What can be done if certain clients have severe balance problems? I have a client that even through the use of various balance exercises for over a year still does not seem to learn motor control for any time? Basically, I cannot advance advance in program integration ( single leg exercies ).
First and foremost, if a client has a severe balance problem or is not making any progress, refer them to the proper medical authority. Once that has been taken care of, their training program should follow a specific progression that can be found on the NASM's Integrated Neuromuscular Stabilization Training video. It is always hard to give specifics about an unseen, general situation, but the main factors that should be addressed besides medical attention is:
- Proper Flexibility Training - this helps to alleviate muscle imbalance that can alter neuromuscular coordination and effect balance.
- Proper Core Stabilization Training - this ensure that the body has a stable platform from which it can move and this can enhance balance.
- Utilize a systematic progression for Balance training such as exercising on:
- 2 legs
- then 2 legs in a staggered position (front-to-back)
- then 1 leg (with leg stationary at first and progress to bending (squatting) of the knee on that leg)
- then 2 legs in an unstable environment (balance beam, 1/2 foam roll, balance boards, airex pads, dynadiscs in that order)
- then 2 leg staggered in an unstable environment
- then 1 leg in an unstable environment