Vestibular Rehab Dublin provides independent, specialist medico-legal reports and expert witness services for solicitors, insurers, and the courts — covering vestibular disorders, concussion, post-traumatic dizziness, and balance injuries. ∙ Specialist vestibular and concussion expertise ∙ CORU-registered Chartered Physiotherapists ∙ Court-compliant reports — PIAB, Circuit Court and High Court ∙ Plaintiff and defence instructed
What We Offer
At Vestibular Rehab Dublin, we prepare specialist medico-legal reports for cases involving vestibular disorders, concussion, post-traumatic dizziness, and balance injuries. These are conditions that are frequently misunderstood in the legal setting — our reports provide the clinical clarity needed by solicitors, courts, and insurers.
We are instructed in personal injury claims arising from road traffic accidents, head injuries, falls, and other traumatic events where vestibular dysfunction or concussion is alleged. Our lead physiotherapist, Daniel Quinn, is a Chartered Physiotherapist with advanced training in vestibular therapy (Pittsburgh) and extensive medico-legal experience in this specialist area.
All reports are prepared by CORU-registered Chartered Physiotherapists and members of the Irish Society of Chartered Physiotherapists (ISCP). Reports are accompanied by a signed declaration of independence confirming the expert's overriding duty is to the court.
Types of Report
We provide both professional clinical reports and independent expert opinion reports, depending on the needs of the instructing party.
Professional Report
Medico-Legal Report
A detailed clinical report documenting the claimant's vestibular or concussion-related injury — including history, examination findings, diagnosis, and prognosis — prepared to court-ready standard. ∙ Mechanism of injury and symptom history ∙ Vestibular and balance examination findings ∙ Diagnosis and causation analysis ∙ Treatment received and recommended ∙ Short- and long-term prognosis ∙ Functional impact on work, driving, and daily life
Professional Report
Prognosis & Functional Report
A forward-looking assessment of the claimant's likely recovery, ongoing functional limitations, and future rehabilitation or care needs — suitable for PIAB submissions and settlement negotiations. ∙ Long-term vestibular and balance limitations ∙ Ongoing rehabilitation requirements ∙ Capacity to drive, work, and exercise ∙ Future care and treatment cost projections ∙ Comparison with pre-injury functional baseline
Expert Opinion
Independent Expert Report
An impartial specialist opinion for use in High Court, Circuit Court, PIAB proceedings - including a signed declaration of independence and, where instructed, a critique of opposing expert evidence. ∙ Opinion on causation an injury mechanism ∙ Review and critique of opposing expert reports ∙ Assessment if appropriateness of treatment received ∙ Comment on standard of care where relevant ∙ Sign declaration of independence
Expert Opinion
Expert Witness Testimony
Our physiotherapists are available to give oral evidence in court proceedings or to attend joint expert meetings.
∙ High Court and Circuit Court appearances ∙ Joint expert meetings with opposing experts ∙ Conference with counsel prior to hearing ∙ Supplemental reports following disclosure
Conditions Covered
Our medico-legal reports cover the full spectrum of vestibular, balance, and concussion-related conditions that arise in personal injury litigation: ∙ BPPV (Benign Paroxysmal Positional Vertigo) - post-traumatic onset, causation, and prognosis ∙Labyrinthine concussion - inner-ear injury following head trauma ∙ Vestibular neuritis / labyrinthitis - post-traumatic vestibular hypofunction ∙ Concussion and mild traumatic brain injury (mTBI) - functional impact and recovery trajectory ∙ Post-concussion syndrome - persistent symptoms and ongoing disability ∙ PPPD (Persistent Postural-Perceptual Dizziness) - chronic dizziness and avoidance behaviour ∙ Vestibular migraine - post-traumatic onset and functional impairment ∙ Balance disorders and falls - objective assessment using posturography ∙ Visual motion sensitivity - impairment in driving, screen use, and busy environments ∙ Post-stroke dizziness - vestibular sequelae and functional recovery
Why a Specialist Vestibular Report
Vestibular injuries are among the most commonly overlooked and misunderstood in personal injury litigation. Symptoms such as dizziness, imbalance, visual motion sensitivity, and chronic unsteadiness can be profoundly disabling - yet they are often dismissed as minor or subjective in the absence of specialist assessment.
A report from a specialist vestibular physiotherapist provides the legal team with:
∙ Objective clinical evidence of vestibular dysfunction using validated assessment tools and posturography ∙ A clear explanation of the injury mechanism and how it relates to the index event ∙ An expert prognosis informed by current vestibular rehabilitation evidence ∙ Quantification of functional impairment - including impact on driving, working, and daily activities ∙ A credible, court-ready opinion from a clinician with specialist training in this area
Daniel Quinn, our lead physiotherapist, holds an Advanced Vestibular Therapist designation from the University of Pittsburgh — one of the world's leading centres for vestibular rehabilitation research and training.
How to Instruct Us
The instruction process is straightforward. We work directly with solicitors and insurers.
1. Submit a Letter of Instruction
Email your letter of instruction to info@rebalancephysiotherapy.ie with subject line "Vestibular Medico-Legal Report". Include any relevant records, GP letters, specialist reports, neuroimaging, and audiological assessments where available.
2. Appointment Scheduled
We will schedule a specialist vestibular assessment with the claimant at our clinic at 3 Mount Street Lower, Dublin 2. We are also available for reports based on records review where a physical examination is not required.
3. Specialist Clinical Assessment
A comprehensive vestibular and balance assessment is conducted, including eye movement testing, positional testing, and posturography where clinically appropriate. Findings are objectively documented.
4. Report Issued
A written, court-compliant report is issued to the instructing solicitor - typically within 2-4 weeks of the assessment date.
5. Addenda and Further Particulars
We accommodate addenda, replies to further particulars, counter-schedules, and supplemental reports as required through the litigation.
6. Court Attendance (if required)
Our expert witnesses are available to attend court to give oral evidence or to participate in joint expert meetings with opposing experts.
Frequently Asked Questions
1. What makes a vestibular medico-legal report different from a general physiotherapy report? Vestibular conditions require specialist assessment tools that are not part of a standard physiotherapy examination — including eye movement testing (with Frenzel goggles), positional testing, and computerised posturography. A specialist report provides objective, quantifiable evidence of vestibular dysfunction that a general report cannot.
2. Can a vestibular injury be caused by a road traffic accident? Yes. Head trauma, whiplash, and concussion can all cause vestibular dysfunction, including BPPV, labyrinthine concussion, and vestibular hypofunction. Our reports address causation directly and explain the mechanism of injury in terms the court can understand.
3. How long does the clinical assessment take? A comprehensive vestibular medico-legal assessment typically takes 60 to 90 minutes, depending on the complexity of the presentation and what testing is required.
4. Do you accept instructions from both plaintiff and defence? Yes. We accept instructions from both plaintiff and defence solicitors, and from insurers. Our reports are prepared independently, and our overriding duty is to the court.
5. Can you provide a report based on records review only? Yes. In some cases, a records-based report is appropriate - for example, when a counter-schedule or critique of a treating clinician's records is required, or where a physical examination is not possible. Please contact us to discuss your specific requirements.
6. What is the typical turnaround time for a report? Reports are typically issued within 2 to 4 weeks of the assessment date. Expedited reports may be available in certain circumstances — please contact us to discuss.
7. Are you available for joint expert meetings? Yes. We are available to participate in joint expert meetings with opposing experts, and to provide supplemental reports following joint expert discussions.
Contact Us
To instruct us or to discuss a vestibular or concussion medico-legal case, please contact us directly:
