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Evaluating the Association of a Self-Guided, Asynchronous, Balance Exercise Application on Fall-Related Injuries.

Kris F Wain¹, Claudia A Steiner^1,2, Andrea E Daddato¹

¹Institute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, USA.

Journal of the American Geriatrics Society

|June 23, 2026

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This summary is machine-generated.

Nymbl, a balance app, reduced fall injuries in older adults with prior falls. This self-guided program may overcome access barriers for fall prevention.

Area of Science:

Gerontology
Public Health
Digital Health

Background:

Falls are a major health concern for older adults, with over 25% experiencing a fall annually.
Exercise programs effectively reduce fall-related injuries (FRI), but low participation due to access barriers is a challenge.
Nymbl, a self-guided balance application, offers a potential solution to improve access to fall prevention interventions.

Purpose of the Study:

To evaluate if Nymbl registration is associated with fewer fall-related injuries (FRI) compared to non-registrants.
To assess the impact of Nymbl on older adults with and without a history of falls.
To explore dose-response relationships and the additive effects of Nymbl with other exercise programs.

Main Methods:

Retrospective cohort study using Kaiser Permanente Colorado data linked with Nymbl usage records (February 2018 - September 2024).

Keywords:

asynchronous application balance exercise digital health fall prevention

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Included individuals aged 60+ with 12-month continuous enrollment before and after Nymbl registration.

Logistic regression with inverse probability of treatment weighting estimated the association between Nymbl and FRIs, stratified by prior FRI history.

Main Results:

Nymbl registration was linked to a 3.83% reduction in acute FRIs among individuals with a prior fall history.
No significant association was found for individuals without a baseline FRI.
At least five Nymbl sessions were needed for meaningful FRI reduction; benefits were observed in those not in other exercise programs.

Conclusions:

Self-guided balance applications like Nymbl may reduce FRIs in older adults with a history of falls who are not in structured exercise programs.
Remotely delivered fall prevention programs can overcome access barriers.
Nymbl can supplement in-person and guided exercise programs for fall prevention.