BPPV EXERCISE CONTENT FOR PATIENTS OF CHICAGO DIZZINESS AND HEARING

This is content for patients of Chicago Dizziness and Hearing. We expect you to print off the handouts, but please do not upload this copyrighted material to other sites. Links are provided to explanatory maneuver that is publicly available as well. You should know (from your provider) what type of BPPV you have -- PC, LC, AC, or perhaps mixed. If you don't have BPPV, you may want to check here:

Below is a movie of the Epley Maneuver. This video shows it being done by a provider on a patient. It can also be done at home (see below). This animation is much faster than the actual timing -- each position should be held for at least 30 seconds, longer if the nystagmus continues more than 30 seconds. This is very important.

BPPV Treatment Flowcharts -

• PC treatment flowchart (this is the common posterior canal BPPV)
• LC treatment flowchart (this is the less common lateral canal BPPV)
• AC treatment flowchart (this is the very uncommon anterior canal BPPV)

BPPV Exercise sheets.

• Posterior canal BPPV (the common one)
  • Home Epley (Radke method) -- also see the description page on the Epley
  • Foster Maneuver (both sides) for posterior canal -- alternative to Home Epley (More about the Foster maneuver can be found here)
    • Right side
    • Left side
• Log Roll (also see material on dizziness-and-balance.com on lateral canal BPPV)
  • Left Log Roll, also a longer version
  • Right Log Roll, also a longer version
• Anterior canal (also see material on dizziness-and-balance.com on AC BPPV)
  • Yacovino maneuver -- for physical therapist (not home).

BPPV Diagnostic tests

We suggest having your health-care provider (best equipped with Frenzel Goggles) diagnose your BPPV. Note the type of BPPV can change over time (due to canal conversion).

• Both Posterior canal and Anterior canal BPPV are diagnosed with the Dix-Hallpike Maneuver.
• Lateral canal BPPV is diagnosed with the supine roll test.