Evidence supporting balance training in healthy individuals: a systemic review.

  • DiStefano L
  • Clark M
  • Padua D
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Balance is considered a risk factor for several injuries and consequently
a focus of many strengthening, injury prevention, and rehabilitation
programs. There are several studies that have evaluated the ability
of balance training to improve balance ability in a healthy population
with no general consensus. We conducted a systematic review to evaluate
the body of evidence regarding the effectiveness of balance training
on improving various forms of balance ability in a healthy population.
Three electronic databases and the reference lists of selected articles
were searched. Studies were included that evaluated balance ability
before and after healthy subjects performed a multisession balance
training program. Two individuals reviewed all articles and agreed
upon the selection criteria. Sixteen articles were selected, abstracted,
and reviewed. Means and measures of variability were recorded to
calculate effect sizes, and study quality was assessed using the
PEDro instrument. There is strong evidence to suggest that balance
training can improve static balance ability on stable and unstable
surfaces, as well as dynamic balance ability. Elite athletes have
the potential to improve static balance on an unstable surface and
dynamic balance ability, but a ceiling effect appears to occur with
stable balance ability on a stable surface. Balance training programs
performed at least 10 minutes per day, 3 days per week, for 4 weeks
that incorporate various methods of balance training appear to improve
balance ability. Types of balance training included the use of tilt
boards, unstable surfaces, and dynamic body movements while maintaining
a static stance.

Author-supplied keywords

  • Accidental Falls
  • methods/standards; Health Promotion; Humans; Phys
  • organization /&/ administration; Exercise Therapy
  • physiology; Postural Balance
  • physiology; Practice Guidelines as Topic; Randomi
  • prevention /&/ control; Evidence-Based Practice

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  • Lindsay J DiStefano

  • Micheal A Clark

  • Darin A Padua

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