Dementia Physiotherapy at Home

Physiotherapy that comes to you, for people living with dementia across Western Sydney. We help people stay mobile, steady on their feet and safer at home, in familiar surroundings, and we support the family members and carers who help them every day.

We work with Support at Home, NDIS, Medicare and private clients.

Physiotherapist helping a person living with dementia at home

ESSA Accredited

University-qualified exercise physiologists, registered with ESSA.

Home Visit Physio

Home visits across Western Sydney. No travel required on your end.

NDIS, Aged Care and Workers Comp Accepted

We work with your plan, package, or claim.

Dementia Physiotherapy That Comes to You

Dementia is best known for its effects on memory and thinking, but over time it also affects how people move. Walking can become slower and less steady, strength and balance decline, and falls become more common. A fall can mean a hospital stay, a loss of confidence and a big change in independence.

Physiotherapy helps people living with dementia stay active, keep moving safely and hold on to the everyday abilities that matter, such as getting up from a chair, walking around the house and getting out into the garden. Treating people at home matters even more with dementia: a familiar place is calmer than a clinic, and we can practise the real routines, rooms and paths they use every day.

We work alongside GPs, geriatricians, dementia nurses, occupational therapists and Support at Home providers, and keep families informed at every step.

How Physiotherapy Helps People With Dementia

Physiotherapy can't treat dementia itself, but it can make a real difference to safety, mobility and quality of life. We focus on what matters most to the person and their family.

Falls prevention

Falls are more common in people living with dementia. Targeted strength and balance exercise is one of the most effective ways to reduce falls risk, and we pair it with a practical check of the home for hazards.

Walking and balance

We work on walking confidence, steadiness and turning, and advise on walking aids that are simple and safe to use, so getting around the house and outdoors stays possible for longer.

Strength and fitness

Keeping the legs and body strong makes standing, walking and climbing steps easier. Exercises are kept short, simple and built into familiar activities.

Getting up and moving around

We practise standing up from chairs, getting in and out of bed, using the toilet and shower, and getting up safely after a fall, the movements daily care depends on.

Pain and stiffness

Joint pain and stiffness can be hard for someone with dementia to explain, and may show up as restlessness or reluctance to move. We assess for it and use gentle treatment and movement to ease it.

Staying active and engaged

Regular physical activity supports wellbeing, sleep and mood. We look for activities the person enjoys, such as walking, gardening or music, and help make them part of the daily routine.

Recovery after a fall or hospital stay

After a fall, illness or hospital admission, we help rebuild strength and confidence at home so the person can get back to their usual routine as safely as possible.

Physiotherapy as Dementia Changes

Dementia progresses differently for everyone. We adapt physiotherapy to where the person is now and plan ahead with the family for what may come next.

  • Early stage: The focus is on staying active, building strength and balance, and setting up an exercise routine while new habits are easier to learn.

  • Middle stage: As falls risk rises and instructions become harder to follow, we simplify exercises, adjust the home and involve family and carers more closely.

  • Later stage: When moving around is difficult, we prioritise comfort, positioning, gentle movement to reduce stiffness, and safe transfers for carers.

How we adapt our sessions

We keep visits calm and familiar. Where possible, the same physiotherapist visits each time. We use short, simple instructions, show rather than tell, and build exercise into everyday activities. We book visits for the time of day the person is usually at their best, go at their pace, and welcome a family member or carer to join in.

Why Home Visits Suit People With Dementia

  • Familiar surroundings. Home is calmer than a clinic, which helps people feel settled and take part.
  • No travel or waiting rooms. No car trips, unfamiliar buildings or busy waiting areas that can cause confusion or distress.
  • Practise real routines. We train the actual chair, bed, bathroom, hallway and garden path the person uses every day.
  • Home safety checked. We look at lighting, rugs, rails, clutter and night-time trips to the bathroom, and suggest simple changes.
  • Carers included. Family members and support workers can join sessions and learn how to help between visits.
  • Visits at the best time of day. We book around the person's routine, when they are most alert and comfortable.

Support for Families and Carers

Caring for someone with dementia is physically demanding, and families often help with walking, standing and getting in and out of bed every day. With the person's consent, we involve the people who support them and show them:

  • How to help with standing, walking and transfers without risking their own back

  • Simple prompts and cues that help the person keep moving

  • What to do after a fall, and how to help someone up safely

  • Short, enjoyable exercises to do together between visits

  • When equipment, such as rails or a different walking aid, could help

  • How to help with walking and transfers without risking their own back

  • Cues that help someone get moving again when they freeze

  • What to do after a fall, and how to help someone up safely

  • How to support your home exercise program between visits

Looking after yourself too

Caring for someone with dementia can be tiring, physically and emotionally. If you need support, Dementia Australia runs the free National Dementia Helpline on 1800 100 500.

What Happens at the First Visit

Step 1: Getting to know them

We talk with the person and their family about their history, routine, what they enjoy and what has become harder. Family input helps us understand the full picture.

Step 2: Gentle assessment at home

We watch how they walk, stand, balance and move around their own space, and check for falls risks.

Step 3: Goals and plan

Together we set simple, practical goals, such as walking to the letterbox safely or getting up from the couch without help, and agree on how often we'll visit.

Step 4: Getting started

Most first visits include some exercise and practical advice for carers, so the plan starts working straight away.

Funding for Dementia Physiotherapy

How physiotherapy is funded usually depends on age and situation. We'll help you work out which option suits.

Support at Home: For people aged 65 and over, physiotherapy is often funded through Support at Home aged care funding. Your provider or care partner can arrange services with us.

NDIS: People with younger onset dementia who apply before age 65 may be eligible for the NDIS when the condition has a substantial, ongoing impact on daily life. As a registered NDIS provider, we work with self-managed, plan-managed and NDIA-managed participants. Our guide to NDIS physio funding explains more.

Medicare: With a GP chronic condition management plan, Medicare rebates are available for a limited number of allied health sessions each year.

Private: You don't need a referral to book private physiotherapy. See our home visit physiotherapy cost page for fees.

Related Conditions We Treat

Exercise Physiology

Regular, enjoyable exercise is one of the best ways to support people living with dementia. Alongside physiotherapy, our ESSA-accredited exercise physiologists can deliver longer-term strength, balance and fitness programs at home. Learn more about exercise physiology.

Dementia Physiotherapy Across Western Sydney

Our physiotherapists visit people living with dementia at home across Western Sydney, including:
We also service Casula, Ingleburn, Wetherill Park, Epping, Eastwood, Ryde, and surrounding areas. Not sure if we reach your suburb? Call us on 0485 839 450 and we will confirm.

Book Dementia Physiotherapy at Home

Whether your family member has recently been diagnosed or their needs are changing, we can help them stay mobile and safer at home. Call 1300 001 792 or send us an enquiry. Family members, GPs, Support at Home providers and support coordinators can all refer.

FAQs about Dementia Physiotherapy

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