Shadowing Practice: Epley Maneuver to Treat BPPV Vertigo - Learn English Speaking with Video

Choose a practice mode

Each mode opens a full-screen practice room.

22 sentences

If sentences are too short or too long, click Edit to adjust them.

Normally, only with head movement does fluid within the inner ear also move, informing the brain that a head turn occurred.

However, should a crystal called an otolith gets displaced into the posterior canal of the inner ear, BPPV dizziness occurs.

Fluid movement occurs due to the crystal rather than head turns

causing the brain to think movement has occurred even though none has happened.

The Epley maneuver is performed to treat this posterior canal BPPV by trying to get the loose crystal out of the canal.

This maneuver is started by turning the head 45 degrees

and the body laid back such that the head is extended about 20 to 30 degrees.

If BPPV is present, eye twitching called nystagmus will occur.

After 30 to 60 seconds, the head is turned 90 degrees to the opposite side and held for another 30 to 60 seconds.

The head is then further rotated another 90 degrees, accomplished by having the patient turn onto their side,

which is then held for another 30 to 60 seconds.

At this point, the head should be turned 45 degrees from the horizontal.

When performing this maneuver, another individual can help with these position changes.

The maneuver is then completed by having the patient sit up.

So what's going on with these position changes?

Essentially, the head is moved in such a way to manipulate the crystal to fall towards the canal opening.

With each position change, it takes about 30 to 60 seconds for the crystal to settle into the most dependent position in the canal.

If turns are made before the crystal has a chance to settle, the crystal may fall back the wrong way and the maneuver will fail.

It's also important that the head positions are angled correctly

or else the crystal will not settle to the correct position in the canal and the maneuver will fail.

Also, if the position changes are done too slowly, the crystal may not settle quickly enough from lack of momentum and the maneuver will also fail.

Once the crystal falls out of the canal, the dizziness should resolve if due to posterior canal BPPV.

Download App

Everything you need to speak fluently

AI PronunciationScore every sentence

IPA PracticeMaster every sound

VocabularyBuild your word bank

Vocab GameLearn while playing

Scan QR

Download on theApp Store Get it onGoogle Play

FOR YOU

Recommend Video

34 sentences

Vocabulary and speaking notes for this lesson

This speaking lesson is built on the video “Epley Maneuver to Treat BPPV Vertigo”. The speaker keeps coming back to these words: crystal, canal, maneuver, position, degrees. This video has 9 sentences and 348 words to shadow. The speech runs for 2:03. The speaker talks at a natural 170 words per minute, close to everyday conversation. Only 81% of the words are among the 3,000 most common in English, so the vocabulary is demanding.

Key vocabulary in this video

15 words from the video worth learning, with pronunciation and meaning:

Word	Pronunciation	Meaning
crystal noun	/ˈkɹɪstəl/	A solid composed of an array of atoms or molecules possessing long-range order and arranged in a pattern which is periodic in three dimensions.
canal noun	/kəˈnæl/	An artificial waterway or artificially improved river used for travel, shipping, or irrigation.
maneuver noun	/məˈnuvɚ/	The planned movement of troops, vehicles etc.; a strategic repositioning; (later also) a large training field-exercise of fighting units.
occur verb	/əˈkɜː/	To happen or take place.
settle verb	/ˈsɛtəl/	To determine (something which was exposed to doubt or question); to resolve conclusively; to set or fix (a time, an order of succession, etc).
fluid noun	/ˈflu.ɪd/	Any substance which can flow with relative ease, tends to assume the shape of its container, and obeys Bernoulli's principle; a liquid, gas or plasma.
angle noun	/ˈæŋ.ɡəl/	A figure formed by two rays which start from a common point (a plane angle) or by three planes that intersect (a solid angle).
extend verb	/ɛkˈstɛnd/	To increase in extent.
dependent adjective	/dɪˈpɛndənt/	Relying upon; depending upon.
correctly adverb	/kəˈɹɛk(t).li/	In a correct manner.
forty adjective	/ˈfoɹti/	Resembling or characteristic of a fort.
resolve verb	/ɹɪˈzɑlv/	To find a solution to (a problem).
inform verb	/ɪnˈfɔɹm/	To communicate knowledge to.
momentum noun	/ˌmə(ʊ)ˈmɛntəm/	Of a body in motion: the tendency of a body to maintain its inertial motion; the product of its mass and velocity, or the vector sum of the products of its…
accomplish verb	/əˈkɑm.plɪʃ/	To finish successfully.

Phrasal verbs you will hear

Word	Meaning
fall back verb	To retreat.
sit up verb	To assume a sitting position from a position lying down.

Pronunciation to watch

Long words — get the stress right: momentum /ˌmə(ʊ)ˈmɛntəm/, horizontal /ˌhoɹəˈzɑn.təl/, manipulate /məˈnɪp.jʊ.leɪt/, posterior /poʊˈstɪɹ.i.ɚ/

How to practise with this video

Listen to the whole video once without speaking and note the words you do not know.
Start at 0.75× speed, shadow it sentence by sentence, then go back to normal speed once it feels easy.
Record yourself and compare with the original, paying attention to words like crystal, canal, maneuver.

What is the Shadowing Technique?

Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.

Shadowing technique: read the full step-by-step guide →

Shadowing Practice: Epley Maneuver to Treat BPPV Vertigo - Learn English Speaking with Video

Choose a practice mode

Download App

SVINutes: Decoding Dizziness

Abdominal Bracing

Lecture: Uveitis-Glaucoma-Hyphema Syndrome (1 Slide in 5 Minutes)

Introduction to ECMO Part 3 - V-A ECMO

Lesson Eight: Placement of the Orchestra, Leonard Slatkin's Conducting School

MRI-Negative Epilepsy

Pelvic & Abdominal Pain History | OSCE Guide | UKMLA | CPSA | PLAB 2

How To: Ultrasound for Pneumothorax Case Study Video

ST Elevation and Depression on an EKG Rhythm Strip

1 6 What Illusions Teach Us

Retinal Artery Occlusion vs. Retinal Vein Occlusion

Why HYPNOBIRTHING Won't Work For You