Minimum Stimulus Strategy for BPPV
- Suzanne Douglas
- Aug 14, 2025
- 1 min read
This clinically relevant study by Libonati et al (and presented at Barany 2024) outlines the Minimum Stimulus Strategy for diagnosing BPPV. The Upright BPPV Protocol (UBP) is performed in seated position, using head movements along exact spatial axes to detect and treat BPPV, with video-Frenzel goggles monitoring nystagmus.
The UBP:
Focuses on minimizing patient discomfort.
Increases diagnostic sensitivity through precise head movements.
Uses nystagmus monitoring for accurate diagnosis of horizontal and posterior canal BPPV.
Read the abstract here or follow the links in the abstract to purchase the full article through Elsevier.
I like this article's careful approach. It is appropriate to talk about user-focused advances in interactive digital services. The website has further background information on this subject. The mentioned cases deepen the analysis.