Balance Training Research

11 peer-reviewed studies supporting this intervention. Evidence rating: B

11 Studies
0 RCTs
8 Meta-analyses
2007-2024 Year Range

Study Comparison

Study Year Type Journal Key Finding
Pšeničnik Sluga S et al. 2024 Meta-analysis European journal of translational myology Sensorimotor and proprioceptive exercise programs significantly improve balance across multiple clinical measures in older adults.
Rodríguez-Perea Á et al. 2023 Meta-analysis Biology of sport Core training significantly improved balance (ES=1.17), vertical jump (ES=0.69), horizontal jump (ES=0.84), and throwing distance (ES=3.42) across 21 RCTs with healthy subjects.
Labata-Lezaun N et al. 2023 Meta-analysis Life (Basel, Switzerland) Balance training and multicomponent exercise significantly improve static balance in older adults, with balance-specific training showing the largest effect sizes.
Sadaqa M et al. 2023 Systematic review Frontiers in public health Exercise interventions including balance and functional training significantly reduce fall rates and fall risk in community-dwelling older adults.
Barrio ED et al. 2022 Meta-analysis Journal of sports sciences Core training produced a moderate improvement in dynamic balance stability (ES=0.634, p<0.001), with the largest effects from bodyweight exercises performed more than twice per week for 6 weeks or less.
Papalia GF et al. 2020 Meta-analysis Journal of clinical medicine Systematic review of 16 RCTs confirms physical exercise significantly improves both static and dynamic balance while reducing total falls and number of fallers in adults over 65.
Sherrington C et al. 2019 Study Cochrane Database of Systematic Reviews Definitive Cochrane review of 108 RCTs (23,000+ participants) found exercise reduces falls by 23% and fall-related injuries by 27% in older adults.
Sherrington C et al. 2017 Meta-analysis British journal of sports medicine Updated meta-analysis of 88 trials (19,478 participants) found exercise reduces fall rates by 21% overall, with programs emphasizing balance challenge and exceeding 3 hours per week achieving a 39% reduction.
Lesinski M et al. 2016 Meta-analysis Sports Medicine Meta-analysis establishing optimal balance training protocols - 3 sessions per week, 11-12 weeks duration, with progressive difficulty produces best results.
Sherrington C et al. 2011 Meta-analysis New South Wales public health bulletin Meta-analysis of 54 RCTs established best practice recommendations for fall prevention exercise -- balance challenge at moderate-to-high intensity for at least 2 hours per week on an ongoing basis.
Hrysomallis C et al. 2007 Review Sports Medicine Postural stability and balance training reduce injury risk, with improvements in proprioception and neuromuscular control underlying the benefits.

Study Details

Pšeničnik Sluga S, Kozinc Z

European journal of translational myology

Key Finding: Sensorimotor and proprioceptive exercise programs significantly improve balance across multiple clinical measures in older adults.
View Summary

This meta-analysis examined sensorimotor and proprioceptive exercise programs for balance in older adults. Significant improvements were found across the Berg Balance Scale, Timed Up and Go test, single-leg stance, and functional reach test. These programs can be implemented with minimal equipment and are well-suited for community and home-based settings.

Rodríguez-Perea Á, Reyes-Ferrada W, Jerez-Mayorga D, et al.

Biology of sport

Key Finding: Core training significantly improved balance (ES=1.17), vertical jump (ES=0.69), horizontal jump (ES=0.84), and throwing distance (ES=3.42) across 21 RCTs with healthy subjects.
View Summary

This systematic review and meta-analysis examined whether core training programs translate into measurable athletic performance improvements. The authors searched Scopus, Web of Science, Sports Discuss, and PubMed through November 2022, following PRISMA guidelines. Inclusion criteria required randomized controlled trials with healthy subjects over 12 years old, core training programs lasting at least 4 weeks, and measurable performance outcomes.

From 3,223 initially identified studies, 22 were included in the systematic review and 21 in the meta-analysis. The results showed significant improvements in balance (ES=1.17, p<0.0001), vertical jumping (ES=0.69, p=0.0003), horizontal jump (ES=0.84, p=0.01), and throwing/hitting distance (ES=3.42, p=0.03). Throwing/hitting velocity showed a positive but non-significant trend (ES=0.30, p=0.14).

