Not Just Weakness: Why Balance Declines With Age & How We Train It Safely

A ProVital Physiotherapy Guide

Many people believe that poor balance is simply a normal part of ageing. While changes do happen with age, frequent unsteadiness or fear of falling is not something seniors should ignore or accept.

At ProVital Physiotherapy Centre, we see balance issues as an early warning sign, and with the right assessment and training, balance can often be improved safely and effectively.

Balance Is More Than Muscle Strength

Good balance depends on three main systems working together:

1. Strength & Joint Control

As we age, muscle strength and joint flexibility may reduce. Weak hips, thighs, ankles, or a stiff joint can make everyday movements like walking, turning, or standing up feel unstable.

2. Vision & Body Awareness

Vision helps us judge distance and obstacles. Age-related eye changes can affect balance, especially in dim lighting. At the same time, the body’s ability to sense joint position (called proprioception) may decline, particularly in the feet and ankles.

3. Inner Ear (Vestibular System)

The inner ear plays a key role in balance and stability. Changes in this system, or conditions such as vertigo, can cause dizziness or a feeling of being unsteady.

When one or more of these systems are affected, balance becomes less reliable — increasing the risk of falls.

Falls Are Not a Normal Part of Ageing

Many falls are predictable and preventable. Often, balance decline starts subtly, long before a serious fall happens.

Early signs may include:

• Feeling unsteady when walking

• Holding onto furniture or walls

• Slower walking speed

• Avoiding stairs or uneven ground

• Fear of falling

  
  

Addressing these signs early helps seniors stay confident, active, and independent.

How We Assess Balance at ProVital

Our Geriatric Wellness & Balance Screening looks at how the body moves during real-life activities, not just isolated tests.

Assessment may include:

• Walking and posture observation

• Functional strength tests (such as sit-to-stand, Getting in and out of car, Bed mobility)

• Simple balance tasks

• Discussion about confidence, falls, or near-falls

• Berg Balance Scale

  
  

This allows us to identify which systems need support and create a personalised plan.

How We Train Balance Safely for Seniors

Balance training should feel safe, controlled, and confidence-building.

At ProVital, we focus on:

• Gradual progression based on individual ability

• Functional strength for daily movements

• Gentle balance and obstacle challenges that improve stability

• Clear guidance and close supervision

Exercises are tailored to each senior’s comfort level, medical history, and goals.

Why Specialised Geriatric Care Matters

Older adults benefit from physiotherapy that is:

• Carefully progressed

• Clearly explained

• Focused on safety and confidence

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Geriatric physiotherapy is not about pushing limits, but about helping seniors move better within their abilities.

When Should Balance Screening Be Considered?

Balance assessment may be helpful if you or your loved one:

• Has fallen or nearly fallen

• Feels unsteady or dizzy

• Is less active due to fear of falling

• Wants to stay mobile and independent with age

  
  

Early assessment often leads to better outcomes.

Supporting Safe and Active Ageing

Balance decline is not just weakness, and it does not have to lead to falls or loss of independence. At ProVital Physiotherapy Centre, we provide structured, senior-focused balance assessment and training to support safe, confident movement at every stage of ageing.

If you would like to learn more about our Geriatric Wellness Screening or Balance Training, feel free to contact us for a professional consultation.

References :

Ambrose, A. F., Paul, G., & Hausdorff, J. M. (2013). Risk factors for falls among older adults: A review of the literature. Maturitas, 75(1), 51–61. https://doi.org/10.1016/j.maturitas.2013.02.009

Lord, S. R., Sherrington, C., Menz, H. B., & Close, J. C. T. (2007). Falls in older people: Risk factors and strategies for prevention (2nd ed.). Cambridge University Press.

Shumway-Cook, A., & Woollacott, M. H. (2017). Motor control: Translating research into clinical practice (5th ed.). Wolters Kluwer.

Skelton, D. A., & Mavroeidi, A. (2018). Which strength and balance activities are safe and effective for older people (and how often)? Best Practice & Research Clinical Rheumatology, 32(2), 293–310. https://doi.org/10.1016/j.berh.2018.04.001

Tinetti, M. E., & Kumar, C. (2010). The patient who falls: “It’s always a trade-off.” JAMA, 303(3), 258–266. https://doi.org/10.1001/jama.2009.2024