Balance is the result of a number of body systems working together. Specifically, in order to achieve balance the eyes (visual system), ears (vestibular system) and the body's sense of where it is in space (proprioception) ideally need to be intact.
The vestibule is the region of the inner ear where the semicircular canals converge,close to the cochlea(the hearing organ). The vestibular system works with the visual system to keep objects in focus when the head is moving. This is called the vestibulo-ocular reflex (VOR).
Movement of fluid in the semicircular canals signals the brain about the direction and speed of rotation of the head - for example, whether we are nodding our head up and down or looking from right to left. Each semicircular canal has a bulbed end, or enlarged portion, that contains hair cells. Rotation of the head causes a flow of fluid, which in turn causes displacement of the top portion of the hair cells that are embedded in the jelly-like cupula. Two other organs that are part of the vestibular system are the utricle and saccule. These are called the otolithic organs and are responsible for detecting linear acceleration, or movement in a straight line. The hair cells of the otolithic organs are blanketed with a jelly-like layer studded with tiny calcium stones called otoconia. When the head is tilted or the body position is changed with respect to gravity, the displacement of the stones causes the hair cells to bend.
The balance system works with the visual and skeletal systems (the muscles and joints and their sensors) to maintain orientation or balance. For example, visual signals are sent to the brain about the body's position in relation to its surroundings. These signals are processed by the brain, and compared to information from the vestibular, visual and the skeletal systems.
In humans, equilibrioception is mainly sensed by the detection of acceleration, which occurs in the vestibular system. Other senses play roles as well, e.g. the visual systemand proprioception. The importance of visual input for balance is illustrated by its being harder to stand on one foot with eyes closed than with eyes open.
The sense of balance, usually, deteriorates in the process of aging of a person. However, it can be improved considerably with the help of special training.