Otolith Reflex Testing
Spark Inner Ear Reflex Responses
Balance depends on more than just movement sensors. Certain inner-ear organs respond to sound and vibration, helping the brain detect head position and stability. When these pathways are disrupted, people may experience imbalance, dizziness, sound-induced symptoms, or unexplained unsteadiness. VEMP testing helps identify whether these specific balance structures are functioning normally.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Reflex Arc Activation
Probe Gravity Sensors Electrically
Vestibular evoked myogenic potentials assess how specific balance organs respond to sound or vibration. During the test, brief tones are delivered through headphones while small sensors placed on the neck or around the eyes record muscle responses. These reflexes indicate how well the otolith organs and their nerve pathways are working.
At Harley AVM, VEMP testing is performed in a quiet clinic setting and tailored to individual tolerance. The test is non-invasive, short, and generally well-tolerated. Results help clarify causes of dizziness, imbalance, or sound-triggered symptoms and support accurate diagnosis when other vestibular tests do not provide complete answers.
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
Phased Otolith Probing
Otolith Authority Ally
Assessment begins with a detailed history, ear examination, and routine hearing and balance tests. We consider symptom patterns, triggers, and associated features before recommending VEMP testing as part of a broader evaluation.
Management remains non-surgical for most patients. VEMP results guide diagnosis, monitoring, and rehabilitation strategies rather than immediate intervention. Further investigation or referral is considered only when symptoms persist, worsen, or significantly affect daily confidence and safety.

Ground Your Balance with Experts
At Harley Street Audiovestibular Clinic, VEMP testing is integrated into expert balance assessment rather than used in isolation. Our team focuses exclusively on hearing and vestibular disorders, allowing us to select appropriate tests and interpret results in a meaningful clinical context. We explain what the findings show, how they relate to your symptoms, and what they mean for ongoing care.
Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity and clarity. If dizziness, imbalance, or sound-triggered symptoms persist or feel unexplained, we invite you to book an assessment, request a call back, or submit an enquiry to discuss 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.