Vertigo Exercises after Epley Maneuver (BPPV) - VOR "X1 Viewing" Vestibular Exercise
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- เผยแพร่เมื่อ 4 ต.ค. 2022
- If you've just undergone successful treatment of your vertigo via the Epley Maneuver (for treatment of posterior canal BPPV), you might still be feeling a little unsteady when it comes to your balance.
In this case, doing some vertigo exercises is a great next step!
Particularly, you'll want to do some exercises using your visual-ocular reflex (aka "VOR") to help fine-tune your inner ear.
In this video, I'll show you exactly how to perform these exercises, which are called "X1 Viewing" or sometimes called "gaze stabilization exercises".
I'll also explain 5-6 ways to advance these exercises to make them more challenging.
They should really help you improve your balance!
If you have any questions or comments please leave them below.
Thanks for watching! Don't forget to subscribe to my channel!
- Luke Gordon, DPT
Doctor of Physical Therapy/Owner of Gordon Physical Therapy
www.gordonphysicaltherapy.com/
Same as @rsdokc....We all thought I was having a stroke. I threw up everywhere and many times. I was terrified and had to hang onto furniture. They were going to put me in hospital but I refused. Anyhow long story short, i have had several episodes and am spending $180 / week on physiotherapy, which sort of helps but it just comes back. I can't drive the car, go to training, have sex (I got a bad attack after) drink wine, or do anything fun any more. I am terrified of having a shower, tying my shoe laces, walking the dog.I have been considering ways to end my life because there just isn't any point any more. Your videos have given me some hope and I want you to know that you might have saved a life, thank-you.
I'm really sorry to hear about your experience so far! Hang in there! I hope the physio you're working with specializes in helping people with vertigo...
Recently got BPPV- ended up in hospital it was so debilitating. And doctors put me thru a stroke protocol to rule that out. Found your channel and what a godsend! Didn't get much therapy advice or insight into fixing the problem. Thank you so much for your advice and pro assistance. It has really made a difference in my daily improvement and return to normal. ❤
I'm glad these videos have helped! Thank you for your kind words :-)
I had my first BPPV event about 7 years ago. Luckly, I found a physical therapist near my house who performed the Eply maneuver on me for about a week. The therapist gave me instructions on doing the Eply maneuver on myself, but I hesitated to do it since most of the time it wouldn't work, and it just messed me up more. Two years ago, I moved and could no longer see this therapist. When I had another BPPV event happen, I found a product in the drug store called Dizzy Stop. It's a hat with a plastic tube with a bead in it suspended in front of the face and mimics the crystal movement inside the ear. Since then, I do the eply maneuver with this device and it almost always works the very first time. It's been such a blessing to me and I thought others might also be helped by it. I am not affiliated with Dizzy Stop at all. I'm just trying to help others.
That sounds really interesting… I’ll have to check that out!
I just found the device you’re referring to. It’s called DizzyFix, and it looks pretty cool. I’ll definitely check it out soon 👍. Thanks for sharing this with me! Here’s the link to their website: www.dizzyfix.com/
@@GordonPhysicalTherapy
Dizzy Fix is the only one I found too! What a cool device! But it’s pricey, so I’ll try your exercises first!! Thank you so much!! 😊
Thank you so much for this! I got vertigo 6 days ago and the doctor did the Epley Maneuver on me which has helped. However, I have been feeling a bit unsteady when walking and moving my head like I'm uncalibrated. I will try your exercises and hopefully get rid of the last unsteadyness. Greetings from Sweden 😊
I have recurring BPPV, usually comes every 6 months or so. I’ve become more adept at doing the exercises, usually half-somersault but sometimes Home Epley, to reposition. I started having a “floating” sensation after an episode maybe 2 years ago. It wouldn’t leave and made me house bound. I finally reached out to my doctor who diagnosed me with anxiety and suggested SSRIs. I’m 58 with a family history of dementia, so taking anything that might add to potential dementia for me later is not great. Your video is the FIRST time I’ve heard someone link the floating to the BPPV event. Residual dizziness. I will now start these exercises, as I’m just coming off of another crystal visit. Thank you so much. I have a renewed sense of hope.
