"It was anything but the age when Mr. Sharma, a retired teacher, 68 years of age, was having bouts of frequent dizziness, and trembled on several occasions while going on morning walks. His brain was saying 'Time to check the health of your balance," in a muffled speech." This is a symptom of balance disorder, a condition affecting 180 million Indians.
Balance: A neuronal harmony
Exhibiting balance is a teamwork of your inner ear, eyes, muscles, and joints. Your brain combines vestibular, visual, and proprioceptive input, which is then used to exhibit balance. If these systems are working in connection, you stay ranked and influenced. If they misfire, even a simple movement can become a spin or staggering action.
What causes you to feel off-balance?
1. Age-related factors
- Inner ear hair cell deterioration
- Reduced muscle strength & flexibility
- Vision decline
- Slower reaction times
2. Medical conditions
- Ear infections
- Stroke
- Multiple sclerosis
- Parkinson’s disease
- Diabetes (neuropathy)
- Meniere’s disease
- Vitamin D deficiency
3. Medications
- Antidepressants (dizziness)
- Blood pressure medicines (orthostatic hypotension)
- Sedatives
- Ototoxic antibiotics
- Anti-seizure medicines
4. Factors affecting way of living
- Inactivity
- Malnutrition (Vitamin D & B12 deficiency)
- Excessive alcohol
- Smoking
- Obesity
5. Neurogenic balance disorders
1. Vestibular disorders (Peripheral conditions)
- Benign paroxysmal positional vertigo (BPPV)
Spinning sensation caused by tiny calcium carbonate crystals in the inner ear. - Labyrinthitis
Inner ear infection causes dizziness, vertigo, and sometimes hearing loss. - Ménière’s disease
Episodes of vertigo, hearing loss, ringing in the ears, and ear fullness are linked to fluid buildup. - Vestibular neuronitis
Inflammation of the vestibular nerve, often viral, can cause vertigo without hearing loss. - Perilymph fistula
Fluid leaks from the inner to the middle ear; leads to dizziness, nausea, and worsens with activity. - Mal de débarquement syndrome (MdDS)
Feeling of rocking or swaying after travel or motion exposure; may last days to months. - Vestibular migraine
Imbalance due to specific altered visuo-vestibular cortical interactions.
- Neurodegenerative conditions (Central conditions)
Alzheimer's disease, Progressive supranuclear palsy, Frontotemporal dementia, Motor neurone disease, Multiple system atrophy, and Parkinson’s disease
In these neurogenerative diseases, a progressive impairment and destruction of parts of the nervous system, particularly the brain and neurons, leading to difficulty in balance [2,3,4,5].
Balance testing: Still using traditional methods?
Diagnostic modalities used by clinicians are still standard tests like positional tests, otoscopy, MRIs, and caloric testing, which only test the horizontal canal and not the central vestibular processing, and are susceptible to human error. No wonder many patients bounce without any answers.
Craniocorpography (CCG)
CCG is a clinical method of assessing a person’s balance and posture through tracking head and body motion during validated tests. CCG is essential in the diagnosis of vestibular dysfunctions related to the inner ear that impact balance. Although these approaches are clinically valid, they require manual tracking of movements, are done in dark environments, and take a lot of time to set up the tracks. These limitations negatively impact the accuracy of results, and they limit the scalability and comfort of the process of testing.
Physicians should be choosing new-age diagnostics.
EquiCCG: A Technological Leap Forward
EquiCCG is a cutting-edge craniocorpography testing device that leverages computer vision technology to automate and improve balance testing and neuro-otologic screening. It eliminates the need for dark rooms, visual tracking, and cumbersome setups, which can slow diagnostics down, and allows better, smarter, and more reliable diagnostics to take place.
EquiCCG configuration
EquiCCG is a lightweight, accurate, electronics-free head movement tracker with a wide-angle ceiling-mounted camera that can be mounted using Velcro, glue, or screws. Connect the extension cable to the camera and route it to the computer. To wear the EquiCCG head tracker correctly, place the orange ball on the right and the blue ball on the left of the subject’s head, with black bases below and balls facing up. The patient should stand with their right side aligned to the rib marker on the right side of the ceiling-mounted camera.
