BPPV Treatment | Semont Liberatory Maneuver [Why, When, & How]

The video tutorial explains the treatment of cupula lithiasis using the Semont liberatory maneuver. It covers how to identify BPPV through symptoms and the Dix Hallpike maneuver, differentiating between canalithiasis and cupula lithiasis based on nystagmus duration. The tutorial provides a step-by-step guide on performing the Semont maneuver, emphasizing patient positioning, timing, and reassessment. It also discusses the movement of otoliths and the importance of speed and force in the maneuver.

What is the primary symptom that suggests the need for the Semont Liberatory Maneuver?

• Headache

• Dizziness with room spinning sensation

• Nausea

• Hearing loss

During the Semont Liberatory Maneuver, in which direction should the patient's head be rotated initially?

• Toward the affected side

• Upward

• Toward the unaffected side

• Straight ahead

How long should you wait in position two during the Semont Liberatory Maneuver?

• 5 minutes

• 30 seconds

• 1 minute

• 2 to 3 minutes

What is the main difference between canalithiasis and cupula lithiasis?

• Severity of symptoms

• Location of otoliths

• Type of dizziness

• Duration of treatment

Why is speed and force necessary in the Semont Liberatory Maneuver?

• To reduce treatment time

• To dislodge otoliths from the cupula

• To ensure patient comfort

• To prevent nausea

What should be done if the nystagmus lasts longer than 60 seconds after the Semont Liberatory Maneuver?

• Perform the maneuver again

• Switch to a different treatment

• Wait for symptoms to subside

• End the treatment

What indicates a successful transition from cupula lithiasis to canalithiasis?

• Patient reports no dizziness

• Nystagmus lasts less than a minute

• Nystagmus lasts longer than 60 seconds

• Patient feels more dizzy