Thank you for sharing your story! With any luck, that residual sensation of floating is just some vestibular hypofunction, and these exercises will help. Also, don't be afraid to reach out to a local PT who specializes in vertigo/BPPV, as they should be able to help you. Good luck!
This was super helpful!!!! Thank you sooooo much!!!
You're so welcome!
Been looking for a video that discussed this. Your help means so much. Thank you!
Glad it was helpful!
Great video. Thanks.
You are welcome!
Thanks for your clear demo
You are welcome!
Thank you so much for taking the time to do these videos Dr. Gordon. I’m going to try these. This is such a great help. 😊
You're quite welcome! I'm glad they're helping!
Worked for me. Left ear was causing issues. I will do the exercises as suggested. Thanks so much for your help.
That's great to hear! Thank you for your comments!
I like your approach. I have looked at many videos on this topic but this appeals to me as doable and doable anytime, anywhere so I can do it often. Thank you.
Thank you!
Your videos are so helpful and informative! This video has really helped to alleviate some of that “vertigo hangover” I’ve been feeling since a bout of vertigo yesterday morning!!!
Awesome, thank you!
Thank you soooo❤❤❤
You're welcome 😊Thanks for watching!
I would love more ideas!
Coming soon! Are you looking for more exercises to improve vertigo? Anything specific?
Thanks. :)
You're welcome!
Thank you for this video after 4 months of suffering with bppv after effects this video has finally given me some peace from the vertigo balance issues merry Xmas and hap y new year
Also do you have any more videos similar to this video thanks in advance
That's great to hear! Merry Christmas to you as well!
I have some more balance videos that should help:
- Part 1: th-cam.com/video/J6jkrZVpoFc/w-d-xo.html
- Part 2: th-cam.com/video/xZdZCU59x0A/w-d-xo.html
- Part 3: th-cam.com/video/_F8DVQqYQ6U/w-d-xo.html
I will be doing these now, ive had An inner ear infection in june, it was terrible the first week i had it, I went to physical therapy and it helped the vertigo part but now i just have that residual dizziness also some minor ear ringing, The moving sensations is horrible its depressing and i get anxious that it will never get better so hopefully with these exercises ill see some light at the end of the tunnel
I hope these help! It's worth trying :-)
Hi, Thanks you for your great work. I have had BBPV, done Epley and dizziness now gone. Its has been 2 weeks now. I felt so much better 80% better. now after 2 weeks my head is starting to feel painful and very heavy. Not spinning like before. I feel if I sleep on one pillow it makes it worse in the morning. It's not migraine but feeling uneasy and head starting to get worse but not spinning. Please advise?
Quick clarification question, after successful treatment of horizontal or posterior canal BPPV you do the same progressive gaze exercises for tuning up the inner ear.
Yes, that's correct!
I have commented on your videos before but it probably has been close to a year and a half since I last watched any of them. I do not have bppv any more as fast as I can tell because I still do the epley maneuver on myself every so often and I don't get any more reactions like I did almost a year and a half ago. I do believe I still have a vestibular disorder because my head still feels off and unbalanced and lately it has been getting worse, but no spinning sensation. I used to do the exercises you demonstrated in this video along with other techniques but I stopped doing them because I honestly didn't feel they were helping me at all. I notice my symptoms mainly in the dark and especially at work because I work in a dark room. I have read about bilateral vestibular and I sometimes think I might be experiencing that but I'm not sure. But it does appear that my vestibular disorder symptoms occur in dark places and especially when going to bed. It do feel that it also could be something with my inner ears because I always feel something like my ears may be stopped up for lack of a better term. I don't know if this condition is curable but I really would like to find a way to make it more manageable. I am considering starting back up with vestibular exercises on my own and seeing if that might actually help some. As I mentioned earlier, I believe my vertigo is gone but the vestibular symptoms remain and it is frustrating but not severe, not yet. I apologize for the lengthy comments here but I am hoping after you read this you might be able to give me some suggestions. I really don't have the time to see any more doctors so I'm hoping to hear suggestions from you.
