Verdict No. 3006 · Search date 2026-09-07 · Methodology v0.9
Eyes-open single-leg standing for one minute per leg, three times daily, as a stand-alone exercise,
does it really help with Reduced cumulative falls over six months in high-risk adults?
30-Second Summary
C
Evidence Grade C · 50 · Safety caution
The limited falls signal for stand-alone single-leg standing does not establish fracture prevention or higher overall BMD
People at risk of falling should begin near a wall, rail, or sturdy chair and with caregiver or professional assessment. The trial allowed unstable participants to hold a support bar and does not support attempting an unstable stance alone.
What the
research showsGrade C with 50 points. In a trial with 553 randomized and 527 analyzed, cumulative six-month falls were reported as 118 with exercise and 121 with control, but these were event counts after excluding one recurrent faller from the exercise group. Hip fractures were one versus one, and overall BMD benefit was not reproduced, so the result does not establish fracture prevention or stronger bones.
research showsGrade C with 50 points. In a trial with 553 randomized and 527 analyzed, cumulative six-month falls were reported as 118 with exercise and 121 with control, but these were event counts after excluding one recurrent faller from the exercise group. Hip fractures were one versus one, and overall BMD benefit was not reproduced, so the result does not establish fracture prevention or stronger bones.
What the
ads claimThe statement that a few daily minutes of one-leg standing prevents fractures or raises bone density expands a limited falls analysis to null fracture and overall BMD outcomes.
ads claimThe statement that a few daily minutes of one-leg standing prevents fractures or raises bone density expands a limited falls analysis to null fracture and overall BMD outcomes.
Useful facts when choosing a product
- Unstable high-risk participants were allowed to hold a support bar.
- The 118 versus 121 figures were cumulative fall events, not numbers of fallers.
- Unlike broad balance-and-functional-exercise verdict 1557, this verdict is restricted to the stand-alone single-leg protocol.
Gap Measurement · Verdict 3006 · C 50
What the research actually shows
Participants stood for one minute per leg three times daily versus no exercise; unstable participants could use a support bar. Evidence from multicomponent balance-and-strength programs was not transferred to this stand-alone exercise.
Why this is classified as C (50)
A hard-event H endpoint is a strength, but R1, I1, unverified effect size EX, and B1 exclusion analysis give C with 50 points.
Counterpoint. One hip fracture in each group and null overall hip BMD do not support extending the falls signal to fracture prevention or stronger bones.
Rejudgment record. Cross-check applied — Separated cumulative event counts from faller risk, fractures, and BMD; incorporated the recurrent-faller exclusion, unequal denominators, and erratum; distinguished the stand-alone prescription from broader verdict 1557
Scoring profile behind this grade
| Endpoint | H | Hard endpoint - actual events such as death |
| Replication | R1 | Single confirmatory trial |
| Independence | I1 | Mixed funding sources |
| Effect size | EX | The clinical size of the effect could not be judged |
The scoring table and the verdict agree (C).
Sub-claim grades by effect
This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.
| Effect (sub-claim) | Grade | Basis |
|---|---|---|
| Reduced cumulative falls over six months | C | A direct event signal is limited by recurrent-faller exclusion and missing effect size and CI. |
| Prevention of hip fracture | D | The key trial was null with one event in each arm. |
| Increased overall hip BMD | D | The independent trial was null overall, with positive findings only in a small age subgroup. |
Cross-check — AI research and Codex final gate
AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
Evidence Table
| Study | Design | Sample | Funding | Endpoint | Result | Weight |
|---|---|---|---|---|---|---|
| Study 1 | Six-month randomized controlled trial | 212 | Indexed as non-U.S. government support; specific funding and conflicts unverified | Cumulative falls and hip fractures | Falls 118 versus 121 after excluding one recurrent faller from exercise; fractures 1 versus 1 | Key direct event trial |
| Study 2 | Randomized trial in balance-impaired adults aged at least 75 | 455 | Specific funding and conflicts unverified; same investigator group as key trial | Fallers and fractures | Positive female faller subgroup; fractures null | Same-group support with erratum qualifier |
| Study 3 | Randomized controlled trial in postmenopausal women | 45 | Specific funding and conflicts unverified | Six-month hip BMD | Overall hip BMD null; site-specific signals in a small age-70-plus subgroup | Contrary overall BMD evidence |
Receipt — 4 References
Of 4 cited sources, 2 had limited original-page access (blocked or summary-only) and were verified via index/summary, marked partial; the rest were verified at the original page. As of 2026-09-07.
Sakamoto K, et al. Effects of unipedal standing balance exercise on the prevention of falls and hip fracture among clinically defined high-risk elderly individuals: a randomized controlled trial. J Orthop Sci. 2006;11:467-472. PMID: 17013734. DOI: 10.1007/s00776-006-1057-2.
partialSakamoto K, et al. Why not use your own body weight to prevent falls? A randomized, controlled trial of balance therapy to prevent falls and fractures for elderly people who can stand on one leg for <=15 s. J Orthop Sci. 2013;18:110-120. PMID: 23138409. DOI: 10.1007/s00776-012-0328-3.
checkedSakamoto K, et al. Erratum to: Why not use your own body weight to prevent falls? J Orthop Sci. 2014;19:373-374. PMID: 30321915. DOI: 10.1007/s00776-014-0531-5.
partialSakai A, et al. Unipedal standing exercise and hip bone mineral density in postmenopausal women: a randomized controlled trial. J Bone Miner Metab. 2010;28:42-48. PMID: 19521657. DOI: 10.1007/s00774-009-0100-8.
checkedResearch and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Verification cutoff: 2026-09-07 · Corrections: none
Final verification and publication gate: Codex · Verification cutoff: 2026-09-07 · Corrections: none
Cite this verdict
[Chamgap] Stand-Alone Single-Leg Standing for Falls—An Exclusion-Sensitive Signal With Null Fracture and Overall BMD Results — Evidence Grade C·50. 4 cited sources checked. Source: https://chamgap.com/en/verdicts/joint-bone/single-leg-standing-alone-falls-high-risk-older-adults/ · CC BY 4.0CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.
What this document does and does not do
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