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BPPV |
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BPPV is thought to be due to
debris within part of the inner ear, the semi circular
canals. It is a common form of dizziness (about
20% of all dizziness) and may have general symptoms and
behaviour although activities which bring on the
symptoms can vary.
Approximately 50% of cases can occur for no reason
whatsoever (idiopathic), and it can also occur after a
head injury or minor strokes.
It is a frightening and
confusing disorder; all the more alarming as the patient
may not be sure when or where they will suffer another
“attack”.
Symptoms are almost always brought on by a change in
position of the head in respect to gravity, commonly
rolling over in bed or getting out of bed. People
complain of dizziness or vertigo, light headedness,
imbalance, nausea and fatigue. The symptoms may
disappear spontaneously, without treatment, but this can
take up to 6 months.
However, as with any problem that affects the vestibular
system, compensation techniques often occur without the
patient realising. Treatment is important in that it
educates the patient about the problem, to recognise the
symptoms and how to relieve them whenever they occur.
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Particle
Repositioning Manoeuvres
This is also known as Canalith Repositioning Treatment
(CRT). These manoeuvres involve changes in
position, usually involving head rotation, to allow
gravity to move the debris within the semi circular
canals back into another part of the inner ear (the
utricle). |
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Particle Position
Testing:
● Hallpike-Dix (for posterior and anterior semi circular canals)
● Side Lying Test (for anterior or posterior semi circular canals)
● Roll Test (for horizontal semi circular canal) |
Particle Repositioning Manoeuvres available:
● Epley Manoeuvre
● Semont's Liberatory Manoeuvre
● CRT for horizontal canal BPPV
● Modified Brandt Daroff
● Brandt-Daroff exercises
● Cooksey Cawthorne Exercises |
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Click here to
see details of VESTIBULAR REHABILITATION |
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