​Technique (G. Asprella Libonati, 2005)



1.  Patient is brought from seated to supine position, with the head facing straight forward.

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2.  Head is briskly turned 90° towards healthy side

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3.  Patient is brought back to sitting position, keeping head to side, then slowly turns it forward.

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4.  This sequence is repeated for a minimum of 5 times.



Evidence

Aspreslla, 2005 recommends this technique for horizontal canalolithiasis.  He is a proponent of "Strategy of Minimal Stimulus," evoking as little vertigo as possible during treatment.



166 patients were treated with this technique.  

​Clearance of debris occurred:

-After 3-4 maneuvers in 50% of patients

-After 5-6 maneuvers in 25% of patients

-After 8-10 maneuvers the rest were treated successfully (G. Asprella Libonati, 2005)



 



 

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