Week 5.9 BBPV treatment

Question 1

what is a good tip to give patients before BPPV treatment

Answer 1

the treatment will cause their symptoms, and they should not sit up during treatment. also, keep their eyes open

Question 2

how can canalithiasis be treated

Answer 2

directing with repositioning

Question 3

how do you treat cupulolithiasis

Answer 3

treat first with a liberatory maneuver, following by repositioning

Question 4

how do we treat canalithiasis for anterior/posterior canals and horizontal canals

Answer 4

anterior and posterior canals: Epley

horizontal canal: BBQ roll

Question 5

if you have a canalithiasis you have two options… what are they?

Answer 5

immediately begin treatment,

or assess the other canal for involvement

Question 6

what is the treatment for the anterior and posterior canal, and the horizontal canals for the cupulolithiasis

Answer 6

anterior or posterior is the semont liberatory

horizontal is the Gufoni

Question 7

for cupulolithiasis, after the maneuver, you should…

Answer 7

reassess with positional testing

Question 8

after the maneuver you should do 1 of 2 things… what are they

Answer 8

1. if you still see the cupulolithiasis nystagmus pattern, do the liberatory movement again
2. see a conversion from cup - can, then you need to do a repositioning maneuver.

Question 9

what is the bad thing about the canal conversion

Answer 9

the biggest thing you want to avoid when treating BPPV because you don’t want to case a problem in another canal after you treat one.

Question 10

should you end the session right after BPPV testing

Answer 10

yes, and don’t turn the head too quickly