![]() The patient remains in this position for approximately 1–2 minutes.The clinician observes the patient's eyes for “primary stage” nystagmus.Then the patient is quickly lowered into a supine position (on the back), with the head held approximately in a 30-degree neck extension ( Dix-Hallpike position), with the head remaining rotated to the side.The patient begins in an upright sitting posture, with the legs fully extended and the head rotated 45 degrees toward the side in the same direction that gives a positive Dix–Hallpike test.The following sequence of positions describes the Epley maneuver: The modified procedure has become that now described generally as the Epley maneuver.Īn Epley maneuver is a safe and effective treatment for BPPV, although the condition recurs in approximately one third of cases. Ī version of the maneuver called the "modified" Epley does not include vibrations of the mastoid process originally indicated by Epley, as the vibration procedures have been proven ineffective. The maneuver was developed by the physician, John M. The maneuver works by allowing free-floating particles, displaced otoconia, from the affected semicircular canal to be relocated by using gravity, back into the utricle, where they can no longer stimulate the cupula, therefore relieving the patient of bothersome vertigo. ![]() The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) of the posterior or anterior canals of the ear. (n.d.).Maneuver used by medical professionals to treat one common cause of vertigo Vestibular rehabilitation therapy (VRT).Efficacy of Epley’s maneuver in treating BPPV patients: A prospective observational study. Comparison of the effectiveness of Brandt-Daroff vestibular training and Epley canalith repositioning maneuver in benign paroxysmal positional vertigo long term result: A randomized prospective clinical trial. Canalith repositioning procedure (for BPPV).Vestibular rehabilitation in benign paroxysmal positional vertigo: Reality or fiction? You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Turn the head and body another 90 degrees to the left, into the bed.īegin on the other side if vertigo stems from an issue with the left ear.Turn the head so that it is now 45 degrees to the left. ![]()
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