Your health care provider will help extend your head over the edge of the table at a slight angle. You move from sitting to reclining with your head turned to the affected side by 45 degrees.The canalith repositioning procedure includes these steps: The procedure may be repeated three or more times within a treatment session. Your health care provider will watch your eyes for irregular movements during the procedure. You'll stay in each position about 30 seconds after your symptoms have ended. The canalith repositioning procedure involves holding four positions for about 30 seconds each or until symptoms stop. The procedure includes head positions that move the canalith particles (otoconia) in the inner ear that cause the dizziness to a part of the ear where they won't (the utricle). doi:10.The canalith repositioning procedure can treat benign paroxysmal positional vertigo (BPPV), which causes dizziness when you move your head. The Role of Postural Restrictions after BPPV Treatment: Real Effect on Successful Treatment and BPPV's Recurrence Rates. Papacharalampous GX, Vlastarakos PV, Kotsis GP, Davilis D, Manolopoulos L. Effectiveness of the Epley's maneuver performed in primary care to treat posterior canal benign paroxysmal positional vertigo: study protocol for a randomized controlled trial. doi:10.3399/bjgp18X700253īallve moreno JL, Carrillo muñoz R, Villar balboa I, et al. Effectiveness of the Epley manoeuvre in posterior canal benign paroxysmal positional vertigo: a randomised clinical trial in primary care. American Family Physician.īallvé JL, Carrillo-muñoz R, Rando-matos Y, et al. Dizziness: Approach To Evaluation And Management.
Comparison of the effectiveness of Brandt-Daroff Vestibular training and Epley Canalith repositioning maneuver in benign Paroxysmal positional vertigo long term result: A randomized prospective clinical trial. Vestibular Disorders Association.Ĭetin YS, Ozmen OA, Demir UL, Kasapoglu F, Basut O, Coskun H. Benign Paroxysmal Positional Vertigo (BPPV). Efficacy of Epley's Maneuver in Treating BPPV Patients: A Prospective Observational Study. Gaur S, Awasthi SK, Bhadouriya SK, Saxena R, Pathak VK, Bisht M. Sometimes vertigo may be caused by other problems like a stroke or infection, and performing the home Epley exercise for these conditions will not be effective. Before starting this exercise, be sure to visit your healthcare provider. The home Epley maneuver is an exercise you can try yourself to manage your symptoms caused by BPPV. An important component of your physical therapy program is to learn how to self-manage your condition. Your physical therapist can help decide which is the correct exercise for you.
Several exercises may be prescribed for you to do to treat your BPPV. Exercises like the Brandt-Daroff maneuver, the Semont maneuver, and the Epley maneuver can help you recover quickly from vertigo caused by BPPV. This causes the spinning sensation that is a primary symptom of BPPV.
When these deposits move, they interact with the nerves of the vestibular system and cause your brain to have difficulty interpreting your head position. BPPV is caused by displacement of the tiny calcium deposits inside the specialized structures of your inner ear (vestibular system).