Balance Management

Balance Self Test

YES	NO
		Have you fallen more than once in the past year?
		Do you take medicine for two or more of the following diseases: heart disease, hypertension, arthritis, anxiety or depression?
		Do you feel dizzy or unsteady if you make sudden movements such as bending down or quickly turning?
		Do you have blackouts or seizures?
		Have you experienced a stroke or other neurological problem that has affected your balance?
		Do you experience numbness or loss of sensation in your legs/or feet?
		Do you use a walker or wheelchair or do you need assistance to get around?
		Are you inactive? (Answer yes if you do not participate in a regular form of exercise, such as walking 20-30 minutes at least three times a week.)
		Do you feel unsteady when climbing stairs or walking?
		Do you have difficulty sitting down or rising from a seated or lying position?

If you answer Yes to one or more of these questions, you could be at risk and could benefit from a physical therapy evaluation.