Here are the issues. I have trained several seniors with all different ailments, surgeries, etc. However, this woman is in good overall health, previous dancer, no weight concerns but has become extremely dependent on her walker.
She apparently has fallen 4 times in the past, and suffered a broken hip, had a hip replacement, and has developed a great fear of being independent, however, would like to not depend on her walker and wants to work of course on balance, stability, coordination, strengthening, but how do I help her with exercises in her walker to slowly doing exercises without? She also suffers from Vertigo.
She begins training with me next week. I’ve got her for one hour a week and just need ideas, please! Advice, anything!
Bottom line – assess via perhaps Tinetti Gait and Balance Assessment and get them moving and challenging them in different environments, tep by step. This person is 71 not 171.
The worst you could do is nothing.
Please see the Journal of Aging Research http://www.hindawi.com/journals/jar/2012/708905/
In a systematic literature review, Rubenstein and Josephson  reported that the above mentioned intrinsic circumstances (i.e., muscle weakness, gait and balance disorders) are the second most common cause for falls in older adults. Muscle weakness induces reduced levels of strength, particularly of the lower extremities , and is thus responsible for a performance decrement in activities of daily living (e.g., climbing stairs) . Further, the ability to generate force rapidly declines more precipitously in advancing age than maximal strength [13, 15] and is, in a fall-threatening situation, more relevant for preventing a fall than the capacity to produce maximal strength [16, 17].
In terms of fall prevention, we suggest to perform a combination of power training/high velocity strength training with multifaceted BT including multi-task and perturbation-based BT because this combinatory training regimen counteracts a large number of intrinsic fall-risk factors.
Do what you do best, protect, inspire and co-create movement!