What is Sensory Reweighting: The Key to Balance, Stability, and Coordination
Essential Points:
Sensory Reweighting in Action: Sensory reweighting is the brain's process of shifting focus among balance senses—vision, vestibular, and somatosensory—depending on what’s most reliable in the moment. This helps you stay balanced on diverse surfaces, from smooth sidewalks to unstable terrain.
Everyday Impact: Sensory reweighting is crucial in daily life, supporting stability in low-light, unstable, or moving situations. It benefits athletes by enhancing reaction times, helps older adults prevent falls, and is vital for those with balance challenges to regain control.
Training Your Balance System: You can strengthen your body’s sensory reweighting abilities through balance training, multisensory exercises, and modern tools like VR. Practicing on different surfaces or incorporating Tai Chi can improve adaptability, stability, and prevent falls.
Have you ever wondered what your brain is doing when walking on a smooth sidewalk, dodging a crowd at a busy market, or balancing on a wobbly surface? It’s not just about moving your feet. Your brain is constantly fine-tuning your body’s balance system, adjusting and recalibrating as you navigate the world around you. This hidden process, known as sensory reweighting, plays a crucial role in your ability to stay balanced, stable, and coordinated.
So, what exactly is sensory reweighting?
In short, the brain can shift focus between different balance senses including vision, somatosensory system, and the vestibular system, depending on what’s most helpful in a given moment. Imagine stepping into a dark room. You can’t rely on your sight as much, so your sense of touch and the feedback from your muscles and joints have to work harder to keep you stable. This “reweighting” of sensory inputs is a constant, dynamic process that happens automatically, often without us realizing it.
In this article, we’ll dive into sensory reweighting and explore why it’s essential for maintaining balance. You’ll learn what sensory reweighting is, why your body needs it to stay upright, and how it works in different situations. Plus, we’ll cover ways to enhance your body’s natural sensory reweighting capabilities through training, which can benefit everyone from athletes to older adults aiming to stay active and injury-free.
Let’s get into it.
What is Sensory Reweighting?
The Basics of Balance
Your sense of balance isn’t just one thing, it’s a complex interplay between three major sensory systems:
Vision helps you see where you are in relation to the world.
Vestibular System (located in your inner ear) senses motion and orientation.
Somatosensory System gives feedback from touch and joint position.
Together, these systems create a “balance map” in your brain. They help you understand where you are in space and how to adjust your posture to stay stable. But here’s the catch, not all of these systems are equally reliable all the time. For example, in a well-lit room, vision is a strong director of balance. But if you’re in a dark or visually busy environment, you need to rely more on the other senses. That’s where sensory reweighting comes in. It’s the brain’s way of deciding which sense should “take the lead” based on the current situation.
If you don’t already have a basic understanding to the three bodily balance systems, and what each one excels at, dive deeper here before reading on to get the most out of this article.
Sensory Reweighting in Action
In normal standing on a firm surface the weighting may look something like this: 70% somatosensory, 20% vestibular, and 10% vision. (1) But as just the situation changes, these percentages change as well to keep you balanced. Imagine you’re crossing a rocky path, and your ankles and knees start to adjust in various ways. Your brain quickly realizes that the ground beneath you is unstable, so it shifts emphasis away from the somatosenory input and starts relying more on the sense of vision and head position while your feet look for stable ground. In other words, your brain reweights the sensory inputs, making sure you don’t rely too much on any one sense that might fail you in the current situation. This adaptability is crucial for staying balanced in diverse environments, from sandy beaches to dark and icy sidewalks.
Why is Sensory Reweighting Important?
Adaptive Balance Control for Everyday Life
Sensory reweighting is your brain’s secret weapon for balance. It allows you to stay upright in tricky situations, adapt to new environments, and even recover quickly from stumbles. Let’s look at a few everyday scenarios:
Dark Settings: If you’re walking in dim lighting, like a theater or a nighttime trail, your visual information is limited. Bumps, curves, and tripping hazards are easy to miss. Here, sensory reweighting helps your body “lean” on other inputs like touch and the vestibular system to ensure your safety and balance. (2, 3)
Unstable Surfaces: Balancing on sand, gravel, or a balance board? Because your body can’t fully rely on the input from your feet and ankles in these unstable conditions, it shifts to rely more on the visual and vestibular systems for balance information, as long as your head and vision remain relatively stable. (4, 5)
Motion Situations: If you’re in a moving vehicle or on an escalator, sensory reweighting allows you to adjust to the motion by relying more on your vestibular system due to the heightened need for information on acceleration, deceleration, and turning. (6)
In each case, your brain’s ability to adjust which sense “matters” most for balance keeps you stable and safe, often without you even noticing it. It’s important to note, that you’re brain never shuts each system off completely when reweighting, but rather just changes the percentage used to better match each situation.
