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Why Do I Feel Unsteady When Walking Even If I’m Not Dizzy?

Why Do I Feel Unsteady When Walking Even If I’m Not Dizzy? A Physical Therapist Answers

By Nova Physical Therapy | North Hollywood, CA

You don't feel like the room is spinning.

You aren't necessarily lightheaded.

But something about walking doesn't feel as secure as it used to.

Maybe you notice yourself:

reaching for furniture when walking through the house

holding the railing more tightly on stairs

slowing down on uneven sidewalks

avoiding walking in the dark

feeling less confident in crowded places

having difficulty stepping off a curb

or

worrying about falling even though you haven't fallen yet.

Patients sometimes describe it as:

“I'm not dizzy. I just don't feel steady.”

“My legs don't react as quickly anymore.”

“I feel fine inside the house, but outside I'm nervous.”

“I lose my balance when I turn quickly.”

“I haven't fallen, but I've had a few close calls.”

Feeling unsteady is not something that should automatically be dismissed as:

“You're getting older.”

Balance can change with age, but falls are not an inevitable consequence of aging.

The CDC reports that more than 1 in 4 adults age 65 and older falls each year, and falling once approximately doubles the chance of falling again. Falls are also the leading cause of injury among adults 65 and older. CDC Older Adult Falls Data

The encouraging part is that many fall-risk factors are modifiable.

Physical therapy can evaluate balance, strength, walking, mobility, functional performance, and other relevant factors and develop an individualized rehabilitation program when appropriate.


Patient Question

“I don't have vertigo, but I've started feeling unsteady when I walk, especially outside, on uneven ground, or when I turn quickly. Is this just normal aging, and can physical therapy help improve my balance?”

The Short Answer

Feeling unsteady while walking can have many possible contributors.

Depending on the individual, these may include changes in:

lower-extremity strength

balance

walking ability

reaction to unexpected movement

sensory function

vision

vestibular function

foot or ankle function

confidence

or

overall physical conditioning.

Medications and certain medical or neurological conditions can also affect balance.

That is why:

Unsteadiness is a symptom—not a diagnosis.

A physical therapist can evaluate physical and functional contributors to balance difficulty and determine whether the presentation appears appropriate for physical therapy or whether additional medical evaluation is warranted.

The 2025 APTA Geriatrics clinical practice guideline for community-dwelling adults 65 and older specifically recommends a multifactorial approach to fall-risk management rather than relying on one balance test or one exercise. APTA Fall Risk Clinical Practice Guideline


Is Feeling Unsteady the Same as Being Dizzy?

No.

Patients often use the words:

dizzy

unsteady

off balance

lightheaded

and

vertigo

interchangeably.

But they can describe very different experiences.

Vertigo commonly refers to a false sensation of movement or spinning.

Lightheadedness may feel more like:

“I might faint.”

Unsteadiness may instead feel like:

“I don't trust my balance when I'm walking.”

Someone can have significant balance difficulty without experiencing spinning.

This distinction matters because treatment depends on the underlying clinical presentation.

A patient with BPPV may require a very different approach from someone whose primary limitations involve lower-extremity weakness, reduced dynamic balance, or difficulty reacting to unexpected disturbances.


Why Am I Losing My Balance Even Though I Don't Feel Dizzy?

Balance requires several systems to work together.

Your brain continuously receives information from:

your eyes

your inner-ear vestibular system

and

sensory receptors throughout your body.

Your nervous system integrates that information and coordinates a movement response.

Your muscles then need enough capacity to execute that response.

So maintaining balance while walking is not simply:

“having strong legs.”

It requires a combination of:

sensory information

strength

coordination

mobility

reaction

walking ability

and

environmental awareness.

Difficulty in one or more areas may influence how steady someone feels.


Is Losing Balance Just a Normal Part of Aging?

Age can be associated with changes in strength, sensory function, reaction, and physical capacity.

But that does not mean falling should be accepted as unavoidable.

The CDC specifically states:

Falls can be prevented.

In its September 2026 update, the CDC reported that falls are the leading cause of injury-related death among adults 65 and older and that the age-adjusted fall death rate increased 21% between 2018 and 2024.

The same CDC guidance identifies modifiable factors such as:

lower-body weakness

walking and balance difficulty

medications

vision problems

foot pain or footwear

and

home hazards.

