Balance Assessment


Services we provide by appointment:

  • Diagnostic Hearing Assessments - Adults/Children5+
  • Hearing Aid Fitting/Servicing/Batteries
  • Auditory Brainstem Response (ABR)
  • Balance, Dizziness, Vertigo Assessments
  • Custom Hearing Protection
  • Wax Removal by Microsuction


It’s your choice…

  • Feilding Clinic or Palmerston North Clinic.


Available from April 2019

We have introduced comprehensive Balance Assessment to our PN clinic, for those people suffering from Balance , Dizziness, or Vertigo problems.

Every patient who is assessed for Balance/Dizziness/Vertigo, must first have a Diagnostic Hearing Assessment - because some balance problems can be related to abnormal function of the inner ear.  This would usually be done on a prior appointment to any specific Balance Assessment.

The equipment we use for Balance Assessment is the ICS Impulse, which consists of:

    *  High-speed USB camera to measure eye movements, including the ability to record the eye and identify catch-up saccades, nystagmus and skew deviation.

    *  Superior sensor that measures head movement and allows for Head Position Feedback.

    *  Built-in calibration lasers that provide stimulus for calibration and oculomotor testing.

OTO Impulse goggle slant spot


Balance Tests

This is a suite of tests using the ISC Impulse equipment.  Not all tests would be necessary for every patient, but all are available at Heartland Hearing & Balance.  Sometimes these tests may be performed over more that one appointment.


Oculomotor:  simple and quick tests that assist in determining if the disorder is central or peripheral.

Head Impulse (vHIT):  assesses all six semicircular canals, using fast but small head movements.

Positional:  assesses and treats patients with BPPV with increased accuracy.

Caloric:  is used to discover the degree to which the vestibular system is responsive, and also how symmetric the responses are between left and right ears.


OTO Impulse screen spot









© Heartland Audiology Ltd 2020