ClearLife Hearing Care

Dizziness and Balance Testing

We have partnered with FYZICAL Therapy & Balance Centers of Allen to provide the most advanced balance and dizziness testing and treatment center in DFW.

Balance problems and dizziness can be debilitating. We have developed a program that can identify the cause of your problems and provide rehabilitation to help you feel normal and healthy again.

Dizziness is a symptom, not a disease. It may be defined as:

  • Unsteadiness
  • Vertigo or a spinning sensation
  • Imbalance
  • Disorientation
  • Visual disturbances

Dizziness may vary widely from person to person and be caused by many difference diseases. It can also be challenging to describe your dizziness.

Testing for Balance and Dizziness Problems

You will be seen by a multi-disciplinary team of Audiologists and Physical Therapists. Dizziness or imbalance can be caused by deficits in one or multiple of your three main balance systems: your eyes, inner ear, and the muscles/ligaments of your body. During your examination, depending on your symptoms, we will perform a series of tests that will evaluate these systems.

A deficit in any one system can result in dizziness or imbalance. We will also identify dizziness and instability that is caused by problems in the central nervous system.

Videonystagmography (VNG)

During this test you will wear goggles that record your eye movements while we perform a series of tests. These tests are designed to test how well your eyes and inner ears are coordinating to send consistent balance and spatial orientation information to your brain. 

Following VNG testing we will have a better understanding of what is causing your balance or dizziness problems. We will be able to identify weaknesses in your inner ear balance system, as well as problems with how your brain is processing the information it receives from your eyes, body, and ears.

Computerized Dynamic Posturography (CDP)

Using the most advanced virtual reality testing machine in Dallas/Fort Worth, we will be able to determine how well your three balance systems are working together to help you stay upright and oriented in space.

During this test you will stand on a very sensitive pressure plate that measures how you disperse your weight on your feet. You will be standing in a large dome structure that surrounds your entire field of vision, and will experience a feeling of movement with your vision and with the floor underneath you. By challenging you in this way, we are able to see where you are at risk of falling, how your vestibular or inner ear balance system reacts to complex information, and how your eyes and body work together to keep you upright.

The results from this test will help us determine the cause of your symptoms, and create a treatment plan that is customized to your needs.

Auditory Assessment

Our inner ear hearing and balance system share the same anatomical structure, and also share a fluid that flows both systems called endolymph. Damage or abnormalities in the hearing system can also help identify red flags for vestibular system problems. If you are experiencing dizziness or imbalance we will test your entire auditory system to find these potential problems. Testing of your ears will include:

Acoustic reflex testing: The acoustic reflex is a protective reflex in the middle ear that occurs in response to loud sounds. We will play a series of tones in your ear and measure the contraction of your eardrum as a brainstem screening tool that can identify potential central nervous system problems.

Pure tone testing: This test measures your ability to hear a wide range of pitches. Damage to your hearing sensitivity is often caused by damage to the inner ear hair cells (the sound receptor cells that send nerve impulses to your brain in response to sound). Damage to these cells can be a risk factor for damage to your inner ear balance cells.

Speech understanding testing: Your ability to understand speech in quiet and noisy situations can be an important indicator of the health of your seventh cranial nerve (CNVII). This nerve sends information to the brain from both the hearing and balance system, and damage to CNVII can be an important contributor to balance and dizziness problems.

Physical Therapy Evaluation

Our team features specially-trained vestibular and balance physical therapists. Often people think of treating injuries to shoulders and knees when they think of physical therapy. A vestibular therapist is able to use the information from the testing above, as well as other specialized testing and questionnaires to develop a comprehensive rehabilitation plan.