EPLEY MANEUVER

Benign Paroxysmal Positional Vertigo (BPPV)

BPPV is the  most common cause of true vertigo, characterized by brief, intense periods of vertigo, provoked by changing positions of the head and neck. Symptoms in BPPV are caused by displacement of the Otoconia (crystals in the inner ear that tells our brain where we are in space). Most commonly, BPPV is precipitated by head trauma, and is more frequent with advancing age.

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The goal of the Epley repositioning maneuver is to return the displaced otoconia to their normal resting place in the semicircular canal. 

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This maneuver is reported to have an 80% success rate after 1 treatment, and 90% success rate after 2 treatments.

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Califano, L. (2016). “A safe-repositioning maneuver for the management of benign paroxysmal positional vertigo: Gans vs. Epley maneuver; a randomized comparative clinical trial". European Archives of Oto-Rhino-Laryngology, 274(8), 3259-3260. doi:10.1007/s00405-016-4406-6