#EPLEY MANEUVERS FOR VERTIGO SERIES#
#EPLEY MANEUVERS FOR VERTIGO FREE#

Here we only report the analysis of the data where Epley maneuver was compared to control or a sham maneuver and where complete resolution of symptoms is reported as the primary outcome (some trials reported conversion of DHT from positive to negative as outcome). 4 Five trials compared the Epley maneuver against a sham maneuver, three against other canalith repositioning maneuvers, and three against a control (no treatment, medication only, or restricted positioning). The systematic review included 11 randomized trials with a total of 745 participants. The authors also examined adverse events associated with the maneuver. 4 The primary outcome was complete resolution for vertigo symptoms. The Cochrane review discussed here examined the effectiveness of the Epley maneuver for posterior canal BPPV. Other canalith repositioning maneuvers include the Semont, Brandt‐ Daroff and Gans. 3 It should be noted that the first movement of the Epley is the end position of the positive DHT.

#EPLEY MANEUVERS FOR VERTIGO SERIES#

2 The Epley maneuver was invented as a way to move the ear debris out of the semicircular canal, and involves a series of four sequential movements. 1 The condition is usually brought on by a rapid change in head position, and diagnosis can be confirmed by a positive Dix-Hallpike test (DHT). The patient may be instructed to be cautious of bending over, lying backwards, moving the head up and down, or tilting the head to either side.Narrative Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo, and is thought to be caused by free-floating debris primarily in the posterior semicircular canal. Post-treatmentįollowing the treatment, the clinician may provide the patient with a soft collar, often worn for the next 48 hours.

During every step of this procedure the patient may experience some dizziness. The entire procedure may be repeated two more times, for a total of three times. The patient holds sitting position for up to 30 seconds.Finally, the patient is slowly brought up to an upright sitting posture, while maintaining the 45 degree rotation of the head.The patient is now looking downwards at a 45 degree angle. Keeping the head and neck in a fixed position relative to the body, the individual rolls onto their shoulder, rotating the head another 90 degrees in the direction that they are facing.The patient’s head is then turned 90 degrees to the opposite direction so that the unaffected ear faces the ground, all while maintaining the 30 degree neck extension.

The patient remains in this position for approximately 1-2 minutes.

The patient is then quickly and passively forced down backwards by the clinician performing the treatment into a supine position with the head held approximately in a 30 degree neck extension where the affected ear faces the ground.

The patient begins in an upright sitting posture, with the legs fully extended and the head rotated 45 degrees towards the affected side.

It has a reported success rate of between 90-95%.

#EPLEY MANEUVERS FOR VERTIGO FREE#

It works by allowing free floating particles from the affected ear canal to be relocated, therefore, relieving the patient of bothersome vertigo. The Epley Maneuver is a treatment for benign paroxysmal positional vertigo (BPPV).

Epley maneuvers for vertigo