Balance and Mobility Training

Stay Independent As You Age with
In-Home Balance And Mobility Training

Good balance and mobility is necessary for enjoying an active lifestyle, for performing daily tasks and activities, and for living independently. We are certified balance and mobility specialists, personal trainers, and licensed physical therapists who specializes in neurophysiology and corrective exercise specifically to help keep older adults stay and live safely independent and independent longer.

We are experts in active aging wellness programming and provide a wide range of options in targeted exercise training, therapeutic exercise as well as falls intervention programs aimed to restore function, regain strength, balance and mobility with the goal of continuing to live safely in the home of your choice with the functional ability to live an active and vibrant life.

When you or a family member is beginning to experience balance problems or when a near-fall, a fall has occurred (with or without injury) it is time to take actionFitness & Function allows many seniors to Safely Stay at Home and extend their independence even to advanced 95+ years of age. 
Fitness & Function is a Vetted Vender for Viva Village NWSenior woman working with weights in gym

Research shows that the most effective balance, mobility and fall reduction programs are those delivered in the home and individually tailored to the balance impairment 

  FallProof Balance and Mobility Training:

FallProof™ was awarded “best practice” for fall reduction programming by the National Council on Aging (NCOA). FallProof program participants have shown SIGNIFICANT improvements in balance, lower body strength, functional mobility, balance-related self-confidence, and the program has proven to reduce the risk factors that contribute to falls among older adultsFallProof is the best program available for improving balance and mobility among older adults. FallProof Balance and Mobility Specialists are able to tailor this program to each client and focuses on optimizing the use of each client’s (1)sensory system [visual system, vestibular system, somatosensory system], (2) motor system, and (3) cognitive systems. Exercises help older adults improve muscle strength, flexibility, improve and maintain bone health, and slow down age related declines.

  • FallProof™ is suitable for older adults beginning to experience balance problems and should not be using a cane on a regular basis. 
  • FallProof level Adult Health Day-Care is suitable for older adults at high risk for falling, frail, using a walker or cane, who have had fallen within the last year, and have moderate to severe decreased strength and balance due to multiple risk factors. Also beneficial for adults requiring assistance in ADL’s.

swahStay Well At Home Program: 

Fitness & Function is an authorized provider for the Stay Well At Home program and we have several trained facilitators in the Portland Oregon area who are ready to bring this program home to you. This 6-month long program combines in-home personal training that gradually tapers down to phone consultations, and guides you to gradually take over and manage your program independently.
Stay Well At Home program provides the resources and materials needed older adults to continue independently after the initial 6 months.
Each participant receives his or her binder with detailed pictures and explanation of exercises and progressions, home safety information and check lists, exercise equipment, four exercise DVD’s and much more. The older adult can utilize and benefit from the Stay Well At Home program for many years to come and maintain strength, balance and mobility.

The goal of the Stay Well At Home program is to empower the older adult to make necessary behavior changes and to manage their own fall risk in a long term and thus reduce the risk factors that contribute to falls. 

Beneficial for older adults 65 and older at risk for falling, a history falls with and without injuryThis program was developed by the leaders in older adult exercise research at the Center for Successful Aging – California State University – Fullerton


This program provided by a certified Physical Therapist is a 12-month in-home exercise program to prevent falls in older adults. Suitable and most effective for older adults 80 years or older, who have had fallen within the last year, and have moderate to severe decreased strength and balance due to multiple risk factors. 

Tai Chi-Movement for Better Balance:

This is a simplified eight-form program endorsed by The Oregon Health Authority. Research shows that Tai Chi is effective in reducing falls among relatively healthy but sedentary older adults at low-to-moderate levels of fall risk. This type of exercise however has not been successful in reducing falls in older adults at high risk for falls (ACSM’s Health & Fitness Journal VOL. 19/NO. 3).

Stepping On: Building Confidence and Reducing Falls in Older Adults (workshop):

This 7-week multi-faceted falls-prevention group workshop with a 3-month booster session has shown to reduce the risk of falls by 31% in older adults. This workshop is suitable for independent living older adults who can walk without the help of another person or walker. Because the rate of falls  in Oregon is 70% higher than the national average, the State of Oregon has recognized the value of this program and is endorsed by The Oregon Health Authority. Research shows that completion of Stepping On results in a 31 percent reduction in falls. We can instruct Stepping On at various locations such as independent living communities, senior centers, clinics and hospitals.

Convenience and comfort: Our health and fitness professionals come to the client, and all assessments and training are done in the comfort of the home (private home, senior residential community, independent or assisted living community, or adult foster home). In-home exercise training and in-home outpatient physical therapy are convenient and time efficient; there no transportation to arrange, produces less or no stress, and/or reduces confusion to the client.  

Early screening and assessments can identify possible impairments in balance and mobility. We work with each client’s health care provider and often include and continue exercises that have been recommended by our client’s physical therapist. Our in-home individualized and focused exercise training programs serve as an intervention that lead to a path of Vibrant Aging. Falls are not a normal part of aging and the aging process by itself does not cause someone to lose independence. Falls however are the main reason older adults lose their independence; one out of every three older adults falls annually, most falls happen in or around the home, and three-thirds of deaths from falls were at home. People are living longer with ailments such as diabetes, neuropathy, arthritis, osteoporosis, stroke, heart disease, Parkinson’s and cognitive problems which places the aging adult at increased risk for falling.  Pro-Active Aging is taking action by implementing the most appropriate exercise and/or falls intervention program that specifically targets the balance issue. 

Most frequent question:

Am I able to afford in-home exercise training two to three times per week? 
Answer: For our older senior adult clients, the ‘house call wellness model’ keeps each person healthier, with the strength, balance and mobility to stay functionally independent and ‘Age in Place’ in the home of their choice.  Most older adults want to stay in their own home as they age, however falls are the main reason older adults lose their independence. The annual cost of long-term care versus the cost of staying functionally independent through targeted in-home exercise training is significant. Assisted living annual cost is about $5,000 to $10,000 per month (depending on the level of assistance needed with activities of daily living).

  • In-home targeted exercise training twice a week is about $600 to $700 per month (depending on the expertise and qualifications of the health and fitness professional). 
  • 6-months of the Stay Well At Home program is $1600 (average of $270 per month)

In-home personalized exercise training, in-home outpatient physical therapy, fall prevention and intervention, and diabetes prevention and intervention program, are a valued service and provides a ‘continuum of wellness care’ which enables our older and aging clients to reach their highest level of function and fitness possible throughout their life span and enjoy a high quality of life. 

Contact us today: call 503-267-1030 or email at

Click these links  and Falls, Fractures and Osteoporosis for additional fall prevention information. 

Our clients receive Award-Winning and Evidence Based Balance and Mobility Program exercise training that is structured to systematically target the physical risk factors associated with falls. Each program is tailored for the level of fall risk and of a sufficiently high dose to significantly lower the risk for falling. Our health fitness professionals are certified in delivering balance and mobility instruction in programs that are evidence-based, endorsed by the CDC, The Oregon Health Authority and/or have been recognized by the National Council on Aging (NCOA).