Overseas Brochure - NeuroEquilibrium

1. World's largest chain of clinics for Vertigo, Dizziness and Balance Disorders

2. Advanced Video Nystagmography (VNG) NeuroEquilibrium VNG is the most advanced technology to evaluate the vestibular and oculomotor systems in a non-invasive, accurate and afordable way. This cutting-edge equipment eliminates contamination by myogenic and electrical noise seen in ENG. NeuroEquilibrium Video-Nystagmography evaluates peripheral and central vestibular functions through the following protocols: • Spontaneous nystagmus - with & without optic fixation • Gaze evoked nystagmus • Saccades – Random Target Movement • Smooth tracking - with varying frequencies • Optokinetic test • Head shaking test • Caloric tests • Positional testing - Dix–Hallpike, Supine Roll and Deep Head Hanging tests • Valsalva and Hyperventilation induced nystagmus • Skew deviation Intelligent Software • Advanced eye tracking algorithm • Automatic calculation of slow phase velocity, canal paresis and fixation index in caloric test • Advanced algorithm to generate random saccades and remove anticipated saccades • Generates smooth pursuit at varying frequencies. • Automatically generates graphs of all parameters with easy visual comparison with normative data. NeuroEquilibrium VNG has the industry’s leading binocular goggle design • Binocular eye recording • No adjustment required for focus or mirror setting • Lightweight with direct USB connection to a laptop or desktop computer. • Easy fit magnetic cover allowing for both occluded and unoccluded measurements. • Built in fixation light • Enhanced image quality because of a high frame rate camera • Hot mirror to view the eye in primary ocular axis as torsion can get distorted if not viewed in the primary ocular axis. The hot mirror allows eye imaging to be aligned within ±10o to primary ocular axis to minimize parallax

3. Video Head Impulse Test (vHIT) The vHIT tests function of all 6 semi-circular canals at high frequency. Features • Quick test : 10 minutes to independently test the 6 canals • Motion sensor accurately measures the head movement allowing for simultaneous comparison of head and eye movement • High frame rate camera (200fps) allows precise tracking of eye movements during head impulse • Lightweight goggle design to reduce slippage • Built-in lasers that provide stimulus for calibration Subjective Visual Vertical (SVV) For detection of abnormal subjective tilt Subjective Visual Vertical (SVV) is an investigation to evaluate the otolith system, which is responsible for perception of verticality. Static and dynamic SVV are important to: • Assess otolithic disorders • Assess chronic dizziness • Decide side of peripheral vestibular insult during the acute stage • Diagnose compensated vestibular disorders • Assess efect of rehabilitation Product Specifications • Tubular vision goggle with IMU • Measurement of head angle during testing to ensure correct head position Tests Conducted • Static SVV, head vertical • Static SVV, head inclined at 30 degrees • Dynamically moving background, head vertical

4. Computerized Dynamic Visual Acuity (DVA) For screening of Vestibular impairment Dynamic Visual Acuityis used for: • Evaluation of the Vestibulo-Ocular Reflex (VOR) • Early detection of Vestibulotoxicity • Detection of Bilateral Peripheral Vestibulopathy • Rehabilitation tool • Assessing outcome of rehabilitation How it works: DVA assesses the function of VOR in maintaining the image, on the fovea of the retina during head movement. Defective VOR results in slippage of the image resulting in blurring of vision. Craniocorpography (CCG) Fast and simple investigation NeuroEquilibrium Craniocorpography (CCG) evaluates the vestibulospinal reflex, which is responsible for maintenance of balance during gait testing. The protocols evaluated by CCG include: • Romberg Test • Tandem Walking • Unterberger / Fukuda Test

5. Computerized Posturography To evaluate postural control Static Posturography is an objective and functional evaluation of the postural control system in its steady-state behaviour. It is also a good tool to measure the outcome of vestibular rehabilitation. It consists of the following tests: • Modified Clinical Test of Sensory Interaction of Balance (mCTSIB) • Limits of Stability (LOS) • Rhythmic Weight Shift (RWS) Doctor’s App • Patient history and diagnostic reports • Interpretation and suggested prescription • View prescribed customized and progressive rehab exercises • Chat with backend super-specialist, if required.

6. Virtual Reality Based Vestibular Rehabilitation State-of-the-art Rehab Protocols Vestibular Rehabilitation Therapy (VRT) is essential for treatment of various vestibular disorders. NeuroEquilibrium has pioneered Virtual Reality-based VRT exercise protocols designed to help in: • Gaze stabilization • Sensory reorganization • Desensitization and development of alternative compensatory pathways Our cutting-edge Vestibular Rehabilitation Therapy is helpful in the following symptoms: • Dizziness • Blurred vision during head movement • Imbalance while walking • Frequent falls • Sensation of spinning The NeuroEquilibrium VRT suite includes exercises for - • Acrophobia (fear of heights) • Motion sickness • Visual vertigo/Agoraphobia • VOR & VOR supression exercises • Gaze stabilization • Head & eye coordination • Sea sickness The VR-based VRT advantage • Ability to simulate real life dynamic situations • Interactive and engaging. • Gamification of exercises improves compliance and helps in quantifying the improvement based on scores • Head movements can be tracked in VR • Immersion therapy for certain phobic and psychogenic disorders. • Measure outcome of rehab • Patient improvement is accelerated

7. Vestibular Rehabilitation Lab Vestibular Rehab Site targeted and disease specific Vestibular Rehab • Progressive • Adaptive • Gamified Computerized Posturography Rehab modules for Limits of stability, Rhythmic weight shift, Balance, Sensory organization etc. Computerized Dynamic Visual Acuity (DVA) • VOR dysfunction • Vestibulotoxicity • Bilateral Peripheral Vestibulopathy Screen Based Rehab • Using visual tracking, saccades, anti-saccades and optokinetic stimulations on the screen to enhance rehab protocols  Virtual Reality Based Vestibular Rehabilitation Vestibular Rehabilitation Therapy (VRT) is essential for treatment of various vestibular disorders. NeuroEquilibrium has pioneered Virtual Reality-based VRT exercise protocols designed to help in: • Gaze stabilization • Sensory reorganization • Desensitization and development of alternative compensatory pathways

8. “ Restoring Balance for abrighterfuture. ” NeuroEquilibrium is the world's largest chain of dizziness clinics. With our super-specialty clinics established in India and overseas, we are transforming the lives of millions of individuals sufering from these debilitating conditions. At the heart of our innovative approach lies our deep tech platform, which seamlessly integrates cloud technology, computer vision, clinical decision support systems, a remote diagnostic platform, and our proprietary diagnostic equipment and systems. This holistic integration empowers our partner clinics to deliver accurate diagnoses and personalised treatment plans, revolutionising the way dizziness and balance disorders are managed. Corporate Ofce : 255 SriGopal Nagar Gopalpura Bypass Road Jaipur 302015 info@neuroequilibrium.in www.neuroequilibrium.in India