Desk Copy

Instructors: click here to request your Desk Copy of this book.

Balance Function Assessment and Management

Gary Jacobson, PhD, Neil Shepard, PhD


649 pages, Illustrated (B/W), Hardcover, 8.5 x 11"
Included Media: 3 DVDs
ISBN13: 978-1-59756-100-6
Release date: 01/01/2008



***The second edition of Balance Function Assessment and Management will be published on March 1, 2014. Click here for more information.***

This book comprehensively covers the assessment and treatment of balance system impairments. Designed to be used in graduate programs in audiology, and by practicing audiologists, it is also appropriate for those in the fields of physical therapy, otolaryngology, and neurology. Assessment chapters address ocular motility testing, positional/positioning testing, caloric testing, rotational testing, computerized dynamic posturography, and vestibular evoked potentials. Treatment chapters cover non-medical, medical, and surgical treatment of dizziness and vertigo, vestibular rehabilitation and assessment of and intervention for falls risk. Additionally, the book provides background information on the vestibular and ocular motor systems, sample cases, and a final chapter, "Putting It All Together."

Customers who have purchased this title: Click here to download the Chapter 12 and 13 DVD Excel files.

Read an interview with Dr. Gary Jacobson, brought to you by the American Academy of Audiology! Douglas L. Beck, AuD, speaks with Dr. Jacobson about auditory and vestibular electroneurodiagnostics and more.


  • Linda Jacobs-Condit, AuD, CCC-A (George Washington University), Doody's Review Service, (2009):
    "Up to date and useful as a reference for students as well as practicing clinicians in audiology, otology, physical therapy, neurology."

  • John E. King (Medical University of South Carolina), Ear & Hearing, (2008):
    "Despite the number of contributors, the text flows seamlessly as uniformity has been maintained in presentation style and language. ... A must-have for those who truly want to explore and understand the clinical realm of the vestibular system. ... This text offers something for everyone from the novice to the expert nearing retirement."

  • A. Banerjee (Middlesbrough, UK), The Journal of Laryngology & Otology, (2009):
    "The DVD that accompanies each chapter is excellent and explains the practical points covered...All in all, this is an excellent book, to be used as a reference for ENT surgeons, trainees, and audiological physicians."


