The Canalith Repositioning Maneuver/Epley Maneuver for Right Posterior Canal Benign Paroxysmal Positional Vertigo

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Identifier nogi-right-epley-manuever-the-canalith-repositioning
Title The Canalith Repositioning Maneuver/Epley Maneuver for Right Posterior Canal Benign Paroxysmal Positional Vertigo
Creator Allison Nogi, DPT
Affiliation (AN) Vestibular Clinical Specialist, The Johns Hopkins Hospital, Baltimore, Maryland
Subject Benign Paroxysmal Positional Vertigo (BPPV); Dizzy; Positional Dizziness; Nystagmus
Description Posterior canal (PC) accounts for 70-90% cases of BPPV [1-3] and resolves with canalith repositioning maneuvers 90% of the time [4-20]. The Epley maneuver is considered a gold-standard treatment, with class 1 evidence for use.
Date 2023-06
References [1] Neuhauser HK. The epidemiology of dizziness and vertigo.In: Handbook of Clinical Neurology. 2016:67. https://doi.org/10.1016/b978-0-444-63437-5.00005-4; [2] Benecke H, Agus S, Kuessner D, Goodall G, Strupp M. The burden and impact of vertigo: findings from the REVERT Patient Registry. Front Neurol. 2013; 4:136. https://doi.org/10.3389/fneur.2013.00136 PMID: 24106487; PMCID: PMC3788351.; [3] Ahn S.K., Jeon S.Y., Kim J.P. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. Trauma. 2011;70(2):442-446. https://doi.org/10.1097/ta.0b013e3181d0c3d9; [4] Caruso G, Nuti D. Epidemiological data from 2.270 PPV patients. Audiol Med. 2005;3:7-11. https://doi.org/10.1080/16513860510028310; [5] von Brevern M, Bertholon P, Brandt T, et al. Benign paroxysmal positional vertigo: diagnostic criteria. J Vestib Res 2015;25:105-117. https://doi.org/10.3233/VES-150553; [6] Choi S-Y, Cho JW, Choi J-H, Oh EH and Choi K-D. Effect of the Epley Maneuver and Brandt-Daroff Exercise on Benign Paroxysmal Positional Vertigo Involving the Posterior Semicircular Canal Cupulolithiasis: A Randomized Clinical Trial. Front. Neurol. 2020; 11. https://doi.org/10.3389/fneur.2020.603541; [7] Gupta AK, Sharma KG, Sharma P. Effect of epley, semont maneuvers and Brandt-Daroff exercise on quality of life in patients with posterior semicircular canal benign paroxysmal positional vertigo (PSCBPPV). Indian J Otolaryngol Head Neck Surg. 2019;71(1):99-103. https://doi.org/10.1007/s12070-018-1322-7; [8] Imai T, Uno A, Yamato A, Takimoto Y, Sato G, Matsuda K, Takeda N, Nishiike S, Kawashima K, Iga T, Ueno Y, Ohta Y, Sato T, Kamakura T, Shingai-Higashi K, Mikami S, Kimura N, Nakajima T, Tanaka A and Inohara H. Comparison of the efficacy of the Epley maneuver and repeated Dix-Hallpike tests for eliminating positional nystagmus: A multicenter randomized study. Front. Neurol. 2023; 14. https://doi.org/10.3389/fneur.2023.1095041; [9] Isaradisaikul S, Chowsilpa S, Hanprasertpong C, Rithirangsriroj T. Single cycle versus multiple cycles of canalith repositioning procedure for treatment of posterior canal benign paroxysmal positional vertigo: A randomized controlled trial. Otology & neurotology. 2021;42(1):121-128. https://doi.org/10.1097/mao.0000000000002894; [10] Jaffar M, Ghous M, Ayaz M, Khan AA, Akbar A, Haleem F. Effects of half-somersault and brandt-daroff exercise on dizziness, fear of fall and quality of life in patients with posterior canal benign paroxysmal positional vertigo: A randomized control trial. Journal of the Pakistan Medical Association. 2023;73(1):139-142. https://doi.org/10.47391/jpma.3333; [11] Lee JD, Shim DB, Park HJ, et al. A multicenter randomized double-blind study: Comparison of the epley, semont, and sham maneuvers for the treatment of posterior canal benign paroxysmal positional vertigo. Audiology & neurotology. 2014;19(5):336-341. https://doi.org/10.1159/000365438; [12] Lee HJ, Jeon E, Lee D, Seo J. Therapeutic efficacy of the modified epley maneuver with a pillow under the shoulders. Clinical and experimental otorhinolaryngology. 2020;13(4):376-380. https://doi.org/10.21053/ceo.2019.01830; [13] Lee C, Lee C, Wu P, Wang C, Chen H, Shih C. Efficacy of combined canalith-repositioning procedure and supine to prolonged lateral position in treating posterior canal benign paroxysmal positional vertigo. Auris, nasus, larynx. 2021;48(5):834-840. https://dx.doi.org/10.1016/j.anl.2021.01.009.; [14] Lovato A, Marioni G, Monzani D, Rossettini G, Genovese E, de Filippis C. Physical therapy for benign positional vertigo of posterior canal: The role of alternated epley and semont maneuvers. Ear, nose, & throat journal. 2023;102(2):NP60-NP64.https://doi.org/10.1177/0145561320980183; [15] Mishra P, Sindhu KLS, Chethana R, Kaushik M. Epleys versus semonts manoeuvre in posterior canal benign paroxysmal positional vertigo. Indian J Otolaryngol Head Neck Surg. 2023. https://doi.org/10.1007/s12070-023-03624-5; [16] Oh S, Kim J, Choi K, et al. Switch to semont maneuver is no better than repetition of epley maneuver in treating refractory BPPV. J Neurol. 2017; 264(9):1892-1898. https://doi.org/10.1007/s00415-017-8580-2; [17] Piromchai P, Eamudomkarn N, Srirompotong S, Ratanaanekchai T, Yimtae K. The efficacy of a home treatment program combined with office-based canalith repositioning procedure for benign paroxysmal positional Vertigo-A randomized controlled trial. Otology & neurotology. 2019;40(7):951-956.  https://doi.org/10.1097/mao.0000000000002310; [18] Saberi A, Nemati S, Sabnan S, Mollahoseini F, Kazemnejad E. A safe-repositioning maneuver for the management of benign paroxysmal positional vertigo: Gans vs. Epley maneuver; a randomized comparative clinical trial. Eur Arch Otorhinolaryngol. 2017;274(8):2973-2979. https://doi.org/10.1007/s00405-016-4235-7; [19] Sinsamutpadung C, Kulthaveesup A. Comparison of outcomes of the epley and semont maneuvers in posterior canal BPPV: A randomized controlled trial. Laryngoscope Investigative Otolaryngology. 2021;6(4):866-871.https://doi.org/10.1002/lio2.619; [20] Strupp M, Goldschagg N, Vinck A, et al. BPPV: Comparison of the SémontPLUS with the sémont maneuver: A prospective randomized trial. Front Neurol. 2021;12. https://doi.org/10.3389/fneur.2021.652573
Language eng
Format application/pdf
Type Text
Collection Neuro-Ophthalmology Virtual Education Library: Dan Gold Collection: https://novel.utah.edu/Gold/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s67njbyt
File Name nogi-right-epley-manuever-the-canalith-repositioning.pdf
Setname ehsl_novel_gold
ID 2292534
Reference URL https://collections.lib.utah.edu/ark:/87278/s67njbyt
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