Impact on Daily Life and Performance
You might think sensory reweighting only matters when you’re walking on uneven ground, but it’s vital in just about every movement. For athletes, sensory reweighting improves reaction times and balance under physical stress. (7, 8, 9) For older adults, it’s a protective mechanism that can help prevent falls. (10, 11) For anyone recovering from an injury, sensory reweighting is central to regaining a sense of control and stability. (10, 12)
Clinical Importance of Sensory Reweighting
For individuals with balance disorders, think vertigo, inner ear issues, even neurological conditions, or even something like diabetic neuropathy, sensory reweighting becomes particularly crucial. (10, 13, 14) Therapists use sensory reweighting exercises to “retrain” the brain in cases where balance has been compromised.
As we age, our sensory systems naturally decline. Vision may become less sharp, the vestibular system may weaken, and sensation throughout the body can diminish. This makes sensory reweighting all the more essential for older adults, who often rely more heavily on one sensory input when others start to wane. Physical therapists are using sensory reweighting exercises to help older adults and those with neurological disorders maintain balance. (10, 14, 15) Rehabilitation programs often focus on strengthening the body’s ability to reweight sensory inputs through targeted exercises, which can enhance stability and build confidence in daily activities.
How Does Sensory Reweighting Work?
The Brain’s Role in Balancing Sensory Inputs
So, how exactly does sensory reweighting happen? Picture your brain as a highly efficient manager, constantly making decisions about which sensory input is most reliable at any given time for the job at hand. This process happens in parts of the brain responsible for processing sensory information, like the cerebellum and brainstem, which are central to coordinating movement and balance.
Whenever you move or change environments, your brain receives a mix of sensory signals and quickly assesses which is the most useful at the moment. For example, if you’re standing on a bus, your vestibular system detects the motion, but your brain also uses visual cues and muscle feedback to keep you balanced. When the bus turns, your brain might lean more on the vestibular input to keep you upright as it processes the turning sensation. This constant “weighing” of sensory inputs allows for real-time adjustments, making sensory reweighting both fast and efficient.
Factors That Influence Sensory Reweighting
Sensory reweighting isn’t exactly the same for everyone or in every situation. Factors that can influence this process include:
Age: Older adults may experience slower or less efficient sensory reweighting, which can lead to more frequent balance challenges. (16, 17)
Fitness Level: Regular physical activity, especially balance training, can improve the brain’s ability to reweight sensory inputs as it is constantly trained and fine-tuned. (18, 19)
Environmental Conditions: Visual distractions, poor lighting, and moving platforms can all affect how the brain decides which sense to prioritize as each sense is challenged in different ways. (20, 21)
Understanding these factors can give you a better sense of why some people seem to stay balanced easily, even in challenging environments, while others struggle.
The Balance of Adaptation and Habit
Interestingly, sensory reweighting is both an adaptive and habitual process. (10, 22, 23) This means your brain can learn to adapt quickly in new situations, but it also builds “habits” or memory pathways for commonly encountered environments to improve efficiency. For example, if you frequently balance on an uneven path, your brain becomes quicker at reweighting sensory inputs for this scenario. This blend of adaptability and learning makes sensory reweighting a powerful tool for both immediate balance needs and long-term stability.
Techniques to Enhance Sensory Reweighting
Training for Better Sensory Balance
The good news? Sensory reweighting isn’t just a background process that you have to leave entirely up to your brain. You can actually train your body and brain to get better at it! (10) Balance training and sensory integration exercises can improve the way your brain reweights sensory inputs, which means you’re more likely to stay steady in tricky situations. Here are some exercises that can help:
Balance Boards, Bosu Balls, Unstable Surfaces: By practicing on unstable surfaces, you encourage your brain to rely more on vestibular and visual input instead of just somatosensory cues. (4, 5) This is because the information you get from your feet is fairly unreliable now that the surface is constantly in motion. Balance boards are a great way to practice reweighting because they replicate real-life uneven surfaces that may be present such as on a hike, beach, or on a wet grassy field. Better yet, actually exercise on these surfaces for the most benefit!