This means there may be meaningful opportunities to reduce risk rather than simply accepting declining balance. CDC Facts About Older Adult Falls


Why Do I Feel Fine at Home but Unsteady Outside?

Your home may be a predictable environment.

You know:

where the furniture is

where the steps are

where you can hold on

and

what the floor feels like.

Outside, the environment becomes less predictable.

You may encounter:

uneven sidewalks

curbs

grass

slopes

crowds

poor lighting

moving objects

or

unexpected changes in the walking surface.

Those conditions require greater adaptability.

A person may therefore walk comfortably across a quiet living room but feel considerably less confident crossing a parking lot or walking along an uneven sidewalk.

That difference is clinically useful information.


Why Is My Balance Worse in the Dark?

Vision contributes significantly to balance.

When lighting decreases, the nervous system has less visual information available.

Your body must rely more heavily on information from the vestibular and somatosensory systems.

A person who functions well in bright lighting may therefore notice more difficulty:

walking to the bathroom at night

entering a dark room

walking outdoors after sunset

or

closing the eyes while standing.

That does not automatically identify the source of the problem.

But it can help guide the balance examination.


Why Do I Lose My Balance When I Turn?

Turning is more demanding than walking in a straight line.

You have to:

change direction

shift your center of mass

reposition your feet

and

maintain stability while moving.

Some patients notice difficulty when:

turning around in the kitchen

changing direction in a hallway

looking behind themselves

or

making a quick turn while walking.

A physical therapist may observe:

turning speed

number of steps

foot placement

stability

and

whether the patient needs external support.


Why Do I Feel Unsteady When I First Stand Up?

There are several possibilities.

Sometimes the problem is related primarily to:

leg strength

transitional movement

or

balance after rising.

But feeling faint or lightheaded after standing may also involve blood-pressure changes or other medical factors.

A patient who says:

“I feel like I'm going to pass out when I stand”

should not automatically be treated as having a simple balance problem.

The exact symptom matters.

Physical therapists can screen the presentation and recommend additional medical evaluation when appropriate.


Why Am I More Unsteady When I Get Tired?

Balance is a physical task.

When someone becomes fatigued, the ability to maintain walking quality, foot clearance, strength, and postural responses may change.

A patient might walk well for:

five minutes

but become less stable after:

twenty minutes.

That can matter tremendously in real life.

Walking from the bedroom to the kitchen is not the same task as:

shopping in a large store

walking through an airport

or

spending an afternoon outside.

A useful evaluation therefore considers endurance and real-world activity demands—not simply whether the patient can walk ten feet in the clinic.


Why Do I Feel Like My Legs Are Getting Weaker?

Lower-body weakness is one recognized fall-risk factor.

The CDC specifically includes lower-body weakness among modifiable factors associated with falls.

Physical therapists may assess tasks such as:

rising from a chair

walking

stairs

heel raises

functional lower-extremity strength

and other activities relevant to the patient.

However:

Feeling weak does not always mean measurable muscle weakness is the only problem.

A patient may use the word “weak” to describe:

fatigue

poor balance

pain

lack of confidence

or

difficulty coordinating movement.

The examination helps clarify the problem.


Why Do I Feel Unsteady on Stairs?

Stairs require:

lower-extremity strength

single-leg control

foot placement

balance

depth perception

and

adequate mobility.

Descending stairs may be particularly challenging because the body must control movement while moving downward.

A person may therefore be able to walk on level ground but still rely heavily on a railing during stairs.

That functional difference can help determine what rehabilitation should address.


Does Fear of Falling Make Balance Worse?

Fear of falling can become clinically important.

After a fall—or even after several near-falls—some people begin reducing their activity.

They stop:

walking outside

using stairs

shopping alone

exercising

or

participating in social activities.

The CDC notes that fear after a fall may lead people to reduce everyday activity. Reduced activity can contribute to further weakness and may increase fall risk.

This can create a difficult cycle:

fear → less activity → reduced physical capacity → less confidence.

Rehabilitation may therefore need to address both physical capacity and confidence through appropriately challenging, progressive activity.


What Is a “Near Fall”?

A near fall may involve:

stumbling but catching yourself

grabbing furniture

taking several rapid recovery steps

or

nearly falling but recovering before reaching the ground.

Near falls are worth mentioning during an evaluation.

You do not have to wait until a serious fall occurs before discussing balance concerns.

A patient who says:

“I haven't fallen, but I catch myself all the time”

may still benefit from assessment.