I think attempting the vestibular exercises again is a good idea. Like you said, you might just have some lingering vestibular hypofunction, and these exercises would help with that. I know you said you don't want to see any doctors, but if things don't improve, I'd recommend you follow up with an ENT or a well-trained vestibular PT. Good luck!
Have similar
I'm going to try this now but I really think it would have been helpful to mention how long to do this for and how many times. Reps and sets. Since you didn't say anything I will assume as often as I can till my balance is restored. Thank you for the material.
I thought I did mention sets and reps in the video... I'm sorry if I didn't! I usually recommend you perform the exercise for 3-4 minutes at a time, several times/day. If you feel uneasy, stop and focus, and then continue. I hope that helps!
Thank you very much for this video! I would be interested in more information like this. I had BPPV for several weeks, was successfully treated with the Epley Maneuver, and now I’m experiencing the residual effects (feeling unbalanced and like I’m on a boat when I’m moving). I am going to a Physical Therapist and also doing home exercises, but any advice or information would be greatly appreciated. Thank you!
You're quite welcome! Are the vestibular exercises you're doing in PT helping your residual unsteadiness? I should probably make a video with more vestibular/vertigo exercises...
Honestly I can’t tell a difference yet, however, I did the exercise in this video for the last two days and I’m thankful to say that today I am feeling more clear and balanced.
That would be great. Thank you so much.
Is it just as effective if you move the object instead of moving your head? I have neck issues and turning back and forth affects it.
How long after the maneuver should i start doing the convergence exercises?
I successfully treated BBPV years go with the Epley. It was one and-done. I’m not finding a video that recommends keeping the head vertical for 24 hours post Epley. That’s what I did and it makes sense to help assure that the rogue crystal is nicely settled and won’t be kicked back out into the canal. Do you recommend keeping the head in a vertical position for 24 hours post Epley?
Thanks, Jovonna! Yes, I have a follow up video about post-Epley instructions and I do recommend keeping as vertical as possible for 24-48 hours. I usually recommend people sleep semi-reclined for two nights if they can.
What do you mean 'you been treated'. How one can treat it? My GP in London prescribed me some pills that didn't work. I was explained that it will pass. Any suggestions what to do? Thanks for your videos, they are great!
I'm referring to after "treating" your vertigo with repositioning maneuvers, such as the Epley and Gufoni. I have videos on both. Have you been able to watch those yet?
Hi I had the eply manveur done two weeks ago. But I still having some mild u balanced feeling sometimes . It comes and goes. Is it residual dizziness ? Do I need to go back for another manveur ?
Interesting at how much I swayed when I put my feet closer together
Right! it should improve with practice.
do you do these exercises during the same session that you treated the BPPV with the epley?
Excellent question! Usually I instruct people to wait 1-2 days before starting these exercises (after treating with the Epley), just to let the crystals settle into place.
I never or haven't gotten dizzy during epely maneuver but the side side eye exercises seem to help. That normal? I seem to get dizzy speels not so much vertigo
Glad these helps! I'm not sure if you have BPPV based on what you said...
Hello, what does it mean if i did epley last week, strong spinning happened all the way from first step till i sat up. And today i did it again, the strong spinning didnt happen in the first step but mild spinning happened in the 3rd step when my head turned down to the pillow, and no spinning when i sat up, did it mean that its getting better?
That means you're getting better, so keep going! And remember, you can do the Epley 3-4 times in a row if you need to.
Thank you, but after a few quick turns I started feeling sick. Probably I need to keep moving.
You might still have crystals floating in your inner ear that need to be cleared first...
Just had epley done today. Felt drunk for about an hour, overall feel much better but dizziness still present. Is this okay to try the same day the epley is performed or wait a couple days? Reason I ask my PT said not to turn head or move head up and down.
I usually wait a couple days after the Epley to add in these exercises. If possible, I add them after the second PT visit, as long as we're able to completely clear the vertigo (no vertigo or nystagmus with the Dix-Halpike test). Are you going back to your PT for a follow up soon?
