Vestibular Rehabilitation

What is Vestibular Rehabilitation

The vestibular system is a very tiny structure in our inner ears, which works as a sensor for body motion and aids in maintaining balance, hearing also. Vestibular rehabilitation is personalized and specialized therapy that functions to improve any dysfunction related to the vestibular system like, dizziness, balance problems, vertigo and many more. It includes a comprehensive assessment and symptoms related exercise program.

How can Vestibular Rehab help you?

If you are suffering from Dizziness, vertigo, fogginess, or balance dysfunction after head injury (concussion), ear infection or due to any other condition, you can get benefits from vestibular rehabilitation. Our Physiotherapists are skilled in assessing your current condition with thorough assessment and building personalized exercise protocol based on assessment results for you.

We build a personalized treatment protocol focusing on your current key symptoms mainly, vertigo, dizziness, and imbalance. We continue to keep our communication with your family doctor or physician to progress and help you to return to your daily activities/sports.

The Initial Assessment

Vestibular assessment: 

Along with a detailed history of the patient, other screening tools are helpful in determining severity of symptoms.

VOMS (Vestibulo-Ocular Motor Screening) Assessment: This screening tool helps to assess any dysfunction in the Vestibular as well as Ocular system.

It has five items to assess:

  • Smooth Pursuits
  • Saccades
  • Convergence
  • Vestibulo-Ocular Reflex
  • Visual-Motion Sensitivity

Maintaining balance is also one of the functions of the Vestibular System.

BESS (Balance Error Scoring System), DGI (Dynamic Gait Index), CTSIB (Clinical Test of Sensory Interaction on Balance) and mini-BEST (Balance Evaluation Systems Test) are examples of screening tools clinician can use to assess vestibular system function.

Approach to Treatment

After the detailed assessment, a personlizied treatment plan will be developed by the Physiotherapist to help each patient work on their individual functional goal.

Physiotherapy Treatment Interventions focuses on exercises for the Vestibulo-Ocular Deficits which may include:

  1.       Gaze stabilization
  2.       Smooth pursuits
  3.       Habituation exercise
  4.       Standing balance
  5.       Dynamic balance
  6.       If, BPPV Benign Paroxysmal Positional Vertigo is present, Canalith repositioning maybe appropriate.



    250 Bayview Drive. Unit 1     

    Barrie Ontario. L4N0Z1

    P: 705-503-1250



    Monday: 9:00 am- 4:00 pm

    Tuesday: 10:00 am- 8:00 pm

    Wednesday: Appointments for RMT. Physiotherapy appointments by request.

    Thursday: 9:00 am - 8:00 pm

    Friday: 8:00 am - 3:00 pm

    Saturday & Sunday: Closed

    P: 705.503.1250
    F: 705.617.9867