The Center for Balance Disorders at Baylor College of Medicine in Houston, Texas, provides in-depth services for the diagnosis and management of patients with vestibular disorders. Vestibular disorders are disorders of the inner ear as they relate to balance and equilibrium. Symptoms include, but are not limited to, dizziness, imbalance, disorientation, nausea, blurred vision, and hearing loss. As part of Baylor College of Medicine, we have access to cutting-edge technology and superior physicians. Our services include vestibular function testing, vestibular rehabilitation therapy, and counseling services.


All tests are administered by experienced technicians under the supervision of Jeffrey Vrabec, M.D., a board-certified neurotologist and associate professor at Baylor College of Medicine.

Tests include:

  • Electronystagmography/Videonystagmography (ENG/VNG) testing
  • Rotational chair testing
  • Vestibular Evoked Myogenic Potentials (VEMP), including cervical and/or ocular modalities
  • Computerized dynamic posturography platform testing
  • Pressure sensitivity testing
  • Electroneuronography (ENOG) – Facial nerve function testing

See details about individual tests.


Vestibular rehabilitation therapy is provided by Helen Cohen, Ed.D., OTR, FAOTA, a neurophysiologist and professor at Baylor College of Medicine.

Therapy includes:

  • Habituation vertigo exercises
  • Repositioning maneuvers for positional vertigo
  • Balance retraining
  • Counseling for safety equipment
  • Fall prevention
  • Safety training and other mobility skills
  • Training in activities of daily living


Counseling services are offered by Melody Fregia, M.A., LPC, a licensed professional counselor at Baylor College of Medicine.

Conditions that may indicate counseling:

  • Tinnitus, vertigo or voice disorders that affect your life, work and relationships
  • Depression or anxiety related to tinnitus, vertigo or voice disorders
  • Feeling as if your condition is out of control
  • Feeling overwhelmed by your symptoms
  • Frequent daily focus on symptoms and whether they will get worse
  • Avoiding tasks, people and fun activities due to worry about your condition

See details about counseling.

Clinical Research

The Center for Balance Disorders at Baylor also conducts clinical research to study and evaluate the function of the vestibular system.

Forms and Pretest Instructions

Forms and pretest instructions for our patients are available in English and Spanish.