The only question I have is how many times a day do I do this and for how long each time and when do I stop the exercises totally.
I recommend doing this for about 3 minutes at a time, taking breaks as needed if you start to feel nauseous or uneasy, 3-4 times/day. You can stop when you're able to turn your head quickly from side to side while standing and don't have any difficulty.
How long do you do these? And how do you know when yo move to the next?
I recommend doing these exercises for 3-5 minutes at a time, three times/day. With progression, as soon as the exercises get easy, then you want to try to make them more challenging again. I hope that helps!
What happens when your pt gives you the eply but no dizziness and now I’m swaying, wavering, etc. debilitating
I would have them retest your inner ears again and also ask about cervicogenic dizziness as the cause of your symptoms.
I had a vertigo and had a treatment called epley maneuver two times..vertigo stopped..but still feeling weak and dizzy when I walk for a while or when I move my head for a while..plz give me any suggestions and exercise to recover this
Have the exercises in this video helped? I have other balance exercises I can share too, including things like standing with your eyes closed.
Yeah some how feeling good..plz sir let me know if any tips of exercise u have got..thanks
I tried epley maneuver for my right side, 3 days in a row. I feel like I'm swaying back n forth I don't know what to do, should I just do epley for my left side for 3 days?
This is hard to answer... I'd say make sure you're treating the correct side if you can, which you'll establish with the Dix-Halpike test. Have you tried that yet?
@@GordonPhysicalTherapy thank you so much for your reply! It's both sides actually
How often we can do the exercises and how long ?
I recommend people do these exercises for 3-5 minutes at a time, 3-4 times/day, as long as they're not getting too fatigued or nauseous.
Is this all good after Gufoni too??
Yes it is!
Do we do these exercises everyday after epley or after finished with epley?
I usually have people wait a day or so after the Epley to start these exercises, assuming the Epley was successful and we've cleared the crystals out of the canal.
@@GordonPhysicalTherapy thank you for the answer.
Thank you for your helpful suggestions..
I am 41 years and my vertigo attack started since 20 dayd ago as spinninig and vomitting ; while I was in bed..
Doctot diagnosed that left ear posterial canal is affected by bppv; I also had nyastagmus during dixhulpike test ..
So; we did 2 sections Eplay manuevere at doctot office
But; Really I still have some feelings such as imblanced or headiness and sensitive to my walking..
What should I do ? I read in Internet that it is probably pppd; So: I am really afraid😔
Thanks in advance for reply
These types of exercises should help with those symptoms. I also recommend you make sure the BPPV is completely cleared (negative Dix-Halpike test). Did you have any follow-up visits?
Walking heel to tows looking on my object i must continue moving my head side to side
That's a very advanced version of this exercise, yes.
What happened actually if stong spinning happened when i did the epley maneuver while i felt mild spinning when doing half sommersalt? But after these 2 maneuvers. I still felt spinning in some head movements
I don't really use the half somersault. However, if your symptoms are improving, keep going!
Why does this reoccur
Mainly because once the crystals come loose, it’s easier for them to come loose again.
Unnecessary exercise if you have an isolated BPPV
For some, if they treat it quickly and effectively. For most, a little "tuning up" with these exercises is very helpful.
Like any other videos , too much talk , y too much bla bla bla.
Same question on the other video sir is after end up in the ER been diagnosed with bppv all blood and scan are negative all good little high blood pressure because iam scared and anxious there first time in the ER so here is the question sir
After ER and the diagnosis which is the best move next primary physician or ENT specialist or to a therapist like u vestibular right? Please help me and guide me on the next move thank u and God bless on what u doing helping alot of people 🙏
Hi there! If you have a BPPV diagnosis, I'd head to a PT who specializes in treating vertigo and BPPV. I hope it goes well!
how long do you do the exercises you never mentioned how long
Hello sir where are u located?
I'm located in Spokane Valley, WA.
Try it in front of a screen door🥴
The little squares🫨
Yes, those are great progressions!