![]() 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: 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. 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. Cervical pain was most frequent complication of Epley maneuver.īenign paroxysmal positional vertigo Complication Efficacy Epley maneuver Gans maneuver Repositioning maneuver.Maneuver used by medical professionals to treat one common cause of vertigo These results revealed the similar long-term efficacy of Epley and Gans maneuver for the treatment of BPPV. The only complication with significant difference was cervical pain with a higher rate in E group (23.3 vs. After 1 week, the subjective and objective outcomes revealed improvement among 70 % of E group and 46.7 % of G group (p = 0.067). ![]() In E and G groups in the first day, subjective outcomes revealed 86.7 and 60 % rate of success (p = 0.02) and 86.7 and 56.7 % of patients exhibited objective improvement, respectively (p = 0.01). 23.3 % of E group and 26.7 % of G group were men (p = 0.766). Thirty patients enrolled each group with a mean age of 46.9 ± 13.4 (E group) and 46.7 ± 7.5 year (G group). ![]() Statistical analysis was performed using the Chi-square test and regression model in the SPSS software version 21. 1 day and 1 week after intervention, the objective and subjective responses to treatment were assessed. They randomly assigned in quadripartite blocks to modified Epley maneuver group (E) or Gans maneuver group (G). 73 patients with true vertigo diagnosed as BPPV enrolled the study. ![]() This randomized clinical trial was performed from September to December 2015. The aim of this study was comparing the therapeutic effect of Epley and Gans maneuvers in BPPV. Some repositioning maneuvers have been described for its management. Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo.
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