Epley Procedure

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Contents 1 Introduction 2 Procedure 3 Mechanism-of-action 4 More General Terms 5 Additional Terms 6 References

Introduction

• Patient self treatment procedure for benign positional vertigo. Has replaced Brandt-Daroff exercise as treatment of choice. [3,4]

Procedure

• See [5] for Video depiction of the Epley maneuver
• Left-sided vertigo:

• sit on a bed & turn your head 45 degrees to the left
• lie back quickly with a pillow under your shoulders & head reclined onto the bed
• wait 30 seconds
• turn your head 90 degrees to the right keeping it on the bed
• wait 30 seconds
• turn your body & head another 90 degrees to the right
• wait for 30 seconds
• sit up on the right side

• Right-sided vertigo:

• sit on a bed & turn your head 45 degrees to the right
• lie back quickly with a pillow under your shoulders & head reclined onto the bed
• wait 30 seconds
• turn your head 90 degrees to the left keeping it on the bed
• wait 30 seconds
• turn your body & head another 90 degrees to the left
• wait for 30 seconds
• sit up on the left side

• Total time in exercise should be about 10 minutes.

Mechanism-of-action

• Epley maneuver designed to permit otolith debri originating in the utricle to pass through the semicircular canal & return to the utricle. [3]

More General Terms

• clinical procedure

Additional Terms

• benign positional vertigo

References

1. Journal Watch, Mass Med Soc 19(23):186 (Dec) 1999
2. url>http://www.charite.de/ch/neuro/vertigo.html</url>
3. Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004
4. Journal Watch 24(17):136, 2004 Radtke A, von Brevern M, Tiel-Wilck K, Mainz-Perchalla A, Neuhauser H, Lempert T. Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure. Neurology. 2004 Jul 13;63(1):150-2. <PubMed> PMID: [1] <Internet> [2]
5. Video depiction of the Epley maneuver [3]

Epley procedure/maneuver (canalith repositioning)