the medicine in the
medical world they always focus on the inner ear first because if you have many
years if you have an inner ear infection if you have those stones are a little
bit off-kilter than you could have balance problems you get a vertigo and
dizziness and nausea and things like that but that's only one part and those
are actually kind of rare most balance problems and most vertigo is more subtle
and it's a problem with degeneration or incorrect or in not enough capacity to
process and the last one is proprioception so your body sends
information to the brain all the time and proprioception is all the
information that every fiber and every cell is sending to your brain so that
your brain knows where the stuff is and your brain has never heard or seen
or touched or felt anything the brain only knows where the body parts are
because the body parts are sending information to the brain and that's
called proprioception so when all of this is working
we have great balance we have the visual vestibular and the proprioceptive input
the brain takes all of that input it processes hundreds of millions billions
bits of information every second to create a picture to send information to
the musculoskeletal system which is of course all the joints and muscles and
then all of those cells all those body parts have receptors that they send
information back to the brain in the form of proprioception so it's a it's a
can tenuous loop that allows the brain to
know where things are and to maintain balance by issuing the appropriate
commands. So poor balance is when any one of these steps is compromised if we have
poor visual input if we have poor vestibular input or if you have poor
proprioceptive input or if the processing isn't keeping up if we have
some brain degeneration which happens with aging it shouldn't happen with
aging but it does because we are toxic and we are degenerating we are inactive
and so forth and if the musculoskeletal system wasn't sending enough we don't
move enough then the brain isn't getting enough proprioception so that's what
causes poor balance that's what causes balance problems but we can also do
something to improve on it and the visual is the least commonly involved
because most people are so on line with their vision that's not something that
varies a whole lot it's the other two that vary tremendously and those are the
ones that we can work on so how do we do this well it's really simple so when you
do this exercise you want to go where you can hold on to something I recommend
a doorframe so that you can stand securely in the middle and hold on to
both sides while you're trying these things out you also if you have some
balance issues or if you're not real sure make sure that you have someone
with you to watch you and catch you and guide you and let you know what's what's
happening but at least start with the door frame so you can hold on tight and
then what you do is you close your eyes and now what happens is you're taking
out one third of the input for balance so if the other two parts are working
perfectly then two out of three is still enough if I close my eyes now then I
still have good balance and you may be able to see a very slight sway but
probably not much at all people who have balance problems again you don't want to
do this without having someone watching but if you close your eyes you probably
start seeing about a half inch or an inch of sway and it might be more to one
side and that indicates that the problem is more one-sided which is very typical
so then what you do is you hold on to the doorframe and then you lift one leg
so you lift one knee so you're standing on on one leg and then you hold on and
you hold on very lightly and then you close your eyes and what you notice is
that that foot starts acting it starts working a lot the muscles start working
twice as hard they start working really really fast and what they're doing is
they're increasing the proprioception so because we took the vision out we are
relying on the other two now they have to increase their activity to keep up
the more you work at this the more you activate those pathways and the more
that you will exercise those systems and if you exercise them on a regular basis
then you increase the strength of those pathways it's just like a muscle you
work out if you work out a muscle it grows bigger if you work out a pathway
it grows bigger and it gets better so by taking out the vision we can improve we
can strengthen those other two so work on this you stand in the doorframe you
hold on very lightly and then as you get better and better at this now you can
hold on less and less and less until you
don't have to hold on at all and if you work this for a while and you get really
really good at it you should be able to stand up to 30 seconds on one leg with
eyes closed that is how fantastic the body is when
all of these systems are working together at a 100% so remember to start
very very carefully hold on with both hands have someone there if you're not
real sure and then have some fun with this and let me know how long you can
stand on one leg let me know if there's a big difference between left and right
for example and write me some some comments if you have some questions
let's see you can can stand the longest if you're new to this channel you enjoy
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