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Jim Dawson's avatar

Lindsey, what a thought provoking article…I learned a lot. Thank you!

Gregory Bulkley's avatar

An important and often overlooked component of what we perceive as "balance" is related to proprioception, a scientific term for the sensory perception of pressure changes, often subtle, especially in the soles of the feet. While standing, walking, and especially wading and casting we are constantly and largely unconsciously adjusting our stance in response to these sensations to avoid falling over. Even low levels of peripheral neuropathy, as experienced widely by people over 60, and progressively thereafter, are a major cause of stumbles and falls. Indeed, falls are a leading cause of death in the elderly, and this sensory loss is a major contributor. Regular walking or running, especially over uneven ground is helpful, but not perfect conditioning. The use of a wading staff while wading is essential, and the presence of another nearby a good form of insurance.

Gregory B. Bulkley, M.D.

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