Rapid Systematic Review of Repeated Application of the Epley Maneuver for Treating Posterior BPPV
Otolaryngology—Head and Neck Surgery
Reinink, H., Wegner, I., et al. (2014).
Otolaryngology—Head and Neck Surgery, 151(3), 399-406.
This systematic review investigates the effect of the repeated use of the Epley maneuver on patient-reported symptom relief and/or nystagmus resolution in individuals with posterior benign paroxysmal positional vertigo (p-BPPV).
No funding received
Not stated
Published, English-, Dutch-, or German-language studies with original data
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Two of the included studies examined the delivery of multiple Epley maneuvers in a single treatment session compared to the application of only one Epley maneuver in a single treatment session for individuals with posterior benign paroxysmal positional vertigo (p-BPPV). The findings suggest greater success rates for symptom resolution after repeated applications of the Epley maneuver for individuals with p-BPPV. Cumulative success rates for p-BPPV symptom resolution were 40-100% after two sessions, 67-98% after three sessions, 87-100% after four sessions, and 100% after five sessions. The majority of included studies had a moderate risk of bias.
