Core Physiotherapy Service · Yelahanka, North Bangalore
Structured retraining of walking, steadiness and confidence — for people recovering from stroke or surgery, living with Parkinson's or neuropathy, troubled by dizziness, or simply no longer trusting their own feet. Measured at the start, measured again at review.

Balance is not one system. It is at least three working together: the inner ear telling you where your head is, your eyes telling you where the world is, and sensors in your joints and feet telling you where your limbs are — all interpreted by the brain and executed by muscles strong and quick enough to respond. A problem in any one of them produces the same experience: hesitation, a widened stance, a hand reaching for the wall, and eventually the decision to stop going out.
That decision is the real danger. Reduced activity means weaker legs, which means worse balance, which means more fear — a loop that ends in a fall, and often a fracture. In older adults a first fall is one of the strongest predictors of losing independence.
Balance and gait training breaks that loop. It identifies which system is failing, trains it specifically, rebuilds the strength and reaction speed that support it, and restores the confidence to walk normally again.
Stroke, Parkinson's disease and parkinsonism, multiple sclerosis, peripheral and diabetic neuropathy, ataxia, incomplete spinal cord injury, traumatic brain injury, Guillain-Barré syndrome recovery, and other conditions affecting movement control. See Neurological Rehabilitation.
Benign Paroxysmal Positional Vertigo (BPPV), vestibular hypofunction, and persistent unsteadiness following an episode of vertigo.
Recurrent falls or a single fall, fear of falling, general deconditioning, reduced walking distance, difficulty with stairs and kerbs, and unsteadiness with multiple contributing conditions. See Geriatric Rehabilitation.
After hip or knee replacement, fracture, ligament reconstruction, prolonged immobilisation, and extended hospital stays that have left you weak. See Orthopaedic Rehabilitation and Post-Surgical Rehabilitation.
Ankle instability and repeated sprains, and proprioceptive retraining as part of return-to-play testing. See Sports Physiotherapy.
Balance and coordination difficulties, cerebral palsy, developmental coordination disorder, toe walking and other gait abnormalities are handled through our paediatric team — see Pediatric Physiotherapy.
Balance work only means something if it is measured. Your first session establishes a baseline using standardised tests appropriate to your condition:
Number, circumstances, injuries, time on the floor, near-misses.
Including timed sit-to-stand-and-walk testing and static balance in progressively harder stance positions.
Measured over a set distance and over a set time.
Step length, symmetry, cadence, foot clearance, arm swing, turning quality, stair negotiation, and how walking deteriorates when you talk at the same time.
Particularly hip abductors, quadriceps, calf and ankle mobility.
Essential in diabetic and peripheral neuropathy.
Positional testing where vertigo is part of the picture.
A surprising number of falls trace back to unsuitable footwear or an aid of the wrong height.
Flagged to our Physicians where several medicines may be contributing to unsteadiness.
Available on request, covering trip hazards, floor surfaces, lighting, bathroom access and grab-bar placement.
These same measures are repeated at review, so progress is demonstrated as numbers rather than impressions.
Who carries out the assessment. Balance and gait assessment is a comprehensive joint assessment carried out by a physiotherapist with an MPT in Musculoskeletal Rehabilitation together with a Physician. This is deliberate, because unsteadiness is rarely a purely mechanical problem. The physiotherapist measures strength, range, sensation, balance and gait; the Physician screens the medical contributors that produce the same symptoms — blood pressure changes on standing, medication effects, diabetes and its complications, vision, cardiac and neurological factors, and the interactions between several coexisting conditions. Assessing these separately risks treating the walking pattern while missing the reason it changed. You receive one combined set of findings and a single plan, which is why this assessment is priced at ₹700 rather than the standard ₹400 physiotherapy consultation.

Progressive work through narrowing stance, unstable surfaces, reduced vision, head movement and reaching tasks.
Targeted strengthening of the hip, thigh, calf and trunk, with emphasis on the ability to produce force quickly.
Retraining step length, foot clearance, heel strike, weight transfer, turning and stopping, progressing from parallel bars to real-world conditions.
Walking while carrying, talking, counting or scanning the environment.
