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Vertigo: Epley Maneuver Information & Video

  • Date: 2009/07/07 (Rev: 2015/07/30) Disabled World - Disabled World
  • Synopsis : Video showing the Epley maneuver for vertigo is also called the particle repositioning, canalith repositioning procedure and modified liberatory maneuver.

Main Document

This technique is used to manage BPPV, which involves sequential movement of the head into 4 positions.

The Epley maneuver or repositioning maneuver is a maneuver used to treat benign paroxysmal positional vertigo (BPPV) of the posterior or anterior canals. The goal of the Epley or Modified Epley maneuver is to restore equilibrium of the vestibular system, more specifically to the semicircular canals to treat the symptoms associated with BPPV.

Vertigo - Defined as a condition where a person feels like they are moving when they are not. Often it feels like a spinning or swaying movement. There may be associated nausea, vomiting, sweating, or difficulties walking. It is typically worsened when the head is moved. Vertigo is the most common type of dizziness. When you're dizzy, you may feel lightheaded or lose your balance. If you feel that the room is spinning, you have vertigo.

Dizziness and Positional Vertigo are treatable with the non-invasive, non-drug procedure developed by Dr. John Epley and Dr. Dominic Hughes.

The Epley maneuver is also called the particle repositioning, canalith repositioning procedure, and modified liberatory maneuver and involves sequential movement of the head into four positions, staying in each position for roughly 30 seconds.

This treatment employs gravity to move the calcium build-up that causes the condition.

The Epley Exercise maneuver should be done by your doctor or physical therapist for safety, but can be performed at home.

Various treatment devices are available for performing the Epley Exercise maneuver at home.

The Epley maneuver is as follows:

  • Sit upright
  • Turn your head to the symptomatic side at a 45 degree angle, and lie on your back
  • Remain up to 5 minutes in this position
  • Turn your head 90 degree to the other side
  • Remain up to 5 minutes in this position
  • Roll your body onto your side in the direction you are facing, now you are pointing your head nose down
  • Remain up to 5 minutes in this position
  • Go back to the sitting position and remain up to 30 seconds in this position.

The entire procedure should be repeated 2 more times, for a total of 3 repetitions.

During every step of this procedure you may experience some dizziness.

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