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Complete canonical tutorial. This reader section contains the same teaching body as PWR-027 · Static balance. Open the Power dossier.

PWR-027 · Mobility, Balance & Locomotion

Learn the provider-supervised static-balance method: set, hold and recover

This tutorial teaches one supported static-balance practice. The learner follows the movement and recovery cues. A qualified clinician decides whether practice happens, then chooses the stance, hand support, guarding, maximum hold time, number of attempts and stopping rules. Do not copy the practice alone or remove support to make it harder.

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Tutorial curriculum · current public edition · Revision 7T · Full Tutorial Edition

Revision 7T · Full Tutorial Edition · complete governed practice tutorial

Learn the provider-supervised static-balance method: set, hold and recover

Authority and safety

A qualified clinician must review falls, near-falls, dizziness, pain, fatigue, medicines, usual aids and the real-world goal before any standing practice.
Use the learner's usual footwear and aid unless the clinician changes them. Keep a fixed rail or clinician-approved support within reach and use close guarding.
Stop for dizziness, pain, new weakness or numbness, blurred vision, nausea, unusual breathlessness, a step, an unplanned hand movement, loss of position, the learner's request or the clinician's stop cue.
No independent practice, eyes-closed stance, narrowed or one-leg stance, unstable surface, support removal or self-chosen progression is authorised.

Exact materials

A qualified clinician who can assess balance and provide close guarding
A dry, level floor, fixed support and stable chair for immediate recovery
The learner's usual footwear, mobility aid, orthosis or prosthesis
A large visual target and a record for setup, stop event, symptoms and next decision

Set up in this order

Get permission first. The clinician writes PRACTISE or NO ATTEMPT. A no-attempt decision ends the physical lesson.
Before standing, write the exact foot position, footwear, aid, hand support, target, guarding, maximum hold time, maximum attempts and stop events.
Place the support where the declared hand can reach it without leaning. Place the chair so the learner can sit without turning or walking.
Stand only on the clinician's cue. Use the written foot and hand positions, look at the target and do not remove support.
Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally. Hold until the clinician says stop or a stop event occurs.
At the first loss of position, grip the support, step if needed and sit when directed. Safe recovery is correct, not failure.
Sit, report symptoms and record what ended the attempt. Repeat or change the task only after a fresh clinician decision.

Supplied fixture

Complete during one clinician-controlled practice. The clinician fills every control field before standing.
Phase	Learner action	Pass check
Permission	Wait for PRACTISE or NO ATTEMPT	Named clinician and decision recorded
Set	Copy the written stance, aid, support and target	Support reachable; chair ready
Hold	Feel both feet, look ahead, breathe and keep support unchanged	First stop event recognised
Recover	Grip, step or sit as soon as needed	No attempt to hide loss of balance
Review	Sit and report symptoms and the ending event	Support, event and next decision recorded

Check your work only after you finish

Lock every response first. The checking page is separate so the answers are not exposed inside this exercise.

Open the separate checking page →

Scoring rule

Award 1 point for each fixture phase: 5 points total. All phases and the stop rule must pass. A clinician-declared NO ATTEMPT also counts as correct completion. This is a tutorial check, not a balance or fall-risk score.

Worked example

After reviewing two recent near-falls, the physiotherapist authorises one supported practice.
The physiotherapist writes: usual shoes, comfortable parallel stance, left hand on a fixed rail, large wall target, close guarding, chair behind, a provider-selected maximum time and stop on any step, second-hand contact, symptom, request or cue.
The learner copies the setup, feels both feet, looks at the target and breathes normally without lifting the hand.
When the right foot starts to move, the learner grips the rail, takes the needed step and sits on cue.
The learner reports no symptom and records the step. The clinician keeps the current support rather than progressing it.

Correct result: The set-hold-recover method was completed correctly because the setup stayed unchanged and recovery began at the first stop event. This does not prove independent standing safety or authorise home progression.

