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   BPPV

 

   is thought to be due to debris within part of the inner ear, the semicircular canals.  It is a common form of dizziness (about 20% of all dizziness) and may have general symptoms and behavior 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, lightheadedness, 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 realizing. Treatment is important in that it educates the patient about the problem, to recognize the symptoms and how to relieve them whenever they occur. 

   

      

   Particle Repositioning Manoeuvres

   This is also known as Canalith Repositioning Treatment (CRT).  These maneuvers 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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 ● Epley Manoeuvre
 ● Roll Test (for horizontal semicircular canal)Particle Repositioning Manoeuvres available:
 ● Side Lying Test (for anterior or posterior semicircular canals) 
 ● Hallpike-Dix (for posterior and anterior semi circular canals) 
   Particle Position Testing: Semont's Liberatory Manoeuvre
 ● CRT for horizontal canal BPPV
 ● Modified Brandt Daroff
 ● Brandt-Daroff exercises
 ● Cooksey Cawthorne Exercises