![]() ![]() 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. Furthermore, patients may experience extreme dizziness following the procedure and it should not be done without a watchful eye to protect the patient.BPPV is caused by displacement of the tiny calcium deposits inside the specialized structures of your inner ear (vestibular system). "While the authors helpfully describe what is likely to become a significant trend, we must exercise caution in self-diagnosis and self-treatment. "For a procedure to be effective, the diagnosis needs to be made correctly and the treatment applied appropriately," he told HealthDay. While the Epley Maneuver works and the videos may help people with treatment, it won't be effective if the person doesn't have vertigo in the first place. Ronald Kanner, chair of neurology at Long Island Jewish Medical Center in New Hyde Park, N.Y., and North Shore University Hospital in Manhasset, N.Y., told HealthDay that diagnosis is one of the most important parts of getting help for vertigo. "Despite this, we found it encouraging to think that YouTube could be used to disseminate information about this maneuver and educate more people about how to treat this disorder."ĭr. "One shortcoming of the videos was that they did not include information on how to diagnose BPPV, and some of the comments indicate that people who do not have BPPV may be trying these maneuvers because of dizziness from other causes," Kerber said. They also want to do more research on whether video tutorials affect the patient outcomes. Researchers worried, however, that people might be self-diagnosing themselves with BPPV and treat it with the Epley Maneuver, when something else might be causing the dizziness. The second most popular video showed how to perform the maneuvers if you were alone at home.Ĭomments showed that the videos were being used by health providers to help demonstrate to their patients how to do the treatment and also by people who were trying to treat themselves. That video was uploaded by a regular user and not the organization. The video with the most hits was one developed by the American Academy of Neurology when it published its guideline recommending the use of the Epley Maneuver, seen below. Sixty-five percent of those videos showed the maneuver accurately, the researchers said.įive of the videos accounted for 85 percent of all views. All together, the videos had almost 2.8 million views. They looked through a total of 3,319 videos on vertigo, finding 33 that demonstrate the Epley Maneuver. For the study, researchers looked up videos that showed the Epley Maneuver, rated their accuracy and reviewed the comments to see how the maneuvers were received. ![]()
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