Balance measurements and their significance

Background/ Aim: Measuring balance is often part of the start of a treatment, especially when we are talking about “fall Prevention” programs, and of course we need to know the state of balance and how the treatment is taking effect. But are we aware that we actually know nothing after these tests?

Design: Looking at a number of balance tests, the conclusion is that many exist and that they can indicate when the values deteriorate to the point that balance is at risk.

Result: Balance measurements can serve as an indicator of balance and of the treatment, but they cannot indicate why the balance is reduced and therefore cannot show what should be done about it.

Discussion and conclusion: Measuring balance is a foundation for identifying deterioration, but once the influence of the tests has been exerted, it becomes essential to examine and test all the indirect and direct systems that control balance. All systems influence each other, but there is only one system that is fast enough to detect and respond in time, and the focus and treatment should be directed there. Such a treatment must comply with training rules but also requires the understanding that not every older adult can meet them, so for some older adults, falls cannot be prevented through training.