What can be diagnosed?
- Dizziness and vertigo
- Gait instability
- Postural imbalance
- Neurological disorders like Parkinson’s or post-stroke conditions
Who can undergo these tests?
- Elderly patients at risk of falls
- Individuals with dizziness or unsteadiness
- Patients recovering from neurological events
- People with vestibular dysfunctions or inner ear conditions
Principal aspects of EquiCCG
1. Wide-Angle Ceiling Camera:
Records full-body movement with precision, is easy to install, and is adaptable to numerous clinical setups.
2. Electronics-Free Head Tracker:
No need for LEDs, batteries, or additional wires. This means it's the safest and easiest one to use.
3. Works in Well-Lit Environments:
You do not need dark rooms for performing the tests, thus improving patient comfort and decreasing clinic setup cost and the requirement of extra space.
4. Automated Real-Time Calculations:
This device promptly measures forward and lateral displacement, body axis spin and angular displacement, and lateral and anteroposterior sway.
5. Supports Major Protocols:
This device is in sync with Romberg, Tandem Walking, and Unterberger-Fukuda tests.
6. Immediate Normative Feedback:
Results are categorized as normal (results fall within expected ranges), borderline (results indicate a potential issue that requires further examination), and abnormal (results deviate significantly from the normal)
Working mechanism of EquiCCG
EquiCCG combines computer vision and intelligent software to track, analyze movement, and capture following metrics
- Forward Displacement
- Lateral Displacement (cm)
- Body Axis Spin
- Angular Displacement
- Maximum Lateral Sway
- Maximum Anteroposterior Sway
Benefits of EquiCCG
1. Efficient: Lowers setup cost and investigation time
2. Accurate: Reduces human error
3. Favors patients: Comfortable, non-invasive testing
4. Physician-friendly: Smooth and organized workflow, and provides immediate results
Transform Your Practice
EquiCCG is a significant advancement in vestibular diagnostics. It automatically performs craniocorpography using computer vision-based technology to provide a smarter, quicker, more accessible way to assess balance and dysfunction. Embracing EquiCCG means embracing the future of vestibular diagnostics. Whether you are an ENT doctor, neurologist, or rehabilitation professional, EquiCCG allows you to provide better care and care smarter [6].
Training and Support
Taevas Life Sciences provides full training and support to make your adoption of the EquiCCG seamless, allowing for your best use of the EquiCCG.
Learn More or Book a Demo
Visit [Taevas website] or call [Taevas Phone Number] to schedule a demo and explore how EquiCCG can elevate your diagnostic capabilities.
References
1. From our online archive. Don’t live with a dizzy head. The New Indian Express [Internet]. 2022 Feb 8 [cited 2025 Jul 10]; Available from: https://www.newindianexpress.com/cities/kochi/2022/Feb/08/dont-live-with-a-dizzy-head-2416575.html.
2. Bhandari A. Balance Awareness Week 2024: Understanding and identifying balance disorders [Internet]. Neuroequilibrium. 2024 [cited 2025 Jul 10]. Available from: https://www.neuroequilibrium.in/balance-awareness-week-2024-understanding-and-identifying-balance-disorders/
3. Cronin T, Arshad Q, Seemungal BM. Vestibular deficits in neurodegenerative disorders: balance, dizziness, and spatial disorientation. Frontiers in neurology. 2017 Oct 26;8:538.
4. Balance disorders [Internet]. NIDCD. [cited 2025 Jul 10]. Available from: https://www.nidcd.nih.gov/health/balance-disorders.
5. Kaski, D. Neurological update: dizziness. J Neurol 267, 1864–1869 (2020). https://doi.org/10.1007/s00415-020-09748-w.
6. Taevas Global. (n.d.). *Taevas Global*. Retrieved June 16, 2025, from https://www.taevasglobal.com/