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What is Balance Therapeutics?

Balance Therapeutics is our diagnostic and treatment program designed for patients with dizziness and/or balance instability. A Physical Therapist trained in the diagnosis and treatment of balance disorders provides patient evaluation and care. A Neuro-otologist supervises the interpretation of all diagnostic studies.

What can I expect when I come to Balance Therapeutics?

Your doctor will refer you to Balance Therapeutics based on your history and results of diagnostics tests. You will receive an evaluation by a Balance Therapist. Based on this evaluation, we will create a custom rehabilitation program tailored to your particular needs. You will receive therapy at the Balance Therapeutics Center. In addition, you will be given a home exercise program that is essential to follow in order to maintain your progress. The duration is usually 8-12 weeks, depending on the severity of the problem.

Neurological Physical Therapy

Neurological physical therapy is a form of therapy that is focused on working with people who have a type of neurological disorder or disease.

The types of neurological disabilities approached by this form of physical therapy might include ALS, Alzheimer's disease, Cerebral Palsy (for adults), Parkinson’s disease, Multiple Sclerosis, Stroke, Traumatic Head trauma, peripheral neuropathy, Guillaine Barre syndrome or Spinal Cord Injuries. Common types of impairments associated with neurologic conditions can include balance, vision, weakness, spasticity, dizziness or sensation loss.

Neurological Physical Therapy can help to improve function and activities of daily living. There are many interventions available to achieve these goals including task specific training, computerized balance retraining, weight supported treadmill training, functional electric stimulation for foot drop, spasticity management and orthotics and assistive device evaluation. Many people can learn to live independently once again through physical therapy.

Neurological physical therapists work with people to alleviate pain, improve the person's balance and coordination, restore their range of motion and improve their functional mobility.

Vestibular Physical Therapy

Balance Therapeutics vestibular physical therapy program is a customized treatment approach for the treatment of dizziness, vertigo or balance dysfunction. Several of our physical therapists are trained and have advanced certification in the assessment and treatment of vestibular disorders. Goals of therapy emphasize returning the vestibular system to a normal functioning state and improve static and dynamic postural control in a variety of positions and movements. Patients receive extensive education to aid in self-management and return to function.

What is Vestibular Dysfunction?

Dizziness and balance problems account for 5-10% of all physician visits and affect up to 40% of people over 40 years of age. The most commonly diagnosed vestibular disorders include benign paroxysmal positional vertigo (BPPV), vestibular neuritis/labyrinthitis and menieres disease.

Dizziness, loss of balance, and vertigo may be symptoms of vestibular dysfunction. Vertigo is described as the feeling of the body rotating related to space or space rotating around the body. This is different from dizziness, light-headedness or loss of balance that are also related to vestibular dysfunction.

How Can Physical Therapy Help?

Physical therapy intervention may help with dizziness and loss of balance using exercise that facilitate the central nervous system to compensate for vestibular loss.

Inner Ear

What are the symptoms of the inner ear problems?

Dizziness, lightheadedness, spinning, motion sickness, visual disturbance and feeling of being off balance are some of the symptoms associated with inner ear problems. Secondary symptoms may include fatigue, headache and difficulty with concentration.

How can Balance Therapy help me?

Therapy programs are individualized, and include treatment at the Balance Therapeutics Laboratory as well as home exercise programs. A prevention program, designed for elderly and others at risk for injury from falling, is provided as an ongoing service.

How are inner ear problems diagnosed?

The specific tests for inner problems include:

ELECTRONYSTAGMOGRAPHY (ENG) measures the inner ear function.

VESTIBULAR AUTOROTATION TEST (VAT) measures the ability of the eyes to remain focused during head movement.

BRAINSTEM AUDITORY EVOKED RESPONSE (BAER) measures transmission along brain pathways.

COMPUTERIZED DYNAMIC POSTUROGRAPHY (CDP) measures visual, sensory and vestibular (inner ear) components of balance

MAGNETIC RESONANCE IMAGING (MRI) The MRI is necessary to ensure there is no evidence of stroke, tumor or other source of brain injury.

WalkAide System

What is the WalkAide System?

WalkAide is a medical device that has received marketing clearance from the FDA for improving the walking ability of people experiencing foot drop from upper motor neuron dysfunction. WalkAide simulates the typical nerve-to-muscle signals in the leg and foot, which causes the foot to lift at the appropriate time in the walking cycle. This results in a smoother, more natural, and safer stepping motion. WalkAide is not a one size fits all device. Rather, a specially trained medical professional is required to fit and customize WalkAide for you. Using WalkAnalyst, a multifaceted computer software program, the clinician will tailor WalkAide to your individual walking pattern for optimal effectiveness.

How does Balance Therapeutics use the WalkAide System?

Balance Therapeutics is the only premier provider certified site on Long Island to assist in the fitting, training and proper usage of the WalkAide System. We specialize in caring for patients that suffer from foot drop caused by Multiple Sclerosis and Stroke (CVA). With certified physical therapists to assist in the proper use of this device, patients that are proper candidates will experience a higher more active quality of life.


At Balance Therapeutics we have a different approach to physical therapy. Using both traditional physical therapy methods in conjunction with Pilates Rehabilitation Principles and exercises we are able to treat our patients, as a whole, not just a specific injury or symptom.

Each patient is individually evaluated and a personalized treatment plan is established, which is directed at optimizing joint motion to improve muscle recruitment patterns and functional mobility.

Pilates is an effective and non-invasive tool for rehabilitation because it addresses and strengthens the entire body as a cohesive unit. We use Pilates apparatus to assist movement before the patient can perform it on their own. The spring assisted/resistance equipment challenges you to maintain stability in more than one plane, teaching you to use your body as a whole in movement.

Susan Modugno, PTA, is the Pilates Rehabilitation Practitioner for Balance Therapeutics. Ms. Modugno has been a licensed physical therapist assistant for over 20 years, having received her training at the Rusk Institute, New York University. She is a Polestar certified Professional in Rehabilitation Pilates and Allegro Reformer. Susan has studied with such mentors as Brent Anderson, Mary Bowen and Irene Dowd. Her specialty is in the use of Pilates based methods of rehabilitation and conditioning, currently working with neurological disorders such as Multiple Sclerosis, Posterior Lateral Sclerosis, Parkinson's Disease and vestibular disorders. Orthopedic conditions include neck, shoulder, and low back pathologies.

Balance Therapeutics Locations

877 East Main Street
Riverhead, New York 11901
Tel: 631-727-0660
Fax: 631-475-4538

77 Medford Avenue
Patchogue, NY 11772
Tel: 631-758-1910
Fax: 631-475-4538

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