Virtual balance coaching
See your progress, not just your symptoms.
Virtual Balance Coaching with Dr. Ryan combines education, guided rehabilitation, and objective measurement through The Balance Audit. The app is the platform that makes remote coaching specific, measurable, and connected.
Why virtual coaching
Specialized balance guidance without traveling to the clinic.
Dizziness, balance difficulty, and post-concussion symptoms can be hard to follow from symptom reports alone. Virtual coaching brings structured education, guided assessment, and rehabilitation support to your home.
- Work with Dr. Ryan through live virtual sessions from wherever you are
- Guided phone-based assessments between visits, not guesswork about how today feels
- Exercise programs assigned, tracked, and adjusted based on objective findings
- A connected workflow: assess, review, rehabilitate, and retest over time
Why This Exists
Not everyone who needs specialized brain and balance rehabilitation can travel to my clinic in Utah.
Every week I hear from people around the world living with dizziness, vertigo, imbalance, brain fog, motion sensitivity, chronic symptoms, and other neurological complaints. Many have exhausted the options available locally and are still searching for better answers.
One of the most valuable parts of my in-person clinic is objective measurement. Those measurements help me understand how the nervous system is functioning and guide individualized rehabilitation.
Eventually I asked myself: "What if I could bring that same objective approach to people anywhere in the world using something almost everyone already has in their pocket: a smartphone?"
That question became The Balance Audit. It is the platform that powers my Virtual Balance Coaching program. It allows me to remotely assess, measure progress over time, prescribe exercises, and adapt rehabilitation using objective information rather than symptoms alone.
The sections below walk through how Virtual Balance Coaching works — and how The Balance Audit supports the process along the way.
Why objective measurement matters
Symptoms shift. Measurements can show a steadier picture.
How you feel this morning may not match yesterday. Memory alone is not always reliable for following change over weeks.
- Repeated standardized assessments offer another way to observe what is happening
- Objective measurements complement your symptom experience; they do not replace it
- Clearer information between visits: what was measured, how it compares, and whether rehab may need to adjust
The bigger picture
Balance is connected to more than balance.
The vestibular system in your inner ear helps your brain understand where you are in space. Vestibular pathways do not work in isolation. They interact with many other brain systems.
Vestibular pathways interact with systems involved in:
- Balance
- Vision
- Spatial awareness
- Posture
- Movement
- Attention
- Concentration
- Motion tolerance
- Autonomic regulation
- Emotional regulation
When vestibular function is disrupted, some people experience symptoms such as:
- Dizziness
- Vertigo
- Motion sensitivity
- Brain fog
- Chronic muscle tightness
- Difficulty concentrating
- Imbalance
- Anxiety associated with movement or busy environments
Vestibular dysfunction does not explain every one of these symptoms, and improving vestibular function will not eliminate them for everyone. For some people, vestibular issues can contribute to these experiences. Targeted vestibular rehabilitation may be one important part of a broader plan, depending on the individual.
The platform behind it
Introducing The Balance Audit
The Balance Audit is not a separate product competing with coaching. It is the platform that powers Virtual Balance Coaching: guiding phone-based assessments, storing objective results, assigning exercises, and connecting your progress with Dr. Ryan between sessions.
- Guided balance, coordination, and check-in assessments at home
- Objective measurement stored and compared across sessions
- Exercise assignments with dosage, instructions, and completion tracking
- Secure sync between you and Dr. Ryan for review between virtual sessions
The technology enables the coaching. The coaching is the experience.
How it works
One connected experience from first session to ongoing review.
Virtual Balance Coaching and The Balance Audit work together as a single workflow. You are connected to Dr. Ryan through the app when you begin coaching together.
- 1
Schedule
Book a virtual balance coaching session when you are ready to begin.
- 2
Connect
Link with Dr. Ryan in The Balance Audit to share assessment results securely.
- 3
Assess
Complete guided balance, coordination, and check-in assessments at home.
- 4
Review
Dr. Ryan reviews objective results during and between virtual sessions.
- 5
Rehabilitate
Receive assigned exercises with dosage and instructions in the app.
- 6
Retest
Repeat standardized assessments to track whether measures are changing over time.
Guided assessment at home
Clear instructions and safety built in.
The platform uses your phone's motion sensors while you follow guided protocols. Setup covers foot placement, phone position, and safety confirmation before testing begins.
- Phone secured and held as instructed
- Open, safe testing area with support or spotter nearby if needed
- Guided audio and on-screen directions throughout
- Stop if you feel unsafe, dizzy, or at risk of falling
Your results
Measurements you can review, not just remember.
After each guided assessment, the platform produces objective results you can compare across sessions and discuss with Dr. Ryan.
Assessment detail
Your results
Assessment detail
How your body moved during the test
- Estimated trunk travel, directional bias, fatigue, and vertical motion
- Sway path graph tracing movement across the testing surface
- Metric definitions available in-app
Values reflect one test session. They support tracking and discussion. They do not diagnose a condition or prove recovery on their own.
Your results
What you get after each assessment
- Total movement, movement bias, and vertical motion with plain-language descriptions
- Personal best tracking for the same standardized position
- Results saved and ready for review during virtual coaching
Many people begin seeing measurable changes after just one session.
The goal isn't to promise immediate improvement. The goal is to objectively measure change so you can see whether rehabilitation is moving in the right direction.
