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Improve Your Balance and Prevent Falls: Science-Backed Exercises for Older Adults

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Falls are one of the leading causes of injury among older adults, but the good news is that balance can be improved with targeted exercises. Research shows that structured balance training, such as the ProBalance Program, can significantly enhance health-related quality of life and reduce fall risk (Ang et al., 2020). This article explores effective loop band exercises to strengthen your stability, common mistakes to avoid, and how to incorporate these movements into your routine safely.


Why Balance Training is Essential

As we age, changes in muscle strength, joint flexibility, and sensory input can make us more prone to falls. A structured balance training program helps counteract these effects by:

  • Strengthening key muscles in the legs, core, and ankles

  • Enhancing proprioception (your body’s ability to sense its position in space)

  • Improving coordination and reaction time


A randomized controlled trial on the ProBalance Program found that participants who engaged in structured balance training experienced improved mobility and a greater sense of confidence in their daily activities (Ang et al., 2020).


Loop Band Exercises for Balance and Fall Prevention

Resistance bands (also called loop bands) are excellent tools for building strength without requiring heavy weights. Below are six effective exercises to incorporate into your routine.



1. Seated Ankle Strengthening with Band

  • Sit in a sturdy chair with a loop band around the top of your foot.

  • Flex and point your toes against the resistance.

  • Perform 10-15 repetitions per foot. Do enough to feel your muscles working.

Common Mistake: Rushing through the movement without full control. Move slowly to maximize muscle activation.


Seated Ankle Dorsiflexion with Band
Seated Ankle Dorsiflexion with Band

2. Seated Long Arc Quad (LAQ) with Band

  • Sit in a chair, loop the band around your ankle, and anchor the other end under the chair leg or your under your opposite foot.

  • Extend your knee to straighten your leg, then slowly lower.

  • Perform 10-15 reps per leg.

Common Mistake: Using momentum instead of controlled movement. Engage your thigh muscles throughout the exercise.



Seated Long Arc Quad (LAQ) with Band for Quad Strength
Seated Long Arc Quad (LAQ) with Band for Quad Strength

3. Sidestepping at a Bar or Counter

  • Place a loop band around your thighs. You may have to do this in a seated position for safety.

  • Stand upright, holding onto a counter for support.

  • Step sideways in a slow, controlled manner, keeping tension in the band.

  • Repeat 10-15 steps in each direction.

Common Mistake: Letting the knees cave inward. Keep them aligned with your toes.



Sidestepping with Band for Hip Strength

4. Mini Squats at a Bar or Counter

  • Stand with feet hip-width apart, loop band around thighs.

  • Hold onto a counter and slowly lower into a mini squat.

  • Return to standing and repeat for 10-15 reps.

Common Mistake: Letting knees go too far forward. Focus on sitting back slightly with your weight through your heels.



Mini Squat for General Leg Strength
Mini Squat for General Leg Strength

5. Three-Way Kicks at a Bar or Counter

  • Loop a band around your ankles.

  • Holding onto a stable surface, kick one leg forward, then to the side, then backward.

  • Repeat 10-15 times per leg.

Common Mistake: Leaning your trunk too far forward or backward. Engage your core to stay upright.

Hip Extension with Band for Glute Strength
Hip Extension with Band for Glute Strength
Hip Abduction with Band for Glute Strength
Hip Abduction with Band for Glute Strength















6. Heel and Toe Walking

  • Walk forward on your heels for 10 steps, then walk on your toes for 10 steps.

  • Repeat 2-3 times.

Common Mistake: Moving too quickly and losing balance. Keep a steady pace and stay near a wall for safety.



Heel Walking for Ankle Strength
Toe Walking for Ankle Strength

How Often Should You Train?

For the best results, aim to perform these exercises 3-5 times per week. Consistency is key for building strength and coordination. Build this habit by making it a part of your routine, like always after breakfast or after work.


Final Thoughts

Incorporating these loop band exercises into your routine can help strengthen muscles, improve balance, and significantly reduce fall risk. The ProBalance Program research confirms that structured exercise is a powerful tool for maintaining independence and confidence as we age (Ang et al., 2020). If you’re unsure where to start or have any health concerns, consult a physical therapist for personalized guidance.


Ready to start? Grab a resistance band, find a sturdy surface for support, and begin your journey to better balance today. Your future self will thank you!


Click for weekly handouts for more evidence-based balance information and exercises


Whether you're looking to build strength, improve coordination, or reduce your fall risk, our

program at Dawn Thomas Physical Therapy offers personalized exercises that can make a big difference. Fill out this short form to take the first step in your wellness journey and sign up for the Better Balance Better Life class.


Do you want more video feedback to learn how to strengthen? Check out these videos by Dr. Dawn Thomas, PT using loop bands on her YouTube channel for free!



It can be hard to find the time or the mindset to add exercises into your day. These videos are short, simple and easy to follow so you can have an exercise "snack" at anytime throughout the day. Take a few minutes and try three of them for 20 reps each. The sitting series will make you feel awake and alert if you are sitting at your desk too long!


By staying active and following a structured balance program, you can take control of your health and continue enjoying your daily activities with confidence!


References:

  • Ang, W. H. D., Lee, S. W. H., O'Brien, A., Song, X., & Gandevia, S. C. (2020). The effect of the ProBalance Programme on health-related quality of life of community-dwelling older adults: A randomized controlled trial. Clinical Rehabilitation, 34(5), 639-648.


About the Authors

Dr. Dawn Thomas physical therapist Woman in maroon shirt smiles while leaning on a wooden railing, surrounded by lush green forest. Text on shirt reads "Dawn Thomas Physical Therapy." Author of article

Dr. Dawn Thomas is a lover of all things movement and a doctor of physical therapy with over 30 years of experience, creates innovative programs for all walks of life, ranging from personalized care to group sessions and online education. Passionate about helping people stay active and independent, she specializes in fall prevention and balance training. Outside of work, you can find her hiking, swimming, adventure traveling, and inspiring her community to move at every age.


Dr. Melissa Tye physical therapist Smiling woman with long brown hair wearing a gray turtleneck. Neutral background, bright lighting, conveying a cheerful mood. co author of article

Dr. Melissa Tye is a board-certified neurologic doctor of physical therapy and passionate about restoring movement and helping people achieve their wellness goals through the power of exercise and old fashioned determination. In addition to her work in physical therapy, Mel also works in healthcare marketing research, speaking directly with consumers to better understand them. When not working, Melissa is running after her 3 sons, enjoying sports, trying new restaurants, and hiking local nature trails.



 
 
 

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