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The BOSU ball was invented in 1999 by David Weck as a safer alternative to the traditional exercise ball. The BOSU works in a similar way to an exercise ball, by engaging the core muscles of the body to improve balance, but it is flat on one side, like a fitness ball cut in half, so it will not roll out from under you.
The BOSU ball helps improve balance because the unstable surface forces you to use your core muscles to keep from falling off the ball. As you keep trying to stand on a BOSU ball, you will be eventually be able to keep your balance for longer periods of time because those core muscles will become stronger. Consequently, strong core muscles help your balance and posture during the activities of daily life.