Balance & vestibular rehabilitation · Dubai

A steadier direction.Starting with the right assessment.

Turning your head, walking through a doorway or getting up can feel uncertain when balance is affected. Intelligent Care helps connect the symptoms with the right assessment and, where appropriate, an individual home rehabilitation plan.

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Clinical author assignmentDr Toqa Ibrahim Two clinical perspectivesProfiles & DHA directory links Guidance with sourcesExplore the references

Balance · movement confidence · assessed rehabilitation

Describe the feeling before choosing the exercise.

Tell the team whether you mean spinning, light-headedness, unsteadiness or another sensation, and whether the problem is new or already diagnosed. This helps identify whether physiotherapy or medical assessment should come first.

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Your discussion priorities

Where does balance affect your day?

Choose a situation to discuss. Do not provoke symptoms or attempt a difficult task simply to select an option.

01Movement

Turning or looking around

Describe whether symptoms happen with head movement, looking up or rolling in bed, and how long they last. The pattern helps the clinician ask better questions.

02Walking

Walking through home

Tell us about turning, doorways, uneven surfaces and any support used. A safe route can become a practical rehabilitation goal.

03Transitions

Getting up

Explain whether the feeling is spinning, faintness or unsteadiness after changing position. This may need medical assessment rather than a balance exercise alone.

04Visual context

Busy visual places

Mention screens, patterned environments or crowded settings if they affect symptoms. The assessment considers these experiences alongside the medical history.

05Confidence

Fear after a fall

Share the event, any injury and the activities now avoided. Confidence matters, but a fall also needs appropriate investigation of its cause.

06Continuity

An existing vestibular diagnosis

Bring the diagnosis, specialist advice and any exercises already prescribed. A coordinated plan avoids combining incompatible instructions.

Your discussion list

Choose the points you would like to discuss.

Understand the care

Balance has several inputs.Symptoms need context.

Balance in everyday context — A home environment helps identify meaningful movement goals. It does not replace diagnostic assessment.

Balance relies on information from the eyes, inner ears and the body, together with movement and the nervous system. A person may feel unsteady for many reasons. Spinning vertigo, faintness and difficulty walking are not interchangeable descriptions, even though they are often called dizziness.

The first priority is understanding the presentation and whether a medical assessment is required. Symptoms can be related to an inner-ear condition, but medicines, other health conditions and neurological problems can also affect balance. A previous diagnosis is useful information; a new or changed symptom still needs consideration.

For an appropriately assessed problem, rehabilitation may use individual movement, balance or gaze-related activities. The aim is a practical improvement in function and confidence, with clear instructions and review. This page does not provide a self-directed vestibular exercise sequence because the suitable activity depends on the cause and your clinical circumstances.

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The first assessment

Clarify the symptoms.Choose the right route.

Assessment should explain what is being checked and what the findings mean for the next step. Some presentations need medical or specialist review before treatment.

THE CLINICAL CONVERSATION01—04

Describe the episodes

Discuss onset, duration, triggers, hearing or visual changes, falls and other symptoms. Mention whether this is a first episode or a change in a known condition.

Review health and existing care

Share diagnoses, medicines, recent illness, injuries and previous investigations. A physiotherapist does not independently stop medicines that may be relevant to dizziness.

Assess suitable function

The clinician may observe walking, balance and relevant movement within a safe setup. Specialist vestibular tests or manoeuvres require an appropriate indication, competence and consent.

Agree treatment or referral

Explain whether home rehabilitation is suitable, what the first goal is and how symptoms should be monitored. Referral can be the correct outcome of an assessment.

The care pathway

From uncertaintyto an informed next step.

Rehabilitation timing depends on the assessed cause and response, not a standard number of weeks.

Clarify

Understand the symptoms and identify medical or specialist assessment needs.

The purposeThe appropriate care route.

Set a baseline

Record meaningful movement and participation goals.

The purposeA starting point for review.

Practise appropriately

Use the agreed programme with clear supervision and response guidance.

The purposeA manageable plan, not self-testing.

