When the ice and snow start to hit the ground, emergency rooms across the country are dealing with a huge number of injuries associated with slips and falls. But what if you could significantly reduce your risk of falling—or train your body to recover before a fall happens?
Improving your balance and proprioception (your body's awareness of position and movement) doesn't require expensive equipment or hours at the gym. With targeted exercises that challenge your balance system, you can dramatically improve your stability and reaction time.
Understanding How Balance Works
Your ability to maintain balance relies on three primary systems working together:
- Visual system – What you see provides information about your position in space
- Vestibular system – Your inner ear detects head position and movement
- Proprioceptive system – Receptors in your joints and muscles sense body position and movement
Most people rely heavily on their vision for balance. This works fine in well-lit, stable environments, but when you're walking on icy pavement in the dark or navigating uneven terrain, your other balance systems need to be equally developed.
The Role of Proprioception in Balance
Proprioception is your body's internal GPS system. Each joint in your body has receptors that constantly send information to your brain about where that joint is positioned and how it's moving. Your brain processes this information and sends signals back to your muscles, telling them how to respond to keep you upright.
This happens in milliseconds, completely outside of your conscious awareness. It's what allows you to walk without thinking about each step, catch yourself when you trip, or adjust your stance on an unstable surface.
The key to improving balance is to train these proprioceptive systems to work more efficiently—and the best way to do that is to challenge them.
"Vision is the strongest of the balance receptors. To improve your joint proprioception specifically, you need to remove visual input by closing your eyes during balance exercises."
Basic Balance Training: Building Your Foundation
Before progressing to advanced exercises, it's important to establish a solid foundation. Here are fundamental balance exercises to start with:
Single Leg Stance with Eyes Open
Stand on one leg for 30-60 seconds. Focus on keeping your hip level and your standing knee slightly bent. Your body should remain tall and controlled. Repeat on both legs.
Single Leg Stance with Eyes Closed
Once you can comfortably balance on one leg with your eyes open, progress to closing your eyes. This removes visual input and forces your proprioceptive and vestibular systems to work harder.
You'll likely notice a significant difference—what felt stable with eyes open suddenly becomes challenging. This is normal and exactly what we want. You're now training the systems that will keep you upright on that icy sidewalk.
Tandem Stance
Place one foot directly in front of the other (heel to toe) and hold for 30-60 seconds. This narrows your base of support and increases the balance challenge. Progress to eyes closed once this becomes comfortable.
Intermediate Balance Challenges
Once basic exercises become easy, it's time to add complexity:
Single Leg Stance with Head Turns
While balancing on one leg, slowly turn your head side to side. This challenges your vestibular system while maintaining balance. Progress to adding up and down head movements as well.
Balance on Unstable Surfaces
Standing on a foam pad, balance disc, or folded towel creates an unstable surface that constantly challenges your ankle and foot stabilizers. Start with two feet, progress to one foot, then add eyes closed.
Dynamic Weight Shifting
While standing on one leg, reach your arms in different directions—forward, to the side, overhead. This shifts your center of gravity and requires constant adjustment from your balance system.
Advanced Balance Exercises for Athletes and Active Individuals
For higher-level athletes or those looking to maximize their balance and proprioception, advanced exercises that require significant stabilization will help prepare you for the demands of sport and reduce injury risk.
Advanced Superman on Stability Ball
Purpose: This exercise strengthens back extensors, hip and shoulder stabilizers, and core musculature while dramatically challenging balance and proprioception.
Setup: Start kneeling on a stability ball with both hands on the ball for support.
Execution:
- Once stable, extend one leg off the ball and behind you, keeping your spine straight and core engaged
- When you can control this position, extend the opposite arm forward
- Focus on extending out (lengthening through the arm and leg) rather than lifting up
- Keep your spine neutral—avoid arching your lower back
- Hold for 10-30 seconds, working up to longer holds as you improve
Key Points: The goal is to maintain a straight line from your extended fingertips through your torso to your extended toes. Your body will want to rotate or twist—resist this. All the small stabilizing muscles throughout your core, hips, and shoulders are working to keep you balanced.
Stability Ball Lunges with Trunk Rotation
Purpose: This exercise improves single-leg balance, lower body strength, and rotational core stability—all critical for sports that involve cutting, pivoting, or dynamic movement.
Setup: Place your back foot and shin on a stability ball, with your front leg lunged forward.
Execution:
- Position your front foot so that when you lower into a lunge, your hip, knee, and ankle form a straight vertical line
- Your body weight should be evenly distributed between both legs
- Hold a medicine ball or weight at chest height
- As you lower into the lunge, rotate your trunk toward the front leg
- Keep your shoulders level and arms extended—the rotation comes from your torso, not your arms
- Return to center as you push back up to the starting position
Key Points: The instability of the ball behind you requires constant micro-adjustments from your front leg stabilizers. The trunk rotation adds an additional challenge to your core and tests your ability to maintain a stable pelvis while rotating your upper body—a skill essential for almost every sport.
