Ompractice Steady - Fall Prevention

Where Your Fall-Risk Patients Go After the Screening

Live, instructor-led balance, strength, and Tai Chi built around CDC fall prevention guidelines - gentle enough for the patients who need it most, and engaging enough that they keep showing up.

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Falls Are the Leading Cause of Injury in Older Adults

Clinicians screen for fall risk every day. The hard part is what comes next - a referral to exercise the patient will actually do, and keep doing.

1 in 4
adults 65 and older falls each year - most tell no one
3 million
emergency department visits for older adult falls every year
$50B+
in annual medical costs from older adult falls - most paid by Medicare and Medicaid

Balance Training Works - When Patients Actually Do It

The CDC's STEADI framework asks clinicians to screen, assess, and intervene - and exercise focused on balance, strength, and gait is the intervention with the strongest evidence base. Tai Chi in particular has decades of trial data behind it. The gap has never been the evidence. It's access and adherence.

Sources include CDC STEADI, JAMA Internal Medicine, Cochrane Database of Systematic Reviews

58%
fewer falls with Tai Ji Quan balance training vs stretching in high-risk older adults (RCT, JAMA Internal Medicine)
23%
reduction in fall rate with structured exercise programs (Cochrane meta-analysis, 100+ trials)
Confidence
fear of falling itself increases fall risk - mind-body practice reduces fear and rebuilds trust in movement
53%
of Ompractice members say it helped them stick to provider recommendations

Five Components, One Integrated Program

Every element is built for adults at risk of falling - chair options in every class, progressive challenge as confidence grows, and instructors who understand this population because they belong to it.

Tai Chi for Arthritis & Fall Prevention

The modality with the strongest fall-prevention evidence, taught by instructors certified in Tai Chi for Arthritis and Fall Prevention. Weight shifting, standing tall, and controlled stepping - the exact skills that catch a stumble before it becomes a fall.

Functional Strength & Stability

Hips, legs, and core - the muscles that keep a wobble from becoming an injury. Functional strength classes build the capacity to rise from a chair, climb stairs, and recover balance, using bodyweight and everyday movements rather than gym equipment.

Chair-First, Progress at Your Pace

Every class offers seated options, and no one starts on the floor. Participants begin where they are - seated, supported standing, or free standing - and progress only as stability and confidence allow. Deconditioned and post-rehab participants are the design target, not an afterthought.

Confidence & Fear-of-Falling Support

After a fall, many older adults restrict activity out of fear - which accelerates deconditioning and raises the risk of the next fall. Mindfulness and breath practices woven through the program address the fear cycle directly, rebuilding the confidence to move.

Live Community & Accountability

Small live classes online with instructors who see participants on camera, offer modifications in the moment, and notice when someone is unsteady. That real-time human attention is a safety layer - and a reason to keep coming back - that no app or video playlist can provide.

Gentle balance practice

Ompractice Steady is designed to serve as the exercise intervention arm of the CDC's STEADI (Stopping Elderly Accidents, Deaths & Injuries) clinical framework. It complements - never replaces - physical therapy, medication review, vision care, and home safety modification. Participants remain under their provider's care throughout the program.

What Ompractice Members Report

From our most recent member survey across all therapeutic programs.

85%
report meaningful stress reduction through regular participation
53%
say Ompractice helped them stick to their provider's recommendations
74%
say it positively influenced their perception of their healthcare provider

One Program, Three Phases

Twelve weeks, structured around each person's stability rather than the calendar. Everyone starts seated and supported. Nobody advances to standing balance work on a set date - we look at how each participant has been progressing and make the call. Someone who needs longer in a phase stays there, with nothing said about being behind.

Steady Start
Foundations of Balance
Weeks 1-4
  • Seated and supported-standing practices only
  • Weight shifting, posture, and small stabilizer work
  • Fear-of-falling and confidence basics
  • 3 live classes per week
  • On-demand recorded sessions 24/7
Steady Progress
Building Balance + Strength
Weeks 5-8
  • Readiness check before anyone moves to standing work
  • Progressive standing balance work
  • Functional strength training twice weekly
  • Weekly Tai Chi for Arthritis & Fall Prevention
  • 5 live classes per week
  • On-demand video library access
Steady for Life
Lasting Stability & Independence
Weeks 9-12
  • Advanced balance and dual-task challenges
  • Full integration into a regular movement routine
  • Maintenance habit planning
  • Continues into ongoing practice after week 12
  • Completion and persistence reporting

A Week in the Steady Progress Phase

A mix of live classes with expert instructors and pre-recorded sessions participants can access anytime. Participants choose the classes that fit their schedule and comfort level - there's no requirement to attend everything listed.

Mon
Live
Every Day Strong 10:30a
Live
Qigong 11am
Rec
Balance Basics 15m
Tue
Live
Hip Strength & Mobility 12pm
Live
Qigong 6:30p
Rec
Chair Yoga 20m
Wed
Live
Tai Chi & Qigong 12pm
Live
Chair Yoga 6pm
Live
Yoga for Strength & Balance 8:30p
Thu
Live
Seated Tai Chi for Health 11am
Live
Tai Chi for Arthritis & Falls Prevention 6pm
Rec
Standing Balance 15m
Fri
Live
Gentle Flow 8:30p
Rec
Body Scan 20m
Sat
Live
Beginner Hatha 10:30a
Rec
Tai Chi Shorts 15m
Sun
Live
Tai Chi for Health & Wellness 9:30a
Live
Every Day Strong 10:30a
Rec
Steady Collection 20m

Meet Your Instructors

Teachers certified in Tai Chi for Arthritis and Fall Prevention, chair-based movement, and gentle progressive practice - several of whom came to this work through their own mobility recoveries.

Sharif Zyhier
Sharif Zyhier
Tai Chi for Arthritis & Fall Prevention
View bio →
Ann Swanson
Ann Swanson
Tai Chi & Qigong, Yoga Therapy
View bio →
Beth Ciesco
Beth Ciesco
Easy Does It & Restorative
View bio →
Christine Engelfried
Christine Engelfried
Gentle Flow & Chair Yoga
View bio →

Flat-Fee Licensing, Not Per-Participant Billing

We price as program licenses, not per-head costs. Your organization gets unlimited participant access within the program, so you can scale enrollment without budget surprises.

Budget Certainty

One flat fee covers your entire program. No per-participant billing means you can enroll more patients without additional cost.

A Fraction of One Fall's Cost

The average fall-related hospitalization costs over $30,000. A single prevented fall can cover years of program licensing for an entire population.

Volume Flexibility

Multi-program and multi-site licensing available. The more conditions you cover, the better the overall investment.

Help Your Patients Stay on Their Feet - and Out of the ED

Screening identifies the risk. Ompractice Steady is the intervention your patients will actually attend - live instructors, chair-first classes, and a community that keeps them coming back. Let's discuss how Steady can plug into your fall prevention protocol.

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