How Common Are Falls in Older Adults?

Very common.

The CDC's September 4, 2026 data update reports that:

More than 14 million adults age 65 and older—about 1 in 4—report falling each year.

Falls are the leading cause of fatal and nonfatal injury among older adults.

The CDC also reports approximately 4.5 million emergency-department visits each year related to older-adult falls.

These statistics are important.

But they should not be used to frighten patients.

The purpose is to emphasize that balance concerns are common, important, and worth addressing early. CDC Older Adult Falls Data


Can Strength Training Improve Balance?

Strength training can be an important component of fall-prevention rehabilitation when weakness or reduced physical capacity is relevant.

But balance rehabilitation should not necessarily consist only of:

leg presses

squats

or

chair exercises.

Balance itself often needs to be challenged.

A comprehensive program may combine:

progressive strengthening

balance training

walking

functional tasks

and

activities designed around the patient's specific limitations.

The 2025 APTA Geriatrics guideline strongly supports appropriately dosed exercise for community-dwelling older adults at risk of falling.


Is Standing on One Leg Enough Balance Training?

It can be a useful exercise for some people.

But real-world balance is more complicated.

Daily life requires you to:

walk

turn

step over objects

recover from a trip

reach

carry objects

talk while walking

and

respond when something unexpected happens.

A balance program may therefore progress beyond static standing.

The challenge should be appropriate to the individual's safety and ability.


What Is Reactive Balance?

Reactive balance is your ability to recover when something unexpectedly disturbs your stability.

Imagine:

you trip slightly on a curb

or

someone bumps into you.

Your body must quickly produce an appropriate response.

This may involve:

an ankle response

a rapid step

a reach

or

another protective movement.

Reactive balance is different from quietly standing still.

That distinction has become especially important in recent research.


Can You Actually Train the Ability to Recover From a Trip?

Research increasingly suggests that reactive balance can be trained.

A 2026 systematic review examined perturbation-based balance training, in which people practice recovering from controlled disturbances to balance.

Compared with control interventions, perturbation training reduced fall rates by approximately 23% and injurious falls by approximately 24% in the pooled analyses.

Programs totaling at least six hours were associated with a larger fall reduction in a subgroup analysis.

However, the certainty for the fall-rate finding was low, and specialized perturbation training is not necessary or appropriate for every patient.

The broader lesson is valuable:

Balance rehabilitation can include practicing how to respond—not simply how to stand still.


What About Walking While Talking or Thinking?

This is sometimes called dual-task walking.

Examples include:

walking while having a conversation

walking while carrying something

walking while looking for an address

or

walking while performing a mental task.

Real life frequently requires attention to more than one thing at a time.

A person who walks well in a quiet hallway may become less stable when attention is divided.

When clinically appropriate and safe, dual-task activities may therefore be incorporated into assessment or rehabilitation.


Can Tai Chi Improve Balance?

Tai Chi has been studied extensively in older adults.

A newly published 2026 systematic review and meta-analysis examined mind-body exercise—including Tai Chi, Baduanjin, and yoga—in pre-frail and frail older adults.

Ten randomized controlled trials were included.

The review found improvements in overall, dynamic, and static balance compared with control interventions.

The authors also noted that subgroup findings about the ideal exercise dose should be interpreted cautiously because they were based on indirect comparisons.

Tai Chi may therefore be a useful option for some older adults, but it is not the only form of effective balance exercise.


What About Video-Game or Virtual Balance Training?

Technology-assisted exercise is another growing area of research.

A 2026 systematic review and meta-analysis included 11 randomized controlled trials examining exergaming in community-dwelling older adults with chronic conditions.

Compared with control interventions, exergaming improved certain measures of balance and dynamic gait.

Programs lasting at least eight weeks and supervised programs appeared to produce greater benefits in subgroup analyses.

But exergaming should be considered a possible tool—not a replacement for individualized clinical reasoning.

A video game does not know why a particular patient is falling.


Can Physical Therapy Help?

For an appropriately evaluated balance or fall-risk presentation, physical therapy may address:

  • Lower-extremity strength
  • Static balance
  • Dynamic balance
  • Walking
  • Turning
  • Stair negotiation
  • Sit-to-stand ability
  • Reactive balance
  • Dual-task mobility
  • Uneven-surface walking
  • Functional endurance
  • Confidence with mobility
  • Assistive-device use when appropriate
  • Home and community mobility
  • Fall-prevention education

The 2025 APTA Geriatrics clinical practice guideline specifically addresses physical therapy management of fall risk in community-dwelling adults age 65 and older.