One assessment is a snapshot. Repeated assessments can show a pattern.
Retesting under the same conditions lets the platform compare sessions over weeks. That may provide another perspective on whether measures are shifting.
- Compare results across sessions
- Observe trends symptom memory may miss
- Discuss changes during virtual coaching
- Inform exercise progression and follow-up testing
The full experience
- Assess
- Measure
- Review
- Rehabilitate
- Retest
- See change over time
What the platform tracks
Standardized tools built into every coaching relationship.
These are measurements and logs that support virtual coaching. Not diagnoses on their own.
Balance Assessment
Measure sway, directional bias, and vertical motion
Estimated time: 2–8 min
Weekly Check-In
Complete your standardized weekly progress check
8 positions
Tap Assessment
Measure rhythm, timing, and coordination
Estimated time: 1–3 min
Symptom Tracker
Log dizziness, headache, nausea, and fatigue
Daily tracking
Assigned Exercises
Prescribed home rehabilitation with completion tracking
Dosage and video support in app
Balance measurement
What the platform can estimate and track.
Motion sensors estimate postural stability during guided tests. Results are guideposts for conversation, not proof of recovery or a diagnosis.
Trunk travel and sway
Body movement during standardized positions.
Directional bias
Whether sway tends toward one direction.
Vertical motion
Up-and-down movement during each test.
Fatigue during the test
How measures may shift within a single session.
Differences across positions
Comparisons between eyes open, eyes closed, and other protocol conditions.
Progress across sessions
How estimates compare when you retest over weeks.
Timing and coordination
Rhythm and timing through standardized tapping.
The Tap Assessment measures how closely your timing matches expected patterns. Feedback shows whether taps were on time, early, or late.
- Adds objective timing information alongside balance testing
- Helps track whether coordination is changing across repeated sessions
- Not used to diagnose a specific condition or pinpoint a brain region
Exercise guidance
Rehabilitation assigned, tracked, and adjusted over time.
Dr. Ryan assigns home exercises through the platform. You mark sessions complete; programs may adjust when retesting suggests a change is needed.
- Sets, duration, and frequency visible for each activity
- Video demonstrations where available
- Completion tracking and consistency over time
- Streaks are encouragement, not pressure to push through when you are not ready
Ongoing review
You at home, connected through objective data.
Virtual coaching does not end when a session ends. The Balance Audit carries measurements, exercises, and check-in responses between you and Dr. Ryan.
You at home
Complete guided assessments and assigned exercises on your schedule
The Balance Audit
Records measurements, tracks progress, syncs with Dr. Ryan
Dr. Ryan reviewing results
Reviews findings between sessions to guide education, exercises, and follow-up testing
The Balance Audit app is currently in beta testing and is available exclusively for patients working with Dr. Ryan. When you begin Virtual Balance Coaching, you'll receive a private download link and setup instructions before your first session.
What virtual coaching includes
- Understanding how your balance system is functioning
- Guided assessment using The Balance Audit
- Education about dizziness, balance, and related symptoms
- Exercise guidance tailored to your findings
- Reviewing objective measurements together
- Tracking progress over repeated sessions
- Adapting rehabilitation as new information comes in
What this is, and what it isn't
Virtual balance coaching is educational and rehabilitation-focused. It is not intended to establish an ongoing physician-patient relationship or provide medical diagnosis through the app alone.
If medical evaluation or treatment is needed, you should continue working with your local healthcare providers. Urgent or concerning symptoms deserve appropriate in-person evaluation.
Coming Soon
If you're ready
Schedule Your First SessionWhat the platform does not do
Clear boundaries build trust.
The Balance Audit supports virtual coaching. It is a tool for measurement, tracking, and rehabilitation support. Not a replacement for medical care.
- Does not replace emergency evaluation or urgent medical care
- Does not diagnose balance or neurological conditions by itself
- Does not guarantee improvement or specific outcomes
- Is not appropriate when someone cannot test safely at home
- Should be used according to app instructions and professional guidance when applicable
Who it may be useful for
May be useful for people who…
Not appropriate for everyone. Common situations where virtual coaching may help:
- Experience ongoing balance difficulty and want clearer information over time
- Are recovering after concussion and want to follow objective changes
- Have dizziness or visual-motion sensitivity
- Want a structured way to track changes, not just how today feels
- Want virtual coaching with exercises and progress in one connected place
- Can complete guided assessments safely at home
May not be the right fit if you
- Need emergency or acute medical care
- Cannot test safely in a home environment
- Expect the app alone to diagnose or treat a condition
Common questions
Frequently asked questions
Do I need to live in Utah?
Is The Balance Audit a separate app I download on my own?
Does the app diagnose balance disorders?
What equipment do I need?
How long do assessments take?
Can Dr. Ryan see my results?
What happens after I complete an assessment?
Is the app available on iPhone and Android?
How quickly are results reviewed?
If you're ready
Talk With Dr. RyanWhen you're ready
A clearer picture can lead to a more informed plan.
Virtual Balance Coaching with objective measurement may help you understand what is changing and what to do next. Schedule when it feels right for your situation.
The Balance Audit is an assessment and rehabilitation support tool developed by NeuroBalance Solutions. It does not diagnose medical conditions. If you are experiencing a medical emergency, call 911.