Healthy Ageing

Why balance is more than standing on one leg

Most of the balance we use happens on the move, while turning, stepping and reacting. Tai Chi offers a useful way to notice it, and every walk gives plenty of chances.

A person balancing barefoot on a stone in a shallow stream

Watch someone step off a kerb while glancing sideways for traffic. In the space of a second they lower their weight onto one foot, turn their head, shift their eyes and adjust their hips and ankles to a slightly lower surface that they are no longer looking at. Nobody would call it a balance test. Yet it asks far more of the body than standing still on one leg ever does.

When people talk about balance, the picture that often comes to mind is a static one: stand on one foot, perhaps close your eyes, and see how long you last. But most of the balance we rely on happens while we are moving – walking across a field, turning to answer someone, stepping round a puddle, reacting when a dog tugs on its lead. Balance in everyday life is less about holding a position and more about moving well from one position to the next.

Balance is something you do

It helps to think of balance as an activity rather than a possession. Even when you stand still, the body is making constant small corrections, most of them too slight to notice. Walking goes further. Each step involves letting your centre of gravity travel forward beyond the foot that supports it, then catching it with the next foot. Walking is, in a sense, a controlled and repeated loss of balance that we recover from so smoothly we take it for granted. How that weight passes from one foot to the other is a subject in its own right.

Three things work together to make it possible. The first is information. Your eyes tell you about the path ahead, the inner ear senses the movement and tilt of your head, and the feet and joints report pressure, stretch and position. The second is adjustment: the ankles, hips and trunk respond to that information, usually without any conscious decision. The third is anticipation. Before you lift a heavy bag or reach for a gate latch, the body quietly prepares, shifting its weight a fraction so that the movement does not tip you.

None of these works in isolation, and none of them is fixed. Someone who regularly walks on rough ground, climbs stiles and turns to take in the view is giving all three plenty of varied use without ever thinking of it as practice.

What a one-leg stand leaves out

Standing on one leg measures something real. It shows how well you can keep your centre of gravity over a small base of support when nothing else is happening. What it cannot show is how that ability holds up once things start to change.

Walking is full of change. There is the turn, where the feet, hips, trunk and head all rotate at slightly different moments. There is the change of surface, from tarmac to gravel to wet grass, each asking the feet for a different response. There is the moment of reaction, when a loose stone shifts or someone brushes past on a narrow path. And there is divided attention, when you are talking, reading a waymark or watching a bird while your legs carry on without supervision.

It can be useful to separate these into different kinds of balance. Static balance is holding still. Dynamic balance is staying organised while you move. Reactive balance is recovering from something unexpected. Anticipatory balance is preparing for a movement before it happens. A one-leg stand mainly touches the first. A walk along a woodland path draws on all four, often within the same minute.

This is not a reason to dismiss simple tests. It is a reason not to treat them as the whole story. Someone who wobbles on one leg in the kitchen may move with real confidence on a hill path, and someone who can stand still for a minute may still feel unsettled turning quickly on a slope. Both are telling you something about balance, and neither is telling you everything.

Where Tai Chi comes in

Tai Chi is slow, and the slowness has a purpose. Moving slowly exposes the parts of a movement that speed usually hides. In a Tai Chi form, weight shifts gradually from one leg to the other rather than dropping onto it. The body turns as a connected unit, with the hips and trunk involved rather than the head and shoulders twisting on their own. Steps are often placed lightly first, with little weight on them, and only then does the weight follow.

Each of these touches the kinds of balance a one-leg stand leaves out. Gradual weight shifting is dynamic balance, practised in slow motion. Turning through the whole body is what a walker does when looking back along a path. Placing a foot before committing to it gives the body time to read the ground and to change its mind if needed. Relaxed, controlled movement and a settled centre of gravity run through all of it.

The UK Chief Medical Officers’ physical activity guidelines recommend that adults aged 65 and over do activities to improve or maintain muscle strength, balance and flexibility on at least two days a week, and they give Tai Chi, alongside dance and aqua aerobics, as an example of an activity that can contribute. A 2024 systematic review in Frontiers in Public Health, which pooled 28 trials involving around 2,000 healthy older adults, concluded that Tai Chi had a positive effect on balance performance. The authors also noted a lack of detailed studies on reactive balance, the kind we use when something unexpected happens. Research like this describes patterns across groups rather than guaranteed outcomes for any one person.

Things to notice on your next walk

None of what follows is a routine or a test, just things to notice or try, within whatever feels comfortable for you. If pain, dizziness or a previous injury affects how you stand or walk, it is worth speaking to a qualified professional such as a GP or physiotherapist before trying anything new.

  • How you turn. Next time you look back along a path or turn to speak to someone, notice where the turn begins. Does the head swing round on its own, or do the trunk and hips join in? Try letting the turn travel further down the body.
  • Changes of surface. When the path goes from firm to soft or from smooth to loose, notice whether your steps change. Notice when you commit your weight to the new surface, and whether you do it all at once or gradually.
  • Stopping and starting. At a gate or a stile, pay attention to the moment you stop. Do you come to rest over your feet, or does your weight carry on a little and need catching?
  • Where you look. Notice how often your eyes are on the ground just ahead and how often they are on the view. Balance draws on vision, and moving your gaze while you walk is part of everyday balance too.

If you would like to explore at home, a kitchen counter makes a good companion. Rest one or both hands on it and, standing comfortably, let your weight drift slowly towards one foot and then back towards the other, noticing how the pressure moves across the soles of your feet. Then try placing one foot a small step forward, touching the heel down lightly before letting your weight travel onto it. Keeping hold of the counter, you might also turn slowly to look over one shoulder, letting your hips join in. The point is not to wobble or to challenge yourself, but to feel what the body is already doing.

Balance throughout life

Balance changes over a lifetime, as strength, habits, footwear and the places we walk all change. What stays constant is that balance responds to how it is used. It is less like a reserve that slowly runs down and more like a skill that keeps being shaped by what we ask of it.

That is good news for walkers, because walking already asks a great deal. A route with stiles, slopes, tree roots and changing surfaces offers far more variety than any single exercise. Bringing a little attention to how you turn, step and shift your weight makes an ordinary walk a chance to notice that variety.

So the one-leg stand has its place, but it is only one frame from a moving picture. Maintaining balance as we get older is not about standing ever more still. It is about staying at ease in movement: stepping, turning, pausing and adjusting, on whatever ground the day brings. The next time you step off a kerb and glance for traffic, you are doing exactly that.