NEW Optokinetic Head Roll Exercise for MdDS - NEW VERSION based on updated research
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Published 2024-03-03
Ben's Success Story (MdDS recovery): • Ben's Success Story: recovery from Md...
This is a new version of this exercise, which has been in use by vestibular therapists for several years: • 5 Minutes of Vestib: Optokinetic Head...
Watch my video on the basics of why MdDS happens: • Why you have PPPD, MdDS, and other un...
FREE course to help you recovery: thesteadycoach.com/free-course
This video describes a NEW home version of the optokinetic head roll exercise. This exercise has been found effective for MDDS (Mal de Debarquement Syndrome), which is a form of chronic dizziness in which sufferers feel constant rocking, swaying or other rhythmic motion. Small studies (Mucci et al, 2018; Dai et al, 2014) have suggested high efficacy for this exercise after a few days of treatment. Recently published research (Maruta et al, 2024) detailed the protocol adapted in this video.
Apps:
This app has both the metronome AND the optokinetic stripes in one. Turn the speed to 13 or 14. Be sure your phone is NOT on silent or you will not hear the metronome. Note: I have no business relationship with the maker of the app. apps.apple.com/us/app/okn-drum-pro/id6474153180
You can also download Smart Optometry for the stripes and Pro Metronome for the metronome. When I last checked, both apps were free.
If you do not have an iPhone, you can download Smart Optometry and a separate metronome app.
play.google.com/store/apps/details?id=com.smartopt…
Pro Metronome: play.google.com/store/apps/details?id=com.eumlab.a… DISCLAIMER:
References: Sham-Controlled Study of Optokinetic Stimuli as Treatment for Mal de Debarquement Syndrome (2018) - Mucci et al, Frontiers in Neurology
Readaptation of the Vestibulo-Ocular Reflex Relieves the Mal De Debarquement Syndrome (2014) - Dai et al, Frontiers in Neurology
Symptom reduction in mal de débarquement syndrome with attenuation of the velocity storage contribution in the central vestibular pathways (2024)- Maruta et al, Frontiers in Rehabilitation Sciences
Please note that Yonit Arthur, The Steady Coach and any of our other guests are not acting as an audiologist nor offering audiology or medical services or advice on any public videos or on any other content. This channel provides wellness education and personal opinion only, and are not meant to be a substitute for medical or mental health instruction or intervention. Use any tools discussed at your own risk.
All Comments (21)
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Thank you! I developed MdDS after a two week cruise the summer of 2022. Finding your videos then, helped me describe my symptoms and guide the Drs. to diagnose and treat. It did help, but i still get symptoms of like i am standing, walkiing or sitting on a boat. I think these more specific movements are something i need to do. Thanks for all you do!
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Dr. Yo, I did this and it helped a bit with my symptoms. Do I keep doing them or is it just one time for 5 days? Thank you thank you for everything you do for us!
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Dr. Yo, Thank you for the update! I heard about the new paper and was waiting to be able to read it for the details!! What do they/you consider "improved symptoms" from the protocol. Any minor change for the better? a significant change? I didn't know if they defined that in the paper or if you have thoughts. Just curious as I just completed the original version with VR goggles and had minimal change or success so I'm excited to try this version.
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Does this work for the sensation of trampoline walking? If so, what direction?
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Anything for gaze stabilization? I still have a vision delay and my vision is not steady when moving my head. It's been over a year now and I freak out that this may be permanent. Please tell me that isn't so and that you've seen people recover from this symptom 😢
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I will try this! Can you help me with the name of the apps to do this exercise? Or link, pls? Thank you, dr Yo! ❤️
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Dear Steady Coach! Thank you so much for your videos! It is very useful in such a country’s patients like me in Hungary here is no available rehabilitation for Pppd. My question is:what do you think about prism glasses my neurologist thinks it is possible to stop the development of my eyes oscillopsia Would it benefit me or not?
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Hi Dr Yo, so this is just done once a day? Not up to 8 times a day like the previous protocol?
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Can you demonstrate nodding the head up and down as well? I'm not sure if I'm doing it correctly
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Where can I find the link for the video. I tried something similar with an audiologist specialist for PPPD for 8 weeks & could only tolerate 30-45 minutes. I am wondering if I have mdds too. Thank you
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I've notice an uptick of symptoms around that time of the month. Is there anything you recommend that can help?
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Hi, I had a question regarding passive motion. Do we have to avoid passive motions such as driving, planes, etc. to get rid of MDds? Or are we able to get better even if we go on passive motion, as long as we are addressing danger mode? Thanks
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My English is not very good, but do I understand it correctly? If you move from front to back, should I do my head from left to right and the stripes from top to bottom or vice versa?
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I flew on my first long flight in a long time 5 days ago and have found myself with MdDS symptoms that I can't seem to shake. I've just started day 2 of head rolls with stripes based on this video, but I'm curious, how long after doing the exercises should relief last? I'm finding during the exercise breaks that I get a sense of relief, but after completing the exercise and when I stand up, within a few minutes it feels like the symptoms return. I'm imagining that's expected? Also thanks for documenting this illness and process so thoroughly!
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Hi dr.Yo is this good also for pppd? Having pppd My physio told me to do optokinetic exercises to improve my vision issues
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Can you post the link to the bio social approach you mention?
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Hi, i am wondering, i have no mdds. I did have pppd. Now i mainly have visual issues left. But, i do have some swaying still. When i am living life i mostly not notice it too much anymore. But when i stand still, i do feel i am not completely in balance. Its a back and forth sensation. But mild. I was wondering, if i keep working on reducing my anxiety and stress, which was the cause of all of this, could that also be enough for my brain to get back to feeling steady again? Without these excercises?🙏
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I have PPPD/VM but one of my main symptoms is the 24/7 rocking dizziness. Could this help?
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What motion should the stripes be in if you’re moving your head up and down?
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How much time for each “rest” break between each set/level change?