Primary Subject: Audiology / Vestibular/Balance Assessment and Rehabilitation
Audience Level: Academic
  • I. Background.
    • Practical Anatomy and Physiology of the Vestibular System
      Michael Schubert, Ph.D. and Neil Shepard, Ph.D.
    • Practical Anatomy and Physiology of the Ocular Motor System
      Timothy C. Hain, M.D. and Heather Rudisill, Au.D.
    • Eye movement recording techniques
      Gary P. Jacobson, PhD, Neil T. Shepard, Phd, J. Andrew Dundas, Devin L. McCaslin, and Erin G. Piker, BS
  • II. Assessment.
    • The Vertigo Case History
      Marc Bennett, M.D.
    • The Bedside Assessment of the Vestibular System
      Devin L. McCaslin, Ph.D., J. Andrew Dundas, M.A., Gary P. Jacobson, Ph.D.
    • Assessing Dizziness-Related Quality of Life
      Gary P. Jacobson, Ph.D., Craig W. Newman, Ph.D.
    • Ocular Motility Testing: Techniques
      Neil T. Shepard, Ph.D. and Michael Schubert, Ph.D.
    • Ocular Motility Testing: Interpretation and utilization
      Neil T. Shepard, Ph.D. and Michael Schubert, Ph.D.
    • Technique, Interpretation and Usefulness of Positional/Positioning Testing
      Richard A. Roberts, Ph.D., Richard E. Gans, Ph.D. Background and Technique of Caloric Testing – Kamran Barin, Ph.D.
    • Interpretation and Usefulness of Caloric Testing
      Kamran Barin, Ph.D.
    • Background and Introduction to Whole Body Rotational Testing
      Robert Brey, Ph.D., James L. McPherson, M.S., Robert M. Lynch, B.S.E.
    • Technique, Interpretation and Usefulness of Whole Body Rotational Testing
      Robert Brey, Ph.D., James L. McPherson, M.S., Robert M. Lynch, B.S.E.
    • Active Head Rotation Testing (i.e. Vestibular Autorotation Testing)
      Dennis P. O’Leary, Ph.D., Linda L. Davis, RN, B.A.
    • Background and Technique of Computerized Dynamic Posturography (including practical biomechanics and physiology of balance)
      Neil Shepard, Ph.D. and Kristen Janky, Au.D.
    • Interpretation and Usefulness of Computerized Dynamic Posturography
      Neil Shepard, Ph.D.and Kristen Janky
    • Vestibular Sensory Evoked Potentials
      Sherri M. Jones, Ph.D.
    • Vestibular Evoked Myogenic Potentials
      Faith W. Akin, Ph.D., Owen D. Murnane, Ph.D.
    • Tests of otolith function and of vestibular perception
      Adolfo M. Bronstein, M.D., Ph.D.
  • III. Treatment (7 chapters).
    • Non-Medical/Surgical Treatment of Positional Vertigo
      Richard A. Roberts, Ph.D. and Richard E. Gans, Ph.D.
    • Medical Treatment of Vertigo that is Otologic in Origin
      Steven Telian, M.D., Mark Wiet, M.D.
    • Surgical Management of Vertigo that is Otologic in Origin
      Steven Telian, M.D., Mark Wiet, M.D.
    • Neurological Origins of Dizziness and Vertigo
      Nabih M. Ramadan, M.D., F.A.A.N.
    • Psychiatric Origins of Dizziness and Vertigo
      Jeffery P. Staab, M.D, M.S.
    • Vestibular Rehabilitation
      Susan L. Whitney, Ph.D., PT, NCS, FAPTA, and Joseph Furman, M.D., Ph.D.
    • Assessment of Falls Risk in the Elderly
      Gary P. Jacobson, Ph.D., Devin L. McCaslin, Ph.D.
  • IV. Sample Cases.
    • Within and Between Measure Relationships Between Balance – Illustrative Cases.
      Gary P. Jacobson, Ph.D., Devin L. McCaslin, Ph.D, Sarah L. Grantham, Au.D.

DVD Contnets:

  • Chapter 1
  • Chapter 5
    • videos 1-12
  • Chapter 7
    • Random Saccade Paradigm video
  • Chapter 8
    • videos 1-15
  • Chapter 9
    • videos 1-5
  • Chapter 12 & 13
    • Disc 1- Rotary Chair Testing
      • Introduction to DVD
      • Mayo Clinic Campus, Rochester, MN
      • Purpose of DVD
      • Barany Chair
      • VOR Modeling of Phase & Gain Across Frequency
      • Modeling Chair & Eye Velocity (interactive)
      • VOR Modeling Phase & Gain (interactive)
      • Harmonic Acceleration Analysis, Normal
      • New Analysis Technique- Directional Preponderance
      • Directional Preponderance/Asymmetry Phase & Gain (interactive)
      • Calculating Time Constants
      • Unilateral Centrifugation Time Course- Calculating G Force ***:and Tilt Angle (interactive)
      • Rotary Chair Test- Normal
      • Calibration
      • Spontaneous Nystagmus Test
      • .01 Hz Harmonic Acceleration Test
      • .02 Hz Harmonic Acceleration Test
      • .04 Hz Harmonic Acceleration Test
      • .08 Hz Harmonic Acceleration Test
      • .16 Hz Harmonic Acceleration Test
      • .32 Hz Harmonic Acceleration Test
      • .64 Hz Harmonic Acceleration Test
      • 1.28 Hz Harmonic Acceleration Test
      • Analysis Summary Harmonic Acceleration
      • Step Test- 60 deg/sec- Right then Stop
      • Step Test- 60 deg/sec- Left then Stop
      • Step Test- 240 deg/sec- Right then Stop
      • Step Test- 240 deg/sec- Left then Stop
      • .16 Hz Visual Fixation Suppression Test
      • .32 Hz Visual Fixation Suppression Test
      • .64 Hz Visual Fixation Suppression Test
      • .64 Hz Visual Fixation Suppression Test with Head Moving
      • Analysis Summary Fixation Suppression
    • Disc 2- Rotary Chair Testing, Normal Patient
      • Visual Vestibular Enhancment
      • Optokinetic Testing
      • Viewing Stop Testing Analysis
      • Calibration for Rotary Chair Test
      • Rotary Chair Test- Patient with Supranuclear Palsy
      • Equipment
      • Unilateral Centrifugation Demonstration
  • Chapter 14
    • videos 1-5
  • Chapter 18
    • videos 1-4
  • Chapter 20
    • videos 1-5
  • Chapter 26
    • videos 1-3

