By Deborah Vankin
Staff Writer
Aug. 18, 20263 AM PT
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When was the last time you skipped rope? Or did pogo hops?
Right
Everyone knows that when it comes to the body, it’s “use it or lose it.” We lose muscle mass as we get older, a condition known as sarcopenia. But we also lose muscle strength and power as we age, a condition known as dynapenia, which affects reactivity. And that plays a role in balance and fall prevention — at any age

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“You start to lose reactivity the moment you stop moving quickly,” says Trina Altman, a personal trainer and fitness writer based in the South Bay. Plyometric exercises— explosive, fast-paced movements, like jumping, skipping, running and hopping — are critical in balance training for fall prevention, she says. “Because we lose the ability to exert force quickly as we get older. Plyometrics — involving motor control, coordination, agility and reactivity — trains quick responses.”
Altman takes a real-world approach to balance training: When you fall, you don’t typically fall on one leg, she reasons. It’s more often due to a sudden misstep, like tripping over a crack in the sidewalk or stepping off an unforeseen curb. Or someone bumps into you at a concert. How quickly the brain and body react after tripping — with your foot automatically thrusting forward, for example, to prevent yourself from face-planting — is what plyometrics trains for
“If you want to get better at standing on one leg for balance, stand on one leg,” Altman says. “But if you really want to prevent yourself from falling and breaking a bone — and dynapenia — do plyometrics so you don’t lose muscle power and bone mass.”
Plyometric exercises are important for balance training at any age, Altman says. That said, safe progression is key as plyometrics are a more athletic routine. If you’re an older adult who’s physically deconditioned, or someone who doesn’t exercise regularly, and you want to train for better balance, Altman recommends starting with strength trainingto build muscle mass first as well as stiffness in the tendons and ligaments (doing pushing, pulling, hinging and squatting exercises with progressive overload).

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“Having strength is important for being able to balance,” Altman says. (If you have a health condition such as osteoporosis, joint pain, neuropathy, a vestibular disorder or foot issues, she recommends starting with physical therapy before progressing.)
Then, Altman says, move on to balance training with static and dynamic exercises. “You know: How long can you stand on one leg without having to put your foot down?” Then proceed to more athletic plyometrics, making sure to note any prerequisites for each exercise. (They’re typically just easier versions of the same exercises and Altman assigns them to all her clients doing plyometrics.)
“If you’re training plyometrics, you’re training the explosivity of your tendons, and that’s bulletproofing whatever joint that tendon is attached to — the tendons in your foot or ankle or hip,” Altman says. “But you do plyometrics progressively, so you’re strong enough and don’t tear a muscle or a ligament or tendon.”
Plyometric routines don’t need to be long or crazy-intense, Altman says, in order to work toward better balance. Cardio isn’t the goal. “It could simply be a minute each of two different plyometric exercises, twice a week,” she says. “Like two sets of 10 jumps or two sets of eight skater hops.”
Here are four plyometric exercises Altman suggests, from easiest to hardest. Increase the number of sets and reps over time to make the routines harder. They’re demonstrated by Los Angeles Times staffer Mack Baysinger

1. Double Leg Pogo Hops.This is like skipping rope without the rope. Stand on a firm, flat surface wearing sneakers appropriate for running and jumping. Then, with your feet side by side, jump up and down as fast as you can, touching the ground five times. Do this for two sets of five reps each
(Prerequisite: explosive heel raises. Stand facing a wall with or without shoes on. Place your hands gently on the wall. Then stand up on your toes as fast as you can. Pause. Then come back down. Do two sets of 10 reps.)

2. Squat Jumps.Stand on a firm, flat surface wearing sneakers appropriate for jumping. Squat — or hinge — backward, moving your arms forward as you lower your hips into an imaginary chair. When you reach a sitting position, move your arms back down and behind you as you simultaneously jump upward. It’s a fluid, explosive movement. Do two sets of five reps
(Prerequisite: Box squat jumps. Sit on a flat, hard box or sturdy chair with your arms in front of you. Jump as high as you can from a seated position as your arms move down and backward. Do two sets of 5 reps.)
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3.Skipping. Do this in a large open room or outside. Skip across the room raising the opposite arm and leg high and simultaneously. Then skip back the other way to your starting point. Do this for about 10-15 seconds in each direction
(Prerequisite: Low skipping in place. Stand on a firm, flat surface. Skip in place, raising your opposite arm and leg simultaneously. Do this for 10 seconds.)
4. Double Leg Lateral Pogo Hops. Stand on a firm, flat surface, with your feet straight and the balls of your feet flat on the floor. Now jump to each side, with both feet moving in the same direction at the same time
(Prerequisite: Double Leg Pogo Hops. See exercise No. 1, above.)
Now that you are familiar with plyometric movements, try these gentle but effective tai chi movementsthat are often called the “golden standard” of balance training