It recommends a multifactorial approach rather than relying on one isolated finding. APTA Fall Risk CPG

The goal isn't simply:

“Stand on one leg longer.”

For one patient, success may mean:

“I can walk outside again.”

For another:

“I can get up from a chair without using both arms.”

Another:

“I can go grocery shopping without holding onto the cart for balance.”

Another:

“I can use the stairs more confidently.”

And another:

“I can play with my grandchildren without constantly worrying about falling.”

Those are meaningful functional goals.


What Does Research Say?

1. 2025 APTA Geriatrics Fall-Risk Clinical Practice Guideline

APTA Geriatrics published an evidence-based clinical practice guideline in April 2025 addressing physical therapy management of fall risk in community-dwelling adults age 65 and older.

The guideline replaced the previous 2015 clinical guidance statement.

It emphasizes multifactorial screening and assessment, exercise, and individualized management rather than relying on one test or intervention.

Read the APTA guideline

2. 2026 Systematic Review of Exercise in Older Adults With Physical Frailty

A systematic review and meta-analysis published in August 2026 examined exercise for fall prevention among older adults with physical frailty.

The review reinforces the role of structured exercise in fall-prevention strategies for this higher-risk population while also highlighting the importance of matching exercise to individual ability and frailty status.

PubMed: Exercise to Prevent Falls in Older Adults With Physical Frailty

3. 2026 Perturbation-Based Balance Training Review

A systematic review published in the Journal of the American Medical Directors Association evaluated perturbation-based balance training in community-dwelling adults age 65 and older.

The pooled analysis found:

23% lower fall rates

and

24% fewer injurious falls

compared with controls.

The certainty for the fall-rate estimate was low, so these numbers should not be interpreted as a guaranteed individual benefit.

The study nevertheless provides important evidence that training reactive balance may help reduce falls.

PubMed: Perturbation-Based Balance Training

4. 2026 Network Meta-Analysis of Balance Exercise

A large 2026 systematic review and Bayesian network meta-analysis included:

423 randomized trials, 33,901 participants, and 2,546 effect sizes.

Researchers compared multiple exercise approaches for adults age 60 and older.

Eighteen of nineteen exercise modalities improved overall balance compared with control; stretching alone did not show a clear benefit.

This is an important practical finding.

There does not appear to be only one acceptable way to train balance.

Programs can be individualized according to the patient's deficits, safety, preferences, and functional goals.

5. 2026 Mind-Body Exercise Meta-Analysis

A 2026 systematic review included 10 randomized controlled trials examining mind-body exercise in pre-frail and frail older adults.

Mind-body exercise improved overall, dynamic, and static balance.

The authors suggested that interventions performed several times per week over longer periods may produce more consistent effects, but they cautioned that these dose findings were exploratory rather than direct dose-response evidence.

PubMed: Mind-Body Exercise and Balance

6. 2026 Exergaming Meta-Analysis

A 2026 systematic review and meta-analysis included 11 randomized controlled trials involving community-dwelling older adults with chronic conditions.

Exergaming improved certain balance and dynamic-gait outcomes compared with controls.

The evidence suggests technology can be an engaging adjunct to rehabilitation, although additional high-quality long-term studies are needed.

Frontiers: Exergaming, Balance and Functional Performance


What Happens During a Physical Therapy Evaluation?

At Nova Physical Therapy, a balance evaluation may include, when appropriate:

  • Detailed fall and near-fall history
  • Walking assessment
  • Turning
  • Sit-to-stand performance
  • Lower-extremity muscle performance
  • Static balance
  • Dynamic balance
  • Functional mobility
  • Stair ability
  • Sensory screening
  • Relevant vestibular screening
  • Foot and ankle function
  • Assistive-device assessment
  • Functional endurance
  • Dual-task mobility
  • Home and community mobility concerns
  • Screening for findings requiring medical referral

Physical therapists may also use standardized functional measures.

For example, the Timed Up and Go (TUG) assesses aspects of mobility and balance, while the Short Physical Performance Battery (SPPB) includes standing balance, gait speed, and chair-stand testing.

