Balance Testing

A variety of clinical and electrophysiological tests are done to assess balance as required. Clinical examination involves examining the ear canals, the eardrums, and the middle ear clefts. It is always important to test hearing to make sure that the nerve of hearing is working properly.

Balance Testing

Balance testing aims to differentiate problems in the balance canals (in the inner ear) from problems in the balance nerve or the balance computer in the base of the brain. Part of any clinical assessment of balance involves checking the eyes to see if there is any involuntary flicking movement (nystagmus) and the direction of nystagmus if it exists. Sometimes, to unmask nystagmus or to view subtle eye movement changes, Frenzels glasses are applied.

A variety of clinical tests testing the balance canals and the balance pathway are undertaken prior to any electrophysiological testing.

Electrophysiological testing tests either the semicircular canals, which sense rotation in space, or the gravity balance organs (the saccule or utrichal).

Specific balance testing done at the clinic includes;

  • Myogenic vestibular evoke potentials;
  • Extra-tympanic electrocochleography;
  • Brainstem evoked response audiology.

If calorics and ENG are required, we are happy to organise these tests for you.