Corporate Fitness and Active Aging

It isn’t a secret that as a person ages, there is an increased risk of falling. While there are a few different reasons this risk can increase, we will focus on what impacts a person’s ability to keep or put themselves in a steady position. One goal as a senior fitness professional is to introduce exercise as a tool to decrease your risk of falling. And we like to do that with a variety of exercises including a balance exercise focus. What is great about balance exercise is that it can be snuck into other favorite exercises or individual exercises to address a particular balance weakness. And often, the number one challenge that the aging population faces is their fear of falling which becomes their barrier to participating in the exercise in the first place.

Cue adding balance into your exercise routine! A wise person once said, “Practicing balance doesn’t make perfect; practicing balance makes permanent!” Our fitness professionals will say the same thing. It doesn’t have to be perfect; it doesn’t have to take a long time; you just have to do it consistently to reap the benefits!

Not sure what balance exercises to start with? Consider the following when you add balance into your routine:

Already Exercise? You’re a daily exerciser and you are wondering where balance fits in. My first question to you will be “what type of exercise are you currently engaging in?” Do you walk? Do you do resistance training? Do you play sports/recreation? The great part of this is that any exercise contributes to better balance, but now the key is to evaluate how to challenge yourself (we will talk about that more later)! Since you engage in a type of exercise, consider adding in balance specific exercises for 10-15 minutes 2-3 times per week. A few examples could be:

• Standing heel raises and toe raises.
• Stand with your feet wide and shift your weight side to side.
• Single leg stands.
• Side steps (step out to the right and bring feet together and then to the left)

Prepare for balance! Remember, all the exercises in the world will not do any good if you don’t follow these simple safety rules:

• Wear proper shoes. Your ankles and feet need good support. No sandals or fancy shoes!
• Utilize your strong muscles first. Get to know where your current balance is by using your strongest muscles. For example, a NIFS staff member wrote a great blog on starting from the ground up. The feet and ankles are our main support and knowing if the strength is there, is a good place to start. For example, single leg stands are challenging! And if your legs aren’t up to it yet, keep the opposite foot’s toes lightly resting on the floor for support.
• A mirror is helpful. Look at yourself when you attempt to balance, check your posture, and note what your limitations are (such as knee replacements or back issues).
• Stand on good flooring. Do your exercises on stable and level ground. If one side is higher or more unsteady than the other, you will be the same.
• Use stable support. Make sure that there is a stable chair or counter available. As you practice, you will need occasional support when you feel unsteady. The main goal is to prevent falling.
• Avoid fast movements and position changes. Slow down! Learn to turn and react with deliberate patience. Incorrect weight shifting is the number-one cause of falls. So, when you go to move or turn, remember to be as cautious as possible. What’s the real hurry? Let your body catch up with your mind’s intent.

Practice balance by challenging yourself! Just like with most exercises, your body becomes used to the movement (hopefully anyway!) After you have become comfortable with certain exercises, the next step is to practice exercises that force the body to feel unsteady and this will help the body become steadier. For example, if you’re capable of supporting yourself while raising both arms out and holding them for 10 seconds, next you can incorporate holding on with one hand and lifting one leg out to challenge yourself. Over time you can regain better balance.

These are just the basics when it comes to adding balance into your exercise routine. Keep in mind, these start with someone who has a basic understanding of exercise and balance, so if you are new to exercise NIFS highly recommends connecting with your primary physician before beginning new exercises and if it is available to you, working with a fitness professional to guide you along can keep you on track and challenging yourself.

Interested in learning more about how NIFS Fitness Management helps seniors across the country incorporate balance in their routine? Learn more about our signature program in our client locations by clicking below.

What is great about practicing balance is there are multiple ways to do so without breaking the bank. In part I of this blog series we talked about investment training tools utilizing technology but let's review three cost-effective methods regarding balance training senior living communities can implement in their programming. When participating in any type of training program, it may be important to analyze why we are implementing certain exercises. An individual may want to incorporate balance training for increased stability while moving, preventing falls from occurring, as well as ease their mind when exercising.