Gaze stabilisation, habituation and balance exercises. BPPV is treated with canalith repositioning manoeuvres such as the Epley, often resolving in one to three sessions.
Controlled perturbation training to improve stepping reactions, plus practice in getting up from the floor safely.
Bed to chair, chair to standing, in and out of a car, and on and off the toilet.
Assessment of whether a stick, quadripod or walker is appropriate, correct height setting, and training in proper use.
Where muscle activation is poor, neuromuscular electrical stimulation and rPMS may assist activation alongside active training.
A specific safe home exercise plan, plus practical training for family members in safe assistance and supervision.
Balance and gait training is for established, assessed conditions. Go to an emergency department immediately — do not book physiotherapy — if you experience:
These may indicate a stroke or other emergency requiring immediate medical treatment.

Impulse does not provide inpatient or hospital bedside rehabilitation. For patients discharged after a stroke, surgery or a long admission, rehabilitation typically begins about 24 hours after discharge as home-based sessions, then transitions to centre-based sessions once you are stable enough to travel comfortably. Centre-based sessions give access to parallel bars, equipment and the varied surfaces that later-stage balance work requires.
| Item | Details |
|---|---|
| Assessment fee | ₹700 — comprehensive joint assessment by an MPT (Musculoskeletal) and a Physician |
| Assessment adjusted / waived | Adjusted against treatment; waived entirely once a package is started |
| Session duration | 45–60 minutes |
| Session fee | ₹800–₹1,200 depending on the programme |
| Typical course | BPPV often resolves in 1–3 sessions; stroke and Parkinson's programmes commonly run 15–30+ sessions; post-fracture and deconditioning programmes typically 10–20 |
| Frequency | Usually 2–3 sessions per week initially |
| Home visits | Available at a higher charge than clinic |
| Home safety assessment | Available on request |
| Hours | 8:30 AM – 8:00 PM, all days |


Comprehensive joint assessment by an MPT (Musculoskeletal) and a Physician, covering both physical and medical causes of unsteadiness
Formal, measured falls-risk evaluation rather than general advice
Vestibular rehabilitation and BPPV repositioning available in-house
Physicians, Orthopaedic Surgeons and Paediatricians on site for the medical contributors to unsteadiness
On-site X-ray and ultrasound; in-house pharmacy and orthotics
Home safety assessment and family carer training
Team of six physiotherapists; languages spoken include English, Kannada, Telugu, Hindi, Tamil, Malayalam and Manipuri
Common questions about Balance & Gait Training at Impulse Physiotherapy, Yelahanka.
A structured physiotherapy programme that retrains steadiness and walking. It combines balance retraining, targeted strengthening, gait re-education, vestibular exercises where relevant, and confidence-building in real-world conditions.
Anyone who feels unsteady, has had a fall or fears falling, walks differently after a stroke or injury, has Parkinson's disease or neuropathy, or is recovering from surgery or a long hospital stay.
No. Ageing reduces reserve, but genuine unsteadiness usually has an identifiable and treatable cause — muscle weakness, an inner ear problem, reduced sensation in the feet, a medication effect, or a specific medical condition. It should be assessed, not accepted.
Yes. Progressive balance and strength training is one of the most effective interventions for reducing falls risk in older adults, particularly when combined with a home safety review and correction of footwear and walking aids.
That pattern is typical of BPPV, which is usually treated with canalith repositioning manoeuvres such as the Epley. Many patients improve within one to three sessions. Assessment first confirms the diagnosis and rules out other causes.
It varies widely. BPPV often resolves in one to three sessions. Post-fracture or deconditioning programmes typically run 10 to 20 sessions. Stroke and Parkinson's programmes commonly need 15 to 30 or more. Your estimate is given after assessment.
The balance and gait assessment is ₹700 — more than the standard ₹400 physiotherapy consultation because it is a comprehensive joint assessment carried out by a physiotherapist with an MPT in Musculoskeletal Rehabilitation together with a Physician, covering both the physical and the medical contributors to unsteadiness. It is adjusted against treatment and waived entirely once you start a package. Sessions are ₹800 to ₹1,200 for 45 to 60 minutes, depending on the programme, with better per-session rates in a package.
It is a comprehensive joint assessment by a physiotherapist with an MPT in Musculoskeletal Rehabilitation and a Physician. The physiotherapist measures strength, range, sensation, balance and walking; the Physician screens the medical contributors to unsteadiness — blood pressure changes on standing, medication effects, diabetes, vision, cardiac and neurological factors, and the interaction of several conditions at once. You receive one combined set of findings and a single plan rather than two separate opinions.
With standardised tests recorded at the first visit and repeated at review — timed walking tests, standing balance in graded positions, sit-to-stand-and-walk timing, walking speed and distance, and your own falls and near-miss record.
Yes. Balance and gait training is central to stroke rehabilitation. See Neurological Rehabilitation for the full programme.
Yes. Parkinson's rehabilitation focuses on step length, turning, freezing, posture and falls prevention, and is delivered one-to-one as an ongoing maintenance programme rather than a fixed short course.
Yes. When sensation is reduced, balance has to be retrained to rely more on vision and the vestibular system, alongside ankle and hip strengthening and footwear correction. Blood sugar control and foot care remain essential and are managed with our Physicians.
We assess whether an aid is appropriate, which type suits you, set it to the correct height and train you in its use. In-house orthotics support is available. Using a poorly fitted aid is itself a falls risk.
Not when it is prescribed correctly and paired with a strengthening programme. The goal is to keep you active and safe now, and to reduce dependence on the aid as your strength and balance improve.
Yes, on request. A home safety assessment covers trip hazards, loose mats, floor surfaces, lighting, stairs, bathroom access and grab-bar placement, with specific recommendations.
Yes, home visits are available at a higher charge than clinic sessions. Home visits are particularly useful early after discharge and for the home safety assessment. Later stages benefit from the equipment and varied surfaces at the centre.
No. Impulse does not offer inpatient or bedside rehabilitation. Rehabilitation typically begins around 24 hours after discharge as home-based sessions, moving to centre-based sessions once travel is comfortable.
Yes. We train family members and carers in safe assistance, transfers, supervision during exercises and how to help someone up safely. Carer training covers movement and safety only, not clinical procedures.
Yes. Training begins within a supported, controlled setting with the therapist beside you, and difficulty is increased only when the current level is genuinely secure. Rebuilding confidence is part of the treatment, not a side effect of it.
Comfortable clothing you can move in and your regular walking footwear — not new shoes or slippers. Bring your walking aid if you use one, your current medication list and any relevant reports.
Yes. Several common medicines, and particularly combinations of them, can contribute to dizziness and falls. Where this is suspected we flag it for review with our Physicians or your prescribing doctor. Never stop a prescribed medicine on your own.
Yes, through our paediatric team, using age-appropriate play-based methods. See Pediatric Physiotherapy.
Yes. Balance and gait retraining is a standard part of joint replacement rehabilitation, restoring normal walking pattern and confidence rather than a protective limp.
Yes. Recurrent sprains usually indicate lost proprioception at the ankle. Balance and proprioceptive retraining is the main evidence-based way to reduce recurrence, and forms part of return-to-play testing for athletes.
Balance and gait sessions are delivered one-to-one so that difficulty can be graded to you individually and supervision remains close.
It is practising walking while doing something else — talking, carrying, scanning. Most real-life falls happen during distraction, so training only in quiet, focused conditions leaves a gap that dual-task work closes.
Yes, where it is safe and appropriate. Much of the harm from falling comes from lying on the floor unable to get up, so this is a valuable skill to practise under supervision.
Most patients notice greater confidence within the first two to three weeks of consistent training. Measurable changes in walking speed and balance scores usually appear by the first formal review.
No. You can book directly. We also accept referrals from other hospitals, neurologists, orthopaedic surgeons and physicians.
We do not offer cashless insurance billing. Treatment is paid directly, and we provide itemised bills with a full clinical case sheet prepared to meet insurer documentation requirements for reimbursement claims.
Call 8009537637%20953-7637) or message the same number on WhatsApp. Walk-ins are welcome between 8:30 AM and 8:00 PM, any day of the week.
Book a balance and gait assessment at Impulse Physiotherapy, Yelahanka.