Balance Related Testing Services


Testing verifies vestibular Functioning of the VOR, the Optokinetic system via oscillating Horizontal and Vertical movements, Gaze, fixation ability and CNS visual-vestibular response. More importantly, the test results aid the physician in referring the patient to the professional who can formulate the best treatment protocols. In most cases, this comprehensive testing eliminates the need for costly CT Scans or MRI’s, and reduces the fall risk potential of the patient.

Computerized Diagnostic Balance testing

Durations for normative values for eyes opened and eyes closed as well as limits of stability give the physician important information regarding the orientation of the patient for balance and, in future re-tests, measure the progress of medical intervention or therapy.

Spontaneous Nystagmus test

Including gaze and fixation nystagmus, with recording. ENG electrodes or video goggles are placed and the patient is asked to look straight ahead, 30-45 degrees to the right and 30-45 degrees to the left. Recordings are made to detect spontaneous nystagmus.

Optokinetic Nystagmus test

Bidirectional, foveal or peripheral stimulation, with recording. This test is usually performed with moving LED lights, with the patient watching the movement of the lights to the right and left. ENG electrodes or VNG recordings are used to record nystagmus.

Oscillating tracking

With Recording, with ENG electrodes or video goggles in place, the patient watches an LED light moving in a pendular motion. A recording is made of the eye tracking motion. The recording is then analyzed for smoothness.

Caloric Vestibular test

Each irrigation (binanural, bithermal stimulation constitutes four tests), with recording. Each ear is separately irrigated with cold water/air and then warm water/air to create nystagmus in the patient. ENG/VNG recordings are evaluated to detect any difference between the nystagmus of the right side and the left side. Four irrigations occur, warm and cold irrigations for both the right and left ears.

Brain Scan (EEG)

Will show how well functioning brain regions compensate for dysfunctional regions which
allows specific determination of varied treatments and an ability to track changes over time. The resting brain speed (alpha) is a reliable marker of cognitive capacity and is a reliable marker for early detection of mild cognitive decline. This device measures real-time cognitive processing essential for healthy brain functions and early risk measures of dementia including decision making, organization, attention, memory • visual processing • language processing • impulsivity, motor processing speed, and reaction time linked to cognitive impairment.

Testing for Diabetic & Pre Diabetic Patients

ANS/ABI Testing

Focuses on early detection and follow up of complications (autonomic nervous system & vascular system) of chronic metabolic diseases such as Diabetes by using: a. Sudomotor function tests – using sympathetic skin response. b. Photo-plethysmography analysis – using an oximeter. This includes heart rate variability analysis and spectral analysis of the oximeter waveform. c. Cardiac Autonomic Reflex Tests or EWING Tests: which include The Vasalva Maneuver, Deep Breathing exercises, Postural changes. d. Ankle Brachial Index (OR ABI ) measurement using pneumo-plethysmography. Vitali Full Body Analyzer integrates data of sudomotor tests, photoplethysmography analysis and Ankle Brachial Indices, Oximeter waveform analysis and ABI devices, for assessing autonomic nerves (small fiber and cardiac autonomic neuropathy), microcirculation and peripheral artery disease (PAD).

Pharmacogenetic Testing (PGx)

Pharmacogenetic Testing is the study of how genetics affects a person’s response to medication. A simple saliva cheek swap enables the doctor to collect the patient’s DNA. In 1 – 2 weeks the doctor will have results to review with the Patient allowing the doctor to prescribe the right medications based on each individual patients genetics. There are now over 178 medications commonly prescribed today that the FDA recommends genetic screening for. According to the National Institute for Health (NIH) adverse drug reaction is the FOURTH leading cause of death in the United States leading to more than 100,000 deaths. Doctors are now liable for Adverse Drug Reactions.

Lab Services Available:


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