About The Authors

Gary Jacobson, PhD

Dr. Gary Jacobson is Professor and Director of the Division of Audiology at the Vanderbilt Bill Wilkerson Center at Vanderbilt University Medical Center. Prior to this he was the Director of the Division of Audiology, and Adjunct Staff in the Department of Neurology for the Henry Ford Health System in Detroit, Michigan.

He completed his undergraduate studies at California State University at Fullerton. He received his MS in Communicative Disorders (Audiology) at the University of Wisconsin-Stevens Point and received has PhD from Kent State University. He served as the Chief of the Audiology and Speech Pathology Section (Neurology Service) at the VA Medical Center in Cincinnati from 1979-1988. During that time he served as both Director of the Evoked Potentials Laboratory and, Director of the Intraoperative Monitoring Program for the Department of Neurosurgery, University of Cincinnati Medical Center, Cincinnati, Ohio.

Dr. Jacobson is a Past President of the American Society of Neurophysiological Monitoring, and has served on the Scientific Advisory Board and Board of Directors of the American Tinnitus Association. He is the past-editor of The American Journal of Audiology (American Speech-Language Hearing Association) and a past Assistant Editor (Evoked Potentials) for The Journal of the American Academy of Audiology (American Academy of Audiology). He is an Editorial Board member for the journals Brain Topography and Seminars in Hearing. He is an Ad Hoc reviewer for 10 other scientific journals. He has authored and co-authored over 100 publications that cover the areas of tinnitus, dizziness, auditory function, outcome measures development, brain mapping and intraoperative neurophysiology. He is co-editor of the text Handbook of Balance Function Testing. He is a Fellow of the American Speech-Language Hearing Association, and a recipient of the Jerger Career Award for Research in Audiology from the American Academy of Audiology.

Neil Shepard, PhD

Dr. Neil Shepard, is Director of the Dizziness and Balance Disorders Program at Mayo Clinic – Rochester and Professor of Audiology in the Mayo Clinical School of Medicine. He received his undergraduate and masters training in Electrical and Biomedical Engineering from University of Kentucky and Massachusetts Institute of Technology. He completed his PhD in auditory electrophysiology and clinical audiology from the University of Iowa in 1979. He has specialized in clinical electrophysiology for both the auditory and vestibular systems. Activity over the last 27 years has concentrated on the clinical assessment and rehabilitation of balance disorder patients and clinical research endeavors related to both assessment and rehabilitation.


Adolfo M. Bronstein, MD, PhD

Craig W. Newman, PhD

Dennis P. O’Leary, PhD

Devin L. McCaslin, PhD

Erin G. Piker, BS

Faith W. Akin, PhD

Heather Rudisill, AuD

J. Andrew Dundas, MA

James L. McPherson, MS

Jeffery P. Staab, MD, MS

Joseph Furman, MD, PhD

Kamran Barin, PhD

Kristen Janky, AuD

Linda L. Davis, BA

Marc Bennett, MD

Mark Wiet, MD

Michael Schubert, PhD

Nabih M. Ramadan, MD

Owen D. Murnane, PhD

Richard A. Roberts, PhD

Richard E. Gans, PhD

Robert Brey, PhD

Robert M. Lynch, BSE

Sarah L. Grantham, AuD

Sherri M. Jones, PhD

Steven Telian, MD

Susan L. Whitney, PhD

Timothy C. Hain, MD

Related Titles

  1. Hearing Loss
    Hearing Loss

    M. Jennifer Derebery, MD, FACS, William Luxford, MD

    296 pages, Illustrated (B/W), Hardcover, 7 x 10"

  2. Early Development of Children with Hearing Loss
  3. Comprehensive Handbook of Pediatric Audiology
  4. Your Child’s Hearing Loss
    Your Child’s Hearing Loss

