Balance Assessments.

Walking and balance is a complex activity which, for most of our life, we take for granted. Our brains use information from our eyes, sensors in our muscles and joints and signals from the balance organs in our ears to keep us up-right and steady.

Balance problems can occur if these signals from our balance organs change, often causing symptoms such as

– dizziness when moving your head or body

– a spinning sensation when looking up or turning over in bed

– veering off in one direction when walking

– difficulty with visual stability when moving your head or body.

If you experience any of these symptoms, we can help.

Book Appointment

Click Hearing has a qualified team of audiologists trained in the assessment and management of inner ear conditions which means that we can identify the disorders displayed and provide rehabilitation to reduce the symptoms and restore your quality of life.

Our Approach

Basic Investigation

An initial one hour consultation where we will use special screening equipment to test and check for any obvious inner ear balance disorder.

In the case of where BPPV (Benign Paroxysmal Positional Vertigo,) is evident we will perform a treatment manoeuvre.

September promotion

Fee, normally £165, reduced to £75 for bookings made during the month of September 2024

Advanced

Where further investigation is required we can arrange for further comprehensive diagnostic testing to test further parts of your balance organ if required.

We will make all relevant onward referrals where appropriate and place you in our bespoke vestibular rehabilitation programme.

This programme is designed to help you take back control of your symptoms and restore your quality of life.

Vestibular rehabilitation is aimed at using the brain’s compensation mechanism to reduce the negative effects of an inner ear balance disorder. This would involve a carefully curated set of exercises and lifestyle modifications to bring out the best in you.

An introductory session with a further three follow-up sessions is offered over a 6 month period.

Our Balance Tests.

The selection of tests depends on various factors carefully considered by our specialised audiologists. We perform a range of tests mentioned below to give you the best information.

Book Appointment

Book your appointment with one of our experienced audiologists to test your hearing and find a right solution for you.

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- Caloric Test – This is a gold standard test to identify impaired balance function in either ear. Warm and cool air is used to measure responses.
- Video head Impulse Testing (vHIT) – This is a quick test to identify only acute balance impairment in either ear, commonly used in our screening appointments. Goggles with accelerometers are used to measure responses.
- Cervical Vestibular Evoked Myogenic Potentials (cVEMP) – This test is used to identify impairment in function in a part of our balance organ which is responsible for linear up and down motion. Responses to this test are measured from neck muscles.
- Ocular Vestibular Evoked Myogenic Potentials (oVEMP) – This test is used to identify impairment in function in a part of our balance organ which is responsible for linear to and fro motion. Responses to this test are measured from eye muscles.

- - Kinetic Rotational Chair Testing – This is a gold standard test to identify impairment in both ears simultaneously.
  - Audiometry (Tone or Speech) hearing test – Using tones of varying frequencies and volumes, this test provides us with an evaluation of your sense of hearing and is carried out in a sound proof booth for the most accurate measurements.
  - Tympanometry test – This test is often carried out in conjunction with audiometry and is used to assess the function of the middle ear. We can also provide ipsi & contralateral reflexes and decay on request.
  - Videonystagmography (VNG) – This test is used to identify impaired function in the balance centres in the brain with the use of goggles and eye movement tasks.