Benign Paroxysmal Positional Vertigo (BPPV) is a common cause of vertigo, and when properly diagnosed responds very well to Physiotherapy treatment.
In this video on BPPV Assessment & Treatment, Dr Shyh-Poh Teo (Geriatrician and Physician), Victoria Sali and Maireed Magee (Physiotherapists) present how you can assess, diagnose, differentially diagnose and treat BPPV.
Vital in the assessment of BPPV is differentiating from central (brain) causes and other causes e.g. vestibular neuritis. This video series will take you through the anatomy of the vestibular system, differential diagnosis, and then how to perform the manoeuvres necessary to treat BPPV.
Anatomy of the inner ear
Description of the role of the semi-circular canals in balance
Introduction to BPPV
Patient history - what questions to ask patients with dizziness or vertigo
Differential diagnosis of vertigo - Length of each episode, triggers, associated symptoms
Screening for neurological conditions, VAD, peripheral lesions, migraine
Diagnostic categories of dizziness
Differentiating central (brain) vs peripheral causes
Discussion on smooth pursuit and saccadic eye movements
Balance assessment - Four Test Balance Scale
Testing vestibulo-occular reflex - Head impulse test
Dix - Hallpike test
How to treat BPPV in patients that are unable to achieve enough cervical ROM
Semont and Liberatory Manoeuvre
Treatment for Cupulothiasis and
Self treatment using the Modified Epley Manoeuvre
Evidence to support seeing vertigo patients in your clinic, as opposed to standalone self treatment
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