epley maneuver for vertigo home treatment

#EPLEY MANEUVER FOR VERTIGO HOME TREATMENT TRIAL#

Nystagmus (rapid, involuntary eye movements). It may be accompanied by other benign paroxysmal positional vertigo symptoms, including: Dizziness.

No serious adverse event was detected with both maneuvers. This vertigo sensation can range from mild to severe and may last seconds, or up to 1 minute. For the secondary end point (effect of a single maneuver), no significant difference was detected (67 of 98 vs 61 of 97 P = .42 α = .05). The mean (SD) time until no positional vertigo attacks could be induced in the SM-plus group was 2.0 (1.6) days (median, 1 day 95% CI, 1.64-2.28 days) in the EM group, 3.3 (3.6) days (median, 2 days 95% CI, 2.62-4.06 days) ( P = .01 α = .05, 2-tailed Mann-Whitney test). Results Of the 195 participants included in the analysis, the mean (SD) age was 62.6 (13.9) years, and 125 (64.1%) were women. The secondary end point was the effect of the single maneuver performed by the physician. The primary end point was the number of days until no positional vertigo could be induced on 3 consecutive mornings. Main Outcome and Measures Patients had to document whether they could provoke positional vertigo every morning. Interventions After being randomized to the SM-plus or the EM group, patients received 1 initial maneuver from a physician, then subsequently performed self-maneuvers at home 3 times in the morning, 3 times at noon, and 3 times in the evening. In this study, 17 of subjects needed to do 4 HSMs. The analysis was prespecified and per-protocol. Compared to the HSM, the EM was significantly more effective after 1 maneuver (disappearance of nystagmus and vertigo), therefore some individuals may need to perform additional HSMs for the treatment of BPPV at home. After consideration of the exclusion criteria as well as informed consent, 56 patients were excluded and 2 declined to participate, with 195 participants included in the final analysis. Two hundred fifty-three patients were assessed for eligibility. The Epley Maneuver is the quickest and most effective way to fix positional Vertigo also known as BPPV (Benign Paroxysmal Positional Vertigo). Patients were selected randomly during routine outpatient care after being referred to 1 of the 3 centers. Recruitment took place from June 1, 2020, until March 10, 2022.

#EPLEY MANEUVER FOR VERTIGO HOME TREATMENT TRIAL#

Objective To compare the effectiveness of the Semont-plus maneuver (SM-plus) and the Epley maneuver (EM) for treatment of posterior canal benign paroxysmal positional vertigo (pcBPPV) canalolithiasis.ĭesign, Setting, and Participants This prospective randomized clinical trial was performed at 3 national referral centers (in Munich, Germany Siena, Italy and Bruges, Belgium) over 2 years, with a follow-up to 4 weeks after the initial examination. Importance Questions remain concerning treatment efficacy for the common condition of benign paroxysmal positional vertigo (BPPV).

Epley maneuver for vertigo home treatment