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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.
This maneuver can be performed during a clinic visit by health professionals, or taught to people to perform at home, or both. [36] 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.
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]
Download QR code; Print/export ... 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]
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The Dix–Hallpike maneuver places a degree of stress on the patient's lower back; therefore, a cautious approach must be taken with patients who are suffering from back pain. [7] Severe respiratory or cardiac problems may not allow a patient to tolerate the maneuver.
Dizziness is the sensation of imbalance or floating, impending loss of consciousness, and/or confusion. [2] This is different from vertigo which is characterized by the illusion of rotational movement [ 2 ] caused by the “conflict between the signals sent to the brain by balance- and position-sensing systems of the body”.