Age, Balance and head injuries
#26
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From: Southern California
Bikes: Gary Fisher Hi-Fi Deluxe, Giant Stance, Cannondale Synapse, Diamondback 8sp IGH, 1989 Merckx
Here are some links I found regarding improving balance for we older folk:
Do these exercises to maintain balance as you age ? The Denver Post
Why does balance decline with age? - Ask Doctor K - Ask Doctor K, Harvard Medical School
Improve Your Balance at Any Age - Next Avenue
Age-related dizziness and imbalance | Vestibular Disorders Association
Maintaining Balance With Age
How to Improve Your Balance as You Age
Joe
Do these exercises to maintain balance as you age ? The Denver Post
Why does balance decline with age? - Ask Doctor K - Ask Doctor K, Harvard Medical School
Improve Your Balance at Any Age - Next Avenue
Age-related dizziness and imbalance | Vestibular Disorders Association
Maintaining Balance With Age
How to Improve Your Balance as You Age
Joe
#27
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Joined: Dec 2004
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From: Middle of da Mitten
Bikes: Trek 7500, RANS V-Rex, Optima Baron, Velokraft NoCom, M-5 Carbon Highracer, Bacchetta Quattro, Catrike Speed
Trikes may help prevent falls while riding, but they do nothing to maintain balance like a 2-wheeler does. So they don't decrease your chances of falling all the times you're not riding. OTOH, a lowracer helps maintain balance, is low enough that head injuries from falling are not a concern, and they're fast. Butt surfing at 20+ mph is still painful, though, as I found out a few weeks ago.
#28
While some degradation due to age is unavoidable we should emphasize that balance problems are not necessarily inevitable at less than advanced ages, and probably should be considered an anomaly for an active person in their 50's.
Break it down simply: 1) the action of our muscles on our skeletons hold us up. 2) The muscles are coordinated by the nervous system, which processes 3) information from the senses and 4) the inner ear.
Pretty much in that order for our purposes. Muscles that are weak from disuse cannot maintain balance no matter how well the rest of the system works. So that is first and foremost. Secondly, coordination is a matter of training. Essentially use it or lose it but fortunately these parts, very commonly major contributors to balance issues for the middle-aged and older, can be trained and balance regained. Quite easily, a matter of exercise and practice and no reason to accept it as "getting old". Along with strength exercise, yoga is good. Even walking is good, better with specific balance exercises while walking. Standing on one foot. Just practice balance.
Sensory inputs and middle ear, obviously we're looking mostly at medical interventions. Beyond getting glasses, and a healthy diet may improve things. Other equilibrium issues such as blood pressure, diabetes, nerve degeneration and so on, see a doctor.
I hope this provides a little clarity.
Break it down simply: 1) the action of our muscles on our skeletons hold us up. 2) The muscles are coordinated by the nervous system, which processes 3) information from the senses and 4) the inner ear.
Pretty much in that order for our purposes. Muscles that are weak from disuse cannot maintain balance no matter how well the rest of the system works. So that is first and foremost. Secondly, coordination is a matter of training. Essentially use it or lose it but fortunately these parts, very commonly major contributors to balance issues for the middle-aged and older, can be trained and balance regained. Quite easily, a matter of exercise and practice and no reason to accept it as "getting old". Along with strength exercise, yoga is good. Even walking is good, better with specific balance exercises while walking. Standing on one foot. Just practice balance.
Sensory inputs and middle ear, obviously we're looking mostly at medical interventions. Beyond getting glasses, and a healthy diet may improve things. Other equilibrium issues such as blood pressure, diabetes, nerve degeneration and so on, see a doctor.
I hope this provides a little clarity.
#29
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From: St Peters, Missouri
Bikes: Catrike 559 I own some others but they don't get ridden very much.
Oh man! I wish that you hadn't posted that.
I've had more than my share of falls, broken bones and minor concussions. Don't tell Mrs. Grouch but I 've gotten to the point of judging the success of my rides by absence of falls. There may be a tadpole in my future.
I've had more than my share of falls, broken bones and minor concussions. Don't tell Mrs. Grouch but I 've gotten to the point of judging the success of my rides by absence of falls. There may be a tadpole in my future.
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My greatest fear is all of my kids standing around my coffin and talking about "how sensible" dad was.
My greatest fear is all of my kids standing around my coffin and talking about "how sensible" dad was.
#30
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Joined: Nov 2008
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From: Bay Area, Calif.
Sitting on the couch reduces falls and TBI. Thanks for your concern, but my life would be incomplete without active outdoor hobbies. I'll accept the risks, just keep me out of that dangerous gym routine. Personally I think riding a bike for decades helps most people improve their balance and leg strength to minimize falls more than any other activity
Falls may be the leading cause of impact-related deaths, but even that is largely because the senior citizen group tends to avoid most other sources - we tend not to get into violent confrontations with others, drive less and generally more carefully, etc.
