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Balance disorders occur when the bodily systems that provide our sense of balance (the visual system, the vestibular system, sense of proprioception, and brain) do not function properly. These disorders cause a patient to feel unsteady, spinning, floating, or a sensation of movement when the body is actually still. In older individuals, balance disorders can often result in falls. One out of three adults over the age of 65 experience a fall in the United States each year. Physical Therapy can help restore a sense of balance, and improve muscle strength and function.


A balance disorder can be caused by several different factors, and in many cases there is no obvious cause for the problem. Some of the common known causes of balance disorders include:

  • Viral or bacterial infections in the ear
  • A head injury
  • Blood circulation disorders that affect the inner ear or brain
  • Aging
  • Taking some medications
  • Circulatory system disorders, like low blood pressure
  • Arthritis
  • Eye muscle imbalances


  • Feeling dizzy or experiencing vertigo
  • A sensation like falling or feeling like you are falling
  • Lightheadedness
  • Problems reading
  • Difficulty seeing clearly
  • Disorientation
  • Nausea or vomiting
  • Feeling like the room is spinning
  • Frequent falls

Physical Therapy Interventions

Physical Therapists are professionals, educated and trained to administer interventions. As defined by The Guide to Physical Therapist Practice, interventions are the skilled and purposeful use of physical therapy methods and techniques to produce changes consistent with the diagnosis, prognosis and the patient or client’s goals.

Physical therapy for balance disorders often includes

  • Repositioning maneuvers
  • Balance and proprioceptive training on even and uneven surfaces
  • Joint stretching and flexibility exercises
  • Strengthening to both lower extremities with a focus on total leg strength (TLS) to improve the ability to move through transitional movements (floor to standing, sitting to standing, stair climbing).

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“Thanks to Twin Boro I can still engage in activities and sports that I would not be able to had I not received high quality PT.”


“I loved being a patient at your facility because your therapist went by my and the doctors needs. I was there not only at the old location in somerset but also I went to the new location to in North Brunswick, which I loved it was bigger and better. All of the therapist are so friendly and nice and treated you with respect. I was treated by not only Melvie but also Nick and both are so professional and gentle of the way they did my treatments. If I ever need to have physical therapy in the future I will definitely come back to your facility for you are very professional and well organized. I have been to other places but your facility beats them all.”


My experience with Twin Boro after my total knee replacement has been exceptional. They made all my appointments to fit into my schedule, explained all my exercises to me and made me feel very confident that I would be taken care of.”


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