Stapedius Muscle Trigger
Loud Probe Sparks Ear Protection
The ear has a natural reflex that responds to loud sounds by tightening tiny middle-ear muscles to protect hearing clarity. When this reflex is altered or absent, people may notice sound sensitivity, difficulty tolerating noise, or changes in hearing comfort. Symptoms can occur with hearing loss, tinnitus, or changes in the neurological pathways affecting sound processing.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Reflex Arc Revelation
Noise Burst Bets on Bilateral Bracing
Acoustic reflex threshold testing measures the level at which the ear's protective reflex activates in response to sound. During the test, controlled tones are delivered through a probe placed at the ear canal while changes in middle-ear muscle activity are recorded. This shows whether the reflex is present, absent, or triggered at an unusually low or high level.
At Harley AVM, ART testing is carried out in a calm clinic environment and forms part of a wider hearing assessment. The test is quick, non-invasive, and does not cause discomfort. Results provide insight into middle-ear function, auditory nerve pathways, and how sound is processed beyond the inner ear.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Understanding Sound Processing Before Escalation
Reflex Response Royalty
Assessment begins with a detailed history, ear examination, and hearing tests. We consider symptoms like sound intolerance, tinnitus, or communication difficulty before recommending Acoustic Reflex testing.
Management is usually non-surgical. ART findings help guide further investigation, monitoring, or reassurance, depending on results. Referral or advanced assessment is considered only when findings suggest neural involvement or when symptoms persist and affect daily comfort and communication.

How We Assess Sensorineural Hearing Loss
At Harley Street Audiovestibular Clinic, acoustic reflex testing is interpreted by clinicians who focus exclusively on hearing and balance disorders. Our experience allows us to relate reflex findings to hearing levels, tinnitus, and neural pathways, rather than viewing results in isolation. We take time to explain what the findings mean and how they influence next steps.
Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity of care and clear communication throughout. If sound sensitivity, hearing discomfort, or unexplained auditory symptoms persist, we invite you to book an assessment, request a call back, or submit an enquiry to discuss personalised next steps with our team.

Major Insurance Providers Accepted
our services
Conditions We Are Treating At Harley Street Audiovestibular Clinic
Expert Medical Care for Hearing, Tinnitus & Balance
Request An Appointment With One of Our Consultants
If you are living with dizziness, vertigo or unsteadiness, our team can help identify the cause. Your consultant will carry out the right combination of tests, explain the results in clear language and agree a treatment plan with you - so you know exactly what is happening and what can be done.