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HIPAA Statement

Copyright © 2008

WE PERFORM THE FOLLOWING SERVICES

Video ENG (Electronystagmography) Testing:

• Evaluates central and peripheral vestibular function as part of the comprehensive diagnosis of balance disorders.
• The vestibulo-ocular reflex (VOR) causes the eyes to move in response to vestibular system stimulation. Measuring these eye movements allows evaluation of vestibular function in response to:
  • Changes in head and body positions, both static positions and changing of positions (Positional and Positioning Tests)
  • Artificial stimulation of each vestibular system, individually (Caloric Tests)
  • Stimulation of the visual field (Ocular-Motor Tests)
• Diagnosis of vestibular dysfunction allows determination of effective treatments and prediction of treatment outcome. Treatment will be prescribed by the referring physician.
• Treatment of vestibular disorders include:
  • Vestibular Rehabilitation Therapy, to promote central nervous system compensation of a vestibular disorder
  • Canalith Repositioning Maneuvers, to treat benign paroxysmal positional vertigo (BPPV)
  • Treatment of any underlying disease that may be affecting balance
  • Medication
  • Surgery

Audiometric Testing:

Measurements of hearing thresholds for different pitched tones and for speech. Testing procedures are determined based on the individual's age.

Ages birth to 6 months

Behavioral Observation Audiometry (BOA) is used to determine a child's responsiveness to speech and tones. In the sound booth, changes in the child’s behavior are observed in response to the presentation of different sounds, allowing us to determine the quietest sound that will generate a response. As this testing is not a measure of hearing thresholds, it is typically accompanied by otoacoustic emission (OAE) testing to objectively evaluate cochlear function.

Ages 6 to 30 months

Ages 4 years to adult

Conventional Audiometry provides hearing thresholds for tones. The patient will respond by pushing a button or raising a hand. The sound is made quieter and quieter until no response is provided. This test is accompanied by speech threshold and discrimination testing by having the person repeat words.

Impedance Audiometry:

• Tympanometry to evaluate the functioning of the middle ear, including the ear drum (tympanic membrane) and the 3 tiny bones within the middle ear (ossicles), and to evaluate presence of fluid or pressure behind the ear drum.
• Acoustic reflex and reflex decay testing to evaluate neurological function affecting the muscles of the middle ear.

Otoacoustic Emissions (OAE) Testing:

• Evaluates functioning of the inner ear (cochlea) by testing the tiny hair cells (outer hair cells, specifically) that convert sound energy into a nerve impulse.
• This test is important in the diagnosis of a hearing loss or a hearing disorder such as ringing in the ears (tinnitus) or sensitivity to loud sounds (hyperacusis).
• It can also provide information related to hearing in children too young to provide reliable audiometric testing.

Auditory Processing Evaluation:

• Evaluation of how the central nervous system processes auditory information.
• Uses complex auditory information to evaluate central auditory system integrity.
• Can only be performed on children 7 years of age or older.
• Testing typically consists of conventional audiometry and impedance testing to evaluate peripheral auditory system integrity, dichotic testing in which competing signals are presented to each ear simultaneously, low redundancy speech discrimination tests using degraded speech to test speech discrimination, and temporal processing tests to measure the ability of the brain to maintain a signal in the proper time sequence as it is processed through the central auditory pathways.

Appointment Desk: (908) 431 - 4224

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