{"id":11093,"date":"2026-01-23T09:48:27","date_gmt":"2026-01-23T09:48:27","guid":{"rendered":"https:\/\/3difusion.com\/yamout\/?page_id=11093"},"modified":"2026-02-10T10:20:46","modified_gmt":"2026-02-10T10:20:46","slug":"balance-assessments","status":"publish","type":"page","link":"https:\/\/3difusion.com\/yamout\/balance-assessments\/","title":{"rendered":"Balance Assessments"},"content":{"rendered":"

[vc_row][vc_column woodmart_css_id=”697358c2f325f” parallax_scroll=”no” woodmart_sticky_column=”false” wd_collapsible_content_switcher=”no” wd_column_role_offcanvas_desktop=”no” wd_column_role_offcanvas_tablet=”no” wd_column_role_offcanvas_mobile=”no” wd_column_role_content_desktop=”no” wd_column_role_content_tablet=”no” wd_column_role_content_mobile=”no” mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_box_shadow=”no” responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTczNThjMmYzMjVmIiwic2hvcnRjb2RlIjoidmNfY29sdW1uIiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=” mobile_reset_margin=”no” tablet_reset_margin=”no” wd_z_index=”no”]\n\t\t

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<\/h4>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\t\t\n\t\t[vc_column_text woodmart_inline=”no” text_larger=”no”]<\/p>\n

Balance Assessments<\/strong><\/h2>\n

Videonystagmography (VNG)<\/h3>\n

Videonystagmography is a comprehensive diagnostic procedure that evaluates oculomotor and vestibular function by recording eye movements with infrared video goggles. Patients are asked to follow visual targets, undergo positional changes, and perform specific tasks while eye movements are tracked. The protocol includes several components:[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”2\/3″]\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tOculomotor Tests:\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t
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These assess the integrity of central pathways controlling eye movements. Patients perform tasks such as saccades (rapid eye jumps between targets), smooth pursuit (tracking a moving target), and optokinetic testing (following repetitive moving patterns). Abnormalities in these responses may indicate central nervous system involvement rather than peripheral vestibular dysfunction.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tCaloric Testing:\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t
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Warm and cool air or water is introduced into the ear canal to stimulate the vestibular system, producing predictable nystagmus that helps determine labyrinthine function.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tPositional Tests:\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t
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Eye movements are recorded while the patient is placed in different static positions (e.g., supine, head right, head left). These tests identify spontaneous or position-induced nystagmus that may indicate peripheral or central vestibular pathology.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\tPositioning Tests:\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t
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Dynamic maneuvers, such as the Dix-Hallpike test, are performed to provoke nystagmus associated with Benign Paroxysmal Positional Vertigo (BPPV). These tests help localize the affected semicircular canal and confirm the diagnosis.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t[vc_column_text woodmart_inline=”no” text_larger=”no”]Together, VNG with oculomotor, caloric, positional, and positioning tests provides a cornerstone evaluation for differentiating peripheral from central causes of dizziness and imbalance, offering clinicians a detailed profile of vestibular system integrity.[\/vc_column_text][\/vc_column][vc_column width=”1\/3″]\t\t

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\n\t\t\t\n\t\t\t\"\"\n\t\t\t\t\t<\/div>\n\t\t[\/vc_column][\/vc_row][vc_row css=”.vc_custom_1770718843295{margin-top: -227px !important;margin-left: 69px !important;}” woodmart_css_id=”698b066f8c7fd” responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OThiMDY2ZjhjN2ZkIiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnsibWFyZ2luLXRvcCI6IjEwMHB4IiwibWFyZ2luLXJpZ2h0IjoiMTAwcHgifX19″ mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_gradient_switch=”no” woodmart_box_shadow=”no” wd_z_index=”no” woodmart_disable_overflow=”0″ row_reverse_mobile=”0″ row_reverse_tablet=”0″][vc_column width=”1\/3″][vc_row_inner css=”.vc_custom_1770717245333{background-color: #ffffff !important;}” woodmart_css_id=”698b003199ad0″ responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OThiMDAzMTk5YWQwIiwic2hvcnRjb2RlIjoidmNfcm93X2lubmVyIiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=” mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_gradient_switch=”no” woodmart_box_shadow=”no” wd_z_index=”no” woodmart_disable_overflow=”0″ row_reverse_mobile=”0″ row_reverse_tablet=”0″][vc_column_inner width=”1\/2″ woodmart_css_id=”698afff49cf53″ parallax_scroll=”no” woodmart_sticky_column=”false” wd_collapsible_content_switcher=”no” wd_column_role_offcanvas_desktop=”no” wd_column_role_offcanvas_tablet=”no” wd_column_role_offcanvas_mobile=”no” wd_column_role_content_desktop=”no” wd_column_role_content_tablet=”no” wd_column_role_content_mobile=”no” mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_box_shadow=”no” responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OThhZmZmNDljZjUzIiwic2hvcnRjb2RlIjoidmNfY29sdW1uX2lubmVyIiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=” wd_z_index=”no”][vc_icon icon_fontawesome=”fas fa-play” color=”white” background_style=”boxed” background_color=”black” size=”xl” align=”center” css_animation=”left-to-right” link=”url:https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3Dm6NyYYrAJ5g”][\/vc_column_inner][vc_column_inner width=”1\/2″ woodmart_css_id=”698b0040cbb47″ parallax_scroll=”no” woodmart_sticky_column=”false” wd_collapsible_content_switcher=”no” wd_column_role_offcanvas_desktop=”no” wd_column_role_offcanvas_tablet=”no” wd_column_role_offcanvas_mobile=”no” wd_column_role_content_desktop=”no” wd_column_role_content_tablet=”no” wd_column_role_content_mobile=”no” mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_box_shadow=”no” responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OThiMDA0MGNiYjQ3Iiwic2hvcnRjb2RlIjoidmNfY29sdW1uX2lubmVyIiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=” wd_z_index=”no”][vc_column_text woodmart_inline=”no” text_larger=”no”]<\/p>\n

