Concussion and vestibular therapy
Orbit is a physical therapy practice for students and athletes after a head injury, and for anyone whose balance or vision feels off. One plan, shared with your school, and a return to class and play that moves in steps.
Start here
Where we can help
Most people come for one of these. Many need two.
How your head, neck, eyes and balance are working after an injury, and a plan for activity that your body can follow.
Concussion careSpinning, lightheadedness, or a room that moves when you roll over in bed. We test for an inner-ear cause and treat what we find.
Dizziness careUnsteadiness on stairs, in a crowd or on uneven ground, and the fear of a fall that comes with it.
Balance careA written plan your school and coach can follow, in steps, with no date attached.
The stepsThe first hour
Dizziness and head injuries often involve more than one system. In the first visit we look at how your eyes follow and hold a target, how your inner ear and neck report head movement, and how you balance with your eyes open, closed and on a soft surface. Then we explain what we found and what it means for your week.
Eye tracking and focus
Head and neck movement
Balance on firm and soft ground
Walking while turning your head
Return to school
No step comes with a date. A step is done when the one before it has felt manageable, and the plan changes with you.
A short rest, then light activity and short stretches of reading with breaks, as your doctor advises.
A written plan for the school: breaks, a quiet place to go and fewer screens.
Extra time, a lighter load and one person at school to check in with.
Back to a full day first. Sport has its own steps, and whoever your league names signs the form.
For schools and coaches
With a family's written permission, we send your school a short summary: what the student can do, what to ease off and what to watch for. We talk with athletic trainers and coaches before a return to practice. Who signs a return-to-play form is set by Ohio law and your league, and we say so up front.
Each of us is licensed in Ohio. Our license lines are at the foot of every page.
Physical Therapist, owner and concussion lead
Started Orbit so that a student with a head injury would have one therapist who also talks with the school. Leads concussion care and the school and coach meetings.
Physical Therapist, dizziness and balance
Tests how the inner ear, eyes and neck work together, and uses head positions and exercise to help teens and adults with dizziness.
Physical Therapist, youth and school sports
Works with student athletes and with the athletic trainers, coaches and nurses around them, and writes the return-to-practice steps.
Physical Therapist, neck, headache and balance
Treats the neck and upper back after a head injury and helps adults and older teens with unsteadiness, headache and getting back to work.
Before you call
In Ohio, you can start without a referral. Your plan may still ask for one, and your doctor should know you are coming. We tell you what yours needs before your first visit.
A first visit is about an hour with one physical therapist, and you see the same therapist after that. A parent or guardian is welcome to sit in, and for anyone under 18 we ask that one does.
It depends on what we find, how your symptoms behave as we add activity, and how much your school or sport asks of you. We explain what decides it at the first visit, and we change the plan when you change.
We work within what you can tolerate. Some exercises bring symptoms on for a short time on purpose, and we tell you which ones before we start and stop when you ask.
Who signs a return-to-play form is set by Ohio law and by your school or league. We say what we can sign and what has to come from your doctor, and we share what we see with whoever does sign.
We answer on the next working day. For anything urgent, call us.