Right and wrong

Right and wrong comparison
Moment	Right / safer	Wrong / riskier	Why
Starting	Wait for the clinician and copy the written setup.	Stand early or copy a stance from the example.	The safe setup is person- and context-specific.
Holding	Feel both feet, look ahead and breathe normally.	Lock the knees, hold the breath and freeze.	Small sway is normal; stiffening is not better balance.
Support	Keep the selected hand support and aid.	Remove support to improve the time.	That changes the task and may increase risk.
Recovery	Grip, step or sit at the first stop event.	Fight to stay up for a longer score.	Early recovery protects the learner.

Common mistakes and fixes

Common mistakes and corrections
Mistake	Fix
Standing before support, chair and stop rules are ready.	Sit and complete every setup field first.
A foot or hand moves without being recorded.	End the attempt and record the first unplanned change.
Using the rail is treated as cheating.	Keep and record support as part of the task.
A good attempt triggers a harder stance.	Keep the setup and wait for the clinician's next decision.

Evidence boundary

What the tutorial may—and may not—claim.

Supportable claim

Static balance can improve on practiced tasks, but gains often fail to generalize to untrained balance situations.

Measurement boundary

Time, sway or errors in a specified stance establish task performance only, not universal balance or fall immunity.

Myth

Become unshakeable

Metric

Errors or sway in one declared stance

Boundary

One stance cannot establish stability everywhere.

Negative and limiting findings

Six weeks of varied balance or power training did not improve two untrained balance tasks.

Prohibited wording

Perfect balance
Never fall again
One-leg stance predicts all mobility
Balance boards make anyone stable

Direct source register

Evidence that supports—and limits—the route.

Task-specific balance training improves self-assessed function in community-dwelling older adults with balance deficits and fear of falling: a randomized controlled trial

Kirsti Skavberg Roaldsen; Alexandra Halvarsson; Theres Sahlström; Agneta Ståhle · 2014 · PRIMARY_RESEARCH

Supports only the bounded empirical proposition in the declared configurations. Constrains generalisation, transfer, certainty or efficacy; it is not optional context.

Six weeks of balance or power training induce no generalizable improvements in balance performance in healthy young adults

Louis-Solal Giboin; Markus Gruber; Andreas Kramer · 2019 · PRIMARY_RESEARCH

Supports only the bounded empirical proposition in the declared configurations. Constrains generalisation, transfer, certainty or efficacy; it is not optional context.

WHO guidelines on physical activity and sedentary behaviour

World Health Organization · 2020 · OFFICIAL_GUIDANCE

Constrains generalisation, transfer, certainty or efficacy; it is not optional context. Supplies an official safety, access or governance boundary and is not empirical efficacy evidence.

Tutorial delivery controls

Learn, adapt, troubleshoot and resume

Estimated timeEstimated 8 min reading; practical time is provider-set

DifficultyIntroductory

EquipmentCommon household or practice equipment

SpaceRoom-scale practice space

Method qualityEstablished10 of 10 structural checks present. Automated method-readiness band; human editorial sign-off is separate.

Evidence contextG3; Focused research depthScientific support is evaluated separately from teaching-method structure.

Editorial reviewPending manual sign-offNo human approval is claimed until reviewer, date and content hash are recorded.

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Step-by-step learner mode

Each activity includes its success check, a nearby accessible alternative and an “I’m stuck” correction path. Alternatives preserve the target where possible; when they change the task, Titan labels them as related rather than equivalent.

Get permission first

Get permission first. The clinician writes PRACTISE or NO ATTEMPT. A no-attempt decision ends the physical lesson.

Why this step exists

“Get permission first” keeps this lesson inside its declared record-analysis boundary and prevents the supplied scenario from being mistaken for physical practice.

Success check

Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “Get permission first. The clinician writes PRACTISE or NO ATTEMPT. A no-attempt decision ends the physical lesson.”

I’m stuck on this step

Reset: Re-read this authored instruction — “Get permission first. The clinician writes PRACTISE or NO ATTEMPT. A no-attempt decision ends the physical lesson.” — and its success check, then attempt only this step.

Possible snag: A good attempt triggers a harder stance.
Correction: Keep the setup and wait for the clinician's next decision.

Stop / get help: The lesson is actionable only with the declared qualified supervision. Stop if the declared configuration cannot be maintained, uncertainty becomes material, adverse effects appear, or qualified authority is required.

Mark step 1 complete

Before standing, write the exact foot position, footwear, aid, hand support, target,…

Before standing, write the exact foot position, footwear, aid, hand support, target, guarding, maximum hold time, maximum attempts and stop events.

Why this step exists

“Before standing, write the exact foot position, footwear, aid, hand support, target, guarding, maximum hold time, maximum attempts and stop events” fixes the exact Static balance configuration or decision before later observations are compared.

Success check

A legible entry directly completes “Before standing, write the exact foot position, footwear, aid, hand support, target, guarding, maximum hold time, maximum attempts and stop events” and records the requested condition, decision or boundary without adding a new claim.

I’m stuck on this step

Reset: Re-read this authored instruction — “Before standing, write the exact foot position, footwear, aid, hand support, target, guarding, maximum hold time, maximum attempts and stop events.” — and its success check, then attempt only this step.

Possible snag: Standing before support, chair and stop rules are ready.
Correction: Sit and complete every setup field first.

Mark step 2 complete

Place the support where the declared hand can reach it without leaning

Place the support where the declared hand can reach it without leaning. Place the chair so the learner can sit without turning or walking.

Why this step exists

“Place the support where the declared hand can reach it without leaning” fixes the exact Static balance configuration or decision before later observations are compared.

Success check

The learner can verify “Place the support where the declared hand can reach it without leaning” from the declared materials, position or recorded choice before continuing.

I’m stuck on this step

Reset: Re-read this authored instruction — “Place the support where the declared hand can reach it without leaning. Place the chair so the learner can sit without turning or walking.” — and its success check, then attempt only this step.

Possible snag: The result from “Place the support where the declared hand can reach it without leaning. Place the chair so the learner can sit without turning or walking.” does not yet meet this declared check: The learner can verify “Place the support where the declared hand can reach it without leaning” from the declared materials, position or recorded choice before continuing.
Correction: Return to the start of “Place the support where the declared hand can reach it without leaning”, reduce complexity or pace, and repeat only the part needed to satisfy: “The learner can verify “Place the support where the declared hand can reach it without leaning” from the declared materials, position or recorded choice before continuing.”

Mark step 3 complete

Stand only on the clinician's cue

Stand only on the clinician's cue. Use the written foot and hand positions, look at the target and do not remove support.

Why this step exists

“Stand only on the clinician's cue” carries the authored Static balance method into a reviewable output without adding an unstated task, dose or claim.

Success check

Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “Stand only on the clinician's cue. Use the written foot and hand positions, look at the target and do not remove support.”

I’m stuck on this step

Reset: Re-read this authored instruction — “Stand only on the clinician's cue. Use the written foot and hand positions, look at the target and do not remove support.” — and its success check, then attempt only this step.

Possible snag: The result from “Stand only on the clinician's cue. Use the written foot and hand positions, look at the target and do not remove support.” does not yet meet this declared check: Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “Stand only on the clinician's cue. Use the written foot and hand positions, look at the target and do not remove support.”
Correction: Return to the start of “Stand only on the clinician's cue”, reduce complexity or pace, and repeat only the part needed to satisfy: “Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “Stand only on the clinician's cue. Use the written foot and hand positions, look at the target and do not remove support.””

Mark step 4 complete

Feel both feet, keep the knees comfortable rather than locked, stay tall…

Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally. Hold until the clinician says stop or a stop event occurs.

Why this step exists

“Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally” isolates the named Static balance task while preserving its configuration, stopping rule and measurement boundary.

Success check

Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally. Hold until the clinician says stop or a stop event occurs.”

I’m stuck on this step

Reset: Re-read this authored instruction — “Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally. Hold until the clinician says stop or a stop event occurs.” — and its success check, then attempt only this step.

