The Success Rates of ROCK STEADY: Our Research Data

We currently have 6,136* people Seeking Balance  these people come from all around the world and are looking for online resources to support them with their vertigo or tinnitus.  

On this page we are displaying an active research project that will grow over time.  The results so far show that symptom progress scores are significantly improving for participants completing the six modules of ROCK STEADY.  We collect data from clients who consent to being involved in research and we intend to collect larger cohorts of data with time. All statistical analysis has been performed by an independent data scientist.

Who is Seeking Balance?

We had 489 participants who contributed to our descriptive statistics described below.  

51% of people had been given two or more diagnoses. 17.5% of participants reported that they had never received a final diagnosis. In our community, 49% of people report tinnitus, 51% report a vestibular condition without tinnitus, 28% of people report both symptoms of vertigo and tinnitus, and 21% of people report only tinnitus. 98.6% of people reported feeling frustrated because of their symptoms.

364 (74%) of participants were female and 125 (26%) were male. 189 (39%) of participants were under the age of 44 years; 248 (51%) of participants were aged between 45-64 years; 52 (10%) of participants were aged over 65 years. 203 (42%) of participants reported more than 3 years of symptoms; 108 (22%) reported symptoms for less than 6 months. The remaining 178 (36%) participants reported symptoms lasting from 6 months to 3 years.  

Participants came from countries within the regions of Australasia, North America, Asia, Europe, South America and Africa.

What do Current ROCK STEADY Participants Say?

Out of 218 responses to our progress questionnaire, 71 (33%) showed that their perceived symptom scores out of 100 were reduced to 12 or less indicating a return to normal emotional, functional and positional capacity (a score above 16/100 is considered a handicap).

These responses include participants who have completed any number of the six modules in ROCK STEADY. 98% of these 218 ROCK STEADY users would recommend the program to those suffering with vertigo or tinnitus.  

Is there benefit in ROCK STEADY?

For preliminary results to answer this question we tracked 21 ROCK STEADY participants who completed both pre- and post- ROCK STEADY Questionnaires. We found that there were statistically significant improvements in all areas of life (see graphs below). These participants volunteered to complete questionnaires while undergoing ROCK STEADY.  The only requirement was that they complete an initial questionnaire and a final questionnaire after completing Module 6. Participants who chose not to participate in this study gave reasons such as: they did not want to be involved in research; they already felt good before Module 6, got distracted by life, and didn’t remember to complete the final questionnaire; they were completing the program slowly and haven’t accessed Module 6 yet; or they chose not to complete the progress questionnaires.  

The 21 participants we tracked had a spread of diagnoses including persistent benign paroxysmal positional vertigo (BPPV), Meniere’s, Persistent Postural Perceptual Dizziness (PPPD), Mal Debarquement, tinnitus, hearing loss, labyrinthitis, neuronitis, vestibular migraine or medical clearance without a specific diagnoses.  Of these 21 participants, 18 were female and 3 male.  

The age range was 35-64 years old with 3/21 (14%) age 35-44, 7/21 (33%) age 45-54, and 9/21 (43%) age 55-64.  These participants had experienced symptoms in a range from 0-6 months up to more than 10 years.  In this group 4/21 (19%) had symptoms 0-6 months, 4/21 (19%) had symptoms for 6-12 months, 5/21 (24%) had symptoms 1-3 years, 2/21 (9.5%) had symptoms 3-5 years, 2/21 (9.5%) had symptoms 5-10 years, and 4/21 (19%) had symptoms 10 years or more before starting ROCK STEADY.  Prior to beginning ROCK STEADY, 15/21 (71%) of these participants had tried medications from their GP, or 8/21 (38%) had tried medication prescribed by their specialist doctors, 10/21 (48%) had tried vestibular physiotherapy, 3/21 (14%) had tried regular physiotherapy, 9/21 (43%) had tried the Epley manoeuvre, and 12/21 (57%) had tried a range of alternative therapies prior to beginning ROCK STEADY.  

These 21 participants chose to enrol in ROCK STEADY because they were seeking specific online tools that they could use in their own time to help them understand how to heal symptoms with neuroplasticity.  Their symptoms had been unresponsive to previous treatments or therapies.  Of these 21 participants, 12/21 (57%) say they practised their daily exercises at home 15 minutes or more a day, 5/21 (24%) say they practiced 5-15 minutes each day, 4/21 (19%) say they practised intermittently rather than daily while undergoing the ROCK STEADY program.

Participants who have completed module six show an average overall improvement of 77.3% since using the ROCK STEADY tools.


The average symptom score for people prior to commencing ROCK STEADY was 54.9 with a median score of 62. This means that on average participants reported disability relating to symptoms 54.9% of the time in functional, emotional or positional situations. 

The average perceived disability score for participants who completed ROCK STEADY reduced to only 12.5 with a median score of 12.

This means that after completing ROCK STEADY they were no longer perceiving symptoms 87.5% of the time. They have had a statistically significant reduction in their perception of symptoms (Z=-4.01, p<0.0001) using a Wilcoxon Signed-Ranks test.


The medians, means (standard deviations) and Z scores are as follows:

emotional disability improved from 20, 19.05 (7.34) to 2, 2.95 (4.13), Z=-4.01;
functional disability improved from 20, 19.81 (9.55) to 4, 5.33 (5.67), Z=-3.86;
and positional disability improved from 18, 16.00, (6.90) to 2, 4.19 (5.17), Z=-3.92.

All of these improvements were statistically significant (p<0.0001) using a Wilcoxon Signed-Ranks test.

This a graph of the mean values for overall perceived disability score before and after ROCK STEADY.

All scores used for analysis reflect a perceived disability in daily life from a standardised clinical questionnaire for vestibular sufferers called the Dizziness Handicap Inventory (1) . We adapted this questionnaire so that the word ‘dizziness’ was changed to ‘symptoms’ so that it could be used for clients who do not describe their symptoms as dizziness. This research design and methodology was adapted from Murray et al (2).

NOTE: for those of you currently doing the ROCK STEADY program, please inform your doctors about starting it and share your ongoing progress scores with them.

Thank you to everyone who has participated in completing questionnaires – I value your time and efforts.  My intention is to continue providing useful research for the field of vestibular-audiology.

Keep healing!

*As of 17th January, 2019

  1. Jacobson G, Newman C. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1990;116:424–427.
  2. Murray, K.J., Hill, K., Phillips, B., Waterston, J. (2010) “Does otolith organ dysfunction influence outcomes after a customised program of vestibular rehabilitation?”. J Neurol Physical Therapy, 34 (2): 70-75.