Dr Megan Lusk PT,DPT, GCS

Dr Megan Lusk PT,DPT, GCS Board Certified Geriatric Clinical Specialist, Vestibular Specialist, Parkinson’s Rehab and Wellness

When one of these systems starts to decline, balance can suffer.That’s why improving balance isn’t just about doing bala...
06/11/2026

When one of these systems starts to decline, balance can suffer.

That’s why improving balance isn’t just about doing balance exercises.

It’s about training the entire system.

If you’ve noticed changes in your balance, don’t assume it’s “just aging.” The good news is that many of these systems can be improved with the right type of training.

Which of these balance systems do you think gets overlooked the most? 👇

11/21/2025

🏃🏼‍♀️‍➡️Trouble with walking downhill without falling forward or going too fast/festinating gait??

💥Have your patient control the walk while you (the therapist) pulls them!

So many benefits:
💪🏻eccentric quad
👣leading with legs not forward trunk posture!
🧠coordination and control of movement
🤩add sudden stops/accelerations for added reactive balance!!

💯Bonus strength exercise (sled pulls) for the therapist during your work day!

My cues:
🐌Slow it down
🚨Don’t let me pull you!
🦵🏻Lead with your legs!

11/18/2025

Choices!

💪🏻I make daily choices to lift heavy and work on my strength for many reasons. But being able to move all of our heavy furniture and appliances alongside my husband when we moved and to be able to help with this increased outside workload (this is a pretty gnarly hill) as we just got some property…this is what it is all about. 😍

We want to make this space our forever space so to stay strong and age in place is a must for me! Strength will help this become my reality well into my aging years!

11/17/2025

Freezing and Festinating Gait are tricky but there are ways PT’s can help!

💥Focus on Amplitude of movement and use some strategies (external cues, counting, marching, music, etc..).

💡I love using the for changing directions with the random pod lights and creating challenge with different colors to do different things. Example: red=hit off with right foot or with the reactive stick, blue=hit off with left foot or bounce a ball.

Less costly: use color dots and you call out the color to step to!

👉🏻Exercise 1: a four square step with red=right foot, blue=left foot and adding diagonal stepping! Pool noodles bonus for foot clearance cue!

👉🏻Exercise 2: obstacles with color challenge and even add a ball bounce or two to work on coordination and more dual tasking! Loads of turns, loads of visual scanning, loads of initiation of gait and go/no go work, and loads of small space navigation!

👉🏻Exercise 3: hurdles and pods to challenge more foot clearance and smaller spaces to turn in!

📢Shoutout to my amazing PTA for making an appearance .marie.smith.

Address

12501 N Division Suite 5
Spokane, WA
99208

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