Gait And Coordination And Balance Training

Gait, balance and coordination are achieved through coordinated work of muscle strength, ankle proprioception, vestibular system and vision.

Gait is one’s ability to move through space, while proprioception tells the body where it is in space.  It plays a big role in self-regulation, coordination, posture and body awareness.

Injuries or chronic medical conditions that affect muscles, nerves, and brain may impair proprioception, walking and overall body’s ability to balance and stabilize.  Examples of medical conditions include leg or ankle fracture, pain, arthritis, stroke, Parkinson’s disease, herniated disc, diabetes, peripheral neuropathy, knee or hip replacement. Patients may experience difficulty with standing on one foot, walking in a straight line, climbing stairs or walking on uneven surfaces.  They may develop fear and anxiety of falling and will avoid physical activity and going outside much.

Muscle weakness may change a person's normal walking stride. To improve gait or walking, we may suggest the use of a walker or cane, as well as ankle or knee brace for joint support.

Along with treating an underlying condition, such as pain, swelling and muscle weakness, we implement balance exercises with balance board, BOSU, stepper and foam, standing on one leg with eyes open and closed, going up and down steps.

It is important to note that most gait and balance impairments can be improved with physical therapy, the use of appropriate assistive devices, medication and stretching exercises. All of these elements are designed to help the individual adapt to his or her new circumstances.