![epley maneuver for vertigo epley maneuver for vertigo](https://ai2-s2-public.s3.amazonaws.com/figures/2017-08-08/f93e21d8ddd4dac14d196111ae6395da3bec22f7/4-Figure1-1.png)
Now the patient is looking downward at a 45-degree angle. Keeping the head and neck in a fixed position relative to the body, the patient rolls onto the shoulder, rotating the head another 90 degrees in the direction being faced.Then the patient's head is rotated 90 degrees in the opposite direction, so that the opposite ear faces the floor, while maintaining 30 degrees of neck extension.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:
![epley maneuver for vertigo epley maneuver for vertigo](https://www.tampabayhearing.com/wp-content/uploads/2013/09/rtearbppv.png)
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.
![epley maneuver for vertigo epley maneuver for vertigo](https://i.ytimg.com/vi/ey7Im1X5fD0/maxresdefault.jpg)
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. This is the only objective measure to ensure the BPPV has resolvedĭr John M Epley was my mentor and I hope this video will help shine a light on the signficance of his work and inspire you to encourage friends, family members, or patients experiencing random, recurrent, and abrupt episodes of vertigo, to seek diagnosis and treatment.Maneuver used by medical professionals to treat one common cause of vertigo