Training Vergence: Vergence training is used to train the eyes to move between near and far targets. Training Saccades: Saccade training is used to train both eyes to move together in a coordinated manner between two targets. These videos are not intended to replace medical advice given by your provider but simply to illustrate the exercises or treatment maneuvers that have been prescribed to you. These videos are intended to demonstrate common vestibular exercises and/or canalith repositioning maneuvers to treat benign paroxysmal positional vertigo. The vestibular home exercise videos were developed by the Military Vestibular Assessment and Rehabilitation Core Faculty Committee to be used as a reference tool to assist patients to perform an individualized program as guided by a referring medical provider. DoD-VA Hearing Prosthetics Ordering System.Hearing Evaluation & Treatment Solutions.Standards and Clinical Practice Guidelines.HCE Collaborative Auditory / Vestibular Research Network (CAVRN).Hearing Protection Selection Tools and Resources.Comprehensive Hearing Health Program (CHHP).Surgery can also relieve BPPV, but surgery is only rarely necessary. As well, some patients simply have too much debris in the posterior semi-circular canal to clear without surgery. Rarely, a more serious problem may initially look like Benign Paroxysmal Positioning Vertigo (BPPV). If the CRP does not seem to clear the problem, please allow us to evaluate you again. There is no limit to how many times the CRP can be re-done.Ideally, the head should not tip backwards more than 30 degrees which means that the back cannot be tilted backwards more than 30 degrees. When reclining for sleep, sleep as near upright as possible. Restrictions apply for the first 24 hours after the treatment.Do not tip head back to drink water but use a straw.Keep chin straight forward to tipped down a bit.LEFT Ear Treatment: If vertigo occurs on left sideĪndrea Radtke, Hannelore Neuhauser, Michael von Brevern, Thomas Lempert Neurologische Klinik, Charité Berlin, Germany, 1999 RIGHT Ear Treatment: If vertigo occurs on right sideĪndrea Radtke, Hannelore Neuhauser, Michael von Brevern, Thomas Lempert Neurologische Klinik, Charité Berlin, Germany, 1999 Instructions after the Canalith Repositioning (CRP) maneuver:

Benign Paroxysmal Positioning Vertigo is one of many balance disorders that we diagnose and treat at the Tampa Bay Hearing & Balance Center. You may have a floating, swaying sense while walking or sitting for a few days after this procedure. Self-Treatment of Benign Paroxysmal Positional Vertigoīenign Paroxysmal Positioning Vertigo is caused by loose inner ear crystals in the inner ear that migrate while sleeping to the back-bottom inner ear balance canal, the so-called “posterior semi-circular canal.” The maneuver demonstrated below is the way to reposition the loose crystals so that the symptoms caused by the loose crystals go away. The Epley Maneuver demonstrated, is the way to reposition loose crystals in the ear, also known as Benign Paroxysmal Positioning Vertigo, so that the symptoms caused by the loose crystals go away.

Epley maneuver for vertigo at home