Dix-Hallpike Test for BPPV

This video demonstrates one way of administering the Dix-Hallpike Test for Benign Paroxysmal Positional Vertigo (BPPV). Multiple ways exist and steps should be taken to individualize the test to a patient's tolerance and ability.

Disclaimer: This video is strictly for educational purposes ONLY. The test is to be administered by a qualified and trained professional. If you believe you have BPPV or have felt the room spinning at times, please contact your primary care provider. Clinicians and students are encouraged to use their own clinical reasoning and judgement prior to performing this test. EducatedPT takes no responsibility for adverse events that may occur.

[lonewolf]

WHY do you (and so many other channels) put this distracting “non-music” in the background? It’s just about the last thing I want to hear when I have vertigo! (Not to mention the fact that it’s harder to hear the narrator.)

[Educatedpt]

ADDENDUM: The arrows indicating the direction of the beating nystagmus may be confusing to some. Hopefully this can clear up some questions:

- Upbeating Nystagmus (Posterior canal of tested side): The eyes will drift caudally (downwards) and then jump (ie. "beat") cephalically (upwards).
- Downbeating Nystagmus (Anterior canal of non-tested side): The eyes will drift cephalically (upwards) and then jump (ie. "beat") caudally (downwards).

Note that upbeating nystagmus is a lot more common due to the anatomic orientation of the posterior canal in relation to the otolith organs. In other words, otoconia (crystals) are much more likely to become displaced from the otoliths and travel into the posterior canal via the assistance of gravity.

[physiogirl.]

Amazing demonstration but plz edit this music. 🌟

[dawnebanks]

Please make the music softer. Very distracting and hard to hear the speaker.

[caponerobinson]

Is there a way to perform this alone at home?