Standing balance exercises are more difficult than sitting balance exercises. It is necessary to be very careful not to fall while doing these exercises. Patients who have had a stroke and brain injury should consult their doctor or physiotherapist about exercises that are appropriate for them. Standing balance exercises should be learned with the help of a physiotherapist when applying them for the first time. After it is seen that it is done with sufficient safety and accuracy, you can continue on your own or with your loved one with the approval of your physiotherapist. Each of the movements here can be performed 10 repetitions.
In the first attempts, it may be necessary to get support by holding on to a solid surface such as a heavy chair or bench while standing. The therapist or relative can help you keep your balance. For example, it can provide support to prevent the weak knee from bending. However, while doing this, direct pressure on the kneecap should not be allowed to bend the knee back (hyperextension).
Standing with Clasped Hands
Clasp your hands together and reach forward. Lift your hips from your seat and try to stand up. If you can’t stand up straight or can stand up partially, it may be enough for the first attempts. Return to sitting position in a controlled manner and then repeat.
Weight Transfer from One Side to Another
While standing, transfer your body weight from one right to the left foot.
Forward and Rear Weight Transfer
While standing, shift your weight to your toes and then your heels. Make sure your body weight is evenly distributed on both feet.
In order to take a step forward with a healthy foot, it is necessary to learn to put a load on the weak leg. Keep your feet together as you begin this exercise. With the weaker foot on the ground, step forward with your strong foot. Then return to the starting position again. If necessary, your partner can help you lock the weak knee. If you need it, you can get support from a stable surface with your hands during the exercise.
It is done similarly to stepping forward. This time you need to take your strong foot back. Start with your feet together. Take your good foot a step back. Then return to the starting position again.
Stepping Forward and Backward
You can do this exercise after you have mastered the previous two exercises. The exercise begins with your feet side by side on the floor. Bring your strong foot forward. Then take a step back. Do not step on your good foot next to the weak foot before you have finished 10 reps.
Take a sideways step to the right and left alternately. If necessary, you can hold onto a support surface with your hand.
To complicate the side step exercise, after a step is taken, the other foot can be crossed from the front or back to the other side. Cross stepping can challenge balance, so it should be attempted while a therapist or trained helper is on hand.
While the weak foot is on the ground, the healthy foot is brought up on a step. The difficulty of the movement can be adjusted by using steps at different heights.
Standing on One Leg
Try to stand on your weak foot by lifting your good foot off the ground. Hold your position for as long as you can bear.
Stepping with a Weak Leg
If the strength (stability) of the weak leg at the hip and knee is good and strong enough, you can try to put the weaker foot on the step and then try to bring the other foot to the step. A strong push from the weak leg is required to do this move.