A wealth of virtual, home-accessible tools (apps, podcasts, videos etc.) are now available to support mindfulness, relaxation, and movement.
A number of recent studies suggest that balance and coordination exercises that keep you physically nimble may help keep you mentally nimble as well. That’s because the constant process of maintaining your equilibrium as you move through your day likely gives your brain cells a terrific workout, a Massachusetts General Hospital expert says.
“The brain is responsible for orchestrating the complex activities that are involved in balance and muscle coordination,” explains Louisa Sylvia, PhD, Director of Psychology at the Bipolar Clinic and Research Program at Mass General. “Maintaining balance and following through with smooth physical movement is a dynamic process that involves perceiving changes in the environment and initiating innumerable unconscious movements and shifts of position and posture in reaction to these changes.
“However, as with many other mental abilities, these brain functions can deteriorate with age and physical inactivity, contributing not only to cognitive decline, but also to greater risk for falls. Fortunately, research suggests that both balance and coordination can improve with practice."
Dr. Sylvia recommends checking with your doctor before engaging in any new form of exercise, and beginning slowly at first. Most effective balance exercises require no elaborate or expensive equipment, but they do require caution. At least initially, they should be practiced with a chair, wall, table or countertop nearby so that you can catch yourself if you begin to fall.
Try the following exercises to improve balance and coordination:
This ancient exercise uses many positions that involve balance and precise positioning.
- Side Step
Use chalk or tape to sketch out a straight line. Now position yourself with one foot on each side of the line. Lift your right foot and place it in front of you to the left of the line. Now lift your left foot and position it in front of you to the right of the line. Proceed to the end of the line.
- Bird Dog
Kneeling on all fours, lift and extend your left arm and right leg. Hold for a slow count of 10, and then lower your limbs. Repeat, lifting your right arm and left leg. Do five repetitions.
- Heel Raise
Stand on both feet, knees and back straight, and slowly raise yourself until you are standing on your toes. Slowly lower yourself back to the floor. Repeat 20 times.
- Walk Heel to Toe
Looking straight ahead, carefully position one foot directly in front of the other in a straight line, toes and heel nearly touching, and step forward. Take 20 steps, then turn around and walk back.
- Stand on One Leg
Start with 20 seconds at first, and hold on to a chair back or other support for safety. Over time, see if you can stand without help, and build up to 30 seconds or more. Still too easy? Close your eyes for a greater challenge.
How the Brain Balances
To keep your body balanced and stable, the brain acts like a symphony conductor, paying close attention to input from myriad instruments—including sensory organs, tendons, muscles, joints, the eyes and inner ears—coordinating their activities and directing changes in movement, posture and position. This complicated process involves continual sensory input from balance organs to inform you of the position and movement of your body and limbs. These organs include:
- Inner Ear (the vestibular system, which indicates the position and movement of your head and direction of motion)
- Eyes (visual system, which helps you observe the position and movement of your head and body in relation to your surroundings)
- Various Sensors (proprioceptors, which measure stretching, compression, deformation in your skin, muscles, joints and tendons)
Function and Structure
Better balance and physical coordination in older age have been associated with higher scores on tests of perceptual speed, executive control, attention, verbal memory and visuo-spatial abilities. The ability to maintain balance and coordinate muscle activity also appears to influence brain structure.
According to research published in the journal Gait & Posture, the link between balance stability and gray matter density is at least as decisive as the association between age and gray matter density. Other research has associated exercises focusing on balance and coordination with increases in the number of synapses linking brain cells to one another.
Researchers have also linked deterioration in the ability to balance and coordinate muscle movements with the degenerative process associated with dementia.
- Clinician Resource
- Sep | 22 | 2020
Our employees have access to additional resources, including a range of virtual support tools, services, and programs (log-in required).
- Clinician Resource
- Sep | 22 | 2020
The Home Base Program at Mass General Hospital is dedicated to providing mental health care and support for Veterans of all eras, Active Duty Service Members, National Guard and Reserve members, and their families – all at no cost.
- Sep | 22 | 2020
In times of stress and uncertainty, a number of strategies can be helpful for maintaining well-being and promoting resilience.
- Staff Story
- Aug | 4 | 2020
When Dianne Austin couldn't find natural-hair wigs, she created Coils to Locs, a medical wig resource for women of color who have lost their hair due to medical reasons and are searching for Afro kinky/curly wigs.
- Aug | 3 | 2020
Millones de personas en todo el mundo recientemente hicieron la transición a trabajar desde casa para ayudar a desacelerar de la propagación del COVID-19. Para muchos, esta es su primera vez trabajando desde casa, y varios desafíos únicos vienen con este cambio abrupto.