Importantly, APTA notes that the TUG should not be used by itself as the sole measure of fall risk in community-dwelling adults. APTA Timed Up and Go

We may ask:

Have you fallen during the last year?

Have you almost fallen?

Do you feel unsteady when walking?

Are you afraid of falling?

Do you hold furniture inside the house?

Are stairs difficult?

Is balance worse in the dark?

Do you become dizzy or lightheaded?

Have you noticed new weakness or numbness?

Have your medications recently changed?

What activities have you stopped because you don't feel safe?

The answers help identify relevant physical and functional factors and determine whether physical therapy is appropriate.


When Should You Seek Medical Attention?

New or worsening balance difficulty should not automatically be assumed to be:

“normal aging.”

Seek prompt medical attention for symptoms such as:

  • Sudden severe loss of balance
  • New facial weakness
  • New difficulty speaking
  • Sudden one-sided weakness or numbness
  • Sudden severe headache
  • New double vision
  • Loss of consciousness
  • New chest pain or shortness of breath
  • Fainting
  • Significant head injury after a fall
  • New or rapidly progressive neurological symptoms
  • Significant new difficulty walking
  • Severe unexplained dizziness
  • A fall with suspected fracture or major injury

A sudden neurological change may represent a medical emergency.

Also discuss recurrent falls, increasing near-falls, unexplained weakness, medication-related concerns, or progressive mobility changes with an appropriate healthcare professional.

The CDC specifically recommends medication review because some medicines can contribute to dizziness, drowsiness, slower reactions, or balance problems. Medication changes should be handled by the appropriate prescribing professional or pharmacist—not independently by the patient.


Why Patients Choose Nova Physical Therapy

We Care.

At Nova Physical Therapy, we don't believe every patient who feels unsteady should automatically receive the same:

three balance exercises

or

generic strengthening program.

One patient may say:

“I'm fine during the day, but I lose my balance in the dark.”

Another:

“My legs feel too weak to get out of a chair.”

Another:

“I haven't fallen, but I keep catching myself on furniture.”

Another:

“I lose my balance when I turn.”

Another:

“I fell twice this year and now I'm afraid to walk outside.”

And another:

“My balance suddenly became much worse yesterday.”

Those presentations are not the same.

Our approach emphasizes:

individualized physical therapy evaluation

evidence-informed rehabilitation

progressive strengthening

appropriately challenging balance training

walking and functional mobility

fall-prevention education

patient confidence

and

appropriate referral when findings warrant additional medical assessment.

The goal isn't simply:

“Don't fall in the clinic.”

The goal may be to help you:

walk outside

use stairs

shop

travel

exercise

move around your home

and

participate in your community with greater confidence.

That's part of what We Care means to us.


Frequently Asked Questions

Why do I feel unsteady when walking if I'm not dizzy?

Balance depends on strength, sensory information, walking ability, reaction, coordination, vision, vestibular function, and other factors. Dizziness is not required for someone to experience balance difficulty.

Is losing balance normal as I get older?

Age-related changes can influence balance, but falls should not simply be accepted as inevitable. Many fall-risk factors are modifiable.

Why is my balance worse in the dark?

Reduced lighting decreases visual information available for balance, requiring greater reliance on other sensory systems.

Why do I lose my balance when I turn?

Turning requires rapid changes in foot position, center of mass, direction, and postural control and can therefore be more demanding than straight-line walking.

Why am I unsteady on uneven ground?

Uneven surfaces require continuous adjustments in foot placement, sensory processing, strength, and balance.

Does leg weakness increase fall risk?

Lower-body weakness is one recognized modifiable fall-risk factor, although falls are usually multifactorial.

Can physical therapy improve balance?

Physical therapy may help appropriately selected patients improve strength, balance, walking, functional mobility, reactive responses, and confidence while identifying findings that warrant medical referral.

What is reactive balance training?

Reactive balance training practices recovery from controlled disturbances to balance. A 2026 systematic review found reductions in falls and injurious falls with perturbation-based training, although certainty for some findings was limited.

Is standing on one leg enough to prevent falls?

Not necessarily. Real-life balance also requires walking, turning, stepping, reacting, reaching, and performing tasks under changing conditions.

Can Tai Chi help balance?

Research supports Tai Chi and other mind-body exercises as possible options for improving balance in some older adults.

Should I use a cane if I feel unsteady?

An assistive device may improve safety for some people, but the appropriate device and fit should be individualized. A physical therapist can assess whether one is appropriate and provide training in its use.

