Balance and Falls Center

At the UCSF Balance and Falls Center, our experts assess patients to determine potential causes of vertigo, dizziness and balance problems, and to recommend treatments. Our comprehensive assessment protocol includes a number of tests that examine the effectiveness and workings of your vestibular system, whose function is crucial to sensing balance and spatial orientation, as well as tests to evaluate how the vision system and somatosensory system – such as pressure sensors in your feet – contribute to your overall stability and balance. By helping us determine which system may be contributing to your symptoms, this assessment points us toward appropriate treatment.

As specified by your referral or based on your symptoms and medical history, the assessment may include:

  • Rotary chair
  • Vestibular evoked myogenic potential (VEMP)
  • Video head impulse test (vHIT)
  • Videonystagmography (VNG) and electronystagmography (ENG)
  • Assessment and treatment of benign paroxysmal positional vertigo (BPPV)

For more information about these tests, please see our patient education material on balance assessment tests and how to prepare for your appointment.

Doctor referral required

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    Balance Assessment

    Balance assessment protocol at UCSF is made up of a number of subtests that examine the effectiveness and interaction of your vestibular system. Learn more.

    Balance Assessment Instructions

    Certain substances can influence the body's response to balance assessment tests, reducing their validity. Read these instructions to ensure test efficacy.

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    What to Bring

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    • List of medications that you're allergic to
    • Recent test results related to your condition that have not already been submitted
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    • Device or paper for taking notes

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