Physical Therapy for Balance: Benefits and Exercises

Physical Therapy for Balance: Benefits and Exercises

Balance is a critical aspect of daily life, allowing us to perform basic movements like walking, standing, or turning without difficulty. It depends on a harmonious interaction between the inner ear, muscles, joints, vision, and the nervous system. However, when this harmony is disrupted, balance problems can arise, leading to dizziness, falls, and a diminished quality of life.

Physical therapy for balance and coordination is an evidence-based approach to address these challenges. By targeting the underlying causes, physical therapists use tailored exercises and techniques to improve stability, reduce the risk of falls, and enhance overall mobility.

What Are Balance Problems?

Balance problems occur when your body’s systems fail to work together, making it difficult to maintain stability. These issues can affect anyone but are more common in older adults and individuals with specific health conditions. Recognizing the causes and symptoms is essential for effective treatment.

Balance disorders become increasingly common with age. Research indicates that approximately 18.2% of adults aged 40 to 49, 33.5% of those aged 50 to 64, and a significant 61.9% of individuals aged 65 and older experience some form of balance impairment. These statistics highlight the importance of early intervention and targeted therapies to address balance challenges before they worsen.

Causes of Balance Problems

Balance problems can result from a variety of physical, neurological, and environmental factors. Understanding these causes is essential for identifying the root of the issue and choosing the right intervention. From inner ear problems to muscle weakness, addressing the cause is the first step toward improved stability.

  • Inner Ear Problems: Vestibular disorders, such as vertigo or labyrinthitis, disrupt the vestibular system, which plays a key role in spatial orientation and balance retraining.
  • Neurological Conditions: Disorders like Parkinson’s disease, multiple sclerosis, or a stroke can impair the central nervous system’s ability to process balance-related information.
  • Peripheral Neuropathy: Damage to the peripheral nerves reduces sensation in the lower extremities, affecting proprioception and gait stability.
  • Muscle Weakness and Joint Stiffness: Aging, a sedentary lifestyle, or spinal cord injury can reduce muscle strength and flexibility, limiting dynamic balance.
  • Blood Circulation Disorders: Conditions such as orthostatic hypotension or low/high blood pressure can cause dizziness and fainting.
  • Certain Medications: Side effects of medications like sedatives or blood pressure drugs can impair coordination.
  • Poor Vision: Blurred or declining vision reduces the body-position sense, increasing the risk of falls.
  • Cognitive Diseases: Alzheimer’s and other brain disorders can impair spatial orientation and decision-making.

Symptoms of Balance Problems

Balance issues manifest through various symptoms that can significantly disrupt daily life. These include feeling off-balance, lightheaded, or as though you might fall.

Balance issues often impact the ability to perform basic daily tasks. Approximately one-third of adults with chronic imbalance report difficulty managing activities such as walking, standing, or navigating their environment. This loss of functional independence underscores the necessity of seeking professional support, such as a physical therapy program, to restore mobility and confidence.

Feeling Off-Balance or Unsteady

A common symptom of balance disorders, feeling unsteady or off-balance can significantly disrupt daily life. It often stems from issues in the vestibular system, muscles, or nervous system and requires targeted strategies for improvement.

Feeling of Faintness or Lightheadedness

Faintness or lightheadedness often indicates underlying circulatory or neurological problems. Addressing this symptom involves identifying triggers, such as blood pressure changes or medication side effects, and designing strategies to prevent further occurrences.

Feeling Like You Might Fall

This symptom is often a result of muscle weakness, poor proprioception, or vestibular problems. Recognizing this sensation and taking steps to manage it can reduce the risk of falls and improve confidence.

Sensation of Floating

A floating sensation is often linked to vestibular disorders or neurological imbalances. Understanding this symptom is crucial for effective treatment, particularly through vestibular rehabilitation therapy.

Vision Problems

Vision is a key component of maintaining balance. Blurred or impaired vision can reduce your ability to navigate your environment safely, requiring targeted exercises to enhance visual tracking and spatial awareness.

Dizziness

Dizziness can be a disorienting and debilitating symptom of balance disorders. It often arises from vestibular system dysfunction and can be treated through physical therapy exercises such as habituation techniques.

What is Physical Therapy for Balance?

What is Physical Therapy for Balance

Physical therapy for balance is a specialized field that addresses the underlying causes of balance problems through a combination of exercises, education, and targeted interventions. This therapy is essential for individuals experiencing falls, unsteadiness, or conditions affecting their ability to maintain balance.

By focusing on areas like muscle strength, proprioception, and coordination, physical therapy for balance and coordination helps individuals regain confidence in their movements. Programs often include static balance training, dynamic balance exercises, and gait training tailored to individual needs.

How Physical Therapy Helps Improve Balance

Physical therapy offers a comprehensive approach to balance issues, emphasizing both prevention and recovery. A typical physical therapy program combines hands-on techniques and guided exercises to address each individual’s unique challenges.

Gait Training

Gait training focuses on improving the way you walk to enhance stability and coordination. By targeting posture, stride, and alignment, this therapy helps individuals regain confidence and mobility.

Gaze Stabilization Exercises

These exercises focus on improving visual tracking and reducing dizziness. Eye-tracking exercises are particularly effective for vestibular disorders.

