Dr. Steven Rauch is a physician-scientist specializing in otology. His clinical practice is heavily weighted toward medical otology and balance disorders. He has spent his entire career in this specialty and is considered one of the nation’s foremost authorities on vestibular and balance disorders.

Vestibular testing is a way of measuring the performance of certain parts of the balance system. It is not a measure of your symptoms and you do not need to feel dizzy on the day of testing. The test battery is comprised of four parts:

• Rotary Chair Testing: Patient sits in a pivoting chair turning gently while eye movements are recorded (using video). This test is conducted to help evaluate sensitivity of the inner ears to turning motion.
• Visual-vestibular interaction (VVI): Patients sits in the rotary chair turning gently while looking at moving targets. This test is given to see how well the central nervous system can combine multiple motion cues.
• Videonystagmography (VNG): Video goggles will be placed over eyes to monitor and record voluntary and reflexive eye movements. The VNG helps measure how well the eyes, inner ears and brain help you keep your balance and position. This test can often indicate whether a balance problem is in the inner ear, brain or nerves connecting them.
• Computerized Posture Platform (EquiTest): Patient stands on a platform that senses weight shifting to see how well they can control their posture under a variety of conditions. This test provides objective assessment of balance control and postural stability under conditions designed to reflect the challenges of daily life.

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