When should I worry about balance problems?

Sudden balance loss, new neurological symptoms, fainting, significant new weakness, or major changes in walking warrant prompt medical evaluation.


Schedule an Evaluation

If you or a family member has noticed:

  • Increasing unsteadiness
  • Near falls
  • A recent fall
  • Difficulty walking outside
  • Difficulty with stairs
  • Reduced confidence
  • Furniture walking
  • Leg weakness
  • Difficulty getting out of a chair
  • Fear of falling
  • Reduced participation in everyday activities

a physical therapy evaluation can help identify relevant physical and functional contributors and determine whether rehabilitation is appropriate.

You do not have to wait for a serious fall before addressing balance concerns.

Explore Nova Physical Therapy's services to learn more about physical therapy care in North Hollywood, California.


Disclaimer

This article is intended for general educational purposes only. It does not constitute medical advice, medical diagnosis, medication advice, individualized fall-risk determination, or individualized physical therapy treatment.

Unsteadiness, balance difficulty, falls, weakness, dizziness, gait changes, or near-falls cannot independently establish a vestibular, neurological, cardiovascular, orthopedic, medication-related, visual, or other medical condition.

Physical therapists in California evaluate physical impairments, movement, balance, gait, muscle performance, functional limitations, and activity restrictions within the California Physical Therapy Practice Act. Physical therapists do not diagnose disease.

Physical therapy fall-risk assessment does not guarantee that a fall can be predicted or prevented.

Exercise, balance training, strength training, assistive devices, home modification, or other interventions cannot guarantee that a person will not fall.

Patients with sudden neurological changes, loss of consciousness, significant trauma, rapidly worsening mobility, or other concerning findings should seek appropriate medical evaluation.

Medication decisions should be discussed with the prescribing healthcare professional or pharmacist.

Individual results vary.


References

  1. Centers for Disease Control and Prevention. Older Adult Falls Data. Updated September 4, 2026.
    https://www.cdc.gov/falls/data-research/index.html
  2. Centers for Disease Control and Prevention. Facts About Older Adult Falls. Updated September 8, 2026.
    https://www.cdc.gov/falls/data-research/facts-stats/index.html
  3. Kirk-Sanchez N, McDonough C, Avin K, Blackwood J, Hanke T. Physical Therapy Management of Fall Risk in Community-Dwelling Older Adults: An Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association – Geriatrics. 2025.
    https://www.apta.org/patient-care/evidence-based-practice-resources/cpgs/physical-therapy-management-of-fall-risk-in-community-dwelling-older-adults
  4. Sharma S, Szabo IZ, Danielsen MB, et al. Perturbation-Based Balance Training Reduces Falls and Fall Injuries in Older People: Insights on Mechanisms and Training Parameters From a Systematic Review.Journal of the American Medical Directors Association. 2026;27(8):106316.
    https://doi.org/10.1016/j.jamda.2026.106316
  5. Mehta P, Costa EC, Galliano LM, et al. Exercise to Prevent Falls in Older Adults With Physical Frailty: A Systematic Review and Meta-analysis. The Journal of Frailty & Aging. 2026;15(4):100187.
    https://doi.org/10.1016/j.tjfa.2026.100187
  6. Wang J, Guo S, Yang Y, et al. Exercise Modalities for Overall and Domain-Specific Balance Performance in Older Adults: A Systematic Review and Bayesian Network Meta-analysis. Ageing Research Reviews. 2026. The review included 423 randomized trials and 33,901 participants.
  7. Chen W, Bai Y, Song L. Effects of Mind-Body Exercise on Balance Function in Pre-Frail and Frail Older Adults: A Systematic Review and Meta-analysis. Frontiers in Aging. 2026.
    https://doi.org/10.3389/fragi.2026.1915136
  8. Effects of Exergaming on Balance and Functional Performance in Older Adults With Chronic Conditions Living in the Community: A Systematic Review and Meta-analysis. Frontiers in Public Health. 2026.
    https://doi.org/10.3389/fpubh.2026.1918722
  9. Centers for Disease Control and Prevention. STEADI: Older Adult Fall Prevention.
    https://www.cdc.gov/steadi/
  10. Physical Therapy Board of California. Physical Therapy Practice Act.
    https://www.ptbc.ca.gov/laws/pt_practice_act.shtml
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