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Regularly Losing Balance? Consult With Your Local Audiologist

Shukri Abi • May 24, 2023

Maintaining balance is a complex process that involves various systems in the body, including the inner ear, vision, proprioception, and the vestibular system. These systems work together to help us maintain our upright posture and move about safely. However, when one or more of these systems are compromised, we may experience balance problems, which can lead to falls and injuries.


The Science Behind Balance

When we stand or move, our body is constantly making tiny adjustments to maintain our balance. This requires input from our sensory systems, which work together to provide us with a sense of where we are in space and how we are moving.


The Role of the Inner Ear in Balance

The inner ear is a crucial component of our balance system. It contains two main structures: the vestibular system and the cochlea. The vestibular system is responsible for detecting head movements and helping us maintain our balance, while the cochlea is responsible for detecting sound.


The vestibular system is made up of three semicircular canals and two otolith organs. These structures are filled with fluid and tiny hair cells that respond to movement and acceleration. When we move our head, the fluid in the semicircular canals moves too, causing the hair cells to bend and send signals to the brain. This information is used to adjust our posture and maintain our balance.


The Importance of Vision in Balance

Visual information is also crucial for maintaining balance. Our eyes provide us with information about our environment and motion, which the brain uses to adjust our posture and control our movements. For example, when we are walking on an uneven surface, our eyes can detect changes in the terrain and send signals to the brain, which then adjusts our posture and gait to maintain our balance.


Visual information is especially important when the other sensory systems are compromised. For example, if you close your eyes and stand on one foot, you will find it much harder to maintain your balance than if your eyes were open.


The Role of Proprioception in Balance

Proprioception is the sense that tells us where our body parts are in space. It is provided by the muscles and joints, and helps us make precise movements and maintain our balance. For example, when we walk, our brain uses proprioceptive information to coordinate the movements of our legs and feet, ensuring that we don't trip or stumble.


Proprioception is also important for fine motor skills, such as playing an instrument or typing on a keyboard. Without proprioception, we would have a much harder time making precise movements with our hands and fingers.


The Role of the Vestibular System

The vestibular system is also a key player in our balance system. It provides us with information about the orientation of our head and body in space, as well as information about movement and acceleration. This information is sent to the brain, which uses it to adjust our posture and maintain our balance.


The vestibular system is especially important when we are in motion. For example, when we are riding in a car, the vestibular system detects the movement and acceleration of the vehicle and sends signals to the brain, which then adjusts our posture and balance to compensate. Similarly, when we are walking on a moving surface, such as a boat or a train, the vestibular system helps us maintain our balance by detecting the movement and adjusting our posture accordingly.


Common Causes of Balance Loss

Balance issues can affect anyone, but they are more common in older adults. Some of the most common causes of balance issues include:


Ageing and Balance

As we age, the sensory systems that contribute to balance may deteriorate, leading to a higher risk of falls and injuries. This is because our inner ear, which plays a crucial role in balance, can become less sensitive over time. In addition, our vision may become less sharp, making it harder to detect potential hazards in our environment. Furthermore, as we get older, our muscles and joints may become weaker, which can affect our ability to maintain balance.



However, it is important to note that balance issues are not an inevitable part of ageing. There are many exercises and activities that can help improve balance and reduce the risk of falls.


Medical Conditions Affecting Balance

Medical conditions such as diabetes, stroke, Parkinson's disease, and multiple sclerosis can all affect balance. In some cases, medication used to treat these conditions may also contribute to balance issues.


Diabetes, for example, can cause nerve damage in the feet and legs, which can affect balance. Similarly, stroke can damage the part of the brain that controls balance, while Parkinson's disease can cause tremors and muscle stiffness that can affect movement and balance.


If you have a medical condition that affects your balance, it is important to work closely with your audiologist to manage your symptoms and reduce your risk of injury.


Meniere's Disease

Meniere's disease is an inner ear disorder that typically affects one ear and can cause severe dizziness (vertigo), tinnitus (ringing in the ear), hearing loss, and a feeling of pressure in the ear. The exact cause of Meniere's disease is unknown, but it's believed to be related to the improper drainage of fluid in the inner ear.


