The STAB:LE Program (@stable_program) header
The STAB:LE Program (@stable_program) profile picture

Systematically developing the essential movement skills that older adults need at home, outside, and in the community

Joined February 2022
๐Ÿ–๏ธ Balance Tip: Imagine the Wet Paint Trick! Ever tried a balance exercise and found yourself holding onto something for dear life? Or just touching it to try to hold the position? Well, this could actually be preventing you from improving your balance ๐Ÿ˜ฎ
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Physios: Whenever prescribing balance rehabilitation exercises it's important to consider that context is a form of progression... ...and that anxiety affects not just performance, but motor learning
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Perhaps the single most important concept when it comes to improving balance: ๐Ÿ‘‰ Select variations of the movement skill you're trying to improve BUT the level of difficulty is such such that you DO NOT need use of your hands Exercises like this ๐Ÿ‘‡๐Ÿ‘‡๐Ÿ‘‡ do not improve balance.
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The quote "exercise is medicine" is often thrown around... but imagine if a pharmacist didn't have even a basic understanding of frequency, dose & types of medication? Luckily there's A LOT of readily available data on the relationship between rep ranges, 1RM%, & training load
Replying to @stable_program
Great point, do you have a study or reference to these statistics please ?
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If an older adult can only just stand up from a chair 5 times in a row? Then every time they stand up they're working at an intensity equivalent of you doing a heavy squat at 85-90% of your 1RM several times every single day ๐Ÿ‘‰ Strength training is the key to independence
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๐Ÿšจ Partial squats do NOT help an older adult with getting up off a low chair or toilet ๐Ÿšจ ๐Ÿ‘‰ To improve depth of sit-to-stand, progressively lower the height of the sit-to-stand while training in the strength training repetition range
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The single most important question a rehab physio can ask before they prescribe an exercise: Does the movement directly contribute to the client's functional goals? ๐Ÿค” โŒ SLS will NOT help someone hang out washing โŒ Standing heel-toe will NOT help negotiating a kerb
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If your balance & mobility rehab client isn't able to at least volitionally step in ALL directions AND cross-and-step? Then they have NO business doing activities like foam mats, wobble boards, or tapping balloons C'mon physios, we can do better
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๐Ÿšจ Partial squats do NOT help an older adult with getting up off a low chair or toilet ๐Ÿšจ ๐Ÿ‘‰ To improve depth of sit-to-stand, progressively lower the height of the sit-to-stand while training in the strength training repetition range
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๐Ÿ›‘ Single-leg stand is a poor predictor of falls, as well as a poor exercise to reduce falls It's a good exercise to: โœ… Improve how long someone can stand on one leg if that's the specific goal, or โœ… It's part-practice / a skill progression for a more complex motor skill
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