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The Brandt–Daroff exercises are performed in a similar fashion to the Semont maneuver; however, as the person rolls onto the unaffected side, the head is rotated toward the affected side. The exercise is typically performed 3 times a day with 5–10 repetitions each time, until symptoms of vertigo have resolved for at least 2 days. [24]
The WFEs were for many years the standard for non-surgical low back pain treatment. [citation needed] These exercises were performed in the supine position on a floor or other flat surface. There were variations, but the primary maneuver is to grab the legs and pull the knees up to the chest and hold them there for several seconds.
Low back pain or lumbago is a common disorder involving the muscles, nerves, and bones of the back, in between the lower edge of the ribs and the lower fold of the buttocks. Pain can vary from a dull constant ache to a sudden sharp feeling. [ 4 ]
The Dix–Hallpike maneuver places a degree of stress on the patient's lower back; therefore, a cautious approach must be taken with patients who are suffering from back pain. [7] Severe respiratory or cardiac problems may not allow a patient to tolerate the maneuver.
Then the patient is quickly lowered into a supine position (on the back), with the head held approximately in a 30-degree neck extension (Dix-Hallpike position), with the head remaining rotated to the side. The clinician observes the patient's eyes for "primary stage" nystagmus. The patient remains in this position for approximately 1–2 minutes.
Cawthorne-Cooksey exercises are exercises described in the 1940s to treat soldiers who had suffered injuries that resulted in balance problems during the war. [1] It forms the basis of the Epley maneuver which is the modern treatment of benign paroxysmal positional vertigo .
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
The head-tilt/chin-lift is the primary maneuver used in any patient in whom cervical spine injury is not a concern. This maneuver involves flexion of the neck and extension of the head at Atlanto-occipital joint (also called the sniffing position), which opens up the airway by lifting the tongue away from the back of the throat.