Yaw Vertical axis
Rotation about the vertical axis — the plane of everyday turning. Stimulates the horizontal semicircular canals.
Introducing the Orbital
A new axis in vestibular rehabilitation.
The Orbital rotates the whole body through three axes — yaw, pitch and roll — to deliver a controlled, novel vestibular stimulus designed to support sensory-motor integration.
For hospitals, neuroscience centres & clinics · A Brain Based Therapies device, made in Australia
Grounded in vestibular science Developed by a practising clinician Peer-reviewed case reports Expanding across India & the subcontinent
The device & the science
One device. Every axis of motion.
The Orbital is a next-generation vestibular rehabilitation device. A patient is safely secured in the seat and rotated through independently controlled yaw, pitch and roll planes — targeting each semicircular canal and both otolith organs, individually or in combination.
Designed to be used alongside objective assessment, so clinicians can measure change rather than rely on report alone:
- Saccadometry
- Force-plate posturography
- 19-channel QEEG
- VOR adaptation training
- Sensory-motor reaction timing
- Entrainment therapy
How it works
Three axes. Six canals. One integrated stimulus.
The vestibular system is one of the most widely connected networks in the brain — reaching balance, gaze, spatial orientation, autonomic regulation and cognition. By delivering controlled motion the body rarely encounters, particularly in the roll plane, the Orbital is designed to present the nervous system with a fresh sensory challenge.
Pitch Transverse axis
A nodding motion about the side-to-side axis, engaging the vertical semicircular canals and the otolith organs.
Roll Sagittal axis
A lateral, sagittal-plane rotation unlike any activity of daily living — the Orbital’s most novel and distinctive stimulus.
Novel stimulus“Full-body multi-axis rotation stimulates the vestibular, proprioceptive and visual systems to create neuroplastic changes — modulating the entire human neuraxis.”
Use cases
One platform, a broad clinical reach.
Because it stimulates a system connected across the whole neuraxis, multi-axis rotation is being applied — as an adjunct, within individualised programs — across a wide range of presentations.
Dizziness & vestibular disorders
Retraining gaze stability, balance and spatial orientation where the vestibular system has been disrupted.
- Persistent postural-perceptual dizziness (PPPD)
- Vestibular migraine
- Chronic vertigo & dizziness
- Unilateral vestibular hypofunction
- Mal de débarquement syndrome
Concussion & brain injury
Supporting sensory-motor recovery after mild traumatic brain injury, particularly where symptoms persist.
- Persistent post-concussion syndrome
- Sport- & accident-related concussion
- Visually-induced dizziness
Functional & movement disorders
An adjunct within multimodal programs for functional neurological presentations.
- Functional neurological disorder (FND)
- Functional movement disorders
- Balance & gait dysfunction
Neuro-rehabilitation & recovery
Stimulating residual function where recovery has plateaued or capacity is declining.
- Long-term stroke recovery
- Neuro-degenerative conditions
- Cerebellar & ataxic presentations
Balance, ageing & falls
Building postural stability and reducing falls risk where balance is failing.
- Falls & instability in older adults
- Age-related balance decline
- Post-injury balance retraining
Performance & emerging areas
Individualised, assessment-led programs at the frontier of sensory-motor training.
- Athletic & tactical conditioning
- Gaze stability & reaction training
- Autonomic / orthostatic presentations
- Neuro-developmental sensory-motor difficulties
These are areas of clinical application and active investigation. The Orbital is intended for use by qualified healthcare professionals as an adjunct to clinical care; it is not presented as a stand-alone treatment or a guarantee of outcome in any condition.
The evidence
The research, presented plainly.
We separate two things clearly: the Orbital’s own early-stage published studies, and the broader, established evidence for the therapeutic approach it delivers. Read both, and judge for yourself.
The Orbital’s published studies
- Case report
A Novel Treatment for Persistent Postural-Perceptual Dizziness
Single case · Dizziness Handicap Inventory 32% → 20% over a four-week program.
Download PDF 1.4 MB - Case series · n = 4
A Functional Neurological Disorder case series (sensory-motor integration model)
Chiropractic care combined with vestibular stimulation; three of four described complete symptom resolution.
Download PDF 3.3 MB - Case series · n = 2
A novel approach to neurorehabilitation for persisting Post-Concussion Syndrome
Objective saccadometry and force-plate posturography; both patients returned to work.
Download PDF 9.2 MB - Case reports
Functional Neurological Disorder and Chiropractic: Two Case Reports
Two patients with functional seizures and movement disorder within a multimodal program.
Download PDF 0.9 MB
The wider evidence base for the approach
These references concern vestibular rehabilitation and vestibular stimulation as therapeutic approaches — the principles the Orbital applies — not the Orbital device itself.
- Vestibular hypofunction Clinical practice guideline
Clinical practice guidelines give vestibular rehabilitation a strong-evidence recommendation to reduce dizziness and improve gaze stability and balance in vestibular hypofunction.
