Space-based experiments have shown that altered gravity causes structural and functional changes at multiple stages of vestibular processing. The Balance System® is an outcomes-based framework and suite of tools and templates that can be used to improve the commissioning and delivery of services for children and young people that benefit from an integrated approach to delivering outcomes (Tuttle et al. Magnetic suspension and balance systems: a comprehensive, annotated bibliography. Washington, D.C.: National Aeronautics and Space Administration, Office of Management, Scientific and Technical Information Program; 1991).