Possible snag: The result from “Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally. Hold until the clinician says stop or a stop event occurs.” does not yet meet this declared check: Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally. Hold until the clinician says stop or a stop event occurs.”
Correction: Return to the start of “Feel both feet, keep the knees comfortable rather than locked, stay tall…”, reduce complexity or pace, and repeat only the part needed to satisfy: “Evidence of completion shows the learner followed this exact instruction without adding an unstated step: “Feel both feet, keep the knees comfortable rather than locked, stay tall without stiffening and breathe normally. Hold until the clinician says stop or a stop event occurs.””

Mark step 5 complete

At the first loss of position, grip the support, step if needed…

At the first loss of position, grip the support, step if needed and sit when directed. Safe recovery is correct, not failure.

Why this step exists

“At the first loss of position, grip the support, step if needed and sit when directed” fixes the exact Static balance configuration or decision before later observations are compared.

Success check

The learner can verify “At the first loss of position, grip the support, step if needed and sit when directed” from the declared materials, position or recorded choice before continuing.

I’m stuck on this step

Reset: Re-read this authored instruction — “At the first loss of position, grip the support, step if needed and sit when directed. Safe recovery is correct, not failure.” — and its success check, then attempt only this step.

Possible snag: The result from “At the first loss of position, grip the support, step if needed and sit when directed. Safe recovery is correct, not failure.” does not yet meet this declared check: The learner can verify “At the first loss of position, grip the support, step if needed and sit when directed” from the declared materials, position or recorded choice before continuing.
Correction: Return to the start of “At the first loss of position, grip the support, step if needed…”, reduce complexity or pace, and repeat only the part needed to satisfy: “The learner can verify “At the first loss of position, grip the support, step if needed and sit when directed” from the declared materials, position or recorded choice before continuing.”

Mark step 6 complete

Sit, report symptoms and record what ended the attempt

Sit, report symptoms and record what ended the attempt. Repeat or change the task only after a fresh clinician decision.

Why this step exists

“Sit, report symptoms and record what ended the attempt” creates the auditable value, condition or statement needed for the tutorial’s later comparison and conclusion.

Success check

A legible entry directly completes “Sit, report symptoms and record what ended the attempt” and records the requested condition, decision or boundary without adding a new claim.

I’m stuck on this step

Reset: Re-read this authored instruction — “Sit, report symptoms and record what ended the attempt. Repeat or change the task only after a fresh clinician decision.” — and its success check, then attempt only this step.

Possible snag: A foot or hand moves without being recorded.
Correction: End the attempt and record the first unplanned change.
Possible snag: Using the rail is treated as cheating.
Correction: Keep and record support as part of the task.

Mark step 7 complete

Correct versus incorrect execution

These accessible process diagrams are built from the tutorial’s own right/wrong teaching. They are not anatomical illustrations and do not add technique beyond the canonical tutorial.

Starting — The safe setup is person- and context-specific.

Correct / safer

Wait for the clinician and copy the written setup.

Wrong / riskier

Stand early or copy a stance from the example.

Holding — Small sway is normal; stiffening is not better balance.

Correct / safer

Feel both feet, look ahead and breathe normally.

Wrong / riskier

Lock the knees, hold the breath and freeze.

Support — That changes the task and may increase risk.

Correct / safer

Keep the selected hand support and aid.

Wrong / riskier

Remove support to improve the time.

Recovery — Early recovery protects the learner.

Correct / safer

Grip, step or sit at the first stop event.

Wrong / riskier

Fight to stay up for a longer score.

Method-structure checklist

10 of 10 structural checks present

Ordered, Power-specific instructions — present
Every activity has a success check — present
Materials or supplied records are declared — present
Measurement or assessment rule is present — present
Tutorial-specific troubleshooting is present — present
Stopping or escalation boundary is present — present
Every activity has an adjacent alternative — present
Correct-versus-incorrect comparison is present — present
Evidence context is bound to the Power record — present
Planning metadata is present — present

The method-readiness band and presence checklist assess tutorial presentation and are separate from evidence quality for the underlying Power. They are automated editorial aids, not human approval.

Manual editorial sign-off: Pending. This tutorial must not display a human-approved state until an identified editor signs the exact content hash.