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If you are having balance problems, we can help

Because there are many potential causes of dizziness, vertigo, and imbalance, specialized testing is often necessary in making accurate diagnoses. Jacksonville Hearing and Balance Institute (JHBI) offers a full range of state-of-the-art balance and vestibular (inner ear) testing services.  Be sure to read about Balance Testing Preparation Guidelines (PDF) to prepare for your testing.

Screening Tests

Screening tests are useful in determining whether a balance problem exists, and if so, what bodily systems may be involved. These tests are quick, accurate, and can usually be completed during the first office visit. Screening tests at JHBI include:

Clinical Test of Sensory Integration of Balance (CTSIB)

  • Assesses patient’s ability to stand in various conditions (e.g., eyes open vs. eyes closed on a stable or unstable surface)

Limits of Stability (LOS)

  • Assesses patient’s ability to control body movements

Gaze Stabilization Test (GST)

  • Assesses patient’s ability to maintain visual fixation on an object

Dynamic Visual Acuity (DVA)

  • Assesses patient’s ability to accurately see objects during head movement

Diagnostic Tests

If your physician determines that the results of your clinical examination, case history information, and screening tests suggest the presence of a balance and/or inner ear disorder, diagnostic testing may be ordered.  Compared to screening tests, diagnostic testing is more thorough, takes longer to complete, and is very accurate in the identification of specific disorders. Diagnostic tests at JHBI include:

Computerized Dynamic Posturography (CDP)

  • Useful in determining patient’s fall risk
  • Compares patient’s balance function to age

Rotational Chair Testing

  • Measures patient’s ability to maintain visual fixation on an object during automated (i.e., machine-controlled) head movement, useful in identifying inner ear vs. brain disorders

Videonystagmography (VNG)

  • Specific comparison between right and left ear balance function
  • Identifies dizziness/vertigo related to changes in body position
  • Assesses patient’s ability to control eye movements

Vestibular-Evoked Myogenic Potential (VEMP)

  • Specific comparison between right and left ear balance function
  • Can be measured in patients who are deaf or hearing impaired

Electrocochleography (ECochG)

  • Useful in identifying excessive inner ear pressure

Canalith Repositioning Procedure (CRP) / Epley Maneuver

  • Treatment for Benign Paroxysmal Positional Vertigo (BPPV), one of the most common causes of dizziness and vertigo