As a youth, I was only able to sit still by focusing on sitting still. If I was paying attention to the teacher, I was fidgeting, and would be told to pay attention...
It's interesting to observe. The kids are fidgety and restless while sitting, but when you sit them on one of these the subconscious motor control going on seems to quell the foreground restlessness.
Balancing on an exercise ball seems to engage those involuntary areas while not interfering with high-level processing.
People who fidget in meetings pay attention better and retain more information.