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Oscillators for Canalith Repositioning

Alan L. Desmond, AuD

July 27, 2009

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Question

Some practitioners use vibration combined with Canalith Repositioning (CRP) for cupulolithiasis. What is used to generate vibrations?

Answer

There is no specific product recommended for generating vibration when performing CRP. Any small massager device would be adequate. I have included a link below to amazon.com. This could be used with CRP, or when attempting to generate vibration induced nystagmus. Although there was an early study demonstrating some benefit to using vibration with CRP, and it seems logical that it might help loosen the stuck otoconia, most current studies show no benefit from using vibration.

www.amazon.com/Hand-Held-Personal-Massager-Attachments/dp/B000K8ALI8

Alan Desmond, Au.D is the director of Blue Ridge Hearing and Balance Clinic in Bluefield and Princeton, WV. Thieme Medical Publishers released his book Vestibular Function: Evaluation and Treatment in April 2004. He can be reached at Alan@earexperts.com


Alan L. Desmond, AuD

audiologist and author


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