I'm always amused by the 'Fallen and can't get up' ads which ominously cite that a third of seniors will fall in the next year. I fall at least a few times each year (although rarely while bicycling) and plan to keep doing activities which make that likely for as long as I can - hopefully many more years.
#31
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From: Southern California
Bikes: Gary Fisher Hi-Fi Deluxe, Giant Stance, Cannondale Synapse, Diamondback 8sp IGH, 1989 Merckx
I tried to make the correction in the #1 posting but the forum wouldn't let me!?
I was called on this in another thread and made the correction. It was oversight based on the fact that we usually don't talk about 'normal' death in BF.
Joe
I was called on this in another thread and made the correction. It was oversight based on the fact that we usually don't talk about 'normal' death in BF.
Joe
#33
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From: Southern California
Bikes: Gary Fisher Hi-Fi Deluxe, Giant Stance, Cannondale Synapse, Diamondback 8sp IGH, 1989 Merckx
fietsbob:
You are right and I may be a candidate for three wheels sometime in the near future.
I am having balance problems and I'll have to see if they can be corrected. If they get worse, I may need to transistion to three (tadpole) wheels.
Joe
You are right and I may be a candidate for three wheels sometime in the near future.
I am having balance problems and I'll have to see if they can be corrected. If they get worse, I may need to transistion to three (tadpole) wheels.
Joe
Last edited by Joe Minton; 05-23-16 at 04:12 PM.
#34
And thanks to you, "Joe Minton" for providing those information links.
#35
rebmeM roineS

Joined: Jan 2006
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From: Metro Indy, IN
Bikes: Bacchetta Giro A20, RANS V-Rex, RANS Screamer
Changing shoes and socks while standing up is an activity that should help with balance skills maintenance. (One foot at a time, I might add.)
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Bacchetta Giro A20, RANS V-Rex, RANS Screamer
Bacchetta Giro A20, RANS V-Rex, RANS Screamer
#36
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From: Sin City, Nevada
Bikes: Catrike 700, Greenspeed GTO trike, , Linear LWB recumbent, Haluzak Horizon SWB recumbent, Balance 450 MTB, Cannondale SM800 Beast of the East
Although I own and ride tadpole trikes, I wouldn't dismiss delta trikes completely. Greenspeed and Hase Ketterweisel make high quality ($$$$) delta trikes. Trike stability is determined by the location of the center of gravity more than by how many wheels do the steering. There are some entry-level, high-seating tadpole trikes that are far less stable than my friends' delta Ketts. I'm far more concerned about breaking a hip in a bike crash than brain damage. I can wear a protective helmet which helps protect my brain but there is nothing that I can wear to avoid the nasty hematoma I had the last time I crashed a two wheeled recumbent.
#37
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From: Southern California
Bikes: Gary Fisher Hi-Fi Deluxe, Giant Stance, Cannondale Synapse, Diamondback 8sp IGH, 1989 Merckx
janMMat: I tried to do that but just fell over --- LOL
VegasTriker: As long as the CG stays within the triangle formed by the tires' contact patches, the trike will not turn over. The low CG delta example certainly could be less likely to turn over than the high CG tadple. However, an equally low CG tadpole would be even less likely to lift a wheel. However, however --- if the CG is low enough not to lift a wheel in normal use, it does not matter which configuration is chosen.
Joe
VegasTriker: As long as the CG stays within the triangle formed by the tires' contact patches, the trike will not turn over. The low CG delta example certainly could be less likely to turn over than the high CG tadple. However, an equally low CG tadpole would be even less likely to lift a wheel. However, however --- if the CG is low enough not to lift a wheel in normal use, it does not matter which configuration is chosen.
Joe
#38
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From: Everett, WA
Bikes: CoMo Speedster 2003, Trek 5200, CAAD 9, Fred 2004
So far I've only hit my head backcountry skiing. Did you know that most backcountry skiers who wear helmets have had head injuries? Now I wear a helmet for all skiing except Nordic. Yeah, balance. Hard and fast Alpine skiing will sure as heck help. Same with biking. Large doses, taken as frequently as possible.
I will say that I don't MTB due to risk. Road biking falls should be extremely rare. I've fallen three times in 62 years. One loss of skin, one rib jarred loose at the front end, one honorable blood on calf. None due to balance. The skiing fall was due to lack of skiing for the previous 20 years. Not going to let that happen again. Met a guy Alpine skiing at 92, and skiing very well, too.
I will say that I don't MTB due to risk. Road biking falls should be extremely rare. I've fallen three times in 62 years. One loss of skin, one rib jarred loose at the front end, one honorable blood on calf. None due to balance. The skiing fall was due to lack of skiing for the previous 20 years. Not going to let that happen again. Met a guy Alpine skiing at 92, and skiing very well, too.
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#39
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Anyone who has suffered a major brain injury is at greater risk for another similar injury and must be very careful. Those of you who have had such an injury have almost certainly been told this. Brains certainly aren't like bones that grow stronger around a break. Not all news is good 
Joe

Joe
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