905.886.2673 | Mon to Thurs: 8 - 7 | Fri: 8 - 5| Sat: 9 - 3| Sun: Private Pilates & Classes Only

Vestibular Rehabilitation

Our Registered Physiotherapists have specialized training in the treatment of vestibular disorders nationally and internationally.  

Increasing the senses together.

Our Physiotherapists have diverse Vestibular Rehab training and certification including our Concussion & Vestibular Rehab Director who has been certified in Vestibular Rehabilitation through the Duke University School of Medicine, which provides extensive post-graduate training in the assessment and treatment of vestibular disorders.  With clinical and evidence-based protocols comparable to hospital programs, you can expect a shorter wait time to schedule a Vestibular Assessment at our clinic.

Which conditions can be treated with Vestibular Rehabilitation?

  • BPPV (Benign Paroxysmal Positional Vertigo)
  • Vestibular Neuritis
  • Labrynthitis
  • Vestibular Hypofunction or Loss
  • Meniere’s Disease (Endolymphatic Hydrops)
  • PPPD (Persistent Postural-Perceptual Dizziness)
  • Recurrent Vestibulopathy
  • Vestibular Migraine
  • Post Concussion Syndrome
  • Cervicogenic Dizziness
  • Increased risk for falls
  • Balance or Gait Disorders

What might an Individualized Vestibular Rehabilitation program consist of?

  • Education and one-on-one support
  • Manual (hands-on) therapy and positional manoeuvres (if indicated)
  • An individualized exercise program consisting of gaze stabilization and habituation exercises, balance and gait training (if indicated)
  • Cardiovascular fitness training (if indicated)
  • Depending on the type of vestibular dysfunction, symptoms can resolve in several visits or can require more time
  • Our protocols are evidence-based and individualized to each patient and are based on the most current research

What are the symptoms of Vestibular Dysfunction?

  • Dizziness
  • Nausea
  • Vertigo
  • Imbalance
  • Anxiety
  • Vision problems (ex. Blurred vision)

What does a Vestibular Assessment consist of?

  • A comprehensive medical history and clinical assessment of your symptoms
  • Manual and functional tests of the visual, vestibular and balance systems to discern the potential causes of the presenting symptoms
  • Infrared goggle technology is used to accurately assess vestibular dysfunction by recording eye movement
  • It is common for the assessment to reproduce your symptoms, so you may wish to have someone accompany you to the appointment; however, most patients are able to function normally following the assessment

What causes Vestibular Dysfunction?

The most common cause of vertigo and dizziness is Benign Paroxysmal Positional Vertigo (BPPV). This condition occurs when calcium carbonate crystals in the inner ear become dislodged and interfere with normal fluid movement, causing false signals to the brain. There are different types of BPPV, each requiring a different manoeuvre for effective treatment. It is common in the older population and can occur for no specific reason; however, triggers can include specific head movements including rolling in bed, getting in and out of bed, bending over, tipping the head back, and quick head movements. If left untreated, BPPV can result in lingering dizziness and issues with balance.

Other causes of Vestibular Dysfunction can include:

  • Head trauma
  • Infections
  • Age-related degeneration
  • Random or unknown causes

To learn more about Vestibular Rehab at Neurocore, please feel free to contact us.

What does an individualized Post-Concussion Management program consist of?


  • Education and one-on-one support
  • Comprehensive, personalized and detailed assessment
  • Gradual increase in cognitive and physical activity such as return to work, sport and school
  • Cervical spine rehabilitation
  • Vestibular rehabilitation
  • Cardiovascular activity
  • Vision rehabilitation
  • Addressing cognitive involvement and working alongside a multi-disciplinary team
  • Home Exercises

What is a Concussion?


A Concussion is a type of traumatic brain injury sustained due to one or a combination of several factors including but not limited to:

  • Falls
  • Motor vehicle collisions
  • Blow, or jolt to the head
  • Strike o the body that causes the head and brain to move rapidly back and forth
  • Extreme sound/vibration/explosions
  • Sport-related injuries

Sudden movement may impact the brain and cause it to move within the skull, creating chemical changes in the brain stretching and damaging brain cells and in turn brain function.

What are the potential long-term implications of a concussion?


  • Post-traumatic headaches
  • Vertigo
  • Changes in vision and/or hearing
  • Impaired balance and walking
  • Fluctuations in mood, sleep and energy levels
  • Functional capacity change
  • Difficulty in returning to work, school, sports and family life

What are the signs/symptoms of a concussion?


  • Headaches or a feeling of pressure in the head
  • Temporary loss of consciousness
  • Confusion or feeling as if in a fog
  • Amnesia surrounding the traumatic event
  • Dizziness or “seeing stars”
  • Ringing in the ears
  • Nausea
  • Vomiting
  • Slurred speech
  • Delayed response to questions
  • Appearing dazed
  • Fatigue
  • Increased mood fluctuations

Some concussion symptoms are experienced immediately while others have a delayed onset of few hours, or days after an injury such as:


  • Concentration and memory complaints
  • Irritability and other personality changes
  • Sensitivity to light and noise
  • Sleep disturbances
  • Psychological adjustment problems and depression
  • Disorders of taste and smell


What does an individualized Post-Concussion Management program consist of?


The Graded Redefined Assessment of Strength, Sensibility and Prehension (GRASSP) is an outcome measure for sensory and motor impairment of the upper limbs after tetraplegic spinal cord injury. It can be used to assess the extent of natural recovery, as well as the effectiveness of interventions.

To learn about the GRASSP, Contact Us

Learn more about the GRASSP here: https://www.grassptest.com/

Can children sustain concussions?


Absolutely. Children may experience concussions but symptoms may be difficult to recognize due to children’s difficulty in describing how they feel or may compensate well enough that the symptoms are less identifiable.



Concussion “clues” in children may include:


  • Appearing dazed
  • Listlessness and tiring easily
  • Irritability and crankiness
  • Loss of balance and unsteady walking
  • Crying excessively
  • Change in eating or sleeping patterns
  • Lack of interest in favorite toys



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Mon: 8:00am - 7:00pm

Tues: 8:00am - 7:00pm

Wed: 8:00am - 7:00pm

Thu: 8:00am - 7:00pm

Fri: 8:00am - 5:00pm


Sat: 9:00am - 3:00pm

Sun: Private Pilates & Classes Only 



(905) 886-2673


(905) 886-2676




9140 Leslie Street, Unit 107
Richmond Hill, ON
L4B 0A9