A normal gait pattern maintains range of motion in the hips, knees, ankles and spine as well as optimizing balance and safety for the older patient. A Home Physical Therapy Gait Assessment often will reveal asymmetries in step length, knee function and lower extremity weight bearing. The use of dynamic stepping exercises, cones, proprioception boards and using 3 planes of movement all help provide a challenge to the balance systems. Balance and Strength training exercises, postural corrections, weight shifting exercises and proper instruction with assistive devices can help normalize the gait pattern.