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23 Balance Exercises for Seniors (with Videos)

Improve your balance with these 23 senior-friendly balance exercises.

Author: MaryAnn DePietro CRT

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Balance is the ability to maintain, achieve, or restore an even weight distribution during static posture and movement. It allows you to stand and move without falling. Good balance is vital to reduce your risk of falls as you age. Falls are one of the major causes of injuries in older adults. More than 1 out of 4 older adults have a fall yearly. Falls are also the number one cause of traumatic brain injuries.

Improving your balance has several benefits, such as:

  • Improved confidence to do activities you enjoy
  • Decreased fall risk
  • Promotes independence
  • Improves ease of mobility
  • Builds better posture
  • Faster recovery from injury
  • Better overall health

There are different types of balance exercises for every fitness level. People with limited mobility should start with easy or seated balance exercises. Stronger individuals can move into dynamic or advanced balance exercises.

The guide below covers easy, seated, advanced, and dynamic exercises for seniors.

Understanding Balance for Seniors

Several physiological changes affect balance in seniors. The following factors can adversely affect balance as you age:

  • Loss of muscle and strength
  • Decreased core strength
  • Vestibular system issues ( inner ear)
  • Declining vision
  • Reduces proprioception ( your awareness of your body and sense of position)

Seniors may have balance issues for a variety of reasons, such as:

  • Medications
  • Neurological conditions
  • Cognitive decline
  • Vision issues
  • Inner ear issues
  • Vertigo

By doing regular balance exercises, you can strengthen your proprioception and body awareness. Balance exercises help you sense instability and make corrections to maintain balance. Over time, this improves balance and may reduce your fall risk.

Seated Balance Exercises

It may seem you cannot work balance if seated, but that is not the case. Seated balance exercises are an excellent way to improve strength and core stability. Before moving on to more difficult balance exercises, having a certain level of strength is essential, which seated balance exercises can help you gain.

Below are examples of seated balance exercises for seniors.

Heel-to-toe taps

Toe taps strengthen the ankle and help improve the range of motion. Both factors are needed for balance when doing simple activities like walking. To perform:

  • Sit in a chair with your feet fully supported.
  • Your knees should be at 90-degree angles
  • Pull your toes up towards the ceiling and back down on your heels.
  • Repeat 10 times and perform two to three sets.

To increase the difficulty, sit forward in the chair and extend your legs out straight, leaning back slightly. Pull your toes up towards the ceiling. Performing the move in this position allows for a more excellent range of motion.

Marching in place (seated)

A seated march is a beginner balance exercise that helps improve quadriceps and core strength, which helps improve balance. To perform:

  • Sit up straight in a chair with your feet flat on the ground.
  • Keep your core drawn in as if you were bringing your belly button towards your spine.
  • Bring your right elbow forward as you lift your left leg off the ground, raising your knee.
  • Place your foot back down and repeat on the other side
  • Alternate the march for about 10 to 20 repetitions and do two sets.

You can progress this exercise by moving faster or going to a standing position.

Leg extensions

A leg extension strengthens your quadriceps, the front of the thigh. The stronger your quadriceps are, the more positively your balance can be affected. To perform:

  • Sit up in a chair.
  • Your knees should be at a 90-degree angle.
  • Extend one leg forward, keeping your leg straight.
  • Hold for a few seconds and squeeze your quadricep muscle before placing your foot back down.
  • Repeat for ten repetitions and switch sides.

A good way to progress this exercise is to place a weight around your ankle. Start with a light weight and gradually increase.

Knee lifts

This exercise is similar to a seated march. However, you can vary it by lifting the knee for ten repetitions before switching legs. To perform:

  • Sit up straight in a chair. Hold onto the sides of the chair for more support.
  • Bring one knee up towards your chest and hold for a second.
  • Repeat for ten repetitions on the same leg.
  • Switch legs.

Ankle circles

Ankle circles help improve ankle mobility and strength, which are essential for good balance. To perform:

  • Sit in a chair with your shoulders back.
  • Extend one leg straight out in front of you.
  • Slowly rotate your ankle in small circles.
  • Perform ten repetitions and rotate in the opposite direction.
  • Repeat on the other leg.

Pelvic tilts

Pelvic tilt strengthens core muscles to help with truck stability. A strong core promotes better balance. To perform:

  • Sit in a chair with good posture.
  • Tilt your pelvis backward toward the back of the chair while drawing your belly button towards your spine.
  • Return to your starting position as you slightly arch your lower back.
  • Repeat several times.

Advanced Balance Exercises

Advanced balance exercises are a little more challenging. They typically involve standing and may include shifting your weight side to side or forward and back. Advanced balance exercises create more instability than seated exercises. As your body recognizes the instability and makes the needed corrections, your balance improves.

