Background <p>Contact electrical injury occurs when current conducted by nerve tissues meets resistance in myofascial tissues, causing widespread thermal burns and eventually radiating neuropathies and movement dysfunctions. While immediate rehabilitation outcomes for injuries occurring with electrical injury have been reported, physiotherapy for the long-term sequelae of electrical injury, including chronic radiculopathy, diminished balance and mobility, and drop attacks, as in this case with 12-month follow-up, has not previously been reported.</p> Case presentation <p>A 78-year-old white American woman suffered severe electrical injury 30&#xa0;years ago with ongoing neuropathies, neuropsychological disorders, and drop attacks. She reported back pain, bilateral leg tingling, balance and gait dysfunctions, and inability to participate in Zumba, her chosen wellness activity. Evaluation revealed impaired lumbopelvic–hip range of motion and weakness contributing to balance and gait limitations. Physiotherapy progressed through three overlapping phases guided by the International Classification of Functioning: (1) manual therapy for musculoskeletal impairments, (2) exercise for strength, balance, and gait training, and (3) graded activity and pain science counseling to encourage participation in wellness activities.</p> Conclusion <p>Radiating symptoms resolved, impairments improved, and balance and gait increased to age-matched normal after 3&#xa0;months, without drop attacks at the 12-month follow-up. Despite advancing age and long chronicity of her dysfunction after electrical injury, she met her goal of returning to Zumba without limitation.</p>