Structured, properly dosed strength and balance programs delivered in your own home, for people who have fallen, are at risk of falling, or have stopped doing things because they are afraid of it.
Falls prevention is one of the better-evidenced areas in allied health. It also has one of the widest gaps between what the evidence says and what people are actually given.
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Progressive strength training, legs primarily, at a load that actually builds strength, progressed as you get stronger. Age is not a barrier: strength improves with training into the eighties and nineties, including in people managing several health conditions.
High-challenge balance training, the component most often diluted, and the one that matters most.
Gait retraining and endurance, walking distance, speed, outdoor surfaces, kerbs, slopes and crowds.
Walking aid assessment, the right aid, set to the right height, used the right way. A frame set too low is a falls risk rather than a protection against one.
Floor recovery practice, getting up from the floor, or a safe plan if you cannot. This does not prevent falls but substantially reduces their consequences, including the serious risks of a long lie.
Confidence and activity, fear of falling changes how people move and is itself a risk factor. Graded, supported practice is what addresses it.
Sit-to-stand and transfers, the single most repeated movement of the day, and often the first to become difficult.
The evidence on falls prevention is unusually specific, and three things in it get ignored constantly.
The exercise has to challenge balance. Programs that keep people safe and comfortable throughout do not change balance. The training needs to work at the edge of stability, reducing hand support, narrowing the base of support, moving while turning the head, stepping in unpredictable directions, supervised so it is safe, but genuinely difficult.
The dose has to be substantial. The research indicating meaningful falls reduction involves programs in the order of several hours per week, sustained over months, not a handful of sessions with a sheet of exercises. Six weeks will not change underlying capacity.
It has to keep going. Strength and balance decline when training stops. A program that ends completely at discharge gives back much of what it built.
We will be straightforward with you about this at assessment. If your funding or circumstances only allow a short block, we will tell you what that block can realistically achieve, usually confidence, technique and a program to continue, rather than implying it will change your falls risk on its own.
Arrange assessment after any fall, after repeated near misses, or when someone has started limiting their activity because of unsteadiness.
Seek urgent medical care after a fall if the person has:
See the GP within a few days of any fall, even without injury. A fall warrants a medication review, blood pressure checks lying and standing, and a look for underlying causes. Exercise addresses one part of falls risk; it does not address low blood pressure on standing, a sedating medication, or undetected vision loss.
Assessment happens at home and takes around an hour.
Your physiotherapist will ask exactly what happened in any falls, where, what time of day, what you were doing, because the circumstances usually point to the cause. They will assess strength, balance, walking and sit-to-stand using standardised measures, so progress can be tracked rather than guessed at.
They will watch you move around your own home, review footwear and walking aids, and identify the specific situations where risk arises.
You will receive a written program, a clear dose, how often, how many, how hard, and a plan for progression. Where home modification, equipment, medication review or continence assessment is contributing, we involve occupational therapy or nursing rather than treating it as an exercise problem alone.
Physiotherapists across Victoria (Melbourne, Roxburgh Park and the northern suburbs), Queensland (Brisbane, Gold Coast, Sunshine Coast, Ipswich and Logan) and New South Wales (Sydney and Western Sydney), in private homes, retirement villages, supported accommodation and residential aged care.
Simple Process
Make a referral
Individuals, families and carers, GPs, aged care providers and care partners, hospital discharge planners, support coordinators and plan managers can all refer.
We call you for an initial discussion
Our team asks about recent falls and near misses, what has changed, whether there has been a hospital admission, what walking aids and equipment are in use, and whether a GP medication review has happened. We confirm funding and are upfront about what your available sessions can realistically achieve.
Assessment
Physical assessment with standardised measures, plus observation of how you move through your own home.
Program and dose
A written program with a specific dose and progression plan, not a generic exercise sheet.
Supervised progression
Sessions to progress difficulty safely, which is where the change is generated.
Review and continuation
Reassessment against the same measures, and a plan for maintaining what has been built.
Got Questions?
Ready to Book?
Contact inOne Healthcare on 1300 765 456, email info@inonehealthcare.com.au, or submit a referral online.
Monday to Saturday, 9:00am to 5:00pm. Closed Sunday.
Related: After a Fall · Rehabilitation After Hospital · Home Modification Assessments · Parkinson's Disease
Make a referral or contact our team today.
Make A Referral 1300 765 456 info@inonehealthcare.com.auReviewed by Aaya Hakeem, Physiotherapist, PHY0002237920. Last reviewed 13/09/2026.
This page provides general information only and is not a substitute for individual clinical advice. After any fall involving a head strike, loss of consciousness or suspected fracture, seek medical care immediately.