Figures 1 to 3 evidence Epley maneuver, performed after Dix-Hallpike maneuver 9. Modified Epley maneuver was performed at the diagnosis of BPPV, immediately after diagnostic confirmation using the Dix-Hallpike maneuver. Physical examination of these patients revealed the presence of positioning nystagmus with rotation and upper vestibular component towards the tested ear, at Dix-Hallpike 20 diagnostic maneuver with the use of Frenzel lenses 18.Įxclusion criteria were presence of other concomitant vestibulopathies, cervical spine affections or other reasons that prevented the performance of Dix-Hallpike and/or Epley maneuver, patients that took drugs that could influence the vestibular system.Īll enrolled patients were submitted to otoneurological assessment that included clinical history, ENT physical examination, pure tone and vocal audiometry, immittanciometry and vestibular exam. The subjects presented typical clinical history of this vestibulopathy, comprising severe positional vertigo, with duration below one minute, which could be followed by neurovegetative symptoms, but no auditory symptoms. The patients in this study were recruited in the Ambulatory of the Discipline of Otoneurology, Federal University of Sao Paulo - Escola Paulista de Medicina (UNIFESP - EPM) and signed the Free Informed Consent Term.Īll patients presented diagnostic hypothesis of BPPV, specifically owed to duct lithiasis of posterior semicircular canal. The objective of the present study was to check the importance of head movement restriction in clinical progression of patients with BPPV by duct lithiasis of the posterior semicircular canal when submitted to one single Epley maneuver. The controversy in the literature is about the efficacy of posture restrictions in influencing therapeutic success in patients with BPPV submitted to statoconia repositioning maneuver 18, 19. In the 5 subsequent days, the patient is instructed to avoid sleeping over the affected ear 9, 10, 12, 15, 17. The patient is instructed to avoid head and trunk movement, using a neck collar and sleeping in semi-seated position, with the head inclined at 45o from the horizontal plan for two days. Some authors advocate posture restriction after Epley maneuver to prevent some displacement of statoconia particles towards the semicircular duct. Among them, Epley maneuver, described in 1992, presents excellent therapeutic indexes of clinical improvement 9–12, 15–17. One of the main and most used therapeutic options for BPPV consists of mechanical maneuver for vestibular rehabilitation, which through a sequence of head movements, aim at repositioning the statoconia back to the utriculus 7–17. Some of the movements that caused BPPV clinical manifestations are lying down or standing up from lying down position, adopting lateral position from dorsal decubitus and head hyperextension 5, 6. Vertigo is usually brief - normally it lasts less than one minute, it is episodic and characteristically it is a result of the change in position of head segment. It is prevalent in the elderly and female patients, probably owing to senile degenerative affections and hormonal dysfunction, respectively 1.īPPV is caused by statoconia debris from the utriculus macula that deviate to one or more semicircular ducts, mistakenly stimulating the ampullary crest 2–4. The use of postural restrictions in patients with benign paroxysmal positional vertigo of posterior canal didn't interfere in their clinical evaluation, one week after a unique Epley maneuver.īenign paroxysmal positional vertigo (BPPV) is considered the most common peripheral vestibulopathy, present in approximately 25% of the patients that have dizziness. There was a clinical improvement in 96.0% of the patients from group 1 and in 94.0% from group 2 (p = 0.781). One week after Epley maneuver 82.1% of the patients from group 1 and 73.3% from group 2 didn't present positional nystagmus (p = 0.421). The patients from both groups were reevaluated one week after Epley maneuver, regarding the presence of symptoms and positional nystagmus. The patients from group 1 were informed to restrict their head movements and to use a cervical collar and group 2 patients were not informed about these postmaneuver restrictions. Material and Methodįifty eight patients with benign paroxysmal positional vertigo of posterior canal were randomly divided in two groups following the application of a unique Epley maneuver. To verify the role of postural restrictions in patients with benign paroxysmal positional vertigo of posterior canal, submitted to a single Epley maneuver. The effectiveness of postmaneuver postural restrictions is controversial in patients with benign paroxysmal positional vertigo.
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If the intervals are at exact ratios to each other, the patterns produced are super-repeatable and clear and easy to identify. Our brains just interpret it as harmonic colors. That color comes from the waveforms interfering in specific patterns based on the frequency deviation, just like two played rhythms played against each other produce a new rhythmic pattern. But, each unique interval has it's own "color" that the ear interprets - learn those colors in perfect intonation and it becomes a lot easier to translate tempered intervals, like most apps and pianos where the intervals aren't quite pure. For the simultaneous interval thing, drone practicing lets you zero in on an actual in-tune interval and how the color of that in-tune-ness changes as you deviate sharp or flat from those intervals. Learning to improvise walking baselines over chord progressions is also very helpful to develop your musical vocabulary if you’ve never worked on that.The tradtional practice of transcribing (from ear to paper) and then playing the transcription back via whatever means you have is great ear training.Īlso, drone practice is great ear training. This is a pretty good video that talks about things similar to what I do. I regularly work on playing scales, intervals and arpeggios as well. I’ll play them up the neck or across the strings, I’ll play the 3rds and 5ths in different shapes. I look at the notes I’m playing, what intervals they are and how they fit with the scales. What I do is I sit down with my bass and I hum melodies or sometimes just hear them in my head and then I play them. It’s like if they were words that you’re thinking about and you’re trying to write or type them. You can also take songs that you know and work on playing them from your head. You either need to sing it or whistle or hum it so that you can get it from your head to your fingers…you want to work on matching the pitch between the two. Is there anyone here who started ear training from scratch, and was able to make significant progress? If yes, then how? With these in mind, any suggestions what else I could try? I know that there are paid online courses available, but I kind of suspect that they would be a waste of time and money. (note, these are my selections with 2 free course vouchers, and others may get different results) I was hoping to get the chord tones to complete it to the end, however, if it follows the scales program to the end, I feeil I got enough with scales, because the two courses are extremely similar (WITH A FEW DIFFERENCES), ao I think for y level I am goog, and I am sure to work more with Damian on .īut my new bundle that was given to me, for free, by Mark at Tallingbass is.Īll of this.was simply for boom a long time Al Access Pass hold" for staying with his subscription service til the tne, a way or forwarding us long time passers. I had competed mod 1 of 3)Ĭhord Tones (I had completed all of mod 1 and 1/2 of two, our of three) I wanted simple steps to sight reading vol 1. So, I didn’t get exactly what I wnted, but the bonus’s help to make for the single course I missed out on. Tones classes, and there is more than enough materials yet to grow upon, and possible furute lessons on those points. I feel pretty competent in the material I had a time to complete in thec hord tone course, much of it was very close, snd to very similar s learned in both the Scales and Chord. Simple Steps to Sight Reading course - vol 1 vol. And it processed just fine, and I probably got notification from thanking me for my purchase of They whole pack showed up as one item in the cart, so I put in my discount and said “yes sir, go”. I selected the Slap bass complete course to the cart. I select the sight reading complete pack and added to cart. I never heard back, so I started adding everything to my cart to see if I cold get the same message, especially ones I had only partly completed, but no, they would have all worked, other then Chord tones. I sent a message about this 2 days ago, along with letting them know of two copy / pasta errors in Walking lines lesson 2-21 and 2-21. 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