Frequently Asked Questions


Questions about the Health in Motion App

What is Health in Motion?

Health in Motion is an app that empowers older adults and their care team to track fall risk and offers guided exercise to help reduce fall risk.

Should I discuss using this app with my doctor?

Yes, we strongly recommend that you discuss any exercise program with your physician before starting a program. Also remember, some of the exercises will challenge your balance, so we recommend that you have someone with you when you get started so that they can help if you start to lose your balance. Always do the exercises in a safe environment.

If you have a fall, for any reason, you can document what happened using our Record a Fall button on the Main Menu. This information will be stored in the app for you. Sharing information about the number of times you have fallen and what happened may help you and your doctor find ways to prevent or reduce falls in the future.

How does Health in Motion work?

Health in Motion guides you through a Falls Risk Assessment and exercises that can reduce fall risk. Responses are given by tapping on a touchscreen or using a mouse.

The first time Health in Motion is played, you will be guided through the Falls Risk Assessment before accessing the exercises.

What tests are included in the Health in Motion app?

The three fall risk tests in Health in Motion are recommended by the Centers for Disease Control. They are:

  • The Otago exercise program and Tai Chi movements are included. These are exercises that challenge balance, coordination and leg strength.
  • The Otago exercise program contains 4 levels and 16 exercises. It includes movements such as standing on one leg, heel-toe walking, trunk rotation and side hip strengthening.
  • There are 8 Tai Chi exercises such as Moon Rise, Hands like Clouds, and Holding the ball.

How do I know which exercises to do?

If you are not sure what exercises to do after you have taken the Fall Risk Assessment, the pre-set Otago balance program is a great place to start. This program has 4 levels. Difficulty is increased by adding new exercises, increasing the number of repetitions and/or using weights.

  • Otago Program Level A - this is the least strenuous program.
  • Otago Level B - the next level up. You may want to try this when Level A becomes easy.
  • Otago Level C - you may want to try this when Level B becomes easy.
  • Otago Level D - is the hardest level.

You can create your own routines as well. We recommend you don't create new routines until you have mastered Otago Level D or if Levels A-D are too difficult. If Level A is too difficult just create a new routine with fewer exercises and fewer repetitions- you can set up the routine exactly how you would like.

Tai Chi is included in the exercise options. Feel free to add these to the exercise routines you create. They are a bit harder to master, but we know you can do it.

How should I increase the difficulty of the routine?

You can increase the difficulty of the routine in 3 ways:

  • Add more exercises (you can't make changes to the Default balance programs but you can duplicate the routine by clicking the and then edit the duplicate routine).
  • Add more repetitions to the exercises in the routine (again, you can't make changes to the default programs, but you can duplicate the routine and then edit the duplicate routine.)
  • Add more weight. We recommend that you don't increase the weight by more than 1lb every 2 days to be sure you don't injure yourself.

What tests are included in the Health in Motion Fall Risk Assessment and how often can I test myself?

The three fall risk tests in Health in Motion are recommended by the Centers for Disease Control. They are:

  • Fall Risk Questionnaire - this contains 16 questions about fall risk.
  • 30 Second Sit to Stand Test - this measures how many times you can stand up from a chair in 30 seconds.
  • Standing on One Leg Test- this measures how long you can balance on one leg (both sides are tested) - don't worry, you get 3 tries!

The Fall Risk Assessment can be taken at any future date using the "Start Fall Risk Assessment" button on the Main Menu.

The app allows you to skip any part of the assessment. So if one of them is unsafe for you to try, please skip it.

How can I share my Fall Risk Assessment results with my doctor?

There are two ways you can share your results with your doctor:

  • Show them to your doctor by logging into the app. They can be seen under the "Report Results" button on the Main Menu.
  • At the end of every Fall Risk Assessment you have the option to save your results. This will put a .pdf copy of your results in a folder called "Blue Marble Health" on your desktop. Each .pdf will have your username and the date in the title. You can share these .pdf's with your doctor.

How do I get started?

  1. Click the purchase button.
  2. After purchasing, you will be given a link to download the app.
  3. Download the app to your computer or tablet.
  4. The app will guide you through a fall risk screen and provide you with some safety tips.
  5. After you finish the fall screen you will be taken to a "Main Menu".
  6. Tap/Click the "Start Exercise Routine" button on the main menu. This will take you to the select Routine screen.
  7. Select "Otago Level A" Routine.
  8. Next you can choose a virtual environment- a park or a beach scene. Select whichever one you want.
  9. Next you will be taken to the "Show" or "Skip" instructions screen. We recommend that you select "Show" for the first few times you do the routine so you can learn the proper way to do it.
  10. Next, tap/click "Start Routine" - and the avatar Nancy will guide you through the exercises. Be sure to tap out the number of repetitions you do so you can get credit for your effort.

Why should I care about falls? How can this app help me or my loved one?

"Falls are the leading cause of both fatal and non-fatal injuries among people aged 65 and older (Centers for Disease Control and Prevention, 2005). The high incidence, long-term effects, and significant costs associated with fall-related injuries (Hornbrook, Stevens,Wingfield, et al., 1994) present a significant burden to our health care system (Hodgson & Cohen, 1999). As many as 20% of falls result in serious injuries that may require prolonged medical care including hospitalization and rehabilitative services (Alexander, Rivara, &Wolf, 1992)." From Burnes E.R., Stevens, J.A., and Lee, R. The Direct Costs of Fatal and Non-Fatal Falls Mong Older Adults- United States. Special Report from the CDC. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta GA, USA Journal of Safety Research 58 (2016) 99-103. Fortunately, many falls are preventatble through exercise and awareness of fall risk.

General Questions

Is Health in Motion available for all users?

Health in Motion is available for all older adults and their care team who are using a Windows platform. Blue Marble also offers an enterprise solution for healthcare systems, clinics, senior care providers, assisted living facilities and payers. Please contact Blue Marble sales for more information.

Is there a charge for using the app?

Yes, the app costs $99/year. Think of this, just $99 to help you avoid a fall that could lead to a catastrophic change in your life.

Is the app safe to use?

The app will challenge your balance to determine your risk of falling. The tests are described in the questions above. We recommend that you have someone with you the first time you try performing the tests, or any time you feel unsafe. You may skip any test for any reason, including feeling unsafe to try.

What is Blue Marble's refund policy?

Blue Marble will refund the cost of the app for 30 days if you are unsatisfied for any reason. After 30 days, there is no refund.

Are app updates free?

Yes for the time being? There may come a time when we will offer upgrades or new content for a fee.

How will my personal information be used?

We do not collect your personal information. Rather we use Stripe for credit card processing. The only information that is collected about you is the results of your fall risk assessment, age, gender, and the outcomes of the exercises you perform.

Technical Support

Where can I get technical support for the app?

Contact if you have any issues with downloading the app or running the app on your hardware. Remember, the requirements are Windows 7/8/or 10, at least an i3 or better hard drive and at least 4GB RAM.

Can I use this app with an Apple (iOS) or Android tablet or computer?

No, this app is available only on Windows platforms right now. The app is best used with a tablet or laptop that has touch screen interface, however the app will work with a mouse & keyboard too.

Does the app require a login and password?

Yes, when you purchase the application you will also create an username and password. If you forget your login or password, you can recover it here ( Your emailed purchase reciept will contain all the necessary links to manage your account.

Do I need to sign in to use the app?

Yes. During the purchase process you will create an account. You can view your invoices and change your password at

How do I log out?

Simply go back to the Main Menu and tap/click "Exit".

If I already downloaded the app to one computer, can I download it again to the same or a different computer?

Yes, you can download it to as many computers as you wish, but remember the information is only useful for a single user. If someone else in your home wants to use the app they should purchase and create their own account.

Where can I find the app once I've downloaded it?

After the the purchase has been completed, you will be given a link to download the application. The same information will also be provided in your emailed purchase receipt.

Can I back up the app?

No. If something happens to the app, just download it again. A link to the download is in your email receipt and also in your online account.