Vestibular Testing

The vestibular system, in most mammals, is the sensory system that provides the leading contribution to the sense of balance and spatial orientation for the purpose of coordinating movement with balance. Together with the cochlea, a part of the auditory system, it constitutes the labyrinth of the inner ear in most mammals. As movements consist of rotations and translations, the vestibular system comprises two components: the semicircular canals, which indicate rotational movements; and the otoliths, which indicate linear accelerations. The vestibular system sends signals primarily to the neural structures that control eye movements, and to the muscles that keep an animal upright. The projections to the former provide the anatomical basis of the vestibulo-ocular reflex, which is required for clear vision; and the projections to the muscles that control posture are necessary to keep an animal upright. The brain uses information from the vestibular system in the head and from proprioception throughout the body to understand the body's dynamics and kinematics (including its position and acceleration) from moment to moment.

If an audiologist determines that a hearing loss or vestibular abnormality is present he or she will provide recommendations to a patient as to what options (e.g. hearing aid, cochlear implants, appropriate medical referrals) may be of assistance. In addition to testing hearing, audiologists can also work with a wide range of clientele in rehabilitation (individuals with tinnitus, auditory processing disorders, cochlear implant users and/or hearing aid users), from pediatric populations to veterans and may perform assessment of tinnitus and the vestibular system.

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