BPPV Interventions Flashcards
what should be advised post-maneuver?
self repositioning
not precautions
canal vs cup repositioning
canal - SLOW
cup - FAST
CRM/Eply steps
- provocative Dix-Hallpike
- slowly rotate pt head other side
- roll to side-lying w/ 45 deg rotation; unaffected side down; nose to pit - flex head to 30 deg
- slowly sit up maintaining dump position
- head to neutral
what is the dump position for CRM?
head flex to 30 deg and rotated 45 deg to unaffected side
how long should CRM HEP be done?
1 rep every morning until vertigo free for 3 days in a row
what HEP is given if pt can’t do self CRM?
Brandt-Daroff habituation exercises
which way is head turned to treat posterior cupulolithiasis with Semont?
opposite of affected side
Semont steps
- start sitting up
- quickly side lay with head turned 45 deg away from affected side
- after 1 min, quickly move to sidelying on opposite side with head flexed to 30 deg and rotated 45 deg away from affected side
- slowly sit up and keep head in dump position for 1 min
- head to neutral for 1 min
how many times should semont be done?
2-5 reps in 1 session
how does the reverse semont differ than semont?
reverse - head rotated TOWARDS affected side
Rx for Semont HEP
3-5 reps until vertigo free for 3 days in a row
BBQ roll steps
- roll test position of affected side: supine with head flex to 30 deg and rotated 90 deg TOWARDS Affected side
- slowly roll head 90 deg to opposite side with 30 deg flex
- pt slowly rolls on side with head flex to 30 TOWARDS UNaffected side
- pt slowly roll to prone with 30 deg flex
- slowly roll pt head 90 deg towards affected side
- roll to sidelying with affected side down
- slowly sit up with 30 deg flex
- slowly return to neutral
dump position for BBQ roll
prone with 30 deg flex
dump position for Semont
flex 30 and rotated 45 deg away from affected side
dump position for reverse Semont
flex 30 deg and rotated 45 deg towards affected side
Casani steps
- start sitting EOM
- quickly lay to affected side (WEAKER APOGEOTROPHIC NYSTAGMUS); maintain neutral head; 2 mins
- quicly rotate head 45 deg away from affected side (nose up); 2 mins
- slowly return to sitting with head rotated away from affected side; 2 mins
- slowly bring head to neutral; 2 mins
repeasted 2-5 times
which horizontal canal if affected if apogeotrophic nystagmus is weaker to the L?
L side involved (cupulo)
for BBQ roll HEP, which side does the pt sleep on?
unaffected side
