Last month I had my first major crash, wiping out on a patch of black ice in the park. Fortunately, I did not break anything but a few parts of my bike. The repairs cost a couple of hundred dollars but the chain, brakes and gears were due to be replaced anyway and my bike is now as good as new. The mild winter weather has given me the opportunity to go on some rides this past week.
The elm tree in better days |
My recent rides have restored my confidence in remaining upright on two wheels. But there are other high-balance activities where I have no skill at all.
Ice skating, roller skating, in-line skating, cross-country skiing, downhill skiing, and gymnastic balance feats are all beyond my ability and I have no desire to risk my bones trying them at this stage of life. But there are some balance activities that I practice daily and test my patients' skill levels as well.
Balance performance decreases quickly in middle age for many reasons, increasing the risk of falls. Shuffling, a wide-based stance, a rapid gait pace, hip weakness, peripheral neuropathies as seen in diabetes, pain, and spinal abnormalities all indicate the potential of decreased standing balance. By timing how long a person can stand on one leg (I only test with eyes open), it is possible to assess a person's fall risk and their need for a gait aid. The good thing about this activity is that with practice, performance improves quickly. I ask my patients to practice single-leg standing on both legs a couple of times a day while standing near a counter or sink. The ability to stand on one leg for even ten seconds is associated positively with all-cause mortality in middle-aged and older people. (source)
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