Single Leg Romanian Deadlift with Eyes Closed
This exercise combines strength, balance, and proprioception in a functional movement pattern.
Execution:
- Stand on one leg holding a light weight (or no weight to start)
- Keep a slight bend in your standing knee
- Hinge forward at the hips, extending your non-standing leg behind you
- Lower the weight toward the ground while maintaining a straight spine
- Once comfortable with eyes open, progress to eyes closed
This exercise is particularly valuable because it mimics the single-leg loading pattern you experience when walking, running, or navigating uneven terrain.
Get a Personalized Balance Assessment
Our physiotherapists can assess your balance, identify specific deficits, and create a customized program to improve stability and reduce your fall risk.
Book Your AssessmentWhy Challenging Balance Matters for Injury Prevention
In order to recruit all portions of your muscles—including the portions that stabilize joints and keep movements smooth—you need exercises where you have to struggle to maintain stability.
When you perform traditional strength exercises on stable surfaces, you're primarily training the large muscles responsible for movement. The smaller stabilizing muscles don't have to work as hard because the stable surface provides support.
But in real life—whether you're navigating icy sidewalks, hiking on trails, playing sports, or simply reaching for something on a high shelf—you're constantly on unstable surfaces requiring stabilization.
By regularly challenging your balance system with progressively difficult exercises, you:
- Improve reaction time when you slip or stumble
- Strengthen the muscles that stabilize your ankles, knees, and hips
- Enhance communication between your proprioceptive system and your brain
- Build confidence in unstable environments
- Reduce the likelihood of falls and fall-related injuries
Progression Principles
When incorporating balance training into your program, follow these principles:
1. Start Where You Are
If single-leg standing is challenging with eyes open, that's your starting point. Don't jump to advanced exercises before you're ready. Build a solid foundation first.
2. Progress Systematically
Add one variable at a time. For example:
- Two feet, stable surface, eyes open
- Two feet, stable surface, eyes closed
- Two feet, unstable surface, eyes open
- Two feet, unstable surface, eyes closed
- One foot, stable surface, eyes open
- And so on...
3. Struggle Is the Goal
Unlike many exercises where perfect form is the goal, balance training should be challenging. If you're not wobbling or making constant small adjustments, you're not challenging your system enough.
The wobbling is the training. That's your nervous system learning to make rapid corrections.
4. Practice Regularly
Balance is a skill that improves with consistent practice. Even 5-10 minutes daily is more effective than one long session per week.
Balance Training for Different Populations
Older Adults and Fall Prevention
For older adults, fall prevention is critical. Falls are the leading cause of injury-related deaths in people over 65. Regular balance training can significantly reduce fall risk and maintain independence.
Focus on functional exercises that mimic daily activities: practicing standing from a chair without using hands, stepping over obstacles, walking heel-to-toe, and navigating different surfaces.
Athletes and Sports Performance
Athletes benefit from sport-specific balance challenges. A basketball player might practice single-leg landings with eyes closed. A soccer player might work on maintaining balance while a partner applies unpredictable pushes or pulls.
The principle remains the same: create unstable conditions that require rapid stabilization.
Post-Injury Rehabilitation
After an ankle sprain, knee injury, or any lower extremity injury, proprioception is often impaired. Balance training should be a central component of rehabilitation to restore normal function and prevent re-injury.
Preparing for Winter: A Practical Approach
As winter approaches, it's not too late to start improving your balance. Even a few weeks of consistent practice can make a meaningful difference in your stability and confidence on icy surfaces.
Consider this a 4-week progression:
Week 1-2: Basic single-leg stance, eyes open and closed. Tandem stance. Practice daily for 5-10 minutes.
Week 3: Add unstable surfaces. Introduce head movements during single-leg stance. Continue daily practice.
Week 4: Progress to dynamic exercises—reaching, weight shifting, incorporating sport-specific movements if applicable.
By the time ice and snow arrive, your balance system will be significantly more prepared to handle the challenges of winter walking.
The Bottom Line
Balance is a trainable skill. Just as you can improve your strength or cardiovascular fitness, you can improve your balance and proprioception with targeted practice.
Don't wait until after a fall to start thinking about balance training. Whether you're an athlete looking to reduce injury risk, an active adult wanting to stay independent, or someone who's already experienced balance difficulties, there are appropriate exercises to meet you where you are and help you improve.
The exercises might look simple, but the neurological adaptations they create are profound. Your nervous system is learning to process information faster, make quicker corrections, and keep you upright in increasingly challenging conditions.
This winter, don't just hope you don't slip on the ice. Train your body to handle it.