Balance Retraining

Many conditions, injuries or diseases can affect your balance when walking or standing.

In fact, maintaining good balance requires a complex integration by your central nervous system of your:

  • Inner ear
  • Vision
  • Muscles
  • Sensations

Causes of Imbalance or Instability

  • Neurological problems
    • Amputation
    • Head injury
    • Multiple sclerosis
    • Neuropathy
    • Parkinson's disease
    • Spinal cord injury
    • Stroke
  • Orthopedic injuries or procedures
    • Hip injuries
    • Spine injuries
    • Total joint replacement
  • Inactivity and obesity – can lead to reduced sense of balance
  • Certain medications
  • Fluctuations in blood pressure

Cognitive & Physical Assessments

Your licensed physical therapist will:

  • Take complete medical history, including history of
    • Past surgeries
    • Neurological problems
    • Orthopedic injuries
  • Conduct a state-of-the-art vestibular balance test
  • Assess your neuromuscular system for:
    • Strength
    • Range of motion
    • Flexibility
    • Soft tissue abnormalities
  • Complete neurological testing
    • Reflexes
    • Sensation
    • Proprioception – sense of position/spatial orientation
  • Conduct dynamic and static balance tests

Personalized Care Plan

Based on the assessment, your therapist will determine:

  • The source of your imbalance and instability
    • Vestibular
    • Neurologic
    • Orthopedic
  • Which services you'll need
  • Which therapeutic interventions may be helpful


Your PT will then create a personalized care plan that meets your individual needs. As you progress through therapy, your therapist will regularly re-evaluate your care plan.

Goals of Balance Retraining

Your physical therapist will work closely with your orthopedic surgeon or your primary care physician.

Goals of balance retraining include:

Balance Retraining

Your licensed physical therapist will educate you and work with you to improve your:

  • Posture
  • Strength
  • Coordination
  • Neuromuscular function
  • Range of motion

Our ultramodern Bone & Joint facility has a wide range of state-of-the-art equipment to help improve your balance and stability.

  • NeuroCom Smart Balance Master®  - provides assessment and retraining of your sensory and voluntary motor control and balance
  • Compliant surfaces
    • BOSU ball
    • Foam
    • Wobble boards

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