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Why Balance Matters

October 14, 2024

Written by Sophie Hose, DC, MS, CCSP

Balance is an essential component of human movement and function, playing a pivotal role in everything from elite athletic performance to the simple activities of daily living. In chiropractic neurology, balance is not merely about standing upright or walking in a straight line; it is a dynamic process that reflects the intricate coordination of the nervous system, muscles, joints, and sensory inputs. This blog post delves into the importance of balance for both athletes and non-athletes, with a special focus on the aging population, and discusses how chiropractic neurology can be instrumental in enhancing and maintaining balance throughout life.

The Crucial Role of Balance in Athletic Performance

For athletes, balance is a cornerstone of success. Whether it is maintaining posture during a gymnastics routine, executing precise movements in martial arts, or simply staying upright while sprinting at full speed, balance is essential for optimal performance. Athletes rely on a finely tuned balance system to perform at their best, and any disruption to this system can lead to decreased performance or even injury.

Chiropractic neurology emphasizes the relationship between balance and the central nervous system (CNS). The CNS, which includes the brain and spinal cord, processes sensory information from the body and coordinates motor responses that are crucial for maintaining balance. For athletes, having an optimally functioning CNS means better control over their movements, enhanced coordination, and a reduced risk of injury.

Studies have shown that targeted balance training can significantly improve an athlete’s performance. For example, balance exercises can enhance proprioception, the body’s ability to sense its position in space, which is crucial for executing complex movements with precision. In sports like gymnastics, football, or basketball, where split-second decisions and movements can mean the difference between success and failure, proprioception is key.

The other two sensory systems that help us keep our balance in a fast moving world are vision (eyes) and the vestibular system (inner ears). All three of these sensory systems are integrated in our brains and information of each is compared to information from the other two. When one is not available (eg. When we close our eyes), the other two systems ideally are able to compensate and we should still be able to keep our balance. If there is a mismatch between the information that each system is providing or if one or more systems are not providing information at all, a variety of symptoms can occur. These can include loss of balance, vertigo, dizziness, feeling of movement, disassociation and others.

Balance in Non-Athletes: A Daily Essential

While the importance of balance is often highlighted in athletic contexts, it is equally crucial for non-athletes. Good balance is necessary for performing everyday activities such as walking, climbing stairs, bending down to pick something up, or even standing still without swaying. As people age, however, balance tends to deteriorate, leading to a higher risk of falls and related injuries, which are among the leading causes of injury and mortality in older adults.

In the non-athlete population, balance is a critical component of independence and quality of life. Falls can have devastating consequences, particularly for older adults, who may experience fractures, head injuries, or a decline in overall health following a fall. According to the Centers for Disease Control and Prevention (CDC), each year, millions of older people—those 65 and older— fall. In fact, more than one out of four older people falls each year, but less than half tell their doctor.

The Aging Population and Balance

As the body ages, several factors contribute to a decline in balance. Muscle strength decreases, joint flexibility reduces, and the sensory systems that provide feedback to the CNS—such as vision, proprioception, and vestibular function—may become less efficient. This decline in balance can make even simple tasks more challenging and increase the risk of falls.

Chiropractic neurology offers a proactive approach to addressing these age-related changes. By focusing on the nervous system and its role in balance, chiropractic care can help mitigate the decline in balance that often accompanies aging. Through specific adjustments, exercises, and neurological rehabilitation techniques, chiropractors can enhance the function of the CNS, leading to improved balance and stability.

One of the key areas where chiropractic neurology can be beneficial is in the maintenance and improvement of proprioception. As mentioned earlier, proprioception is the body’s ability to sense its position in space, and it plays a crucial role in balance. As people age, proprioceptive abilities can diminish, leading to poorer balance and a higher risk of falls. In addition to that, certain disease processes can contribute to a more rapid loss in proprioception, such as diabetes or spinal stenosis. Chiropractic care, including spinal adjustments and proprioceptive exercises, can help to maintain and even improve proprioception, thereby enhancing balance and reducing fall risk in older adults.

