Repositioning intervals in the modified Epley's maneuver and their effect on benign paroxysmal positional vertigo treatment outcomeSerif Samil Kahraman et al. Acta Otolaryngol. 2017 May. Show
AbstractIntroduction: This study showed that short and long interval treatments achieved comparable success rates. There was no statistically significant difference in the rate of early and late recurrences between the two groups. Modified Epley maneuver can be applied in a short interval time with comparable success and recurrence rates which are as effective as in a long interval time. Objective: The Epley maneuver is called the particle repositioning or canalith repositioning procedure. If a short time interval in each position is effective, it will allow for reduced time and avoid unnecessary physical burden. How long of a stay in each position is not determined in the literature. There is an absence of comparative studies of the BPPV repositioning time. The aim of this study is to compare the treatment time in patients with benign paroxysmal positional vertigo (BPPV). Study design: Longitudinal prospective study. Setting: Outpatient practice in a tertiary care facility. Subjects and methods: Sixty consecutive patients with BPPV were included in this study. These patients were sequentially allocated to one of two groups (A or B). The interval times between each position in group A and B were 15 and 120 s, respectively. Modified Epley maneuver was performed in all patients. The maneuvers in both groups were exactly the same sequence of movements, except interval times. Results: The mean age of the patients was 49.25 years (range =19-76 years). Of the 60 patients, 48 (80%) were women and 12 (20%) were men. Successful outcome was achieved in 26 patients (86.7%) after the first modified Epley maneuver in both groups. Three patients from each group (total six patients) responded to the third modified Epley maneuver and the remaining two patients did not respond to any modified Epley maneuver. Therefore, the Semont maneuver was applied with a successful result. Keywords: Epley maneuver; Vertigo; benign paroxysmal positional vertigo; compare; interval time; treatment time. Similar articles
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How many times does it take for Epley maneuver to work?For best results, you may need to perform the maneuver three times. It's a good idea to ask your healthcare provider to demonstrate the Epley maneuver before you try it at home to ensure you're doing it properly. You should also ask them to confirm which ear is causing BPPV symptoms.
What should you not do after Epley maneuver?The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. Benign positional vertigo is also called benign p... For the rest of the day, DO NOT bend over. For several days after treatment, DO NOT sleep on the side that triggers symptoms.
How long does it take to feel better after Epley?The Epley maneuver is often effective for many patients with BPPV, especially in cases where certain head movements seem to trigger vertigo. Many people say their symptoms are relieved immediately after the maneuver, though some may have mild symptoms for a few weeks.
Is it OK to do the Epley maneuver on both sides?During the Procedure
Because BPPV typically involves one ear,5 the Epley maneuver needs only to be performed on the affected side. Less commonly, the condition is bilateral (involving both ears) and requires you to use the technique on both sides.
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How many times can i do the epley maneuver
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