Below are several advanced balance exercises.

Single-leg stance

A single-leg stance strengthens your body awareness. Start the exercise near a chair or wall to have the support you need. To perform:

  • Stand tall with good posture and shoulders back.
  • Slowly lift one leg off the ground.
  • As your weight shifts and becomes unstable, make the needed adjustments to maintain balance.
  • Work up to holding for 30 to 60 seconds.

Depending on your fitness level, you can lift your knees higher and move a little quicker to make this exercise more challenging. This exercise can also be performed with light weights.

Tandem stance

A tandem or staggered stance exercise relies on good posture and core strength to maintain balance. Keep safety in mind and stand near a chair or wall for support. To perform:

  • Stand tall with good posture and your core engaged.
  • Place one foot in front of the other so your heel touches the toe of your opposite foot.
  • Hold for 30 seconds.
  • Repeat on the other leg.

Heel-to-toe walk

Heel-to-toe walking helps improve gait and enhances weight shift between your feet. Because it is a challenging exercise, start near a wall or countertop to hold on if needed. Only attempt a heel-toe walk if you are stable in a tandem stance.

To perform:

  • Stand tall.
  • Place one foot in front of the other so your heel touches the toe of your other foot in a tandem stance.
  • As you step forward, bring your back foot in front so it touches your toe.
  • Repeat for a few steps.
  • When this becomes easy, consider walking backward, heel-to-toe.

Hold onto a stable surface, such as a chair, if this is too challenging.

Step-ups

Step-ups are functional exercises since they mimic stepping up onto a curb or a step in your home. They also strengthen your calf muscles, quadriceps, and glutes. When first attempting a step-up, hold on to something to increase stability.

To perform:

  • Place your left foot on a step. Your right foot should be on the ground behind you.
  • Keep your left foot on the step while stepping up with your right foot.
  • Both feet should be on the step.
  • Keep your left foot on the step while stepping back off with your right foot.
  • Repeat on the same side 10 times.
  • Change your feet to step up with your left leg.

To progress the exercise, walk your feet back a little further. This makes the exercise more difficult because you support more of your body weight.

Chair squats

Chair squats are also an excellent functional exercise since they mimic getting up from a chair. This exercise strengthens your quadriceps, which helps promote better balance. To perform:

  • Stand in front of a chair with feet about shoulder width apart.
  • Extend your arms out in front of you at shoulder height as you bend your knees and bring your hips back.
  • Lower your glutes to the chair and sit naturally.
  • Repeat for ten repetitions and two sets.

Reaching exercises

This exercise helps you maintain balance when reaching for something. A reaching exercise enables you to shift your weight and maintain stability. To perform:

  • Stand with feet together
  • Reach to the side
  • Reach front
  • Reach to the opposite side.
  • Do the same exercise with the other arm reaching.

To progress the exercise, stand in a tandem stance when reaching.

Walking backward

Walking backward may be a challenging exercise for some people. It uniquely works your balance. It allows you to maintain balance even when you cannot see what is before you. Start this exercise near a wall for safety. As you progress, you can try to let go of the wall. To perform:

  • Stand close to a wall.
  • Place one hand on the wall.
  • Take a small step backward.
  • Alternate your feet in a regular pattern.
  • Repeat for several steps.

Dynamic Balance Exercises

Dynamic balance exercises involve maintaining your balance as you move. They often mimic an actual life activity.

Practicing dynamic balance exercises in different environments, such as outside, where you may encounter uneven pavement or varied curb or step heights, is helpful. This helps create a real-world situation that challenges your balance.

Dynamic balance should not be performed if you have trouble with easy or seated balance exercises. Below are several dynamic balance exercises.

Sidestepping

Sidestepping helps you practice shifting your weight laterally. It improves body awareness. When starting, use an object that is only a few inches high. As you progress, you can step over a taller object, which forces you to lift your legs higher. To perform:

  • Place an object on the ground, such as a yoga block or small box.
  • Stand sideways next to the object.
  • Take a big step over the object, leaving enough room for your other foot to step over.
  • With the other leg, step in the same direction.
  • Both feet should be on the opposite side of the object.
  • Step back over the other directions and repeat several times.

Crossing legs while walking

Falls often happen when someone accidentally gets their feet crossed. This exercise has you practice crossing your legs and maintaining your balance. To perform:

  • Take a step towards your left side.
  • With your right foot, step sideways, crossing it over your left foot.
  • Repeat for several steps.
  • Change directions using the opposite foot to cross over.

To progress the exercise, cross the foot in the back instead of in front.