The findings demonstrate that core training is not just rehabilitative but has real carryover to athletic performance. The largest effect was on balance, which aligns with the role of core musculature in postural control and force transfer. Jump performance improvements suggest that core stability contributes to efficient force transmission from the trunk to the lower extremities during explosive movements.

Labata-Lezaun N, Rodríguez-Rodríguez S, López-de-Celis C, et al.

Life (Basel, Switzerland)

Key Finding: Balance training and multicomponent exercise significantly improve static balance in older adults, with balance-specific training showing the largest effect sizes.
View Summary

This systematic review and meta-analysis examined different training modalities on static balance in older adults. Balance-specific training produced the largest effect sizes, followed by multicomponent training. Programs that specifically challenge postural control are the most effective for improving static balance in aging populations.

Sadaqa M, Németh Z, Makai A, et al.

Frontiers in public health

Key Finding: Exercise interventions including balance and functional training significantly reduce fall rates and fall risk in community-dwelling older adults.
View Summary

This systematic review evaluated exercise interventions for fall prevention in community-dwelling older adults. Programs incorporating balance training and multicomponent approaches effectively reduced both fall rates and the number of people experiencing falls. Programs lasting at least 12 weeks with progressive balance challenges showed the most consistent benefits.

Barrio ED, Ramirez-Campillo R, Garcia de Alcaraz Serrano A, et al.

Journal of sports sciences

Key Finding: Core training produced a moderate improvement in dynamic balance stability (ES=0.634, p<0.001), with the largest effects from bodyweight exercises performed more than twice per week for 6 weeks or less.
View Summary

This systematic review and meta-analysis investigated the effects of core training on dynamic balance stability (DBS) in both athletes and non-trained populations. The review included 13 studies in the systematic review and 10 in the meta-analysis, with 226 total participants.

The overall analysis found a moderate positive effect of core training on dynamic balance stability (ES=0.634, p<0.001). Subgroup analyses revealed several factors that influenced effectiveness: interventions lasting 6 weeks or fewer showed greater improvements (ES=0.714) than longer programs, high-volume training with more than 2 sessions per week produced larger effects (ES=0.787), and programs totaling more than 17 sessions were most effective. Younger participants (18 years or younger) demonstrated the strongest gains (ES=0.832).

An interesting practical finding was that bodyweight-based core exercises outperformed programs using medicine balls, Swiss balls, or resistance bands. This suggests that equipment-free stability training can be the most effective approach for improving dynamic balance. The authors recommended optimal programming of 6 weeks or fewer at frequencies exceeding 2 sessions per week using bodyweight exercises, particularly for younger populations. These findings support the inclusion of core stability work as a foundational component of training for balance and movement control.

Papalia GF, Papalia R, Diaz Balzani LA, et al.

Journal of clinical medicine

Key Finding: Systematic review of 16 RCTs confirms physical exercise significantly improves both static and dynamic balance while reducing total falls and number of fallers in adults over 65.
View Summary

This systematic review and meta-analysis examined 16 randomized clinical trials evaluating the effects of physical exercise on balance and fall prevention in adults aged 65 and older. The review was published in the Journal of Clinical Medicine and followed PRISMA guidelines.

The pooled analysis demonstrated statistically significant improvements across multiple outcomes. Dynamic balance improved (p = 0.008), static balance improved (p = 0.01), total falls decreased substantially (p = 0.0008), and the number of participants experiencing one or more falls was significantly reduced (p = 0.02). Beyond these primary outcomes, exercise interventions also reduced fear of falling, improved balance confidence, and enhanced overall quality of life.

The authors concluded that physical exercise is an effective treatment to improve balance and reduce fall rates in elderly populations. However, the review noted variability in risk of bias across included studies, with only three showing low risk, nine unclear, and four high risk. This highlights the need for higher-quality RCTs in the field while still supporting the overall benefit of exercise-based interventions.

Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb SE

Cochrane Database of Systematic Reviews

Key Finding: Definitive Cochrane review of 108 RCTs (23,000+ participants) found exercise reduces falls by 23% and fall-related injuries by 27% in older adults.
View Summary

This comprehensive Cochrane systematic review analyzed 108 randomized controlled trials involving over 23,000 older adults to determine the effectiveness of exercise for preventing falls.

