Reviewed by Dr Manuj Agarwal · Last updated 1 September 2026
What is a balance assessment?
Vestibular or balance problems can be caused by disease, toxins or trauma. They can lead to falls, dizziness, imbalance and vision problems. A balance assessment measures how well your inner ear and its connections are working, so the likely cause can be identified. See also our page on vertigo.
What happens during a balance assessment?
- Case history. We review your symptoms and what brings them on or makes them worse.
- Bedside balance assessment. We check for abnormal eye movements.
- Videonystagmography (VNG). You wear video goggles that measure your eye reflexes.
- Optokinetic tests. You follow lights moving across a screen.
- Positional tests. We record how your eyes respond to changes in head and body position.
- Caloric testing. Warm and cold air is gently introduced into the ear canal to assess fluid movement in the semicircular canals.
Which conditions can it help investigate?
- Benign paroxysmal positional vertigo (BPPV)
- Meniere's disease
- Vestibular neuritis
- Labyrinthitis
- Balance problems related to medication
How long does it take and do I need a referral?
The assessment length varies from 30 minutes to several hours depending on complexity. A medical referral is typically required for vestibular testing. Bulk billing may be available with a GP referral, and NDIS participants are welcome. Call 03 7042 9301 to check.
When should I seek urgent care?
Frequently asked questions
What is videonystagmography (VNG)?
VNG uses video goggles to record your eye movements while you follow targets, change position or receive gentle warm and cold air stimulation in the ear canal. Because inner-ear balance signals control eye reflexes, these recordings help locate the cause of dizziness.
How long does a balance assessment take?
It varies from 30 minutes to several hours, depending on how complex your symptoms are and which tests are needed. Your audiologist can give you a better estimate when you book.
Do I need a referral for a balance test?
A medical referral is typically required for vestibular testing. Speak to your GP about your symptoms, then call us on 03 7042 9301 and we will confirm what is needed and what funding applies.
Is the test uncomfortable?
Some tests can briefly bring on dizziness, which is part of how the balance system is assessed. Your audiologist explains each step, and you can pause if you need a break. Let us know beforehand if you are prone to nausea.
What conditions can a balance assessment find?
It helps investigate conditions such as benign paroxysmal positional vertigo, Meniere's disease, vestibular neuritis, labyrinthitis and medication-related balance problems. Results guide treatment or referral to your GP or a specialist.
Related information
Vertigo
A spinning or off-balance sensation, common inner ear causes, and how it is assessed.
Learn more →Hearing test
A full diagnostic hearing assessment with results and a clear plan in the same visit.
Learn more →Eustachian Tube Function Test
A tympanometry-based test that checks how well your middle ear pressure is regulated.
Learn more →Tinnitus treatment
Assessment and management for ringing, buzzing or hissing that affects focus, sleep or mood.
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