Standing on one leg while reaching

Standing on one leg and reaching the foot out in different directions challenges your stability. As you move your leg, you will shift your weight. To perform:

  • Stand on one leg, keeping your back straight.
  • Point the leg out in front of you.
  • Next, point your leg out to the side.
  • Reach your leg towards the back.
  • While you are moving your leg in different directions, try to keep your foot off the ground.
  • Repeat five times and switch legs.

Hold onto a stable surface, such as a chair, if this is too challenging.

Tai chi or yoga poses

There are various yoga poses and tai chi exercises that improve balance and strengthen your core and legs. Adding either one or both to your exercise routine can help improve balance.

Easy Balance Exercises

Easy balance exercises may include standing exercises with support and seated exercises. They are often an excellent place to start balance work and gradually progress to more challenging exercises as balance improves. Below are several easy balance exercises for seniors.

Standing with support

Standing with support is the first step for someone with limited mobility who wants to work their balance. To perform:

  • Stand upright with good posture.
  • Hold on to a chair, wall, or sturdy piece of furniture.
  • Avoid rounding your shoulders.
  • When that becomes too easy, place one foot before the other so you are heel to toe.
  • Continue to hold on to the wall for support.

Holding onto a chair while shifting weight

Weight shifting is needed as you walk. Weight-shifting exercises help promote good balance when walking. To perform:

  • Stand with feet hip-width apart and toes forward.
  • Hold onto the chair.
  • Shift your weight towards the right with a soft bend in the right knee.
  • Hold for about 2 seconds.
  • Shift back and towards your left side.
  • Work up to 15 repetitions on each side.

Marching in place, holding onto a chair

Marching in place while holding onto a chair is much more complex than doing a seated march. It challenges you to balance a bit more. To perform:

  • Hold on to the back of the chair.
  • Lift one knee towards the back of the chair and place your foot back down.
  • Lift the opposite knee towards the chair.
  • Continue to alternate your knees up.
  • Work up to 3 sets of 10 repetitions.

Hold onto a stable surface, such as a chair, if this is too challenging.

Balancing on both feet with eyes closed

You need your vision to know where you are in relation to space. Balancing with your eyes closed strengthens your proprioception. To perform:

  • Stand up with feet together.
  • Roll your shoulders back.
  • Engage your core and lift one foot.
  • Close your eyes.
  • Hold and work up to 10 to 20 seconds.
  • Repeat on the other leg.

Sitting in a stability ball

Sitting on a stability ball is good for your posture and core stability. To perform safely for the first time, place the ball against a wall for added stability.To perform:

  • Place the ball on the back of your feet.
  • Slowly sit down as if sitting in a chair.
  • Pay attention to your posture and avoid hunching forward.

Wall pushups

Wall pushups help strengthen your core, which improves balance. To perform:

  • Stand with feet away from the wall.
  • Place your hands on the wall and keep your spine neutral.
  • Bend your elbows to lower your chest towards the wall.
  • Keep your core engaged and push through your hands, straightening your arms.
  • Stay on your toes during the move.
  • Repeat for ten repetitions and two sets.

How to Improve Balance for Seniors

There are several things a senior can do to improve their balance, including:

  • Wear proper footwear for the activity you are doing.
  • Keep your home free of tripping hazards like loose rugs and long electrical cords.
  • Make sure walkways and stairs are well-lit.
  • Get regular exercise, including strength training. Strength training helps build muscle mass, which improves balance.

Make balance exercises a part of your daily routine. Do some balance work every day. Find ways to incorporate balance, such as standing on one foot while in line at the grocery store.Remember, if you have frequent falls or your balance is worsening, it is best to see your healthcare provider. You may have an underlying cause contributing to poor balance.

Conclusion

Good balance is crucial for seniors. As you age, you are at an increased risk of falls. Regular balance exercises can reduce fall risk, improve mobility, and improve overall health. Balance exercises do not require special equipment or a gym membership. You can start doing them every morning to start your day.

If you are interested in learning more about balance or fall prevention, resources include:

  • Physical therapy
  • Silver sneakers, which offer exercise classes across the country
  • Online balances classes
  • A local senior center

About the Author

MaryAnn DePietro CRT

MaryAnn DePietro CRT is a licensed respiratory therapist with over 15 years of clinical experience in critical care, emergency medicine, and pulmonary rehabilitation. She is also an American Council on Exercise certified personal trainer and holds specialty certifications in orthopedics, senior fitness, and weight management. MaryAnn has a degree in Rehabilitation from Penn State University and a degree in respiratory therapy.

In addition to her clinical experience, she has written extensively about all things medical, as well as health, fitness, and aging for various websites, magazines, and newspapers.

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