Exercise programs that challenge balance and include functional training reduced the rate of falls by 23% and the number of people experiencing falls by 15%. Programs combining balance and functional exercises with resistance training showed the best results.

The review provides definitive evidence that exercise-based fall prevention programs are effective and should be a cornerstone of healthy aging strategies.

Sherrington C, Michaleff ZA, Fairhall N, et al.

British journal of sports medicine

Key Finding: Updated meta-analysis of 88 trials (19,478 participants) found exercise reduces fall rates by 21% overall, with programs emphasizing balance challenge and exceeding 3 hours per week achieving a 39% reduction.
View Summary

This updated systematic review and meta-analysis pooled data from 88 randomized controlled trials encompassing 19,478 community-dwelling older adults. The analysis examined the effectiveness of exercise interventions in preventing falls, building on earlier Cochrane reviews with substantially more data.

The overall pooled effect showed exercise reduced the rate of falls by approximately 21%. However, the most effective programs shared two key characteristics: they placed a high challenge on balance, and they totaled more than 3 hours of exercise per week. Programs meeting both criteria achieved a 39% reduction in fall rates, nearly double the average effect.

The review also found positive effects for subgroups including people with Parkinson's disease and those with cognitive impairment. Evidence was more limited for residential care settings and post-stroke populations. The findings reinforced that balance-challenging exercise should be the cornerstone of fall prevention programs, with sufficient weekly volume being critical for optimal outcomes.

Lesinski M, Hortobágyi T, Muehlbauer T, Gollhofer A, Granacher U

Sports Medicine

Key Finding: Meta-analysis establishing optimal balance training protocols - 3 sessions per week, 11-12 weeks duration, with progressive difficulty produces best results.
View Summary

This systematic review and meta-analysis examined 23 studies to determine the dose-response relationship for balance training in healthy older adults.

The analysis identified optimal training parameters: frequency of 3 sessions per week, total duration of 11-12 weeks, and 91-120 minutes of weekly training time. Single-leg stance and dynamic movements showed the largest effect sizes.

The findings provide evidence-based guidance for designing balance training programs to maximize improvements in postural control and stability.

Sherrington C, Tiedemann A, Fairhall N, et al.

New South Wales public health bulletin

Key Finding: Meta-analysis of 54 RCTs established best practice recommendations for fall prevention exercise -- balance challenge at moderate-to-high intensity for at least 2 hours per week on an ongoing basis.
View Summary

This meta-analysis synthesized data from 54 randomized controlled trials to update recommendations for exercise-based fall prevention in older adults. The pooled analysis found a significant overall reduction in fall rates (rate ratio 0.84, 95% CI 0.77-0.91), confirming that structured exercise programs are effective for preventing falls.

The analysis went beyond simply confirming exercise works by identifying the specific characteristics of the most effective programs. The greatest reductions in falls came from programs that challenged balance at moderate-to-high intensity, involved at least 2 hours of exercise per week, and were maintained on an ongoing basis. Both group-based and home-based formats were equally effective.

The resulting best practice recommendations emphasized that fall prevention exercise should primarily target balance through challenging movements, with strength training as a useful supplement. Importantly, the analysis found that programs incorporating brisk walking should be used with caution in high-risk populations, as walking-only programs did not show the same protective effect and could increase fall exposure. These guidelines have become foundational for clinical fall prevention programs worldwide.

Hrysomallis C

Sports Medicine

Key Finding: Postural stability and balance training reduce injury risk, with improvements in proprioception and neuromuscular control underlying the benefits.
View Summary

This comprehensive review examined the relationship between postural stability, balance ability, and sports injury risk. The review analyzed how postural deficits contribute to injury and how balance training can mitigate these risks.

The review found strong evidence linking poor postural control to increased injury risk, particularly for ankle sprains and ACL injuries. Balance and postural training programs were shown to reduce injury rates by 20-60% in various sports, with effects attributed to improved proprioception and neuromuscular control.

Evidence Assessment

B Moderate Evidence

This intervention has moderate evidence from some randomized trials and consistent observational data, though more research would strengthen conclusions.