Hi folks, I'm Bob Schrupp physical therapist.-Brad Heineck physical therapist.
Together we are the most famous physical therapists on the internet-in our opinion, of course, Bob.
We're like those clapping monkeys.
Okay. Today, we're gonna talk about
stop vertigo/dizziness at home using the Brandt Daroff Maneuver.
There you go-Did I say it right?-You bet you did Bob.
Alright. So before we do this, but you know, this is generally for BPPV.
Benign paroxysmal positional vertigo.
Well, I'll let you get into that later Brad.
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Aall right, let's talk about the Brandt Daroff Maneuver then.
Okay, first of all, you know if you've got dizziness/vertigo symptoms,
there are a number of things that could be causing it.-Oh it's infinite almost.-Right.- I mean it could be medications,
it could be diet,
it could be I mean, there's so many things that you have to have it ruled out by the doctor.--Meniere's disease yeah so,
You know, get it checked out first. You should see a clinician, but this is one of the treatments
that's oftentimes used if people do not tolerate some of the common procedures like the Epley maneuver or the liberator--
the liberatory maneuver which are you know--
clinicians are familiar with it and they use them on a regular basis.
Also, if your symptoms of vertigo have been going on for a long time, they're not real serious,
but they're just not going away,
and this is something you can do at home. Clinicians will also give this as a home exercise program
because it's not real complicated. The thing about it is it typically like the Epley maneuver,
will oftentimes work on the first time and the symptoms are gone, and it's done.
First or second. I mean you might do it a couple times in a row,
But right the first visit.-The first visit usually quite often it might be gone.
I would say 80% of mine were the first visit.
I would say you're right. So anyways, this typically takes up to two weeks and doing it at least twice a day.
So why would people do this instead? Because you can stay at home and do it.
You don't have to go-also because they maybe didn't tolerate the Epley Maneuver.-Right.
Didn't I mention that before?-Yeah you did but I'm reemphasizing it.
Cuz people are gonna wonder why would I spend two weeks doing this
when I could get rid of it in one treatment- there ya go.
Yes, you should get rid of in one treatment,
but sometimes the Epley maneuver, you're gonna get sick doing it
or you just can't tolerate it and it's more complicated.
Yeah, and that's why again, get this information from a clinician and you know,
this is a good review to see how it's done.-Yeah if you're going home with this assignment,
this will be a good review for you.-Right.
Okay, here we go Bob, should I show em?Cuz they've been waiting.
People have been patiently patiently waiting and we're gonna show them the maneuver
and this is how it's gonna go.-The Brandt Daroff.
Okay, so you need to find you know a bed. Typically you sit down so you can go both ways.
Typically, you're gonna go one direction the direction that causes the dizziness.
So if your dizziness in your case would be that you kind of turn your head to the right and it comes on?-Right.
So you're gonna go to the right. No, I'm gonna go the other way on this one.-You are.
I'm gonna go this--I'm gonna look to the left.-So left is the one that causes it?
Which one causes it?-It's the right-sided involvement.-Okay all right.
So the right side is involved and this is what you're gonna get from the therapist to make sure you're clear on this.
So if I'm gonna go to the right, I'm gonna look to the left. Okay, and then you're gonna quickly go down like this,
and continue to look up to the left-up to the ceiling.
Yep, and then you're gonna hold that until the dizziness clears up and then stay there for an additional 30 seconds.
Now I have to admit Bob I've taken two continuing ed courses on this
and I've I've read a bunch of information and they all say little bit different-they have little variations. Yeah.
That's good news, because that means you don't have to be exact on it.
Right but this means--you're doing the one that you've just learned again, right, at continuing ed?
This is the way they recommended it? Right exactly.
I just did the test a week ago, and then after it clears up and you stay for another 30 seconds,
then you go back up to here and then you repeat that.
You said up to five times.-Right three to five times in a row.
Each time it must feel a little bit better. If it doesn't, if it feels the same or it's getting worse,
it's not the right maneuver to do.
What if you do it the first time and there's no improvement whatsoever, should you still continue?
I mean, let's say you do it one time-right- and there's just no improvement. Should you try it again?
Yeah, I would give it another try and see if it gets better after you get up and get re-situated and then try it again.
Sometimes it's subtle.-Right.
The changes.-But each time you do it, it should feel like oh it's easier--
Yeah you definitely don't want to make it worse. If it's making it worse,
you definitely don't want to do that then. You want to show the other direction?
Sure, if you're going to the left, you're gonna look to the right,
down like this again hold it till the dizziness goes away and the symptoms--
So it is really simple to do.-Right yeah.
And coming up to here again.
Again you're gonna do that three to five repetitions-and you're going to keep going and do it twice a day.
Twice a day-for up to two weeks-up to two weeks it could be before your symptoms are solved.
All right good. So it's another way to do it.- I hadn't looked at that one for many years,
so I'm glad that you reviewed this Brad.-Yeah me too.
Like I said, you know, I've never did this with a patient
because I've always had success with the Epley maneuver-right.
But again-I've had patients though that I had trouble getting into the Epley maneuver position.-Yeah, right.
Because they're elderly. Alright well get rid of that dizziness. I know what a pain it is.
It really is.-It is.-Thanks for watching.