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"Balance T" device improves balance confidence and performance in repeated measures study.

Courtney Walker1, June Nicholas2, Crystal Szczesny3

  • 1Department of Otolaryngology- Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

The Journal of Frailty & Aging
|November 29, 2025
PubMed
Summary

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Home exercise with the Balance T device improved balance confidence and performance in older adults. Frail individuals showed the most significant gains, highlighting the device

Area of Science:

  • Gerontology
  • Exercise Science
  • Rehabilitation Medicine

Background:

  • Aging is associated with decreased balance and increased fall risk.
  • Home-based exercise programs are crucial for maintaining independence in older adults.
  • Novel exercise equipment can offer accessible solutions for balance training.

Purpose of the Study:

  • To evaluate the efficacy of the Balance T device for improving balance in older adults.
  • To assess the feasibility and safety of home-based exercise using the Balance T.
  • To compare balance improvements between frail and robust older adults.

Main Methods:

  • A four-week, open-label, home-based pilot study involving 50 older adults (mean age 77.9 years).
  • Balance assessments included the Activities-specific Balance Confidence (ABC) Scale, Short Physical Performance Battery (SPPB), and Timed Up and Go (TUG) test.
Keywords:
BalanceExerciseFrailtyGeriatricsOlder adults

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  • Statistical analyses compared pre- and post-intervention balance measures and examined differences based on frailty status.

    • Main Results:

    • Participants demonstrated clinically significant improvements across all balance performance variables after using the Balance T.
    • Frail participants showed a greater improvement in balance confidence (mean change 5.28 ± 12.9, p < 0.001) compared to robust individuals.
    • User feedback indicated the Balance T device was easy and safe to use, with perceived benefits for balance.

    Conclusions:

    • The Balance T device is a feasible and safe option for home-based balance training in older adults.
    • Preliminary evidence suggests the Balance T can enhance balance performance and confidence, especially in frail populations.
    • This study supports the potential of the Balance T to mitigate fall risk and improve functional mobility in the elderly.