Skip to main content
Dartmouth-Hitchcock logo
Summer Flowers In This Section

Balance Therapy

You should talk to your primary care provider about a referral to our balance therapy program for an assessment if you have:

  • Fallen or been close to falling
  • Changed your normal activities because you are concerned about your balance
  • Experienced dizziness or unsteadiness

Our physical therapists are specially trained to treat balance and dizziness, working closely with otolaryngologists and neurotologists (ear, nose and throat specialists), physiatrists, and neurologists.

Balance therapy program

ActiveStep Fall Assessment and Fall Reduction System

After your balance assessment we will develop a plan with you. Often, people begin with one or two therapy sessions weekly to work on strength, balance, and flexibility. Our team uses the latest equipment available, including the ActiveStep™ Fall Assessment and Fall Reduction System, a new technology in balance treatment that specifically targets improvement of slips and trips. It is similar to a treadmill except that you have a harness and a belt around you to make sure you are safe as the machine makes quick starts, forward and backward, to simulate slips and trips. The motion helps your body learn how to balance better in these situations. We also have a large gym with equipment for strengthening and balance training. A specialized mobile harness system is set up in an open area where you can walk and do exercises to improve your balance without falling.

We perform a complete assessment including Platform Posturography Testing using the SMART Balance Master® EquiTest® – advanced technology to test a patient's balance. After our team completes a comprehensive assessment, we will determine the most appropriate treatment that may include:

  • Vestibular habituation and gaze stabilization exercises meant to help retrain the vestibular system.
  • Balance exercises to improve steadiness with walking and standing activities.
  • Epley's canalith repositioning maneuver for BPPV—a technique that involves moving your head in specific directions to eliminate a spinning sensation when you move.


Contact Us