Reassess

Review function, symptoms and confidence, adjusting or referring when necessary.

The purposeA reasoned next decision.

Explore a stage to bring it into focus. Every stage stays visible.

What the care involves

Specific methods.For a specific assessment.

Different causes of dizziness and imbalance need different care. These are possible components, not interchangeable treatments for everyone.

Specific methods. For a specific assessment.
Element	Possible purpose	Decision before use
01Functional balance practice	Work on an assessed everyday movement or walking goal.	Appropriate support, supervision and current safety.
02Vestibular exercise	Address selected diagnosed vestibular difficulties through an individual programme.	Relevant diagnosis, clinician competence and a clear response plan.
03Positioning manoeuvre	Treat a suitable confirmed positional problem when indicated.	Specific assessment and contraindication review; not a general dizziness exercise.
04Education and environment	Clarify pacing, practical support and ways to reduce avoidable hazards.	Your symptoms, home layout and medical advice.

Before care arrives

Bring the details of the episodes.

You do not need to make yourself dizzy before the appointment.

of 6 prepared

A personal reminder list.
Nothing is sent or saved.

A short symptom recordDescribe the feeling, duration, trigger and associated symptoms. Note any falls, injuries or medical attention already received.Existing reportsHave relevant ear, neurological or medical assessments available, along with the diagnosis and current plan if one exists.Current medicinesKeep an up-to-date list, including recent changes. Do not skip or stop medication to prepare for a home therapy visit without prescriber advice.Usual walking supportHave your ordinary aid available and tell the team if you need assistance moving around the home.A safe spaceKeep a comfortable chair and clear route available. Any more challenging activity should wait for assessment and supervision.A support person if neededAgree attendance when unsteadiness, communication or safety makes this useful. The person receiving care remains central to decisions.

Ready when you are.

Care around the person

Help the person feel secure.

Support should make the agreed plan safer without encouraging risky demonstrations.

Stay with the agreed task

Use only the assistance or activity explained by the clinician. Do not add more difficult challenges because a movement looked easy during one session.

Prepare the space

Keep the agreed practice area clear and make needed supports accessible. A family member should not act as an improvised substitute for assessed equipment.

Record useful details

Note what happened, how long symptoms lasted and any associated changes. A factual account is more useful than deciding the cause at home.

Know the escalation route

Keep the clinician’s instructions and emergency plan understandable. New neurological symptoms or sudden severe deterioration should not wait for a routine reply.

Continuity of care

Review function and symptoms together.

A follow-up should test whether the plan remains appropriate, not simply repeat the same exercises.

Daily participation

Discuss the activity chosen at assessment and what level of support is now needed. Confidence and avoidance are useful parts of the review.

Response to the programme

Report the duration and nature of symptoms during or after prescribed activities. Follow the clinician’s individual instructions about pausing and contacting the team.

New information

Hearing changes, new neurological symptoms, falls or a revised diagnosis can change the care route. Tell the team before the next routine session.

People and responsibilities

The right expertise at the right point.

Balance symptoms may need more than one clinical perspective.

Physiotherapist

Assesses movement and suitable rehabilitation goals. Vestibular-specific treatment requires relevant training and an appropriate assessed indication.

Medical or specialist team

Investigates causes, reviews medicines and decides whether ear, neurological or other specialist assessment is needed.

Family or daily support

Helps carry out the agreed practical plan and report changes. It does not replace a clinical assessment or authorise additional manoeuvres.

Read the real team profiles and their professional-directory references. Your assigned professional and the scope of care are confirmed through the care arrangement.

Meet our clinical team

When to seek medical help

Some dizziness needs urgent medical care.

New or severe symptoms should not be assumed to be a familiar vestibular problem.

Immediate medical attention

Do not wait for a home visit.

Vertigo with new speech problems, limb weakness or numbness, double vision, visual loss or hearing loss.
Collapse, loss of consciousness, severe chest pain or severe breathing difficulty.

UAE ambulance998

Prompt clinical assessment

Speak to an appropriate clinician.

