Services at the Center for Balance Disorders

The Center for Balance Disorders is dedicated to the improvement of our patients' lifestyles by offering a range of services to treat and manage disorders related to balance, dizziness, vertigo and unsteadiness. We provide 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. We use state-of-the-art tests to determine if a patient has an inner ear disorder which may account for symptoms of dizziness, vertigo and/or disequilibrium.

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) ‚Äď Facial nerve function testing

See details about individual tests.


Vestibular rehabilitation at the center is provided by Helen Cohen, Ed.D., OTR, FAOTA, an internationally recognized occupational therapist-vestibular physiologist and expert in vestibular and balance rehabilitation. Vestibular rehabilitation will vary from patient to patient. Dr. Cohen will evaluate the patient and tailor exercises and/or therapy maneuvers for a specific inner ear disorder. Rehabilitation may require one or more visits from the patient.

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

See details about vestibular rehabilitation therapy.


Melody Fregia, M.A., LPC, a licensed professional counselor, assists patients who have problems with the emotional aspects of chronic vertigo, imbalance, tinnitus and various voice disorders. Melody is uniquely qualified; before she became a counselor, she was a technician here in the CFBD, testing our patients.

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.