Single-Leg Stands: Standing on one leg is a powerful way to challenge your sense of balance. (5, 24) Due to using only one foot, your brain has to reweight and lean more on vestibular and somatosensory cues to keep you stable. Start with shorter durations and gradually increase your time as you feel more confident.
Tai Chi and Yoga: These practices emphasize slow, controlled movements that engage your muscles and challenge your stability. They also improve proprioception (the sense of your body in space), which plays a key role in sensory reweighting. Studies show that Tai Chi, in particular, can improve balance and reduce fall risk, especially in older adults. (25, 26, 27)
Dynamic Balance Exercises: Exercises like walking heel-to-toe, backward walking, or stepping over small obstacles engage all three sensory systems in unique ways. Adding these movements to your routine can improve your brain’s flexibility in choosing the right sensory input for balance.
Multisensory Training Approaches
Multisensory training isn’t just for elite athletes, it’s valuable for anyone wanting to improve their balance. This type of training combines sensory modalities in exercises to challenge your brain’s adaptability. For example:
Combining Vision and Touch: Practicing balance in low-light settings or with eyes closed helps your brain rely more on touch, muscle feedback, and vestibular input. (28, 29)
Adding Auditory Cues: Believe it or not, sound can play a role in balance! For example, timing exercises to a metronome or rhythmic music can encourage coordination and improve balance, as your body learns to adapt to rhythmic auditory cues. (30, 31)
The Role of Technology in Training Sensory Reweighting
Technology is becoming an exciting part of balance training. Virtual reality (VR) and biofeedback tools can simulate real-life balance challenges in a safe and controlled environment. (32, 33, 34) VR, for instance, can replicate unsteady scenarios (like moving walkways or crowded spaces), allowing you to practice reweighting without leaving your living room.
Biofeedback devices, on the other hand, provide real-time data about body movements, helping users to adjust their posture and learn how to balance more effectively. (35, 36, 37) These tools are particularly helpful in rehabilitation settings for people recovering from injury or dealing with balance disorders.
Future Research Areas
The field of sensory reweighting is still evolving, with new research uncovering just how adaptable our sensory systems can be. Some future directions could include:
Understanding Individual Differences: Why do some people have a stronger natural ability to reweight sensory inputs than others? Genetics, lifestyle factors, and even diet might play a role.
Specialized Programs for Different Populations: Developing personalized reweighting exercises for specific groups, such as athletes or older adults, could help individuals make the most of their balance systems.
Neuroplasticity and Reweighting: To what extent does brain plasticity, or the brain’s ability to change and adapt, influence sensory reweighting? This could lead to innovative treatments and training techniques that take advantage of the brain’s natural adaptability.
Final Thoughts: Take Charge of Your Balance
Sensory reweighting might sound technical, but as you’ve learned, it’s something your body does constantly to help you stay steady and coordinated. And the best part? You don’t have to leave it all to chance. By incorporating balance training and multisensory exercises into your routine, you can actually improve your brain’s ability to adapt and prioritize sensory inputs. This means more stability, fewer falls, and better performance in everything from daily tasks to athletic challenges.
Whether you’re an athlete aiming to boost your coordination or simply looking to maintain stability as you age, sensory reweighting is an ability that we all have but can be fine-tuned for your life and goals. So, try out some of the balance exercises we discussed, challenge yourself with multisensory training, or even explore something a bit more exciting like virtual reality if you’re up for it. Remember, the more you practice, the better your brain gets at adapting to the world around you.
Your balance isn’t just something static that you’re born with, it’s something you can strengthen over time. If you’re ready to bulletproof your balance, make sure to get my Beginner to Intermediate Balance Program. Embrace the challenge, get moving, and watch as your body becomes more stable, confident, and resilient.
