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Vertigo and Balance Disorders

Vertigo and imbalance: understand, assess, and find relief! 

Vertigo (the sensation that the room is spinning) and balance problems are not just minor, passing discomforts. They can seriously impact your quality of life, limit your mobility, and increase your risk of falling—especially in a work environment. Because our ears play an essential role not only in hearing but also in maintaining balance, it's important to consult a professional as soon as symptoms appear.

The system responsible for stabilizing your gaze, maintaining part of your balance, and sensing head movements is called the vestibular system. Located in the inner ear, this system is evaluated when the following symptoms occur:

  • Sensation that the environment is moving (spinning or shifting) while you remain still;
    Vertigo or nausea triggered by movement, especially head movements;
  • Discomfort, instability, or dizziness in visually stimulating environments (e.g. store aisles, factory lines, or warehouses);
  • Tendency to avoid certain movements or environments for fear of falling;
    Difficulty moving around in dark or poorly lit areas;
  • And more.

At Audio Logique, our audiology professionals are specially trained to assess balance disorders and, when needed, initiate vestibular rehabilitation therapy to help you regain stability and confidence—both at work and in everyday life.

Our Approach:

  • A comprehensive assessment to determine the cause of the vertigo or balance issue and to establish whether vestibular rehabilitation or medical treatment is required.
  • Depending on the situation, different evaluations may be performed (click “Learn More” for details):
  • Videonystagmography (VNG)

    The Videonystagmography is a technique used to measure and record both voluntary and involuntary eye movements (nystagmus). Combined with other tests, this method helps identify whether symptoms are linked to dysfunction of the vestibular structures in the inner ear.

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  • vHIT (Video Head Impulse Test)

    The vHIT is a test that measures the vestibulo-ocular reflex, responsible for keeping your vision stable while the head moves. The test assesses whether your eyes remain focused on a target during quick head movements in different directions.

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  • BPPV (Benign Paroxysmal Positional Vertigo)

    This condition occurs when tiny calcium crystals move freely into areas of the vestibular system where they shouldn’t be. The evaluation involves positioning the person on their back while the head is turned in various directions. The audiologist observes whether these movements trigger involuntary eye oscillations (nystagmus) and vertigo. If confirmed, repositioning maneuvers can be performed to move the crystals back into their proper place.

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All tests are non-invasive and performed in a safe, comfortable environment.

At the end of the assessment, the audiologist provides a detailed report, personalized recommendations, and, if necessary, a referral to a physician.

In many cases, Vestibular Rehabilitation Therapy (VRT) is recommended. This therapeutic approach helps improve balance and reduce dizziness through tailored exercises that train the brain to adapt to the signals received from the vestibular system, eyes, and muscles—helping compensate for vestibular dysfunction and restore balance, confidence, and safety at work.