Video Head Impulse Test<\/h3>\n

Watch this video<\/span><\/h4>\n

[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=”1\/3″][\/vc_column][vc_column width=”1\/3″][\/vc_column][\/vc_row][vc_row css=”.vc_custom_1769516220633{margin-top: 60px !important;}” woodmart_css_id=”6978acb89e068″ responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTc4YWNiODllMDY4Iiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=” mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_gradient_switch=”no” woodmart_box_shadow=”no” wd_z_index=”no” woodmart_disable_overflow=”0″ row_reverse_mobile=”0″ row_reverse_tablet=”0″][vc_column width=”1\/2″][vc_column_text woodmart_inline=”no” text_larger=”no” css=”.vc_custom_1769169517191{padding-top: 40px !important;padding-right: 40px !important;padding-bottom: 40px !important;padding-left: 40px !important;}”]<\/p>\n

Vestibular Evoked Myogenic Potentials (VEMPs)<\/h3>\n

VEMPs measure reflexive muscle responses to acoustic stimulation. Sounds are delivered to the ear while electromyographic activity is recorded from target muscles. There are two clinically recognized types:<\/p>\n

    \n
  • Cervical VEMPs (cVEMPs):<\/strong> recorded from the sternocleidomastoid muscle, assessing saccular function and inferior vestibular nerve pathways.<\/li>\n
  • Ocular VEMPs (oVEMPs):<\/strong> recorded from extraocular muscles, evaluating utricular function and superior vestibular nerve pathways.<\/li>\n<\/ul>\n

    Together, cVEMPs and oVEMPs provide complementary information about otolith organ function, which detects gravity and linear acceleration.[\/vc_column_text][\/vc_column][vc_column width=”1\/2″]\t\t

    \n\t\t\t\n\t\t\t\"\"\n\t\t\t\t\t<\/div>\n\t\t[\/vc_column][\/vc_row][vc_row css=”.vc_custom_1769176102252{margin-top: 40px !important;}” woodmart_css_id=”69737c2111883″ responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTczN2MyMTExODgzIiwic2hvcnRjb2RlIjoidmNfcm93IiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=” mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_gradient_switch=”no” woodmart_box_shadow=”no” wd_z_index=”no” woodmart_disable_overflow=”0″ row_reverse_mobile=”0″ row_reverse_tablet=”0″][vc_column width=”1\/2″]\t\t
    \n\t\t\t\n\t\t\t\"\"\n\t\t\t\t\t<\/div>\n\t\t[\/vc_column][vc_column width=”1\/2″ css=”.vc_custom_1769170387784{padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;}” woodmart_css_id=”697365ca0cb5c” parallax_scroll=”no” woodmart_sticky_column=”false” wd_collapsible_content_switcher=”no” wd_column_role_offcanvas_desktop=”no” wd_column_role_offcanvas_tablet=”no” wd_column_role_offcanvas_mobile=”no” wd_column_role_content_desktop=”no” wd_column_role_content_tablet=”no” wd_column_role_content_mobile=”no” mobile_bg_img_hidden=”no” tablet_bg_img_hidden=”no” woodmart_parallax=”0″ woodmart_box_shadow=”no” responsive_spacing=”eyJwYXJhbV90eXBlIjoid29vZG1hcnRfcmVzcG9uc2l2ZV9zcGFjaW5nIiwic2VsZWN0b3JfaWQiOiI2OTczNjVjYTBjYjVjIiwic2hvcnRjb2RlIjoidmNfY29sdW1uIiwiZGF0YSI6eyJ0YWJsZXQiOnt9LCJtb2JpbGUiOnt9fX0=” mobile_reset_margin=”no” tablet_reset_margin=”no” wd_z_index=”no”][vc_column_text woodmart_inline=”no” text_larger=”no”]<\/p>\n

    TRV Chair Assessment<\/h3>\n

    The TRV Chair is a specialized diagnostic and therapeutic system for Benign Paroxysmal Positional Vertigo (BPPV). Patients are seated in a motorized chair that rotates and repositions them in three dimensions while eye movements are monitored. The chair confirms the presence and canal location of BPPV and simultaneously provides treatment through controlled repositioning maneuvers, effectively restoring normal vestibular function.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"

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