References
Peterka RJ. Sensorimotor integration in human postural control. Journal of Neurophysiology. 2002;88(3):1097-1118. doi:10.1152/jn.2002.88.3.1097
Reed CA, Chaudhari AMW, Worthen-Chaudhari LC, Bigelow KE, Monfort SM. A new perspective on transient characteristics of quiet stance postural control. PLoS ONE. 2020;15(8):e0237246. doi:10.1371/journal.pone.0237246
Assländer L, Peterka RJ. Sensory reweighting dynamics in human postural control. Journal of Neurophysiology. 2014;111(9):1852-1864. doi:10.1152/jn.00669.2013
Schut IM, Engelhart D, Pasma JH, Aarts RGKM, Schouten AC. Compliant support surfaces affect sensory reweighting during balance control. Gait & Posture. 2017;53:241-247. doi:10.1016/j.gaitpost.2017.02.004
Van Dieën JH, Van Leeuwen M, Faber GS. Learning to balance on one leg: motor strategy and sensory weighting. Journal of Neurophysiology. 2015;114(5):2967-2982. doi:10.1152/jn.00434.2015
Mahboobin A, Loughlin PJ, Redfern MS, Sparto PJ. Sensory re-weighting in human postural control during moving-scene perturbations. Experimental Brain Research. 2005;167(2):260-267. doi:10.1007/s00221-005-0053-7
Yılmaz O, Soylu Y, Erkmen N, Kaplan T, Batalik L. Effects of proprioceptive training on sports performance: a systematic review. BMC Sports Science Medicine and Rehabilitation. 2024;16(1). doi:10.1186/s13102-024-00936-z
Cone BL, Goble DJ, Rhea CK. Relationship between changes in vestibular sensory reweighting and postural control complexity. Experimental Brain Research. 2016;235(2):547-554. doi:10.1007/s00221-016-4814-2
Han J, Anson J, Waddington G, Adams R, Liu Y. The Role of Ankle Proprioception for Balance Control in relation to Sports Performance and Injury. BioMed Research International. 2015;2015:1-8. doi:10.1155/2015/842804
Anson E, Jeka J. Sensory reweighting: a rehabilitative mechanism? In: Springer eBooks. ; 2019:789-800. doi:10.1007/978-3-030-14895-9_35
Dominguez L. Postural control and perturbation response in aging populations: fall risk implications. Journal of Neurophysiology. 2020;124(5):1309-1311. doi:10.1152/jn.00767.2019
Ueta Y, Matsugi A, Oku K, et al. Gaze stabilization exercises derive sensory reweighting of vestibular for postural control. Journal of Physical Therapy Science. 2017;29(9):1494-1496. doi:10.1589/jpts.29.1494
Roy B, Sur M, Nath P, Roy SD, Singha P, Bhattacharjee K. Neuroplasticity and its implications for vestibular rehabilitation: A narrative review. International Journal of Orthopaedics and Physiotherapy. 2024;6(1):05-10. doi:10.33545/26648989.2024.v6.i1a.18
Westlake KP, Culham EG. Sensory-Specific balance training in older adults: Effect on proprioceptive reintegration and cognitive demands. Physical Therapy. 2007;87(10):1274-1283. doi:10.2522/ptj.20060263
Lee BC, Thrasher TA, Fisher SP, Layne CS. The effects of different sensory augmentation on weight-shifting balance exercises in Parkinson’s disease and healthy elderly people: a proof-of-concept study. Journal of NeuroEngineering and Rehabilitation. 2015;12(1). doi:10.1186/s12984-015-0064-y
Craig CE, Doumas M. Slowed sensory reweighting and postural illusions in older adults: the moving platform illusion. Journal of Neurophysiology. 2018;121(2):690-700. doi:10.1152/jn.00389.2018
Razzak RA, Bagust J, Docherty S. Young and older adults differ in integration of sensory cues for vertical perception. Journal of Aging Research. 2020;2020:1-11. doi:10.1155/2020/8284504
Yılmaz O, Soylu Y, Erkmen N, Kaplan T, Batalik L. Effects of proprioceptive training on sports performance: a systematic review. BMC Sports Science Medicine and Rehabilitation. 2024;16(1). doi:10.1186/s13102-024-00936-z
Cone BL, Goble DJ, Rhea CK. Relationship between changes in vestibular sensory reweighting and postural control complexity. Experimental Brain Research. 2016;235(2):547-554. doi:10.1007/s00221-016-4814-2
