When our body's sense of balance works correctly, we barely notice. But maintaining balance requires complex, continuous and typically subconscious calculations between the body and the brain. Three different sensory systems—eyes, ears, special nerves in muscles and joints (our somatosensory systems)—must work together to maintain equilibrium. Impairment in one system or more may lead to dizziness and the inability to remain upright.

Your First Choice for Balance & Dizziness Assessment & Treatment

At Portsmouth Regional Hospital, you'll find the help you need to handle challenges with balance and dizziness. With your doctor's referral for vestibular rehabilitation and balance assessment, our certified and experienced rehabilitation specialists work with you in a two-part approach to create a plan for treating an extensive range of conditions involving balance and dizziness, including:

Assessment Process

Our highly skilled clinical specialists provide your initial evaluation through:

  • A detailed medical history to uncover important information about potential sources of the problem
  • Visual screening to assess eye tracking, gaze stabilization, acuity and visual fields
  • A musculoskeletal assessment, including vertebral artery and cervical screening, to define posture, balance while standing and moving, gait analysis, range of motion, strength and sensation
  • Positional and movement testing to assess your symptoms, response and potential areas of inner ear (vestibular) dysfunction
  • Computerized Dynamic Posturography, also known as Static/Dynamic Balance Assessment and Sensory Organization Testing; a series of recorded balance tests designed to determine limits to your stability, the extent of your balance control while moving and the interaction among eyes, ears and body sensory systems

Treatments and Services

Following our assessment and evaluation, you may receive recommendations for treatments and services such as:

  • Individual vestibular rehabilitation – Helps you adapt to a problem in the vestibular system with specific exercises and positioning techniques to improve your ability to function so symptoms are minimized or no longer experienced; for more permanent vestibular loss, you'll learn effective ways to compensate
  • Balance rehabilitation and retraining – Creates your personalized home exercise program that may include postural stability exercises, transfer training, vision retraining, exercises to improve balance control in specific directions and at varying speeds, weight distribution training, flexibility and strength training, agility drills and safety evaluations for home, work or sports
  • Referral for additional services – Connects you to consultations with ear-nose-throat (ENT) or neurological specialists, a comprehensive hearing exam and/or a detailed visual field analysis

Take the Next Step

Ask your doctor for a referral to our Vestibular Rehabilitation program. For more information or to make a referral, call the Portsmouth Regional Hospital Center for Rehabilitation & Wellness at 603.433.4015.

Learn more about temporary dizziness and vertigo at our online Health Library or from the Vestibular Disorders Association.