    Debby Waldman, Jackson Roush, PhD
    Foreword by: Richard Seewald, PhD

    254 pages, Illustrated (B/W), Softcover, 6 x 9"

  5. Genetics, Embryology, and Development of Auditory and Vestibular Systems
  6. Clinical Management of Children with Cochlear Implants
  7. Cochlear Implants
    Cochlear Implants

    Edited by: Betty Loy, AuD, Peter Roland, MD

    200 pages, Illustrated (B/W), Softcover, 6 x 9"

  8. Newborn Screening Systems
  9. Falls Assessment and Prevention
  10. Foundations of Pediatric Audiology
  11. School Professionals Working with Children with Cochlear Implants
  12. A Practical Guide to Quality Interaction with Children Who Have a Hearing Loss
  13. Medical Genetics
    Medical Genetics

    Nathaniel H. Robin, MD

    182 pages, Color Illustrations (4 Color), Softcover, 7 x 10"

  14. The Ear
  15. Otoacoustic Emissions
    Otoacoustic Emissions

    Sumitrajit Dhar, PhD, James W. Hall III, PhD

    256 pages, Illustrated (B/W), Softcover, 8.5 x 11"

  16. Pure-Tone Audiometry and Masking
    Pure-Tone Audiometry and Masking

    Maureen Valente, PhD

    255 pages, Color Illustrations (4 Color), Softcover, 5 x 7.5"

  17. Self-Assessment of Hearing
    Self-Assessment of Hearing

    William Noble, PhD

    300 pages, Illustrated (B/W), Softcover, 6 x 9"

  18. Professional Communication in Audiology
  19. Objective Assessment of Hearing
  20. Instrumentation for Audiology and Hearing Science
  21. Basic Audiometry Learning Manual
    Basic Audiometry Learning Manual

    Mark DeRuiter, MBA, PhD, Virginia Ramachandran, AuD, PhD

    210 pages, Color Illustrations (2 Color), Spiral Bound, 8.5 x 11"

  22. Speech Audiometry
    Speech Audiometry

    Gary D. Lawson, PhD, Mary E. Peterson, AuD

    192 pages, Illustrated (B/W), Softcover, 8.5 x 11"

  23. Vestibular Learning Manual
    Vestibular Learning Manual

    Bre Lynn Myers, AuD

    144 pages, Illustrated (B/W), Spiral Bound, 8.5 x 11"

  24. The Human Ear Canal
    The Human Ear Canal

    Edited by: Bopanna Ballachanda, PhD

    240 pages, Color Illustrations (4 Color), Hardcover, 7 x 10"

  25. Hearing in Children
  26. Assessing Middle Ear Function in Infants
    Assessing Middle Ear Function in Infants

    Edited by: Joseph Kei, PhD, Fei Zhao, MD, PhD

    200 pages, Illustrated (B/W), Softcover, 7 x 10"

  27. Electronystagmography/Videonystagmography (ENG/VNG)
    Electronystagmography/Videonystagmography (ENG/VNG)

    Devin Lochlan McCaslin, PhD

    224 pages, Color Illustrations (2 Color), Softcover, 8.5 x 11"

  28. Hearing and Aging
    Hearing and Aging

    Raymond H. Hull, PhD, FASHA, FAAA

    192 pages, Illustrated (B/W), Softcover, 6 x 9"

  29. Manual of Pediatric Balance Disorders
  30. Literacy and Deafness
    Literacy and Deafness

    Lyn Robertson, PhD

    400 pages, Illustrated (B/W), Softcover, 6 x 9"

Top Sellers

Staff Picks

Effective SLP Interventions for Children with Cerebral Palsy - NDT/Traditional/Eclectic

Edited by: Fran Redstone, PhD, CCC-SLP, C/NDT

Developed for therapists working with children with cerebral palsy and other neuromotor disorders, this book outlines practical clinical interventions written by expert clinicians and evaluates the evidence that supports these interventions. The book covers a range of issues from feeding and swallowing, to language and literacy intervention.



A New Way to Purchase Information
Want to condense your library? Need only a single chapter from one of Plural's books? Now you can. Plural e-chapters offer a new way to purchase information, by way of downloadable individual chapters from our most popular titles. More...