Benign Paroxysmal Positional Vertigo (BPPV)

BPPV is a common cause of vertigo. It occurs when tiny calcium particles clump up in the inner ear canals, causing brief episodes of mild to intense dizziness. BPPV can be associated with age, a minor to a severe blow to the head, or disorders of the inner ear. While it can be bothersome, it's rarely serious unless it increases the risk of falls.


Labyrinthitis

Labyrinthitis is an inflammation of the inner ear labyrinth, often caused by viral infections. This inflammation disrupts the transmission of sensory information from the ear to the brain. Symptoms can include dizziness, loss of balance, and temporary hearing loss.


Symptoms of Balance Disorders

The primary symptom of balance disorders is a feeling of unsteadiness or a sensation of movement or spinning (vertigo). Other symptoms can include:

  • Dizziness or lightheadedness
  • Falling or feeling as if you're about to fall
  • Blurred vision or double vision
  • Disorientation or confusion
  • Nausea and vomiting
  • Changes in heart rate and blood pressure


These symptoms can be persistent or might come and go. Additionally, symptoms can vary in intensity from mild to severe, significantly affecting a person's ability to carry on with their daily activities.


Assessing Your Balance

If you're concerned about your balance, it's important to take steps to assess the cause and severity of your balance issues. During a consultation with your Doctor, they may perform balance tests such as the Berg Balance Scale and the Timed Up and Go test to evaluate your ability to perform basic tasks related to balance and mobility. These tests can help identify any underlying issues that may be contributing to your balance problems.


It's also important to identify your personal risk factors for falls and balance issues. This includes taking a closer look at your medical history, medications you're taking, and your living environment. Some medications can cause dizziness or lightheadedness so it is important we know about all medications that you are regularly taking to assess whether these may be contributing to your balance issues.


Remember, taking steps to assess and improve your balance can help you stay safe and independent as you age. Don't hesitate to talk to your audiology service provider if you have any concerns about your balance or mobility.


Strategies for Improving Balance

If you've been diagnosed with a balance disorder or are at risk of falls, there are several strategies that can help improve your balance and reduce your risk of falls:


Balance Exercises and Activities

Balance exercises and activities such as yoga, Tai Chi, and dance can help improve balance, strength, and flexibility. These activities can also help reduce stress and improve overall health.


Yoga is a form of exercise that has been practised for thousands of years. It involves a series of postures and breathing exercises that help improve balance, flexibility, and strength. Tai Chi is another ancient practice that involves slow, flowing movements that help improve balance and reduce stress. Dance is a fun and social way to improve balance, coordination, and strength. 


Physical Therapy for Balance Issues

Physical therapy can be a highly effective way to improve balance. A physical therapist can work with you on a personalised exercise program designed to improve your balance and mobility. Physical therapy may include exercises to strengthen your muscles and improve your range of motion.


Physical therapy can be a highly effective way to improve balance. Your physical therapist will work with you to identify the specific areas that need improvement and develop a targeted exercise program to address those areas. 


Assistive Devices and Technologies

Assistive devices, such as canes, walkers, and grab bars, can help provide support and reduce your risk of falls. Technologies such as wearable sensors and audio cues can also be helpful in providing real-time feedback and cues to improve balance and posture.


Canes and walkers are common assistive devices that can provide support and stability when walking. Grab bars can be installed in bathrooms and other areas of the home to help prevent falls. Wearable sensors can provide real-time feedback on your balance and posture, while audio cues can help remind you to stand up straight or shift your weight to improve balance.



By incorporating these strategies into your daily routine, you can improve your balance and reduce your risk of falls. Whether it's through exercise, physical therapy, or assistive devices and technologies, there are many ways to improve your balance and maintain your independence.



When to Seek Professional Help

If you're experiencing balance issues or are at risk of falls, it's important to seek professional help. Recognising the signs of a balance disorder and consulting with healthcare professionals can help you get the treatment you need to manage your symptoms.



It's important to note that balance disorders can affect people of all ages, but they are more common in older adults. This is because as we age, our bodies undergo changes that can affect our balance, such as decreased vision, weakened muscles, and changes in the inner ear.


In Conclusion

In conclusion, balance issues can be a concerning problem for many individuals. However, there are a variety of strategies that can help improve balance and reduce the risk of falls. These include exercises and activities such as yoga, Tai Chi, and dance; physical therapy; assistive devices and technologies; and consulting with healthcare professionals. By incorporating these strategies into your daily routine, you can improve your balance and reduce your risk of falls.


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