I first came across the work of Dr. Kimberley Bell, DPT (Creator of The Bell MethodTM) when The Vestibular Disorders Association’s Facebook page shared an interesting blog post titled “Should You Treat Yourself for BPPV? Understanding the Crystals in your Ear”.
My first thought was “this is so great!” I can’t tell you how many patients come in with a clear-cut history of BPPV, but then tried some maneuver they saw on YouTube that resembled a somersault or an Epley, not knowing what the maneuver did or why it might work. As a clinician, raising awareness is awesome and so vital!
Without BPPV education or proper diagnosis, patients are very rarely successful with self-treatment and often even further complicate their situation making their symptoms more difficult to treat. Instead of experimenting with treatment techniques, patients should be encouraged to find help from a clinician with experience treating BPPV or some other vestibular dysfunction. (I should note here that you can locate these specialists through the Vestibular Disorders Association here)
So, right from the beginning, I greatly value Dr. Kimberley Bell’s work and what she had to say. I reached out to her through Facebook to ask if I could send her a Functional Inner Ear. Since then, I have had the opportunity to email back and forth with some “Vestibuloholic Talk”, and she has provided me with some great resources and insight. She sent some articles, videos, and more blogs my way… So I just have to share!
The first resource she sent was a 47-page article which is a 2017 update of the 2008 BPPV Clinical Practice Guidelines from the American Academy of Otolaryngology Head and Neck Surgery Foundation. (Here’s the full text)
Luckily for everyone reading this, Dr. Kimberley Bell also wrote a more concise breakdown of the guidelines:
She states: “My goal is to alert professional physical therapists, physical therapist assistants, physicians, students and dizzy patients of a very important document that represents the evidence-based best practice recommendations and current standard of care for management of patients with dizziness in any clinical practice setting, the 2017 revised BPPV Clinical Practice Guidelines (CPG).
Some of the Key ﬁndings about BPPV include:
Dr. Bell strongly recommends for ALL healthcare providers who practice in ANY clinical setting where they care for patients with dizziness to read the BPPV Clinical Practice Guidelines.
She also suggests patients, families and caregivers to advocate for themselves by bringing a copy of the BPPV Clinical Practice Guidelines to their physicians or physical therapists, in case the clinicians has not yet seen the revised Guidelines.
You may recall that my last blog post focused on Anterior Canal BPPV. That may also be a good resource for you to share with your clinician since the newly revised 2017 BPPV Clinical Practice Guidelines have excluded that condition.
Dr. Kimberley Bell, DPT is a Licensed Physical Therapist, Vertigo Expert and Laughologist. She owns a private practice in San Diego, CA, specializing in dizziness, vertigo, imbalance and unexplained repeated falls. Dr. Bell has served as the Clinical Leader of the San Diego Fall Prevention Task Force for over 10 years and she now offers multi-media online e-courses for her global audience. Her most recent UCSD Stein Public Lecture, “Dizziness and Vertigo - Research in Aging,” has more than 134,000 views. For more information about Dr. Bell, visit www.BetterBalanceInLife.com or check out her YouTube channel "Kimberley Bell, DPT." Find her on Facebook at Kim Bell PT.
I am so grateful to Dr. Kimberley Bell for her support, her knowledge, and her available online resources. I am excited about our recent connection, and I suspect that us Vestibuloholics will have more to share in the future!
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