Studies demonstrate that individuals undergoing vestibular rehabilitation therapy (VRT) show remarkable improvements in stability. VRT not only enhances balance but also reduces dizziness and significantly lowers the risk of falls. These findings affirm the effectiveness of this targeted approach in addressing a wide range of vestibular and balance disorders.

Habituation Techniques

Habituation techniques involve repetitive exposure to movements or situations that trigger dizziness or discomfort. Over time, these exercises help desensitize the brain and body, reducing symptoms and improving tolerance.

Musculoskeletal Techniques

These techniques strengthen the muscles and joints that support balance and movement. By addressing muscle weakness and joint stiffness, musculoskeletal exercises improve overall stability and prevent falls.

Benefits of Physical Therapy for Balance

Physical therapy provides a wealth of benefits for those struggling with balance disorders. By targeting both the symptoms and root causes, therapy can enhance stability, reduce the risk of falls, and improve overall quality of life.

Reduce the Risk of Falls

Preventing falls is a primary goal of physical therapy for balance. Strengthening muscles, improving coordination, and enhancing proprioception all contribute to reducing fall risk.

Reduce the Fear of Falling

Fear of falling can limit your mobility and independence. Physical therapy builds confidence through exercises that improve strength, stability, and reaction time.

Improve Mobility

Enhanced mobility allows individuals to perform daily tasks and engage in their favorite activities. Physical therapy programs include targeted exercises to improve flexibility, strength, and coordination.

Improve Balance

Improving balance is at the core of physical therapy. Through static and dynamic balance exercises, individuals can regain control and reduce the risk of injury.

Improve Strength

Building strength is crucial for supporting balance and stability. Physical therapy incorporates exercises to strengthen core muscles and the lower extremities.

Improve Movement

Improved movement patterns enhance your ability to walk, climb stairs, and navigate your environment with ease. Therapy focuses on refining coordination and posture to optimize movement.

Improved Quality of Life

Restoring balance and mobility leads to greater independence and enjoyment of daily life. Physical therapy not only addresses physical challenges but also boosts emotional well-being and confidence.

7 Exercises to Improve Balance and Stability

7 Exercises to Improve Balance and Stability

Incorporating targeted exercises into your daily routine is a powerful way to improve stability. These exercises are simple yet effective, and they can be performed at home or with the guidance of a therapist.

Side-Stepping

Side-stepping is a fundamental exercise that enhances lateral movement and coordination. It strengthens the hips and thighs, making it easier to navigate uneven surfaces.

Knee Curl

This exercise strengthens the lower body while improving dynamic balance. By lifting one leg at a time, knee curls enhance coordination and stability.

One-Legged Stand

Balancing on one leg challenges your static balance and builds strength in the core and lower extremities. It’s a simple yet impactful exercise to include in your routine.

Toe Stand

Toe stands focus on improving balance by strengthening the calves and ankles. This exercise is ideal for enhancing proprioception and coordination.

Weight Shifts

Weight shifts improve body awareness and stability by training your body to adjust weight distribution. This exercise is a great way to enhance dynamic balance.

Standing Marches

Standing marches are a great way to improve coordination and posture while building strength in the legs. They’re particularly effective for seniors looking to improve mobility.

Tandem Balance

This exercise mimics walking on a tightrope to improve balance and coordination. It’s an excellent way to challenge both static and dynamic balance.

When to Seek Physical Therapy for Balance Issues

If you experience frequent falls, dizziness, or difficulty with movement, consider consulting a physical therapist. For those searching for physical therapy for balance issues near me, local clinics can provide comprehensive services, including coordination tests, strength assessments, and vestibular rehabilitation therapy, to design a customized treatment plan.

At Continuous Motion PT, we are dedicated to helping you regain your balance and confidence through expert care and personalized treatment plans. Our team specializes in addressing balance disorders, incorporating cutting-edge techniques like vestibular rehabilitation therapy, gait training, and strength-building exercises to restore stability and improve your quality of life. Whether you’re dealing with dizziness, unsteadiness, or fear of falling, our individualized approach ensures your needs are met with compassion and expertise. Take the first step toward a steadier, more independent life and request an appointment with us today.

Conclusion

Balance problems, while common, are highly treatable with the right approach. Physical therapy for balance provides targeted interventions that address the root causes, reduce the risk of falls, and improve overall quality of life. Whether you struggle with vestibular disorders, peripheral neuropathy, or muscle weakness, physical therapy exercises for balance offer a path to stability and confidence.

FAQs

What does a physical therapist do for balance?

Physical therapists evaluate issues like lower extremity weakness, vestibular problems, and proprioception deficits to design an individual treatment program. This may include gaze stabilization exercises, core strengthening, and gait training.

What is the best exercise to improve balance?

The best exercise depends on your needs. However, one-legged stands, tandem balance, and toe stands are universally effective in improving static and dynamic balance.

How can I get my balance back to normal?

A comprehensive physical therapy program, including vestibular rehabilitation therapy, strength tests, and a tailored home exercise program, can restore your balance to normal. Regular practice and a commitment to balance training are essential.

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Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified