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An older adult using a walking frame stands beside a young child at a playground. The child is balancing with arms outstretched on a round, yellow balance toy, with slides and wooden play structures visible in the background. Trees and soft outdoor flooring surround the scene. An older adult using a walking frame stands beside a young child at a playground. The child is balancing with arms outstretched on a round, yellow balance toy, with slides and wooden play structures visible in the background. Trees and soft outdoor flooring surround the scene.

Mobility and Balance

Moving safely and confidently is an important part of everyday life. It helps people walk, climb stairs, stand up from a chair, play, get out and about, and take part in the things they enjoy.

Sometimes mobility or balance can become more difficult. You or your child might feel unsteady, trip more often, or find certain movements harder than before. This can affect confidence, independence, and how easy it feels to take part in daily activities.

More about mobility and balance

What might be causing issues with your mobility or balance

In children and young people, mobility or balance difficulties might show up as delays in learning to walk, issues with coordination, frequent tripping, or finding sports and physical activities harder than their peers. Adults may also notice changes in their mobility or balance. This can be because of pain, muscle weakness, joint problems, neurological changes, reduced activity, long-term health conditions, or recovery from illness or surgery.

As people get older, it is also common to notice changes such as slower walking, stiffness, or feeling less steady on your feet. Ageing can be a factor here, as well as long-term health conditions. If mobility or balance has become harder, you are not alone. With the right support, given early enough, many people can improve their safety, reduce the risk of injury, and stay active and independent at home, school, work and in their community.

There are many possible reasons why mobility or balance might be or become difficult – and often it’s a combination, your walk or gait – your walking pattern, speed or stamina may be affected by pain, stiffness, or coordination difficulties. This can happen after injuries such as sprains or fractures, or when muscles become weaker through reduced activity. Your ability to balance –You might feel unsteady when standing or walking, or find it harder to manage stairs or uneven surfaces. Age-related changes, changes in vision or hearing, or certain medicines that cause dizziness can all affect balance.

Your coordination – For some children and young people, coordination skills take longer to develop. Sensory processing differences can also affect coordination and body awareness. In adults too, coordination changes may happen after illness or with neurological conditions.

Conditions that are limiting your movement – Pain, breathlessness or fatigue can also make moving around harder. Joint conditions such as arthritis, hypermobility (which can look like being “double jointed), or chronic conditions like diabetes, or heart and lung conditions can also be a factor. Some mobility difficulties are linked to neurological conditions such as stroke, brain injury, cerebral palsy, multiple sclerosis or Parkinson’s disease. Others may happen during recovery after surgery or injury, when strength and movement are still improving.

Fear of falling – It is also common to feel worried about falling, particularly after injury. This loss of confidence can make movement feel more stressful and difficult.

The good news is that, with the right strategies and support, many people can improve mobility and feel more confident moving around safely. Seek professional support if your mobility or balance difficulties, affect daily activities, cause pain, lead to frequent falls and trips, appear suddenly after illness or injury.

Self-help

Things you can try today.

Questions and answers

What are common signs of mobility or balance difficulties?
You might notice feeling unsteady on your feet, tripping more often, or finding walking harder than usual. Some people walk more slowly, feel pain when moving, or find stairs and uneven surfaces more difficult to manage.
What causes mobility challenges in CYP?
There can be many reasons. Some children and young people may have developmental delays, hypermobility (which can look like being “double jointed”), muscle weakness, neurological conditions, or sensory differences that affect coordination. Injuries can also affect how easily a child moves.
What causes mobility problems in adults?
Mobility changes can happen for different reasons – and possibly a combination of reasons. Pain, arthritis, neurological conditions, or long-term health conditions can affect movement. Reduced activity, ageing, or recovery after illness or surgery can also play a part.
Can mobility and balance improve with support?
Yes. Physiotherapy, strengthening exercises, coordination practice, and small changes to the home, work or school environment can all help. Early self management can make a big difference. It can help prevent problems such as falls, muscle weakness, or reduced participation in daily activities. Children and young people often benefit from play-based practice, fun movement activities, and adjustments at school. Adults may find physiotherapy helpful, along with pacing activities, using mobility aids if needed, and adjusting posture or activity levels. Simple changes can also improve safety, such as wearing supportive footwear, keeping walkways clear, and making sure home or school environments are safe. It can also be important to get emotional support if mobility or balance difficulties are affecting your wellbeing.
When should I seek professional advice?
It may help to seek advice if mobility problems affect everyday activities, cause pain, lead to frequent trips or falls, or appear suddenly after illness or injury.
Do mobility aids make people dependent?
No. The right equipment can help people move more safely and confidently, and often helps them stay active and independent. A health professional can help make sure the right aid is used and that it fits your needs.
How can children and young people be supported at school?
Schools can help by adjusting PE activities, providing safe seating, allowing movement breaks, or adapting equipment. Support with playground activities or sports can also help children to take part more safely and confidently.
Can anxiety affect balance or mobility?
Yes. Anxiety can cause muscle tension, hesitation, or fear of falling. This can affect movement and confidence. With the right support, many people build confidence and feel safer moving again.
What activities help improve balance?
Strengthening exercises, walking, stretching, physiotherapy programmes, or movement-based activities such as tai chi. For children, play-based balance activities can be especially helpful.
Does footwear make a difference?
Yes. Supportive, well-fitting shoes can improve stability and reduce the risk of trips or falls.
How can mobility problems be prevented?
Staying active, keeping muscles strong, and practising balance can all help. Safe environments and good management of long-term health conditions can also reduce the risk of mobility problems.

Services that can help

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