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A Vibrotactile Feedback Device for Seated Balance Assessment and Training
Published on: January 20, 2019
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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
Summary
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.
- 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.

