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Hearing and Balance

Audiology rehabilitation provides comprehensive evaluation and rehabilitation of balance and orientation disorders. Rehabilitative services such as hearing aids, hearing-assistive technology, and balance rehabilitation are provided to aid in a full, productive life.

Hearing and Balance Center

The Hearing and Balance Center at the Miami Valley Hospital Rehabilitation Institute of Ohio specializes in identifying, diagnosing, treating, and monitoring disorders of hearing and balance systems. Patients receive professional care from our team, led by an audiologist, a specialist in hearing balance and ear problems. Patients are evaluated for symptoms of hearing loss and other auditory, balance, and related sensory and neural problems.

We use the most advanced diagnostic technology, including audiometers, computers and other testing devices, to determine the extent of hearing loss or balance loss, and its impact on a patient’s daily life. Based on test results, patients receive a diagnosis and recommendations for the most appropriate course of treatment - often without surgery.

Conditions Treated

We provide treatment for a wide range of conditions related to hearing or balance, including:

  • Simple hearing loss (reversible)
  • Nerve-based hearing loss
  • Fluid in the ears
  • Chronic ear disease
  • Congenital hearing loss and trauma
  • Motion sickness
  • Vertigo (the feeling that you are spinning or moving, or the world is spinning around you)
  • Viral balance disorders
  • Meniere’s disease (inner ear disorder that causes dizziness, ringing in the ears (tinnitus), hearing loss, and feeling of fullness in the ear)

Hearing Loss

Hearing loss is very common, with one in 10 people affected with it to some degree. It’s the third most common condition in older Americans, after arthritis and high blood pressure. One may not realize that he or she has hearing loss, because it occurs gradually. Some may realize that their hearing is not what it used to be, but are reluctant to seek help.

Hearing Aids and Assistive Listening Devices

If you have a hearing impairment, you can likely benefit from the use of hearing aids or other assisted listening devices (ALDs). Our audiologist will perform a comprehensive hearing evaluation, followed by an assessment to determine the level of amplification that would be best suited to meet your needs.

We work with an extensive number of hearing aid manufacturers and help you select the most appropriate solution. We walk you through the process of obtaining a hearing aid, including available styles, technology, and related costs, and take impressions of your ear canal for custom fit hearing aids.

All hearing aids have a 30-day adjustment (trial) period, a minimum of a one-year warranty for repairs, and lost or stolen damage insurance. You receive follow-up care for your hearing aid to ensure it fits and functions well.

Balance Disorders

If you’ve ever felt dizzy, or off-balance, or like the room is spinning, you know it’s an unpleasant sensation. Dizziness is more common than ever and is the leading cause of injury to people 65 or older.

Dizziness can be described as:

  • Sensation of unsteadiness
  • Feeling of imbalance
  • Disorientation in relation to your surroundings
  • Whirling sensation (vertigo)

We evaluate and treat patients who suffer from dizziness unsteadiness, falls or motion intolerance.

Services

Patient care and treatment may include the following services:

  • Audiological evaluation – This comprehensive evaluation assesses hearing status from the outer to inner parts of the ear. It includes a complete history of symptoms, as well as other factors contributing to the problem. Diagnostic tests may include an otoscopic exam, pure tone audiometry, speech audiometry, middle ear studies, and otoacoustic emissions studies of the inner ear.
  • Pure tone and speech testing – This test is performed in a sound treated room. We assess the quietest level of hearing and comfortable levels of hearing and speech understanding in each ear.
  • Middle ear assessment – We test the integrity of the middle ear system. That includes assessing the presence or absence of fluid in the middle ear space, or perforation of the tympanic membrane (eardrum), as well as reflexes of muscles in response to loud sounds.
  • Hearing aid and assistive listening device fitting and service – We offer a wide selection of styles and types of hearing aids. Most of these hearing aids are digital, so they can be set more precisely for a specific hearing loss. We also offer completely-in-the-canal type of hearing aids, which may be more cosmetically appealing, as well as assistive listening devices for the phone, TV, and other listening situations.
  • Otoacoustic emissions – This non-invasive procedure assesses the status of the inner ear (cochlea) at the level hairs cells, where hearing actually takes place.
  • Videonystagmography or electronystagmography  – This test evaluates the inner ear balance function to determine if dizziness is due to inner ear disease. The test is the gold standard to identify the presence of dizziness or imbalance due to unequal neural messages to the vestibular system.
  • Platform posturography – For normal balance, one needs correct information from the balance portion of the inner ears, the eyes, and the pressure sensors in the feet, ankles, muscles, and joints. This test evaluates postural stability. It’s a good evaluation for those experiencing falls or gait instability.
  • Auditory brainstem response – The hearing nerve from the inner ear to the brain stem is tested. It also assesses the pathway’s function to transmit sound.
  • Vestibular evoked myogenic potential - This test assesses whether a specific part of the inner ear nerve and central connections are intact and working normally.

Preparing for Audiology Rehabilitation

Health Library

The Premier Health Library offers a wealth of information about audiology rehabilitation. Learn about conditions, treatments, how to prepare for surgery, and much more.

Content Updated: May 6, 2015

These Miami Valley Hospital locations offer Rehabilitation Services.
Outpatient Physical Therapy and Sports Medicine at Coffman Family YMCA
90 Remick Blvd. Springboro, OH  45066
Rehabilitation at Claybourne Medical Center
1525 E. Stroop Rd. Kettering, OH  45429
Rehabilitation at Miami Valley Health Center Huber Heights
6251 Miami Valley Way Huber Heights, OH  45424
Rehabilitation at Miami Valley Hospital
One Wyoming St. Dayton, OH  45409
Rehabilitation at Miami Valley Hospital North
9000 N. Main St. Englewood, OH  45415
Rehabilitation at Miami Valley Hospital South
2400 Miami Valley Dr. Centerville, OH  45459
Rehabilitation at SureCare Medical Center
360 W. Central Ave. Springboro, OH  45066
Rehabilitation at the Wright Health Building
1222 S. Patterson Blvd. Dayton, OH  45402
Rehabilitation in Beavercreek
1244 Meadow Bridge Dr. Beavercreek, OH  45434
Rehabilitation in Jamestown
4940 Cottonville Rd. Jamestown, OH  45335
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