youtube vertigo treatment epley maneuver

The patient holds a sitting position for up to 30 seconds.

Finally, the patient is slowly brought up to an upright sitting posture, while maintaining the 45-degree rotation of the head.The eyes should be observed immediately by the clinician for “secondary stage” nystagmus (this secondary stage nystagmus should be in the same direction as the primary stage nystagmus).Now the patient is looking downward at a 45-degree angle. Keeping the head and neck in a fixed position relative to the body, the patient rolls onto the shoulder, rotating the head another 90 degrees in the direction being faced.Then the patient's head is rotated 90 degrees in the opposite direction, so that the opposite ear faces the floor, while maintaining 30 degrees of neck extension.The patient remains in this position for approximately 1–2 minutes.The clinician observes the patient's eyes for “primary stage” nystagmus.Then the patient is quickly lowered into a supine position (on the back), with the head held approximately in a 30-degree neck extension ( Dix-Hallpike position), with the head remaining rotated to the side.The patient begins in an upright sitting posture, with the legs fully extended and the head rotated 45 degrees toward the side in the same direction that gives a positive Dix–Hallpike test.The following sequence of positions describes the Epley maneuver: The modified procedure has become that now described generally as the Epley maneuver.Īn Epley maneuver is a safe and effective treatment for BPPV, although the condition recurs in approximately one third of cases. Ī version of the maneuver called the 'modified' Epley does not include vibrations of the mastoid process originally indicated by Epley, as the vibration procedures have been proven ineffective. The maneuver was developed by the physician, John M. The maneuver works by allowing free-floating particles, displaced otoconia, from the affected semicircular canal to be relocated by using gravity, back into the utricle, where they can no longer stimulate the cupula, therefore relieving the patient of bothersome vertigo. The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) of the posterior or anterior canals of the ear. The impact of video Web sites on outcomes and costs of care is not known and warrants future study.Maneuver used by medical professionals to treat one common cause of vertigo

Video-sharing media may be an important way to disseminate effective interventions such as the EM. Themes derived from the 424 posted comments included patients self-treating with the maneuver after reviewing the videos, and providers using the videos as a prescribed treatment or for educational purposes.ĬONCLUSION: Accurate video demonstration of the Epley maneuver is available and widely viewed on YouTube. The maneuver demonstration was rated as accurate in 64% (21) of the videos. Five of the videos accounted for 85% of all the hits. The video with the most hits (802,471) was produced by the American Academy of Neurology. The total number of hits for all videos was 2,755,607. RESULTS: Of the 3,319 videos identified, 33 demonstrated the EM. Comments posted by viewers were assessed for themes regarding video use. Videos were rated on the accuracy of the maneuver by 2 authors, with differences resolved by adjudication. Detailed data were abstracted from each video and corresponding Web site. METHODS: A YouTube search was performed on August 31, 2011, for videos that demonstrated the entire EM.

In this study, we aimed to describe and analyze the available information about the EM on. However, the maneuver is underused in routine care. The Epley maneuver (EM) is a simple and effective treatment for benign paroxysmal positional vertigo (BPPV) of the posterior canal. OBJECTIVES: Video-sharing Web sites are being used for information about common conditions including dizziness.

Youtube vertigo treatment epley maneuver