Assländer L, Peterka RJ. Sensory reweighting dynamics following removal and addition of visual and proprioceptive cues. Journal of Neurophysiology. 2016;116(2):272-285. doi:10.1152/jn.01145.2015
Allison LK, Kiemel T, Jeka JJ. Sensory-Challenge balance exercises improve multisensory reweighting in Fall-Prone older adults. Journal of Neurologic Physical Therapy. 2018;42(2):84-93. doi:10.1097/npt.0000000000000214
Carver S, Kiemel T, Jeka JJ. Modeling the dynamics of sensory reweighting. Biological Cybernetics. 2006;95(2):123-134. doi:10.1007/s00422-006-0069-5
Assländer L, Peterka RJ. Sensory reweighting dynamics in human postural control. Journal of Neurophysiology. 2014;111(9):1852-1864. doi:10.1152/jn.00669.2013
Blodgett JM, Hardy R, Davis D, Peeters G, Kuh D, Cooper R. One-Legged balance performance and fall risk in mid and later life: longitudinal evidence from a British birth cohort. American Journal of Preventive Medicine. 2022;63(6):997-1006. doi:10.1016/j.amepre.2022.07.002
Li L, Guo S, Ding B, Zhang J. Effectiveness of Tai Chi exercise on balance, falls, and motor function in older adults: a meta-analysis. Frontiers in Medicine. 2024;11. doi:10.3389/fmed.2024.1486746
Liao J, Fadem SZ. Tai-Chi Chuan and fall prevention. In: Springer eBooks. ; 2023:135-140. doi:10.1007/978-3-031-39155-2_8
Hamrick I, Mross P, Christopher N, Smith PD. Yoga’s effect on falls in rural, older adults. Complementary Therapies in Medicine. 2017;35:57-63. doi:10.1016/j.ctim.2017.09.007
Hutt K, Redding E. The effect of an eyes-closed dance-specific training program on dynamic balance in elite pre-professional ballet dancers: a randomized controlled pilot study. Journal of Dance Medicine & Science. 2014;18(1):3-11. doi:10.12678/1089-313x.18.1.3
Symeonidou ER, Ferris DP. Intermittent visual occlusions increase balance training effectiveness. Frontiers in Human Neuroscience. 2022;16. doi:10.3389/fnhum.2022.748930
Janzen TB, Koshimori Y, Richard NM, Thaut MH. Rhythm and Music-Based Interventions in Motor Rehabilitation: Current evidence and Future Perspectives. Frontiers in Human Neuroscience. 2022;15. doi:10.3389/fnhum.2021.789467
Mount Sinai Health System. Sound can directly affect balance and lead to risk of falling. Mount Sinai Health System. https://www.mountsinai.org/about/newsroom/2020/sound-can-directly-affect-balance-and-lead-to-risk-of-falling-pr#:~:text=What%20people%20hear%20and%20do%20not%20hear%20can,Eye%20and%20Ear%20Infirmary%20of%20Mount%20Sinai%20%28NYEE%29. Published March 12, 2020.
De Rooij IJM, Van De Port IGL, Meijer JWG. Effect of Virtual Reality training on balance and GAIT ability in Patients with Stroke: Systematic Review and Meta-Analysis. Physical Therapy. 2016;96(12):1905-1918. doi:10.2522/ptj.20160054
Liu Y, Lin R, Tian X, Wang J, Tao Y, Zhu N. Effects of VR task-oriented training combined with rTMS on balance function and brain plasticity in stroke patients: a randomized controlled trial study protocol. Trials. 2024;25(1). doi:10.1186/s13063-024-08519-6
Virtual reality could help improve balance in older people. ScienceDaily. Published April 21, 2021. https://www.sciencedaily.com/releases/2021/04/210428113815.htm
Hao CZ MA, Wong DWC, Lam WK, Wan AHP, Lee WCC. Balance Improvement Effects of Biofeedback Systems with State-of-the-Art Wearable Sensors: A Systematic Review. Sensors. 2016;16(4):434. doi:10.3390/s16040434
Mao Q, Zhang J, Yu L, Zhao Y, Luximon Y, Wang H. Effectiveness of sensor-based interventions in improving gait and balance performance in older adults: systematic review and meta-analysis of randomized controlled trials. Journal of NeuroEngineering and Rehabilitation. 2024;21(1). doi:10.1186/s12984-024-01375-0
Giggins OM, Persson U, Caulfield B. Biofeedback in rehabilitation. Journal of NeuroEngineering and Rehabilitation. 2013;10(1):60. doi:10.1186/1743-0003-10-60
