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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] The maneuver works by allowing free-floating particles, displaced otoconia, from the affected ...
Postural restriction after the Epley maneuver increases its effect somewhat. [37] When practiced at home, the Epley maneuver is more effective than the Semont maneuver. An effective repositioning treatment for posterior canal BPPV is the therapist-performed Epley combined with home-practiced Epley maneuvers. [38]
The test may need to be performed more than once, as it is not always easy to demonstrate observable nystagmus that is typical of BPPV. Also, the test results can be affected by the speed with which the maneuver is conducted and the plane of the occiput. [5] There are several disadvantages proposed by Cohen for the classic maneuver.
It is believed to be due to a mechanical malfunction of the inner ear. [10] BPPV may be diagnosed with the Dix-Hallpike test and can be effectively treated with repositioning movements such as the Epley maneuver. [10] [35] [36] [37]
Radtke et al. have suggested that home treatment is both safe and effective when training is adequate but that the key cause of failure of the home treatment is an imperfect repositioning maneuver. [4] As a result of failed home treatments, the DizzyFIX was developed to assist patients in the performance of a correct particle repositioning ...
Both eyes will turn toward the contralateral ear, with horizontal nystagmus (quick horizontal eye movements) to the ipsilateral ear. If the water is cold, relative to body temperature (30 °C or below), the endolymph falls within the semicircular canal, decreasing the rate of vestibular afferent firing.
It forms the basis of the Epley maneuver which is the modern treatment of benign paroxysmal positional vertigo. [1] References This page was last edited on 3 ...
I added a link to the article on DizzyFIX. It is a researched device useful for patients (or doctors) who may not do well with the Epley Maneuver. It is therefore relevant to this article. (Note: this could use confirmation from someone with an appropriate medical background.) David Spector (talk) 19:09, 8 November 2011 (UTC)