Balance classes or one-on-one balance prescriptions can be great opportunities for residents to improve their stability and confidence and these budget-friendly solutions can provide significant variety with the right fitness specialist knowing how to program them safely with participants.

• Paper Plates or Foot Slides – Paper plates are known for eating with, did you know they can be used to train our balance as well? When utilizing paper plates, individuals have the ability to practice unilateral movements at the lower extremity. Practicing unilateral movements falls under balance training due to our legs holding a portion of our bodyweight as we exercise. An individual places one foot on the paper plate and their other foot stays planted on the ground. Once in position, the individual moves the foot that is on top of the paper plate causing the paper plate to move. An advantage paper plates have over foam pads is the ability to move in multiple planes of motion as well! Foot slides are another option with these types of movements. One key difference is that foot slides are not nearly as wide as paper plates for foot placement, requiring more precision for an individual to utilize once they reach a comfortable level with their balance. With this precision, comes more effort required from the individual when moving in any plane of motion.
  
  
• Foam Pads – Utilizing foam pads is a popular cost-effective method to training balance. One key difference foam pads have is their unstable surface compared to the stability of the floor. As soon as an individual takes their initial step on to the foam pad, they may notice immediately that their ankles are having to work to keep them upright as well as balance on the foam pad. Foam pad implementation may drive a significant increase in tendon health at the ankle joint as well as tolerance for keeping our balance for future reference. An advantage that foam pads have over foot slides is that foam pads can be started bilaterally opposed to unilaterally making it applicable for beginners looking to improve their balance!
  
  
• Masking Tape – This may be the most cost-effective and versatile option of them all. Placing tape on the ground in ladder formations or different grids for a variety of stepping patterns can be highly effective for weight shifting, coordination, and footwork exercises. It can provide wonderful visual cues on where you want the participant to step and with it being flush to the ground, it doesn’t pose a tripping hazard as other equipment might where you are stepping on a disc or foam pad. Again, the right ingenuity by a qualified fitness professional can help this inexpensive “tool” go a long way in training options with residents.  

Join us during Falls Prevention Week as we help communities across the country host our Empowerment Workshop giving the confidence to residents by providing the tools and resources they need to get up from a fall. Learn more about how your community can host this FREE Program here!

What is great about practicing balance is that there are multiple ways to do it including the utilization of various machines. Within senior living, evaluating equipment options can be a helpful starting point to developing a comprehensive fall prevention program for residents. In this two-part blog series, we’ll be covering investment pieces to incorporate in your fitness center’s fall prevention programming as well as more budget-friendly options if you are looking for more cost-effective options to give your programs a boost in Part II.

Let’s dial into elements of technology. “Fancy” machines, as our residents often refer to them, may hold a bad reputation due to their price tag alone. Just like any organization, “fancy” machines have their place within training and may want to be considered when optimizing a broad scope of functionality regarding balance.

Balance training machines are prevalent in laboratory settings within colleges. Common consumers may have not heard of or even seen balance training machines previously. Let’s take a look at these four balance training investments: Biodex Balance Machine, Virtual Reality, Wii and Step & Connect. As with anything in the realm of senior living, resident utilization and success of such pieces requires a fitness champion to assist them in feeling safe and confident in how to utilize each piece.

