EPLEY MANEUVER PATIENT HANDOUT PDF

The Epley maneuver is an exercise you can do at home to relieve dizziness caused by benign paroxysmal positional vertigo BPPV. BPPV is caused by a problem with the inner ear. Calcium crystals called canaliths can end up in the semicircular canals. If these crystals become dislodged and move around, they can cause the sensation that the world is spinning or moving, also known as vertigo. The Epley maneuver, however, can dislodge these crystals and remove them from the semicircular canals. The Epley maneuver is often effective for many patients with BPPV, especially in cases where certain head movements seem to trigger vertigo.

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The Epley maneuver is an exercise you can do at home to relieve dizziness caused by benign paroxysmal positional vertigo BPPV. BPPV is caused by a problem with the inner ear. Calcium crystals called canaliths can end up in the semicircular canals. If these crystals become dislodged and move around, they can cause the sensation that the world is spinning or moving, also known as vertigo.

The Epley maneuver, however, can dislodge these crystals and remove them from the semicircular canals. 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. The maneuver is generally safe for most people to use. To perform the Epley maneuver on yourself, follow the steps below.

These directions are written for a problem on the left side. If you have a problem with the right side, follow the same steps, but turn your head in the opposite direction. Step 1: Start sitting up on a bed, with your legs flat on the bed in front of you. Turn your head 45 degrees to the left. Wait 30 seconds. Many people will have their symptoms clear up almost immediately, but some people will need to redo the maneuver.

Some people will use the maneuver three times before going to sleep at night. That way, if you get dizziness or vertigo after the exercise, you can sleep and rest while it resides. These may include canalith repositioning maneuvers, which are a series of specific head and body movements.

These movements are designed to remove the calcium crystals from the semicircular canal to a different part of the inner ear. There, the body can absorb them. Since the Epley maneuver only treats dizziness from BPPV, your doctor may also check to make sure nothing else is causing your dizziness, like anemia , migraines , or ear infections.

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Epley Maneuver

Epley maneuvers will lead to complete resolution of symptoms for 1 in every 2 to 3 patients treated. Post-Epley movement restriction does not improve symptom resolution but might promote a negative Dix-Hallpike test result for 1 in every 10 patients treated. Six systematic reviews of RCTs consistently supported Epley maneuvers as classically described despite considerable heterogeneity among trials. A few small studies compare the Epley to other maneuvers and report equivalence eg, Semont and Gans or inferiority eg, Brandt-Daroff of these interventions.

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Evaluating the Epley maneuver

A more recent article on dizziness is available. Patient Information Handout. Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. Less common causes include vertebrobasilar ischemia and retrocochlear tumors.

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Treatment of Vertigo

Learn about our expanded patient care options for your health care needs. The home Epley maneuver is a type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo BPPV. You can do this exercise at home. BPPV is caused by a problem in your inner ear. Your semicircular canals are found inside your ear. They detect motion and send this information to your brain.

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