Developed for: Dr. M. Shaan, FRCS, Consultant ENT Surgeon, Mumbai, India
Shaan's Model comes with DVD instructions to show (or remind) one of how to diagnose BPPV - and how to treat it. What's more, it includes a head-set to represent the semi-circular canals on the outside of the patient's head, so the clinician can observe the movement of the particles in the 'canals' and be sure that the treatment instructions are being followed faithfully and that the required therapeutic manoeuvres have been completed correctly.
N.B. Active intervention is recommended because approximately 8% of elderly patients experience this benign condition but some 20% of serious injuries from falls are due to vertigo, a substantial proportion of which are due to BPPV.
Shaan's Model fulfils two further purposes, as:
- a useful tool for explaining to your patient what is to be done for him or her
- a training aid for departmental colleagues, to whom such patients could be delegated
Shaan's Model comprises:
- DVD (and printed) user instructions
- Disposable hats (for hygiene) x 10
- all in a protective box
N.B. No maintenance except cleaning with a warm, moistened cloth.
Doctor, I Get Dizzy Spells
Over 20% of patients presenting with vertigo are suffering from BPPV, i.e. benign paroxysmal positional vertigo.
Source: 'Benign Positional Vertigo', by John C. Li, M.D., eMedicine - 16.01.2007
How Common is BPPV?
'The annual incidence has been reported to be 64 cases per 100,000 population.'
Say 1 per 1500 population.
'Success rates are excellent, e.g. 99.5% (posterior semi-circular canal - the more common).'
Source: 'Falling sensation in patients who undergo the Epley manoeuvre: A Retrospective Study'
Alev Uneri M.D., ENT - Ear, Nose & Throat Journal - February 2005
In a scientifically rigorous study of carefully matched patients (Treatment Group 61: Control Group 20), positive results were obtained by the Epley manoeuvre in 89% at one month and in 92% at six months (in both cases p<0.0001).
Source: 'Efficacy of the Epley manoeuvre for posterior canal B.P.P.V: A long-term, controlled study of 81 patients'
Richard Bruintjes, Oosterbruik, Van Leeuvwen, ENT - Ear, Nose & Throat Journal - January 2005
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