Concussion & Vestibular Therapy

The vestibular system is the sensory system involving the brain and inner ear that contributes to spatial awareness, balance, and coordinates eye movements. Vestibular Physiotherapy can help individuals experiencing the symptoms of vestibular disorders that often arise from head trauma (motor vehicle accidents, sports injuries, falls), ear infections or pathology (ie: BPPV) or certain medications. Vestibular rehabilitation works to restore normal vestibular function and/or teach the central nervous system to adapt to decrease symptoms and improve quality of life. 

A concussion is an injury to the brain that can happen with or without a blow to the head. Most concussions resolve within 1-2 weeks, although some people can experience persistent symptoms after this amount of time. Common symptoms are headache, neck pain, dizziness, feeling “in a fog” and sleep disturbances. Physiotherapy can be extremely useful in improving concussion symptoms and allowing the person to resume their regular activities.

We offer two time lengths for comprehensive assessments for Vestibular and Concussion Rehab. This is to give you the flexibility for booking according to your individual needs. 

You also have the option of a subsequent visit or an extended subsequent visit, depending on the time your therapist determines is best suited for you


Benefits of Vestibular Physiotherapy

  • Alleviation of spinning sensations
  • Restored balance
  • Decreased motion sensitivity and nausea
  • Reduced headaches
  • Decrease sensitivity to bright lights and noises
  • Increase the ability to read and concentrate 

Benefits of Concussion Physiotherapy

  • Reduced neck pain
  • Reduced headaches and dizziness
  • Improved balance
  • Improvement of vision symptoms
  • Improved physiological function through graded aerobic exercise

WHAT TO EXPECT                                           


A vestibular assessment is typically 45-60 minutes in length. You’ll complete a questionnaire to help your physiotherapist guide your treatment.

A physical assessment may assess head and eye movements, balance and walking, motion sensitivity, and musculoskeletal function.         

Treatment for a vestibular disorder will vary according to the individual findings of the clinical assessment. Your treatment may include a combination of balance re-training exercises, special vestibular or habituation exercises, exercises for visual/gaze stability, a supervised home exercise program, and/or a re-positioning manoeuvre for a common problem called BPPV (Benign Positional Paroxysmal Vertigo).


An initial concussion assessment is usually 45-60 minutes and is performed to identify and prioritize symptoms related to a concussion. The physical assessment may include testing of the head, eyes, neck, balance, and/or vestibular system.

Treatment is based on assessment findings and will include a combination of education and graded exercise, along with manual therapy, vestibular rehab, oculomotor retraining, or acupuncture as required.

In some cases, it is possible that a comprehensive initial assessment may aggravate symptoms of a concussion or vestibular disorder, so we recommend that you arrange to have someone ensure your safe transportation following the session.                 

Concussion & Vestibular Physiotherapy is offered at both our Cambie and Kerrisdale locations.