Preventing Falls: How Physical Therapy Helps You Stay Safe and Independent

Written By Leah Dedrick

Falls are common as we age — about 1 in 4 adults over 65 falls each year. While falls can lead to injuries, hospital visits, and loss of independence, they are not inevitable. Physical therapy can help you stay active, confident, and safe.

This guide is based on the American Physical Therapy Association – Geriatrics Clinical Practice Guideline (CPG+).

Why Fall Prevention Matters

  • Falls can cause fractures, bruises, or head injuries

  • Fear of falling can limit activity and actually increase risk

  • Staying active and practicing safe movements is key to independence

How Physical Therapy Reduces Fall Risk

Your physical therapist will create a personalized program based on your needs. Common components include:

1. Balance & Movement Training

  • Standing and walking exercises

  • Stepping, turning, and changing directions

  • Reducing reliance on handrails or support

  • Practicing everyday movements

2. Strength Training

  • Builds leg, hip, and core strength

  • Helps you recover if you trip or slip

  • Most effective when combined with balance exercises

3. Multicomponent Exercise Programs

  • Combines balance, strength, walking, or functional movement

  • Recommended 2–3 hours per week over several months

4. Tai Chi

  • Improves balance, coordination, and body awareness

  • Proven to reduce fall risk in many older adults

5. Home Safety & Education

  • Identify hazards like loose rugs, poor lighting, or bathroom risks

  • Education works best when paired with exercise

What Doesn’t Work Alone

  • Strength training without balance or functional exercises

  • Education without movement practice

  • Avoiding movement due to fear of falling

Your Goal

Physical therapy can help you:

  • Improve balance and coordination

  • Build leg and hip strength

  • Reduce your risk of falling

  • Stay independent and confident in daily activities

Even if you haven’t fallen yet, early action makes the biggest difference.

Reference

Kirk‑Sanchez, N., McDonough, C., Avin, K. G., Blackwood, J., & Hanke, T. (2025). Physical therapy management of fall risk in community‑dwelling older adults: An evidence‑based clinical practice guideline (CPG+). Journal of Geriatric Physical Therapy, 48(2), 62–87.https://doi.org/10.1519/JPT.0000000000000454

Leah Dedrick
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