Universal Design for Balance Disorders: A Multifaceted Challenge.

Individuals with balance disorders are often an overlooked population in discussions surrounding universal design. Balance disorders encompass a wide range of conditions, affecting individuals across demographics and significantly impacting their mobility and independence. Despite their prevalence and potential severity, limited guidance exists for designing spaces that effectively cater to these varied needs. This paper aims to address this critical knowledge gap by investigating the challenges faced by this diverse group in navigating their built outdoor environment, and thereby contribute valuable insights to the development of evidence-based universal design standards that better support individuals with balance disorders. Employing a combined methodological approach, this paper describes a study in which a literature review has been utilized to establish an understanding of balance disorders and their impact on navigating environments. Furthermore, it expands upon this knowledge by gathering firsthand experiences and perspectives through individual surveys, focus groups, and observations. This multifaceted approach captures diverse data on travel habits, route selection strategies, and the limitations imposed by balance disorders. The research goes beyond simply identifying challenges; it delves into the complex sensory experiences of individuals with balance disorders, including light sensitivity, dizziness, vertigo, and disorientation caused by uneven surfaces, fluctuating light conditions, and excessive noise. A crucial element of this research is recognizing the heterogeneity within the population with balance disorders.. Different individuals experience varying combinations of symptoms, leading to diverse needs and preferences in their surroundings. By analyzing this data, critical design shortcomings that contribute to navigation difficulties, as well as areas of design conflicts, are identified. Actionable recommendations for improvement and solutions to achieve a balance between the often-contrasting needs within this population are explored and proposed. Ultimately, this research aims to create a universally designed environment that fosters greater independence and participation in society for all individuals with balance disorders.