Korean Journal of Neuromuscular Rehabilitation · Apr 30, 2026
Effects of a Balance Exercise Program Incorporating Visual Perceptual Training on Balance Performance in Older Adults : A Case Series
By 서울정형외과의원 대, Kim HJ, Choi JD et al.
This study aimed to examine the effects of a balance exercise program combined with visual-perceptual training on balance ability in older adults. Three community-dwelling adults aged 65 years or older participated in the study. All were able to walk independently, scored 24 or higher on the Korean-version of the mini-mental state examination, had no visual or ocular motor impairments, and voluntarily consented to participate. The program was conducted thrice a week for 4 weeks, totaling 12 sessions. The visual-perceptual training included saccadic eye movements in week 1, smooth pursuit eye movements in week 2, vestibulo- ocular movements in week 3, and vergence eye movements in week 4. The balance exercises progressed weekly from static, dynamic, and reactive balance to complex balance tasks. The outcome measures were motor-free visual perception test-3, fullerton advanced balance scale, Korean falls efficacy scale-international, five times sit-to-stand test, and functional reach test. All assessments were performed before and after the intervention by the same examiner, who was blinded to the pre-test scores to minimize bias. All outcome measures improved after the intervention. These results suggest that combining visual-perceptual training with balance exercise enhances visual processing, attention, and postural control, making it an effective approach for improving balance and preventing falls in older adults.