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Chiropractic Care, Balance & Falls Prevention: What the Latest Research Reveals

Spinal adjustments improved postural control and reduced sway in balance tests. Enhanced coordination observed in stabilising muscle groups. Suggests neurological recalibration of cerebellar and brainstem pathways. Potential application for improving movement efficiency and reducing falls risk, particularly in older adults.

Original Study Title:

The Effect of Chiropractic Spinal Manipulation on Postural Stability and Neuromuscular Function

Authors:

Imran Khan Niazi; Kelly Holt; Jenna Duehr; Bernadette Murphy; Heidi Haavik

Journal:

Experimental Brain Research

Publication Year:

2019
Niazi, I. K., Holt, K., Duehr, J., Murphy, B., & Haavik, H. (2019). The Effect of Chiropractic Spinal Manipulation on Postural Stability and Neuromuscular Function. Experimental Brain Research, 237(7), 1783–1796. https://doi.org/10.1007/s00221-019-05531-8

Why balance matters for every age

Balance is controlled by the integration of information from the eyes, inner ear, and the body’s proprioceptive system — particularly input from the spine. As we age, or when spinal movement becomes restricted, this system can lose precision, increasing the risk of instability and falls. Research led by Dr Heidi Haavik and colleagues has investigated how spinal adjustments may improve postural control and sensorimotor function.

What the research examined

Haavik’s team measured balance performance, muscle activation patterns, and brain–body communication before and after spinal manipulation. Using surface electromyography (sEMG) and centre-of-pressure analysis, they explored whether improving spinal function could influence how efficiently the nervous system coordinates posture.

Key findings

  • Spinal adjustments were associated with reduced postural sway and improved stability when standing with eyes closed — an indicator of improved sensorimotor control.
  • Enhanced muscle coordination was observed in ankle and trunk stabilisers following adjustments.
  • These improvements occurred without conscious effort, suggesting automatic recalibration of balance control pathways in the brainstem and cerebellum.
  • Older adults and individuals with neck stiffness showed the greatest relative improvement in balance metrics.

Clinical implications

While chiropractic care does not treat balance disorders, optimising spinal mobility and neural communication may enhance the body’s natural ability to maintain equilibrium. In older patients, this could complement strength and stability training programs aimed at reducing fall risk.

Our approach

  • Comprehensive assessments that include balance and proprioception testing.
  • Gentle spinal adjustments to improve segmental motion and sensory feedback.
  • Integration of home-based stability exercises to reinforce neurological gains.

Read the study: The Effect of Chiropractic Spinal Manipulation on Postural Stability and Neuromuscular Function


This article summarises research for educational purposes and should not be interpreted as a fall-prevention or treatment claim. Always seek professional advice before beginning any care program.

The information on this page summarises independent, peer-reviewed research conducted by external scientists. It is provided for educational purposes only and does not imply that chiropractic care treats or cures any medical condition. Chiropractic services at this clinic are provided within the scope of practice defined by the Chiropractic Board of New Zealand.