A severe headache, persistent vomiting or marked deterioration.
Repeated falls, a new inability to walk safely or symptoms after a head injury.

General guidance:NHS · vertigo University Hospitals Coventry and Warwickshire · vestibular rehabilitation NICE · falls assessment and prevention UAE emergency numbers

Practical arrangements

Assessment leads the choice.

Assessment and session plans are available, with suitability checked for the clinical need.

Contact with the main concern

Tell the team about dizziness or imbalance and any prior diagnosis. They can clarify whether a home assessment or another medical route should come first.

Choose an appropriate option

The initial assessment, one session and ten-session plan are booking choices. None implies that vestibular treatment or a specific manoeuvre is suitable for everyone.

Plan follow-up

If a programme is agreed, select the first appointment and arrange later bundle visits with the team. Review needs may change as the cause and response become clearer.

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Your questions

More clarity.Before you arrange care.

Expand all answers

Does dizziness always come from the inner ear?

No. Dizziness describes several different experiences and can have different causes. Tell a clinician what the sensation feels like and whether there are other symptoms rather than assuming an inner-ear diagnosis.

What is vestibular rehabilitation?

It is an individually selected rehabilitation approach for certain assessed vestibular problems. The exercises and review plan depend on the diagnosis, abilities and response; it is not one universal routine.

Can I try a repositioning manoeuvre from a video first?

A manoeuvre should match a specific assessed condition and may not be appropriate for your health or symptoms. Seek assessment rather than provoking symptoms with an unfamiliar online technique.

Will the visit include an Epley manoeuvre?

Only if the relevant condition is established, the clinician has the appropriate competence and the manoeuvre is suitable. Booking physiotherapy does not guarantee a particular treatment.

What if I feel faint when standing rather than spinning?

Explain that distinction to the care team. Faintness on standing may need medical assessment and a different approach; it should not automatically be treated with vestibular exercises.

Can balance rehabilitation be done at home?

For suitable cases, the home can provide a relevant setting for functional goals and supervised practice. The clinician assesses safety, equipment and whether another setting or specialist service is needed.

How much dizziness should I tolerate during exercise?

Follow the individual instructions from the treating clinician. The acceptable response depends on the prescribed activity and condition. New, severe or unexpected symptoms should be reported rather than pushed through.

Will ten sessions cure the problem?

A ten-session plan is a booking option, not a guarantee of cure. Progress and the appropriate number of visits depend on the cause, goals and response, with reassessment when needed.

Can a symptom diary help?

A short record of the sensation, duration, circumstances and associated symptoms can make an assessment more focused. Include falls or medical reviews. Do not repeatedly trigger a spell to collect more information.

Should I change my medicines if I think they cause dizziness?

Discuss the concern with the prescriber or pharmacist. Do not stop or change a medicine independently. The physiotherapist can note the concern and support referral to the appropriate medical professional.

Expertise with a name

Clinical perspectives.Connected to your care.

Explore the named clinical profiles, their professional roles and their Dubai Health Authority directory records.

Author assignment

Dr Toqa Ibrahim

General Practitioner

Dr Toqa Ibrahim is a DHA-licensed General Practitioner with Alpha Intelligent Care Home Healthcare Center. Her clinical profile brings the general-practice perspective into our approach to care at home.

Clinical profile DHA Sheryan

Review assignment

Dr Nirupama Sabhapathy

Specialist Clinical Pathology

Dr Nirupama Sabhapathy is a DHA-licensed Specialist in Clinical Pathology at Intel Lab. Her published Intel Lab profile describes more than 25 years in medicine and her role as Laboratory Director.

Clinical profile DHA Sheryan

Professional registration describes each clinician’s role. The clinical assessment and the person responsible for your care are confirmed separately.

About this guide

General information supports the care conversation; your own assessment determines the plan. Company service information and independent clinical guidance are listed separately below.

Sources & further reading

Clinical guidance & public information

Service context & references

Intelligent Care · neurological rehabilitation

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