#EPLEY MANEUVER VERTIGO YOUTUBE HOW TO#
#EPLEY MANEUVER VERTIGO YOUTUBE SERIES#

The present study aimed to validate the feasibility of an inertial measurement unit (IMU) sensor-based CRP guiding system that provides step-by-step instructions and real-time feedback while participants perform CRP independently.

#EPLEY MANEUVER VERTIGO YOUTUBE HOW TO#

One of the reasons is that video clips cannot provide feedback on the accuracy of head movements or how to correct them in real-time. However, their reliability can be as low as 64% 10, and watching a well-made video clip does not guarantee well-performed CRPs. Patients can also perform CRP using only audiovisual media such as YouTube.

The comparatively simpler Barbeque (BBQ) roll maneuver still caused substantial rotation errors, especially in elderly participants, the population mostly affected by BPPV 8. In the Epley maneuver, the absolute mean error was as large as 39.8° in step 4, even after detailed explanations. Without specialist assistance, patients have difficulties performing precise CRP maneuvers due to the complexity of sequential 3-dimensional (3-D) head movements. Self-administered CRPs showed significantly higher errors in rotational head angles compared to specialists-guided CRPs adhering to American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) guidelines 8, 9. Therefore, repeated or self-administered CRP can support effective BPPV care.

Home CRP also reduced BPPV recurrence by 9% 7. A home CRP program including Brandt–Daroff, Semont, 360° rotation, and deep head hanging maneuvers following conventional office-based CRP was 8.3% more effective than office-based CRP alone 6. Repeated CRPs at home can improve treatment outcomes. However, only 58% of patients with BPPV were discharged following the first CRP, whereas 94% needed up to three follow-up appointments 5. A symptom reduction in patients with BPPV with posterior canal involvement is 3.3–107.7 times more likely following a canalith repositioning procedure (CRP) than under control conditions 1, 2, 3, 4.

#EPLEY MANEUVER VERTIGO YOUTUBE SERIES#

Similar content being viewed by othersīenign paroxysmal positional vertigo (BPPV) can be treated by a series of rotational head movements geometrically aligned with the affected semicircular canal. A guiding device based on head monitoring providing real-time auditory feedback may increase the self-administered CRP success rates in treating benign paroxysmal positional vertigo. Real-time feedback on head rotation angles induced more appropriate movements in the Epley and Barbeque roll maneuvers. The treatment success rates after 1 h were 71.4% and 100% for the Epley and Barbeque roll maneuvers, respectively. A learning effect was found in steps 4 and 5 of the Barbeque roll maneuver but not in the Epley maneuver. For all the Epley and Barbeque roll maneuvers steps, the absolute errors were smaller for IMU- than for EDU-CRPs, with significant differences in steps 2–4 and 3–6 of the Epley and Barbeque roll maneuvers, respectively. For BPPV participants, treatment success was assessed based on the presence or absence of nystagmus, vertigo, and dizziness. Differences in target angles based on the American Academy of Otolaryngology-Head and Neck Surgery guidelines were considered errors. IMU-CRP, respectively) twice, and head rotation accuracies were compared. Participants conducted the Epley and Barbeque roll maneuvers without and with auditory guidance (EDU-CRP vs. This single-institution prospective, comparative effectiveness study examined 19 participants without active vertigo or prior knowledge of benign paroxysmal positional vertigo and CRP. A pilot validation was also performed by analyzing the treatment success rate of IMU-CRP in patients with BPPV. Our study aimed to validate the feasibility of an inertial measurement unit sensor-based CRP (IMU-CRP) by analyzing the differences in accuracy in the rotational angles, comparing them with education-based conventional CRP (EDU-CRP). Similar results were obtained for the Barbeque maneuver: mean errors were 9.2°–13.0° by the specialists while they were significantly larger (22.9°–28.6°) when self-administered. Specialists-guided Epley maneuver reportedly had mean errors of 13.7°–24.4° while they were significantly larger (40.0°–51.5°) when self-administered. Performing an accurate canalith repositioning procedure (CRP) is important for treating benign paroxysmal positional vertigo, because inadequate rotational head angles can result in ineffective otolith mobilization and consequent treatment failure.

Epley maneuver vertigo youtube