The best vestibular rehab software for audiologists (2026)

Disclosure: I founded VOR Eye Rehab, and in this guide our platform doesn't win first place — the measurement platform does, because measurement is closer to audiology's center of gravity. That's the honest ranking, and the reasoning is below.

Audiologists sit in a specific spot in the vestibular world: you own the diagnostic pathway (VNG, vHIT, calorics) and increasingly supervise or co-manage the rehabilitation that follows. Your software question is therefore different from a PT's: less "how do I deliver a home program" and more "how do I extend objective measurement into treatment and monitoring." This guide ranks for that question.

TL;DR

Best for measurement-driven monitoring

Vertigenius

Best for delivering rehab programs

VOR Eye Rehab

Best for objective balance quantification

Bertec (if budget allows)

Best budget entry

Vestibular First

Vertigenius pairs a wearable IMU sensor with portal-based assessments (DVA, gait speed, DHI) and published trials — the closest extension of audiology's measurement culture into rehab. VOR Eye Rehab delivers the treatment programs themselves with instrumented VOR exercises and outcome tracking at USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month. Bertec quantifies balance if you have capital budget; Vestibular First covers the affordable-assessment end.

The picks at a glance

Platform Best for Price Role in an audiology clinic
Vertigenius Measurement-driven monitoring & documentation Quote-based Wearable sensor + DVA/gait/DHI assessments + prescribed programs
VOR Eye Rehab Delivering daily rehab programs USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month Instrumented VOR + oculomotor exercises, symptom AI, outcomes
Bertec Balance Advantage Objective posturography (CDP) $40,000–$80,000+ one-time Force-plate sway quantification for the balance center
MedBridge Co-managing PT partners / patient HEP ≈$329/yr per seat General HEP + education; no measurement
Vestibular First Affordable assessment hardware + education Quote-based bundles Budget VNG/assessment positioning for growing clinics

What audiologists actually need from vestibular software

Your diagnostic stack — VNG, vHIT, calorics — already comes from the audiology equipment ecosystem (Interacoustics, Natus/ICS and similar), and nothing on this page replaces it. The software question starts after diagnosis: when the diagnostic workup says "unilateral hypofunction, refer for vestibular rehabilitation," what happens between that referral and discharge?

Three capabilities matter to audiology-led vestibular care: objective monitoring of the rehabilitation itself (is the patient actually doing gaze stabilization at therapeutic intensity?), functional outcome documentation that pairs with your diagnostic findings, and — where you co-manage with PT — a shared view of the program. Different platforms answer different pieces; ranking them honestly means matching them to which piece your clinic lacks.

The co-management reality

Most audiologists don't deliver vestibular rehabilitation themselves — they diagnose, refer, and re-assess. If that's your model, the highest-value software is the one your PT partners run well, plus whatever gives you a monitoring view: ask referring clinics what platform they use and whether co-management visibility exists before you recommend a tool to them.

Where audiology clinics do run their own vestibular programs — supervising techs delivering protocolized exercises, or audiologists trained in rehab — the platform choice mirrors the PT guide's logic, weighted toward measurement: Vertigenius's sensor-based documentation reads naturally to a discipline raised on vHIT gain values, and VOR Eye Rehab's per-session symptom trajectories plus DVA-adjacent outcomes fit the monitoring layer. Both approaches are defensible; the quote-versus-published-price difference usually decides.

1. Vertigenius

Best for
Audiology-led clinics extending objective measurement into rehab
Price
Pricing on request (demo required)
Role in a vestibular clinic
Sensor objectivity + trial evidence + FDA Class II

The natural fit for audiology culture: a wearable head-movement sensor measuring velocity, frequency, and amplitude with corrective kinematic feedback reads like an extension of the vHIT logic — objective numbers on therapeutic execution, not self-report. The portal layers DVA, gait speed, balance tests, and DHI alongside 400+ prescribed exercises, with peer-reviewed Trinity College Dublin and RCSI trials behind it.

The honest caveats: quote-based pricing with an enterprise shape, availability centered on the USA, UK, and Ireland, and treatment breadth that stops at classic vestibular protocols — no optokinetic or oculomotor program layer. For measurement-driven clinics, those caveats are manageable; for budget-sensitive ones, they're the whole story.

Visit Vertigenius

2. VOR Eye Rehab (mine)

Best for
Clinics delivering the rehabilitation programs themselves
Price
USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month · patient app free
Role in a vestibular clinic
Daily instrumented programs + outcomes at a published price

If your clinic actually runs rehab programs — audiologist-supervised, tech-delivered, or co-managed — our platform handles the delivery layer: instrumented VOR x1/x2 with real-time head-velocity guidance, five-metric symptom capture around every session, AI progression, optokinetic projector mode for in-clinic work, and auto-scored DHI/ABC/VVAS curves that document functional change in the language referring physicians expect.

For audiology specifically, the honest framing: we're the treatment layer, not a measurement instrument — phone-sensor velocity guidance is dose management, not vHIT-grade quantification, and we don't replace any part of your diagnostic battery. USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month with a free patient app makes us the low-risk half of a measurement-plus-treatment stack.

Apply for the 30-Day Clinic Pilot

3. Bertec Balance Advantage

Best for
Balance centers investing in objective quantification
Price
$40,000–$80,000+ one-time
Role in a vestibular clinic
CDP: the sway data nothing else on this list produces

If your clinic's model includes objective balance assessment — the kind of sway quantification under sensory conflict that pairs with your VNG findings in a referral letter — Bertec Balance Advantage is the current reference standard in computerized dynamic posturography. Sensory organization testing, adaptation protocols, normative databases: capital equipment at $40,000–$80,000+ that positions a clinic as a full balance center.

