Epley's manoeuvre for benign paroxysmal positional vertigo: A prospective study

M. Wolf*, T. Hertanu, I. Novikov, J. Kronenberg

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

The treatment of benign paroxysmal positional vertigo (BPPV) by the Epley, canalith repositioning, manoeuvre was popularized following clinical reports which demonstrated a significant success rate. Benign paroxysmal positional vertigo is considered a self-limiting disease, yet only few authors have analysed the effect of this manoeuvre in randomized, controlled terms. A prospective 3-year, controlled study of patients with BPPV of long duration (mean = 6 months) verified its benefit: the recovery course differed significantly between a group of 31 patients treated with the manoeuvre and a control group of 10 untreated patients. Symptoms subsided within 72 h in 35% and within a week in 74% of patients after one session of treatment. Only two treated patients (6.5%) did not recover versus a 50% failure rate among untreated patients (P = 0.0005). The rate of recovery was not affected by the duration of symptoms before initiation of treatment, or by the patient's age and gender.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalClinical Otolaryngology and Allied Sciences
Volume24
Issue number1
DOIs
StatePublished - 1999
Externally publishedYes

Keywords

  • Benign paroxysmal positional vertigo
  • Epley's manoeuvre

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