Diagnose Vertigo/BPPV Faster: 5-Minute Test for Dizziness Relief

by | Blog, For Physical Therapists, Research & Development

Man with dizziness

5-Minute Test for Dizziness Relief

From the Inventor of The Multiple Applications Table, Brian Scherff, PT

Are your patients tired of lengthy BPPV evaluations as you diagnose vertigo? As physical therapists, we know the importance of thorough diagnosis, but spending an hour on the first visit can be unnecessary and even counterproductive.

Here’s how I’ve transformed my BPPV approach to deliver quicker results and happier patients.

For 28 years, I’ve treated countless vestibular patients in Michigan. Early on, I relied on extensive testing during the initial visit. Over time, however, I realized much of it wasn’t essential. In fact, it could prolong a patient’s suffering, especially for those with BPPV.

The key lies in focusing on the most probable culprit: posterior canal BPPV. Research shows it affects a staggering 70-94% of cases. By prioritizing this possibility, we can expedite diagnosis and treatment.

Here’s my streamlined approach:

Targeted Questions:

  • Dizziness Type: Does the patient describe a spinning sensation?
  • Symptom Duration: Are dizzy spells brief (under 20 seconds) or prolonged?
  • Symptom Triggers: Does dizziness worsen with head position changes, especially getting in/out of bed?

Shortened Assessment: Based on the answers, a Dix-Hallpike maneuver can confirm BPPV suspicion.

Benefits:

  • Reduced Patient Discomfort: Skip unnecessary testing that might exacerbate dizziness.
  • Faster Treatment Initiation: Potentially alleviate symptoms within the first visit with the Epley maneuver or other repositioning techniques.
  • Improved Efficiency: More patients can be treated effectively in a shorter timeframe.

This approach doesn’t eliminate thorough diagnosis. If initial assessments point elsewhere, further testing can be scheduled for the next visit.

Additionally, for those treating BPPV, consider the Multiple Applications Table (MAT) I developed. Its unique tilting mechanism allows for treatment without excessive head rotation, potentially reducing patient discomfort.

Let’s work together to revolutionize BPPV diagnosis and treatment, offering our patients faster relief and a more positive experience

Learn More about The MAT Table on our website. 

Watch a live video of the MAT Table in action here. 

For more information or a demonstration of The MAT Table call Brian Scherff, P.T., at  269-569-4414 or email here.