How many times can you do the epley maneuver

Q: How many times does it take for the Epley maneuver to work?

For best results, you may need to perform the maneuver three times. Its a good idea to ask your healthcare provider to demonstrate the Epley maneuver before you try it at home to ensure youre doing it properly. You should also ask them to confirm which ear is causing BPPV symptoms.

Q: What should you not do after Epley maneuver?

The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. Benign positional vertigo is also called benign p... For the rest of the day, DO NOT bend over. For several days after treatment, DO NOT sleep on the side that triggers symptoms.

Q: How do you know if Epley maneuver is working?

To check if the maneuver worked, the person moves the head in the same way that previously caused vertigo. If vertigo does not occur, the maneuver worked. After performing this maneuver, people should remain upright or semiupright for 1 to 2 days. In some people, the vertigo recurs.

Q: Can the Epley maneuver make vertigo worse?

If your vertigo has been officially diagnosed you can learn to safely do the Epley maneuver at home, as long as you know what youre doing. Performing the maneuver incorrectly can lead to: neck injuries. further lodging the calcium deposits in the semicircular canals and making the problem worse.

Table of Contents Show

Cited by (0)
Repositioning intervals in the modified Epley's maneuver and their effect on benign paroxysmal positional vertigo treatment outcome
Similar articles
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
How many times does it take for the Epley maneuver to work?
What should you not do after Epley maneuver?
How do you know if Epley maneuver is working?
Can the Epley maneuver make vertigo worse?

PDFView PDF

Under a Creative Commons license

Open access

Summary

Aim

To assess whether more than one Epley’s maneuver in the same session, compared to a single one, decreases the number of sessions necessary to suppress positional nystagmus.

Method

Epley’s maneuver was done in 123 patients with BPPV due to unilateral posterior semicircular canal canalolithiasis. The number of sessions for positional nystagmus suppression was compared in two groups of patients. Group I consisted of 75 patients submitted to a single Epley’s maneuver on weekly sessions and group II consisted of 48 patients that were submitted to four Epley’s maneuvers during the first session.

Results

Group II showed greater nystagmus latency and duration than group I (p<0.05). The number of sessions and standard deviation showed by group I was greater than in group II (p=0.008). We observed a significant association between number of sessions and group (p=0.039) studied. Group II had 21.4% more nystagmus-free patients following only one session (CI95% [7.7% - 35.1%]).

Conclusion

Repeated Epley’s maneuvers in less sessions rendered more positional nystagmus-free patients when compared to those submitted to more sessions of single maneuvers.

Keywords

labyrinth

physiologic nystagmus

semicircular canals

vertigo

Cited by (0)

Repositioning intervals in the modified Epley's maneuver and their effect on benign paroxysmal positional vertigo treatment outcome

Serif Samil Kahraman et al. Acta Otolaryngol. 2017 May.

Abstract

Introduction: This study showed that short and long interval treatments achieved comparable success rates. There was no statistically significant difference in the rate of early and late recurrences between the two groups. Modified Epley maneuver can be applied in a short interval time with comparable success and recurrence rates which are as effective as in a long interval time.

Objective: The Epley maneuver is called the particle repositioning or canalith repositioning procedure. If a short time interval in each position is effective, it will allow for reduced time and avoid unnecessary physical burden. How long of a stay in each position is not determined in the literature. There is an absence of comparative studies of the BPPV repositioning time. The aim of this study is to compare the treatment time in patients with benign paroxysmal positional vertigo (BPPV).

Study design: Longitudinal prospective study.

Setting: Outpatient practice in a tertiary care facility.

Subjects and methods: Sixty consecutive patients with BPPV were included in this study. These patients were sequentially allocated to one of two groups (A or B). The interval times between each position in group A and B were 15 and 120 s, respectively. Modified Epley maneuver was performed in all patients. The maneuvers in both groups were exactly the same sequence of movements, except interval times.

Results: The mean age of the patients was 49.25 years (range =19-76 years). Of the 60 patients, 48 (80%) were women and 12 (20%) were men. Successful outcome was achieved in 26 patients (86.7%) after the first modified Epley maneuver in both groups. Three patients from each group (total six patients) responded to the third modified Epley maneuver and the remaining two patients did not respond to any modified Epley maneuver. Therefore, the Semont maneuver was applied with a successful result.

Keywords: Epley maneuver; Vertigo; benign paroxysmal positional vertigo; compare; interval time; treatment time.

Cited by

Predictive values of serum estradiol, calcium, and 25-hydroxyvitamin D levels for recurrence of benign paroxysmal positional vertigo in postmenopausal women.
Zhang X, Zhang Z, Lv X. Zhang X, et al. Turk J Phys Med Rehabil. 2022 Mar 1;68(1):30-36. doi: 10.5606/tftrd.2022.5964. eCollection 2022 Mar. Turk J Phys Med Rehabil. 2022. PMID: 35949966 Free PMC article.
Vertigo returning to the sitting position after the Semont manoeuvre. Is it a prognostic symptom?
Albera A, Boldreghini M, Canale A, Albera R, Gervasio CF. Albera A, et al. Acta Otorhinolaryngol Ital. 2018 Apr;38(2):145-150. doi: 10.14639/0392-100X-1815. Acta Otorhinolaryngol Ital. 2018. PMID: 29967559 Free PMC article.

MeSH terms

LinkOut - more resources

Full Text Sources
- Taylor & Francis
Other Literature Sources
- scite Smart Citations
Medical
- Genetic Alliance
- MedlinePlus Health Information

How many times does it take for the Epley maneuver to work?

For best results, you may need to perform the maneuver three times. It's a good idea to ask your healthcare provider to demonstrate the Epley maneuver before you try it at home to ensure you're doing it properly. You should also ask them to confirm which ear is causing BPPV symptoms.

What should you not do after Epley maneuver?

The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. Benign positional vertigo is also called benign p... For the rest of the day, DO NOT bend over. For several days after treatment, DO NOT sleep on the side that triggers symptoms.

How do you know if Epley maneuver is working?

To check if the maneuver worked, the person moves the head in the same way that previously caused vertigo. If vertigo does not occur, the maneuver worked. After performing this maneuver, people should remain upright or semiupright for 1 to 2 days. In some people, the vertigo recurs.

Can the Epley maneuver make vertigo worse?

If your vertigo has been officially diagnosed you can learn to safely do the Epley maneuver at home, as long as you know what you're doing. Performing the maneuver incorrectly can lead to: neck injuries. further lodging the calcium deposits in the semicircular canals and making the problem worse.