Week 3 Highlights

Question 1

what are the most utilized maneuver for HSCC canalithiasis (geotropic)

Answer 1

1. gufoni* - easier to perform*
2. BBQ still used

several other maneuvers if these 2 not effective

Question 2

what is the go to method for treating HSCC cupulolithiasis (apogeotropic)

Answer 2

CRP - can treat cupulolithiais regardless of location of otoconia

might not use if don’t have time on first visit, or if person doesn’t have ability to move into all positions

Question 3

what is the consensus of research findings in treating ASCC

Answer 3

research remains lacking for evidence based treatment

Question 4

what are the benefits of using the neck extension maneuver in ASCC

Answer 4

one maneuver not side specific/can treat both R and L ASCC

Question 5

what are the primary treatment for BPPV

Answer 5

canalith repositioning maneuvers

Question 6

what does evidence say about meds in treating BPPV

Answer 6

no strong evidence to support
* can have a “sedative effect” on vestibular system –> beneficial not to take long term

meclizine is frequently prescribed

Question 7

when is meclizine prescribed

Answer 7

during peripheral vestib event to help manage sx related to vertigo and motion sickness

Question 8

what does evidence say about daily HEPs like self-CRP and Brandt Daroffs

Answer 8

doesn’t prevent recurrence of BPPV