• Biodex Balance Machine – This machine is an investment in one’s balance training machines and may be utilized with athletes to older adults. The machine comes with a built-in touch screen for ease of use for its users. Capabilities of the machine include but are not limited to static environment, dynamic environment, as well as a Fall Risk Screening tool for those who track their abilities and progression. Multiple high-end machines such as this one come ready to go with built-in programs for its users to dive into that are most applicable for them at their fitness level!
• Virtual Reality – Through the utilization of virtual reality, one can visit any world/ environment that they wish. Multiple forms of virtual reality consist of videos games that are played with a headset that encompasses one’s vision to have them become fully immersed into their “new” environment. Popular video game systems are built entirely around this idea and have grown over the past decade to the point where anyone can go to their nearby technology store and find a virtual reality headset. Games that train your balance play with your depth perception within the game or force you to move in certain movements that challenge your stability like dodging an incoming object. This method is applicable to many and may prove to be a fun and interactive way to improve balance without even realizing it either alone or with family/friends! We haven’t seen significant application of VR while weight-bearing for residents yet but that may come in time with younger seniors and improved familiarity.
• Wii Fit & Recreation – This may be the simplest approach to incorporating an element of technology in balance training as many senior living communities utilize a Wii in their programming. Consider messaging use of Wii gaming under the umbrella of fall prevention and balance training. The coordination, footwork, and agility required in several Wii games is wonderful for balance training and many residents are already familiar!
• Step and Connect Mat - A specially designed training tool that aims to enhance balance and stability. It consists of a durable, non-slip mat with strategically placed footprints or markers. The footprints or markers serve as visual and audio guides for positioning and stepping. They help users develop proprioception (awareness of body position) and spatial orientation while performing various balance exercises. By following the footprints or markers, individuals can practice controlled movements and weight-shifting exercises. It provides a safe and structured platform for improving stability, coordination, and core strength. Regular use of the mat can contribute to better overall balance and reduce the risk of falls or accidents.

How do you evaluate balance in your senior living community? With Falls Prevention Week coming up this September, check out our FREE Empowerment Workshop! Your community can join us in empowering residents nationwide to feel confident in their abilities to get up off the floor with our training! Click below to learn more and register your community for a chance to win a Step and Connect Mat!

Fall prevention programs and services have been a cornerstone of NIFS programming for our senior living clients across the US with our signature Balance Redefined program. Whether joining our agility workshop to condition for the next pickleball tourney or bridging into a balance class after being discharged from therapy, residents of all abilities should have access to fall prevention programs that help them stay dialed into their life’s passions.

Off the heels of our successful Pump it for Parkinson’s event this spring, NIFS wants to bring the senior living industry together once again during Falls Prevention Week in September to empower seniors across the country. One of our most popular fall prevention programs is our Empowerment Workshop. This hallmark program is run on repeat a couple of times a year at several of our client communities because residents gain so much and continually ask for it.

During this program, we empower residents through education and the realization that the floor doesn’t have to be a scary place to be. We provide them with step-by-step instructions on how to safely get up from the floor, demonstrate it for them and then allow them a safe place to try it for themselves. In addition, insight is shared that if you find yourself in the predicament of falling, there are ways you can do so more safely to minimize the risk of severe injuries. We also empower residents with education on tools in their senior living community like pendants, pullcords and assistive devices that can help them feel more comfortable in their surroundings.

Upon completion of this workshop, the resident commentary is amazing to take in and listen to how they are feeling.

• “I didn’t know I could do that.”
• “Taking a minute to breathe and not panic makes a big difference.”
• “Wow, having a plan and knowing the ways to move my body safely makes me more confident.”
• “I never would have thought to actually practice how to get up from the floor, but it feels great knowing I can do this!”

As the fear of falling is a risk factor for falls, this workshop will equip residents with improved awareness, knowledge, and skills to build their confidence while empowering them to take our Fall-Free Pledge with thousands of seniors across the US. Participating communities and their residents can be featured in a fall prevention video shared by NIFS on Friday, September 22!

Participation is FREE and easy. Register your community on our event page and we’ll train up your fitness staff on how to host the program for your residents. Your community will receive all the great promotional content, flyers, brochures, etc., to plan the Workshop for your residents and you’ll have a chance to win a free Step and Connect balance training tool and a free fall prevention consulting package from NIFS to help your community customize your own fall prevention program.

Communities and senior living operators are welcome to contact Emily Davenport for more information on how to bring this best-in-class fall prevention experience to their residents for free.