It treats nothing and monitors nothing remotely — it's an assessment instrument. The pattern in well-funded clinics is Bertec for admission/discharge deltas plus a software platform for the daily program; as a standalone "rehab software" answer it's a category mismatch, which is why it ranks third despite being the best at what it does.

Visit Bertec Balance Advantage

4. MedBridge

Best for
Co-management with PT partners on general platforms
Price
≈$329/yr per seat (HEP) · CE plans from ≈$299/yr
Role in a vestibular clinic
What your referring PTs probably already use

The pragmatic inclusion: a large share of the PTs you refer to run MedBridge, and understanding it helps you co-manage. Their HEP is video-based (no dose measurement — ask your partners how they document head velocity; watch them pause), but the platform is solid, and their vestibular education catalog is a genuine resource if your staff wants structured vestibular coursework.

As your own purchase it only makes sense if your clinic delivers general rehab programming directly — unusual for audiology. Include it in your vocabulary, not necessarily your budget.

Visit MedBridge

5. Vestibular First

Best for
Building a vestibular service line on a budget
Price
Quote-based (hardware bundles)
Role in a vestibular clinic
Affordable assessment equipment and education first

For clinics assembling vestibular capability without capital-equipment budgets, Vestibular First made its name making assessment hardware affordable — VNG-class systems and positioning equipment priced for growing practices — backed by substantial clinician education content. If your roadmap is "add vestibular services this year on a real but limited budget," their model is the least painful entry point in the hardware category.

Their focus is assessment hardware and education rather than rehab-program software, so they're the alternative direction for the same budget rather than a head-to-head pick — but no honest guide for cash-constrained vestibular clinics should omit them.

Visit Vestibular First

My pick

Measurement-driven audiology clinic with budget: Vertigenius first — the sensor-plus-evidence package extends your diagnostic culture into rehab monitoring more directly than anything else, and the quote process is worth one email. Clinic delivering programs itself, or pairing with PT partners who need a treatment platform: VOR Eye Rehab at USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month, with the free patient app making the co-management math easy.

Balance-center ambition with capital: add Bertec. Budget-constrained build-out: start with Vestibular First hardware and add program software as volume grows. And the unglamorous truth: if your referring PTs already run a platform well, the best software decision you can make is asking them for a shared monitoring view before buying anything yourself.

What I'd do today

  1. 1 Map your clinic's actual role: diagnose-and-refer, co-manage, or deliver rehab. The role picks the software; the brochure never does.
  2. 2 Ask your three most-referred PT clinics what they use and whether co-management visibility exists. That answer may outperform any purchase.
  3. 3 If measurement drives your clinic's brand, get a Vertigenius demo and pricing in writing this quarter.
  4. 4 If you deliver programs, pilot VOR Eye Rehab on five patients (the app is free, Professional costs USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month) and review the DHI/ABC curves against your diagnostic expectations.

Questions

Do audiologists do vestibular rehabilitation, or only diagnostics?
Both models exist. Traditionally, audiologists diagnose (VNG, vHIT, calorics) and refer to PT. Increasingly, audiology-led vestibular clinics supervise protocolized rehabilitation or co-manage with PT partners — and some audiologists are trained rehab providers directly. The software choice follows the model: monitoring-and-measurement platforms for the diagnostic culture, treatment-delivery platforms where programs are actually run in-house.
Can vestibular rehab software replace VNG or vHIT?
No. Rehab software measures exercise execution and functional outcomes (symptom trajectories, DHI, activities-of-balance confidence); it does not diagnose. Your diagnostic battery remains the referral-source product. The rehab platforms worth buying are the ones whose output reads naturally next to your diagnostic findings in a shared care pathway.
Why does Vertigenius fit audiology clinics well?
Because it speaks measurement. A wearable IMU reporting head velocity, frequency, and amplitude with kinematic feedback is objective execution data in the same epistemic family as vHIT gain values — plus portal assessments (DVA, gait speed, DHI) and published trials from Trinity College Dublin and RCSI. For clinics whose referrals and reputation are built on objective testing, that continuity matters more than breadth of exercise content.
What's the cheapest way for an audiology clinic to add rehab monitoring?
VOR Eye Rehab at USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month with a free patient app — you get instrumented exercise delivery, five-metric symptom monitoring, and DHI/ABC/VVAS curves without hardware or procurement. Below that, co-management visibility through your PT partners' existing platforms costs nothing but a conversation. Vertigenius and Bertec deliver more measurement rigor at quote-based or capital prices respectively.

Run your next vestibular caseload on VOR Eye Rehab

Purpose-built VOR and oculomotor training, five-metric symptom tracking, AI progression, projector mode, and an RTM billing dashboard. Professional: USD 49/month, 2 active patients included, then USD 9.95/additional active patient/month. Patient app free. 30-day founder-guided pilot.

Promotional platform fee before December 31, 2026; standard fee: USD 89/month. The patient app is free.

Apply for the Clinic Pilot

Feature claims checked against public sources in October 2026. Vertigenius pricing is quote-based; Bertec configurations vary. Diagnostic equipment categories (VNG, vHIT) are outside this guide's scope.