Dizziness & Vestibular Rehab

Balance & Dizzy Matters

Audiology services:

Sandton Hearing and Balance


Physiotherapy services:

McCulloch, Harrison and Partners

Contact us


What is ‘Balance & Dizzy Matters’?

‘Balance & Dizzy Matters’ describes the working co-operation between the Audiology and Physiotherapy practices at RehabMatters that have a special interest in Vestibular Rehabilitation.


What is a Vestibular Assessment?

The audiologists will perform a series of tests ranging from tasks requiring you to look in different directions and follow a dot in different patterns, being placed in different positions to see if these make you dizzy, and a water irrigation test that tests the strength of the vestibular system in the ear. This testing is designed to evoke a short dizzy response so that we can help to isolate the possible cause of your dizziness.

Certain medications are restricted for the 24 hour period prior to testing as they will influence the test outcomes. These include anti-dizzy medications, antihistamines, antidepressants and sleeping tablets. Only heart, blood pressure and diabetic medication is allowed. If you are taking medication for any other condition, it is important to inform us at the time of booking the appointment so that we can give you accurate indications on whether to take these medications or not.

Please DO NOT drink any caffeinated drinks for 24 hours prior to testing and no alcoholic beverages for 72 hours prior to testing. Please consume a light meal 1-2 hours prior to the assessment.


What is Vestibular Rehabilitation?

Vestibular Rehabilitation Therapy (VRT) is a physiotherapy program that uses specific exercises to help reduce symptoms of dizziness and vertigo as well as improve balance reactions. VRT therapy aims to improve your day-to-day functioning, with particular emphasis on driving, working and improved participation in recreational activities.

VRT sessions are usually required once or twice a week for 4-8 weeks. A comprehensive assessment will take place over two sessions and will include many quantitative tests that will allow us to assess the efficacy of your rehabilitation program over time. A home program of therapy will be designed specifically for you to follow at home between sessions.

Most conditions of peripheral or central vestibular origin can benefit from VRT, including:

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Vestibular Neuronitis
  • Labyrinthitis
  • Acoustic Neuroma or CNS Tumour
  • Ototoxicity and Bilateral Vestibular Loss
  • Dizziness Post-Stroke, Head Injury, MS and Other Neurological Pathologies
  • Psychogenic Vertigo
  • Disuse Dysequilibrium (Fear of Falling)


Can I come for balance training as a preventative measure?

Yes, absolutely. There is a lot of research to support the role of rehabilitation to reduce the risk of falls in the elderly or after a period of illness that has resulted in a prolonged period of bed rest. Assessments performed with the Biodex Balance System SD will give us an accurate picture of your risk of falling, allowing us to prescribe a safe and effective program to reduce your fall-risk profile.


How do I get an appointment with ‘Balance & Dizzy Matters’?

If your primary need is to meet with someone to assess the cause of your dizziness, please contact Sandton Hearing & Balance Audiologists

If you want to treat your dizziness with a vestibular rehabilitation program, please contact McCulloch, Harrison and Partners