Download "Lempert (BBQ) Maneuver to Treat BPPV Vertigo"

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Epley Maneuver

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Benign Paroxysmal Positional Vertigo (Disease Or Medical Co...

vertigo

lempert maneuver

bbq maneuver

barbeque roll maneuver

bppv

bppv treatment

lateral canal bppv

horizontal canal bppv

dizzy treatment

dizzy exercise

head position

body position

dizziness

treatment

vertigo treatment

vertigo exercise

inner ear

semicircular canal

horizontal canal

lateral canal

home exercise for dizziness

how to perform

simple fix for dizziness

simple fix for vertigo

homeremedy

epley

medicalanimation

00:00:08

Normally, only with head movement does fluid within the inner ear also move

00:00:12

informing the brain that a head-turn occurred. However should a crystal called

00:00:18

an otolith gets displaced into the lateral or horizontal canal of the inner

00:00:22

ear, BPPV dizziness occurs. Fluid movement occurs due to the crystal rather than

00:00:29

head turns causing the brain to think movement has occurred even though none

00:00:32

has happened. The Lempert or barbecue maneuver is performed to treat this

00:00:38

lateral canal BPPV by trying to get the loose crystal out of the canal. This

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maneuver is started by turning the head 90 degrees while the body is laid back

00:00:48

If BPPV is present, side to side eye twitching called nystagmus will occur.

00:00:55

After 30 to 60 seconds, the head is then turned such that one is facing down.

00:01:00

This position is again held for 30 to 60 seconds. The head is then further rotated

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another 90 degrees. When performing this maneuver, another individual can help

00:01:10

with these position changes.

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Finally the Lempert maneuver is completed by moving the head and body

00:01:18

back to the original starting position before sitting back up. At this point the

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loose crystal should have come out of the canal causing no further problems.

00:01:29

So what's going on with these position changes? Essentially the head is moved in

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such a way to manipulate the crystal to fall towards the canal opening. With each

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position changes, it takes about 30 to 60 seconds for the crystal to settle into

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the most dependent position in the canal. If turns are made before the crystal has

00:01:50

a chance to settle, the crystal may fall back the wrong way and the maneuver

00:01:53

will fail to work. It is also important that each of the head positions are

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fully turned or else the crystal will not settle to the correct position in

00:02:01

the canal and the maneuver will fail. Also if the position changes are done

00:02:06

too slowly, the crystal may not settle quickly enough from lack of momentum and

00:02:10

the maneuver will fail. Once the crystal falls out of the canal,

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the dizziness should resolve if due to lateral canal BPPV.

Description:

Perform Dix-Hallpike maneuver first to determine which side and what maneuver to use to treat BPPV: https://www.youtube.com/watch?v=wgWOmuB1VFY. NEWER version of this video posted here: https://www.youtube.com/watch?v=HCXU4IcTpr4 Video demonstrates how the Lempert (BBQ) maneuver is performed to treat HORIZONTAL or LATERAL canal BPPV affecting the right ear (0:34). Animation showing what is going on within the inner ear is also shown in the 2nd half of the video (1:27). Epley maneuver is used to treat POSTERIOR canal BPPV shown here: https://www.youtube.com/watch?v=9SLm76jQg3g Alternative maneuver to Lempert maneuver is the Gufoni maneuver which avoid laying on the back: https://www.youtube.com/watch?v=N7LOSV-9DYE For more information: https://www.fauquierent.net/bppv.htm Check out our online store for other ear/balance related products: https://www.fauquierent.net/store_ear.htm Lempert Maneuver (0:34) What Happens During Maneuver (1:27) POSTERIOR canal BPPV treated by Epley maneuver here: https://www.youtube.com/watch?v=VmCItD9nDfY POSTERIOR canal BPPV treated by Foster Half-Somersault here: https://www.youtube.com/watch?v=Wez9SZJ7ABs LATERAL canal BPPV treated by Lempert maneuver here: https://www.youtube.com/watch?v=mwTmM6uF5yA SUPERIOR canal BPPV treated by Deep Head-Hanging here: https://www.youtube.com/watch?v=qw1QciZWfP0 Flowchart for BPPV diagnosis and treatment can be found here: https://www.fauquierent.net/bppv1.htm Video on Meniere's Disease: https://www.youtube.com/watch?v=qrk7OyAB_ss Video produced by Dr. Chris Chang: https://www.fauquierent.net/ Still haven’t subscribed to Fauquier ENT on YouTube? ►► https://www.youtube.com/user/fauquierent?sub_confirmation=1

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