Another critical area is the vestibular system, which is responsible for maintaining balance and spatial orientation. The vestibular system, located in the inner ear, provides the brain with information about motion, head position, and spatial orientation. Age-related changes in the vestibular system can lead to dizziness, vertigo, and balance problems. Vestibular function can also be affected by a variety of disorders, as well as certain medications that severely diminish the inner ear’s ability to sense our position in space. Chiropractic neurology can help optimize vestibular function through specific techniques and exercises designed to stimulate and retrain the vestibular pathways.

The Neurological Basis of Balance

Balance is a complex process that involves multiple systems within the body, all coordinated by the CNS. The brain integrates information from three primary sources: the visual system, the vestibular system, and proprioceptive input from muscles and joints. These systems work together to provide the brain with the necessary information to maintain balance and posture.

When any of these systems are impaired, the brain may not receive accurate information, leading to balance problems. For example, if proprioception is compromised due to a joint injury or spinal misalignment, the brain may not receive accurate information about body position, leading to instability. Similarly, issues with the vestibular system, such as those caused by inner ear problems, can lead to dizziness and vertigo, further compromising balance.

Chiropractic neurology addresses these issues by focusing on the health and function of the nervous system. Through spinal adjustments, chiropractors can correct misalignments that may be interfering with proprioceptive input. Additionally, chiropractors can provide exercises and rehabilitation techniques designed to improve vestibular function and enhance the brain’s ability to integrate sensory information.

Enhancing Balance through Chiropractic Neurology

Chiropractic neurology offers a unique approach to improving balance that is rooted in the principles of neurology and functional movement. Some of the key interventions used in chiropractic neurology to enhance balance include:

  1. Spinal Adjustments and Myofascial (Soft Tissue) Work: Misalignments and adhesions in the spine can disrupt proprioceptive input and interfere with the nervous system’s ability to coordinate movement. Spinal adjustments and myofascial work on the soft tissues of the neck can correct this interference, improving proprioception and enhancing overall balance.
  2. Proprioceptive Exercises: These exercises are designed to improve the body’s ability to sense its position in space. Proprioceptive training can involve activities like balancing on one leg, using balance boards, or performing movements with eyes closed to challenge the proprioceptive system.
  3. Vestibular Rehabilitation: This type of therapy is focused on improving the function of the vestibular system. Exercises may include head movements, balance exercises, and activities that challenge the vestibular system to adapt and improve.
  4. Neurological Rehabilitation: Chiropractic neurologists may use a variety of techniques to retrain the brain and nervous system to better integrate sensory information and improve motor control. This can be particularly beneficial for individuals with neurological conditions that affect balance.

Balance is a fundamental aspect of both athletic performance and daily life. It is essential for athletes who rely on precise movements and coordination to excel in their sports, as well as for nonathletes, particularly older adults, who need good balance to maintain their independence and reduce the risk of falls. Chiropractic neurology offers a comprehensive approach to enhancing and maintaining balance by focusing on the health and function of the nervous system.

Whether you are an athlete looking to improve your performance, an older adult seeking to maintain your independence, or simply someone who wants to improve your overall health, chiropractic neurology care can provide valuable tools and techniques to enhance your balance and well-being. Contact the team at GCNC today to find out how we can help you or to schedule your free consultation!


Sources

  1. Hrysomallis, C. (2011). Balance ability and athletic performance. Sports Medicine, 41(3), 221-232.
  2. Horak, F. B. (2006). Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls? Age and Ageing, 35(suppl_2), ii7-ii11.
  3. Haavik, H., & Murphy, B. (2012). The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology, 22(5), 768-776.
  4. Guskiewicz, K. M., & Perrin, D. H. (1996). Research and clinical applications of assessing balance. Journal of Sport Rehabilitation, 5(1), 45-63.
  5. Rogers, M. E., Rogers, N. L., Takeshima, N., & Islam, M. M. (2003). Methods to assess and improve the physical parameters associated with fall risk in older adults. Preventive Medicine, 36(3), 255-264.

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