DTC Balance & Gait Training enables providers to deliver targeted rehabilitation and exercise therapy both in-clinic and remotely—ideal for patients with diabetes, neuropathy, or other conditions that impair mobility and increase fall risk. Using reimbursable functional assessments and guided ambulation programs, clinics can manage gait instability, chronic pain, and postural issues without needing to refer patients out.

This turnkey solution improves quality of life, supports safer ambulation, and enhances clinical outcomes—while generating new revenue through CMS-covered services delivered onsite or virtually, all under one coordinated care model.

Balance and Gait Therapy

Balance and gait impairments are among the earliest signs of diabetic and neurologic decline—and are leading contributors to falls, injury, and hospitalization. At Diabetes Testing Centers™ (DTC) and DTC Care Clinics®, we bring specialist-level diagnostics and therapy directly into primary care settings.

Our system uses FDA-recognized, AI-driven motion analytics to assess key clinical markers—such as gait symmetry, joint range of motion, reaction time, and balance deviation—within minutes. This enables providers to identify hidden neuromusculoskeletal risks and launch reimbursable therapy programs that restore function and prevent complications.

The Staggering Cost of Untreated Complications

The direct cost to treat diabetes is staggering—and the cost of managing its many comorbid conditions is even harder to calculate. These complications include but are not limited to:

• Various neuropathies

• Diabetes-associated pain (including chronic low back pain)

• Dizziness and vestibular dysfunction

• Visual impairments: retinopathies, cataracts, glaucoma, blurred vision, watery eyes, headaches

• General fatigue and sleep disorders

• Cognitive decline

• Obesity

• Cardiopulmonary pathology

• Muscle weakness and paresthesia

• Limited joint mobility and frozen shoulder

• Kidney disease

• Neurological dysfunction

• Rheumatoid arthritis

• Side effects from pharmacologic, surgical, or other treatments

These overlapping conditions significantly raise the cost of care and complicate clinical management. For CMS, state programs, and commercial payors, this makes it increasingly difficult to manage cost containment without reducing access or quality.

DTC’s Answer: In-Clinic and At-Home Motion Testing

Routine gait and balance testing, combined with timely intervention, can drastically reduce the risk of falls, detect comorbid issues earlier, and support therapy decisions—all while improving patient outcomes.

No Session Limits for Medically Necessary Therapy

When billed under a medical PM&R model, therapy visits are guided by clinical necessity, not arbitrary caps. This allows continuous therapy in chronic cases—ideal for patients with diabetic neuropathy, fall risk, or muscle weakness.

Primary care providers should implement DTC PM&R Care Clinics® to deliver reimbursable balance and gait training for diabetic and high-risk patients. This turnkey solution keeps care in-house, improves outcomes, and unlocks new revenue streams—all without disrupting your existing workflow.

Clinical Benefits
• Safe, non-invasive, and user-friendly therapy for patients with mobility impairments
• High reimbursement potential under CMS-covered functional assessments and therapy codes
• Minimal risk of adverse effects and easily adaptable to patient tolerance
• Proven improvement in functional outcomes, gait stability, and fall prevention
• Significant reduction in external referrals by offering therapy in-house or remotely
• Enhanced patient satisfaction and engagement through measurable progress

Clinical Indications
• Neuromuscular re-education to improve coordination, balance, and ambulation
• Management and symptomatic relief of chronic, intractable pain associated with neuropathy, arthritis, or post-surgical recovery
• Adjunctive treatment for musculoskeletal disorders and post-traumatic conditions
• Prevention and slowing of disuse atrophy in patients with reduced mobility
• Maintenance or improvement of range of motion in weight-bearing joints
• Enhancement of local circulation to lower extremities, especially in diabetic patients
• Post-operative stimulation (e.g., TENS or NMES) to support early mobility and reduce risk of venous thromboembolism