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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) [1] [needs update] of the posterior or anterior canals of the ear. [2]
A number of maneuvers have been found to be effective including Canalith Repositioning Procedures (CRP) such as the Epley maneuver, the Half Somersault Maneuver (HSM), the Semont maneuver, and to a lesser degree the non-CRP Brandt–Daroff exercises. [5] [28] Both the Epley and the Semont maneuvers are equally effective.
Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. [2] It can be characterized by three main symptoms: positional onset, spinning dizziness and short-lived symptoms. The primary diagnostic maneuver is the Dix-Hallpike which elicits the cardinal sign associated with BPPV, rotatory nystagmus.
It forms the basis of the Epley maneuver which is the modern treatment of benign paroxysmal positional vertigo. [1]
Dizziness affects approximately 20–40% of people at some point in time, while about 7.5–10% have vertigo. [3] About 5% have vertigo in a given year. [10] It becomes more common with age and affects women two to three times more often than men. [10] Vertigo accounts for about 2–3% of emergency department visits in the developed world. [10]
Manoeuvre used to treat benign paroxysmal positional vertigo: Semont A, Freyss G, Vitte E (1988). "Curing the BPPV with a liberatory maneuver". Adv. Otorhinolaryngol. 42: 290–3. PMID 3213745. Sippy diet: Bertram Sippy: Gastroenterology: Diet of milk and antacid powders to treat gastric ulcer (no longer used) Sippy diet at Who Named It ...