Hall et al., J. Neurologic Physical Therapy (APTA), 2022 ↗ - Vestibular dysfunction Cochrane review · 39 RCTs
A Cochrane review of 39 randomised trials (2,441 participants) found moderate-to-strong evidence that vestibular rehabilitation is safe and effective, with no adverse effects reported.
McDonnell & Hillier, Cochrane Database of Systematic Reviews, 2015 ↗ - Concussion Randomised controlled trial
In a randomised controlled trial, cervico-vestibular rehabilitation shortened the time to medical clearance after sport-related concussion.
Schneider et al., British Journal of Sports Medicine, 2014 ↗ - PPPD Systematic review & meta-analysis
A 2025 meta-analysis found vestibular rehabilitation produced a large reduction in dizziness handicap in persistent postural-perceptual dizziness versus controls.
Li et al., Frontiers in Neurology, 2025 ↗ - Vestibular migraine Systematic review & meta-analysis
Meta-analytic evidence supports vestibular rehabilitation for clinically meaningful improvement in dizziness-related quality of life in vestibular migraine.
El Ahdab et al., Headache, 2025 ↗ - Falls in older adults Randomised controlled trial
In a randomised trial of older adults at high falls risk, vestibular rehabilitation reduced the mean number of falls at 12 months (10.96 → 3.03).
Rossi-Izquierdo et al., Aging Clinical & Experimental Research, 2018 ↗ - Stroke — neglect Systematic review & meta-analysis
A meta-analysis found vestibular stimulation, particularly caloric stimulation, can temporarily reduce signs of hemispatial neglect after stroke.
Wheeler, Smith, Sakel & Wilkinson, Neuropsychologia, 2024 ↗ - Parkinson’s — balance Systematic review & meta-analysis
Early meta-analytic evidence indicates galvanic (including noisy) vestibular stimulation can favourably affect postural balance in Parkinson’s disease.
Mahmud et al., Journal of the Neurological Sciences, 2022 ↗ - Mechanism — rotation Mechanistic review
Repeated rotational vestibular stimulation habituates the brain’s velocity-storage mechanism — direct evidence of experience-dependent central adaptation.
Yakushin et al., Frontiers in Neurology, 2017 ↗
Practices & settings
Where the Orbital fits.
From tertiary hospitals and neuroscience centres to private clinics and research institutes — a compact platform that adds a genuinely new capability.
Hospitals & neuroscience centres
A capital instrument for neuroscience, ENT and rehabilitation departments building advanced vestibular services.
Neuro-rehabilitation units
Adds a novel, measurable stimulus to concussion, stroke and balance rehabilitation programs.
ENT, neurology, physio & chiropractic
A differentiating capability for private practices managing dizziness and post-concussion caseloads.
Sports & performance institutes
Gaze-stability, balance and sensory-motor conditioning for athletes and tactical populations.
Universities & research
A controllable multi-axis platform for vestibular and sensory-motor integration research.
Aged care & falls prevention
Balance and vestibular conditioning to reduce falls risk across ageing populations.
Why it fits
Easy & safe to use
On-site training and comprehensive documentation, backed by global support.
Versatile
Target each axis — or any combination — to engage all six semicircular canals and both otolith organs.
Affordable
A considered design that removes needless complexity: maximum capability, minimum investment.
Clinic-ready
Compact footprint, standard mains power and low maintenance — it fits into busy departments.
Distribution
Now expanding across India & the subcontinent.
We are appointing authorised distributors across India and the broader subcontinent to place, install and support the Orbital in hospitals, neuroscience centres and clinics. Practitioners are connected with their regional distributor for pricing, installation and training.
The inventor
Built by a clinician, for clinicians.
The Orbital was designed by Dr David Richardson, a chiropractor with a special interest in vestibular rehabilitation and sensory-motor integration. Across years of practice with patients whom conventional approaches had failed — persistent dizziness, post-concussion syndrome, functional neurological disorder — he built the Orbital to deliver a controlled multi-axis stimulus, and has documented its clinical use in a series of peer-reviewed case reports.
His premise is simple: much of chronic neurological dysfunction is a failure of sensory-motor integration — the nervous system working from poor information. The Orbital is one instrument in a measured program designed to restore it.
- 4
- peer-reviewed publications
- BAppSc
- Chiropractic
- Founder
- Brain Based Therapies
Stay connected
The book & the newsletter.
Dr Richardson’s forthcoming book, Clinical Applications of Multi-Axis Rotation, covers functional vestibular anatomy and the clinical rationale for the therapy — subscribers receive the first two chapters ahead of release. His newsletter shares new evidence and Orbital news, occasionally and never as spam.
Register interest
Bring the Orbital to your service.
Tell us about your hospital, centre or practice and we’ll be in touch with pricing, availability and clinical documentation. Enquiries from India and the subcontinent are handled by our authorised regional distributors.
Intended for use by qualified healthcare professionals as an adjunct to clinical care.