ArticleFrontiers in rehabilitation sciences2026
Rating scales to inform balance exercise difficulty during rehabilitation for individuals with neurological disorders.
Article in Frontiers in rehabilitation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Appropriate exercise dosing is essential for optimizing functional outcomes in rehabilitation for individuals with neurological disorders. While guidelines for aerobic and resistance training intensity are well established, comparable standards for balance exercise remain limited, despite its central role in reducing falls and promoting safe mobility. Clinically feasible approaches to quantifying balance exercise difficulty are needed to support safe progression and individualized prescription. This exploratory study explored the relationship between participants perceived balance difficulty and clinician-rated assistance during progressive balance training. Sixteen adults (68.1 ± 8.0 years old; 69% female) with balance disorders (peripheral vestibular hypofunction, peripheral neuropathy, or age-related balance impairment) completed an 18-session balance rehabilitation program over 6-weeks. Participants and clinicians rated each exercise using standardized scales, yielding 1,658 rating comparisons. Agreement between participant-perceived difficulty and clinician-rated assistance was moderate [Cohen's kappa (
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