Vertigo Exercises after Epley Maneuver (BPPV) – VOR "X1 Viewing" Vestibular Exercise

Publicado 2022-10-05
If you've just undergone successful treatment of your vertigo via the Epley Maneuver (for treatment of posterior canal BPPV), you might still be feeling a little unsteady when it comes to your balance.

In this case, doing some vertigo exercises is a great next step!

Particularly, you'll want to do some exercises using your visual-ocular reflex (aka "VOR") to help fine-tune your inner ear.

In this video, I'll show you exactly how to perform these exercises, which are called "X1 Viewing" or sometimes called "gaze stabilization exercises".

I'll also explain 5-6 ways to advance these exercises to make them more challenging.

They should really help you improve your balance!

If you have any questions or comments please leave them below.

Thanks for watching! Don't forget to subscribe to my channel!

- Luke Gordon, DPT
Doctor of Physical Therapy/Owner of Gordon Physical Therapy
www.gordonphysicaltherapy.com/

Todos los comentarios (21)
  • @dstephell
    Same as @rsdokc....We all thought I was having a stroke. I threw up everywhere and many times. I was terrified and had to hang onto furniture. They were going to put me in hospital but I refused. Anyhow long story short, i have had several episodes and am spending $180 / week on physiotherapy, which sort of helps but it just comes back. I can't drive the car, go to training, have sex (I got a bad attack after) drink wine, or do anything fun any more. I am terrified of having a shower, tying my shoe laces, walking the dog.I have been considering ways to end my life because there just isn't any point any more. Your videos have given me some hope and I want you to know that you might have saved a life, thank-you.
  • @rsdokc
    Recently got BPPV- ended up in hospital it was so debilitating. And doctors put me thru a stroke protocol to rule that out. Found your channel and what a godsend! Didn't get much therapy advice or insight into fixing the problem. Thank you so much for your advice and pro assistance. It has really made a difference in my daily improvement and return to normal. ❤
  • @AzBob01
    I had my first BPPV event about 7 years ago. Luckly, I found a physical therapist near my house who performed the Eply maneuver on me for about a week. The therapist gave me instructions on doing the Eply maneuver on myself, but I hesitated to do it since most of the time it wouldn't work, and it just messed me up more. Two years ago, I moved and could no longer see this therapist. When I had another BPPV event happen, I found a product in the drug store called Dizzy Stop. It's a hat with a plastic tube with a bead in it suspended in front of the face and mimics the crystal movement inside the ear. Since then, I do the eply maneuver with this device and it almost always works the very first time. It's been such a blessing to me and I thought others might also be helped by it. I am not affiliated with Dizzy Stop at all. I'm just trying to help others.
  • @camilla7240
    Thank you so much for this! I got vertigo 6 days ago and the doctor did the Epley Maneuver on me which has helped. However, I have been feeling a bit unsteady when walking and moving my head like I'm uncalibrated. I will try your exercises and hopefully get rid of the last unsteadyness. Greetings from Sweden 😊
  • @KC-pd3uk
    I have recurring BPPV, usually comes every 6 months or so. I’ve become more adept at doing the exercises, usually half-somersault but sometimes Home Epley, to reposition. I started having a “floating” sensation after an episode maybe 2 years ago. It wouldn’t leave and made me house bound. I finally reached out to my doctor who diagnosed me with anxiety and suggested SSRIs. I’m 58 with a family history of dementia, so taking anything that might add to potential dementia for me later is not great. Your video is the FIRST time I’ve heard someone link the floating to the BPPV event. Residual dizziness. I will now start these exercises, as I’m just coming off of another crystal visit. Thank you so much. I have a renewed sense of hope.
  • @dquin0091
    Been looking for a video that discussed this. Your help means so much. Thank you!
  • @billgoddard6157
    Worked for me. Left ear was causing issues. I will do the exercises as suggested. Thanks so much for your help.
  • @Ryan__7926
    Your videos are so helpful and informative! This video has really helped to alleviate some of that “vertigo hangover” I’ve been feeling since a bout of vertigo yesterday morning!!!
  • @Dmon_Th2
    Thank you for this video after 4 months of suffering with bppv after effects this video has finally given me some peace from the vertigo balance issues merry Xmas and hap y new year
  • @xxdjzillaxx5182
    I will be doing these now, ive had An inner ear infection in june, it was terrible the first week i had it, I went to physical therapy and it helped the vertigo part but now i just have that residual dizziness also some minor ear ringing, The moving sensations is horrible its depressing and i get anxious that it will never get better so hopefully with these exercises ill see some light at the end of the tunnel
  • @nicolette6327
    Thank you so much for taking the time to do these videos Dr. Gordon. I’m going to try these. This is such a great help. 😊
  • I like your approach. I have looked at many videos on this topic but this appeals to me as doable and doable anytime, anywhere so I can do it often. Thank you.
  • @castor007troy
    I'm going to try this now but I really think it would have been helpful to mention how long to do this for and how many times. Reps and sets. Since you didn't say anything I will assume as often as I can till my balance is restored. Thank you for the material.
  • @vernonson66
    I have commented on your videos before but it probably has been close to a year and a half since I last watched any of them. I do not have bppv any more as fast as I can tell because I still do the epley maneuver on myself every so often and I don't get any more reactions like I did almost a year and a half ago. I do believe I still have a vestibular disorder because my head still feels off and unbalanced and lately it has been getting worse, but no spinning sensation. I used to do the exercises you demonstrated in this video along with other techniques but I stopped doing them because I honestly didn't feel they were helping me at all. I notice my symptoms mainly in the dark and especially at work because I work in a dark room. I have read about bilateral vestibular and I sometimes think I might be experiencing that but I'm not sure. But it does appear that my vestibular disorder symptoms occur in dark places and especially when going to bed. It do feel that it also could be something with my inner ears because I always feel something like my ears may be stopped up for lack of a better term. I don't know if this condition is curable but I really would like to find a way to make it more manageable. I am considering starting back up with vestibular exercises on my own and seeing if that might actually help some. As I mentioned earlier, I believe my vertigo is gone but the vestibular symptoms remain and it is frustrating but not severe, not yet. I apologize for the lengthy comments here but I am hoping after you read this you might be able to give me some suggestions. I really don't have the time to see any more doctors so I'm hoping to hear suggestions from you.
  • @skim5796
    Quick clarification question, after successful treatment of horizontal or posterior canal BPPV you do the same progressive gaze exercises for tuning up the inner ear.
  • @nuggetsss2526
    Hi I had the eply manveur done two weeks ago. But I still having some mild u balanced feeling sometimes . It comes and goes. Is it residual dizziness ? Do I need to go back for another manveur ?