With numerous ENT and Neuro outpatient setups, patients will complain of symptoms like "I feel I'm swaying" or "I get dizzy when I shut my eyes." The symptoms seem nonspecific, but they might indeed indicate vestibular dysfunction. How wonderful would it be if a simple camera-based exam could demonstrate the vestibular system's failure to maintain upright balance?  

Introduction   

Vertigo and dizziness are two of the most common presenting symptoms in a clinical setting and account for as many as 8% of all medical referrals. Approximately 10–15% of all cases are caused by a serious but curable illness. The consistent causal relationship between the quality of symptoms (vertigo vs. dizziness vs. presyncope) and the etiology is not feasible, nor does it allow for a distinction between benign and harmful diseases. The wide range of differential diagnoses, (too) brief time slots for consultations, and insufficient experience are significant limiting factors among primary care physicians [1].  

Diagnosing balance disorders is challenging. Many clinics still rely on patient history and physical maneuvers like the positional tests, that is, Dix-Hallpike and Supine head roll, HINTS (head impulse, nystagmus, and skew deviation), along with MRI scans, Lumbar puncture, and optic coherence tomography (OCT). A caloric test (warm/cold water in the ear) is common, but it checks only a single canal at an unnatural speed with few adverse effects like fullness or pressure in the ear [2,3,4].   

Enter EquiCCG, a new computer vision based craniocorpography (CCG) testing device that automates posture, balance testing and neuro-otological screening. EquiCCG not only helps clinicians act more quickly but also improves objectivity, visibility, and reproducibility in clinical decisions.  

What Makes EquiCCG Unique?  

EquiCCG is a vision-based CCG system that automates balance assessments with a wide angle ceiling-mounted camera and passive head tracker, and thus does not require dark rooms, wearable electronics, or manual calculations, providing a streamlined experience for clinicians and patients alike.   

Key Features of the EquiCCG Include:   

• Ceiling-mounted high-resolution wide-angle camera: Delivers top-down views of patient movement with precision.   

• Electronics-free head tracker: The light, comfortable head tracker uses colored markers for easy tracking.   

• Real-time software analysis: Automatically calculates sway, displacement, and rotation metrics.   

• Instant graphical and numerical reports: Provides visual and numerical results that can be processed quickly.   

• Normative data comparison: Flags abnormal results immediately, allowing for informed clinical decisions.  

EquiCCG is a vision-based CCG system that automates balance assessments using a ceiling-mounted camera and a passive head tracker. It eliminates the need for dark rooms, wearable electronics, or manual calculations, offering a seamless experience for both clinicians and patients.  

EquiCCG Advanced Software  

The system includes software that runs on a standard PC or laptop, which processes the camera feed in real time. Using image analysis, it extracts the movement data (how far the head moved, angle turned, etc.). The software automatically calculates all CCG metrics/ lateral displacement, angles, and sway distances without manual input. It also applies normative data to instantly classify results (normal vs abnormal) and generates a report at the end of the test session. The interface is user-friendly, typically with a menu of test protocols to choose from and live feedback. (For example, the operator might see a live trace of the patient’s path on screen as they perform the test, which can be very informative.)    

Speed Meets Accuracy in Vestibular Testing  

EquiCCG converts balance testing from a manual, non-objective process into a quick, objective, and reproducible assessment. Tests such as Romberg, Unterberger-Fukuda, and Tandem Walk take only minutes to complete, with immediate report availability. Such fast turnaround proves to be priceless in busy clinics, enabling faster diagnoses and smoother patient management.  

EquiCCG is especially useful in detecting unilateral vestibular dysfunction, proprioceptive loss, and central balance issues. For example:  

• A patient with right-sided vestibular weakness may unknowingly rotate right during the Unterberger test. 
• A diabetic patient with neuropathy may sway excessively during Romberg with eyes closed. 
• A Parkinson’s patient may struggle with retropulsion or tandem gait.  

EquiCCG captures these patterns and quantifies them, making the diagnosis clearer and the treatment more targeted.  

Automated Reporting  

Another of EquiCCG's most significant strengths is its automated reporting feature. Once a test is finished, the system generates a comprehensive summary with:  

• Quantitative measures (e.g., body axis rotation, lateral sway) 
• Graphical movement patterns: A vestibular patient's report might display an elongated oval sway pattern, contrasting with the compact, contained sway typically seen in normal subjects.   
• EquiCCG's graphing capabilities allow for visualization of these patterns and enable comparison across multiple sessions, facilitating long-term progress monitoring.  
• Normative range markers (normal, borderline, abnormal) 
• Interpretation cues (e.g., "Rightward rotation indicates right vestibular hypofunction")  

These reports may be printed, stored, or incorporated into electronic health records, simplifying documentation and improving communication between specialties. Automated reporting frees up clinician time, over a year, if it saves 10 minutes per vestibular patient and a clinic sees 6 such patients a week, that’s ~52 hours saved annually. That time can either be used to see additional patients (increasing revenue) or improve the quality of care for existing ones.  

