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.
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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