Manevr Epli Video
The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo. Video demonstration – 'Epley's. Self-treatment of benign positional vertigo (right) Start sitting on a bed and turn your head 45° to the right. Place a pillow behind you so that on lying back it will be under your shoulders. Lie back quickly with shoulders on the pillow and head reclined onto the bed. Wait for 30 seconds. Turn your head 90° to the left (without raising it).
From the Departments of Neurology (K.A.K., J.F.B., L.E.S., B.C.C.) and General Medicine (A.M.F.), University of Michigan Health System, Ann Arbor; Department of Veterans Affairs (J.F.B.), VA Center for Clinical Management and Research, Ann Arbor VA Healthcare System, Ann Arbor; Robert Wood Johnson Clinical Scholars Program (J.F.B.), University of Michigan, Ann Arbor; Barrow Neurological Institute and University of Arizona College of Medicine (T.D.F.), Phoenix; and Department of Neurology (R.W.B.), Reed Neurological Research Center, University of California, Los Angeles, Los Angeles. Results: Of the 3,319 videos identified, 33 demonstrated the EM. The total number of hits for all videos was 2,755,607.
The video with the most hits (802,471) was produced by the American Academy of Neurology. Tipovoj proekt polikliniki. Five of the videos accounted for 85% of all the hits. The maneuver demonstration was rated as accurate in 64% (21) of the videos.
Themes derived from the 424 posted comments included patients self-treating with the maneuver after reviewing the videos, and providers using the videos as a prescribed treatment or for educational purposes. Benign paroxysmal positional vertigo (BPPV) is caused by freely moving particles (i.e., canaliths) trapped in a semicircular canal of the inner ear. The Epley maneuver (EM) (i.e., the canalith repositioning maneuver) is a highly effective treatment supported by 2 evidence-based guidelines., The maneuver is simple and performed at the bedside in a matter of minutes using a series of positions designed to move the particles out of the canal.
However, the EM is substantially underused in routine clinical care.,, Video-sharing Web sites, the most popular of which is youtube.com, are now a resource for how-to videos for common medical problems. In 2008, an EM video was published by the American Academy of Neurology's Practice Parameter on BPPV.
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Soon after, the video was uploaded to YouTube by a lay person (). As a result, video instruction on the EM is now available to both providers and the general public. In this study, we performed a systematic search for all videos available on YouTube that demonstrate the EM.
From the videos identified, we aimed to 1) describe and analyze the video content, 2) determine how easily the videos could be found using generic search terms, and 3) assess posted comments for themes regarding the use of the videos. METHODS YouTube () was searched for videos that contained a demonstration of the EM. No beginning date cutoff was used, and the last date of the search was August 30, 2011. Search terms were the following: Epley, Epley maneuver, canalith repositioning maneuver, benign paroxysmal positional vertigo, benign positional vertigo, BPPV, and BPV. From the list of results, videos relevant to BPPV were selected for viewing based on their title and the video snapshot provided in the search results list. The search was supplemented by also reviewing the list of featured videos that accompany search results.
Videos were eligible if they demonstrated the entire EM. Videos were excluded if they exclusively demonstrated other variants of BPPV treatment (e.g., the Semont maneuver) or the maneuver was considered a substantial deviation from the standard EM (). This study was classified as not regulated research from the institutional review board of the University of Michigan. The Epley maneuver for right-sided benign paroxysmal positional vertigo (BPPV) The patient is placed in the upright position with the head turned 45 degrees toward the affected ear (step 1) and then laid back quickly to a position with the head extended below the shoulders (step 2).