Protocols Supported by EquiCCG Software  

EquiCCG's flexible software supports different testing protocols, allowing clinicians to choose tests that are relevant for conditions (vestibular clinics may focus on Unterberger and Romberg tests, and fall prevention clinics may use timed up and go and retropulsion tests in preference). Software also controls the order of test protocols. Each protocol has definite normative data and measurement parameters. EquiCCG provides a full balance test, including:  

• Unterberger-Fukuda Stepping Test: Detects vestibular asymmetry through rotation and drift. 
• Romberg Test: Assesses sway with eyes open vs. closed to identify sensory deficits. 
• Tandem Walking Test: Evaluates coordination and central nervous system involvement. 
• WOFEC (Walking on Floor with Eyes Closed): Tests directional stability. 
• Retropulsive Pull Test: Screens for Parkinsonian postural reflexes. 
• 360° Turns, Side-Stepping, and TUG: Provide dynamic balance assessments.  

Every test is controlled by the software, which enforces consistency and safety. Real-time monitoring enables clinicians to intervene when a patient indicates instability.  

Advantages Over Conventional CCG  

EquiCCG has several advantages over traditional CCG systems:  

• No Dark Room Needed: Works in normal lighting environments.  

• No Wearable Electronics: Provides greater patient comfort and lower maintenance.  

• Instant Results: Conserves clinician time and enhances workflow.  

• High Reproducibility: Standard protocols guarantee consistent data.  

• Cost-Effective: Low maintenance makes it an intelligent investment.  

Clinical Applications of EquiCCG  

EquiCCG is structured for multi-purpose use, and therefore can be applied within a broad variety of clinical environments:  

1. ENT & Neuro Clinics  

ENT clinicians utilize EquiCCG to examine vestibular disorders such as BPPV, Ménière's disease, and vestibular neuritis. Neurologists utilize it to measure equilibrium in cases of Parkinson's disease, stroke, and multiple sclerosis.  

2. Vestibular Rehabilitation  

Physiotherapists and rehabilitation centers utilize EquiCCG to track patient progress with vestibular therapy. Quantitative information assists customized treatment programs and monitoring of improvement over time.  

3. Fall Risk Assessment  

For geriatric medicine and occupational health, EquiCCG detects patients at risk of falls. Objective measurements from the TUG and Retropulsive Pull Test yield valuable postural stability information.  

4. Medical Education & Research  

EquiCCG's graphic output and uniform protocols make it a great teaching and research tool. It allows for the collection of data in different populations and facilitates studies on balance disorders and the efficacy of treatment.  

Call to Action  

Patients & caregivers: If you or a family member suffers from unexplained imbalance, veering during walking, or frequent falls, request that your physician discuss objective balance testing with you. EquiCCG can uncover vestibular or neurological problems.  

General practitioners & ENT doctors: For dizzy or imbalance patients, EquiCCG provides a quick, measurable means of evaluating vestibulospinal function. It's a good complement to audiometry, VNG, and vHIT, and assists in referral and therapy guidance.  

Clinics & hospitals: Supplement your diagnostic equipment with EquiCCG to provide complete balance testing. It streamlines workflow, increases documentation, and promotes improved patient outcomes [5].  

EquiCCG transforms invisible imbalance into transparent, measurable data within minutes.  

To Learn More  

For demo videos, setup guides, and clinical use cases, visit the [EquiCCG webpage] or contact Taevas Global at [Taevas Phone Number].  

References  

1. Tarnutzer AA, Kerkeni H, Diener S, Kalla R, Candreia C, Piantanida R, Maire R, Welge-Lüssen A, Budweg J, Zwergal A, Dlugaiczyk J. Diagnosis and treatment of vertigo and dizziness: Interdisciplinary guidance paper for clinical practice. HNO. 2025 Jun 17:1-3.  

2. Cohen HS. A review on screening tests for vestibular disorders. Journal of neurophysiology. 2019 Jul 1;122(1):81-92.  

3. Murphy KA, Ryan N, Anilkumar AC. Caloric Testing. [Updated 2025 Jul 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448103/  

4. Palmeri R, Kumar A. Benign Paroxysmal Positional Vertigo. [Updated 2022 Dec 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470308/.  

5. Taevas Global. (n.d.). *Taevas Global*. Retrieved June 16, 2025, from https://www.taevasglobal.com/