The Epley (Canalith Repositioning) Manoeuvre for Benign Paroxysmal Positional Vertigo
Cochrane Database of Systematic Reviews
Hilton, M. P., & Pinder, D. K. (2014).
Cochrane Database of Systematic Reviews, 12, CD003162.
This updated systematic review investigates the effect of the Epley maneuver (i.e., canalith repositioning maneuver) on vertigo symptoms in adults, 16 years and older, with benign paroxysmal positional vertigo (BPPV).
The Cochrane Collaboration
Through January 23, 2014
Randomized controlled trials
11 total studies; 10 studies included in meta-analysis
<div>Epley treatment showed significantly favorable results for patients with benign paroxysmal positional vertigo (BPPV). The Epley treatment converted Dix-Hallpike test results of patients from positive to negative indicating BPPV resolution. When comparing the Epley treatment to Semont or Gans maneuvers, no difference was found. When compared to Brandt-Daroff exercises completed three times a day for a week, one single Epley treatment was more effective. Some patients were unable to benefit from the Epley treatment due to feelings of nausea or pre-existing neck problems. Current evidence on long-term Epley treatment results is limited and conflicting; however recurrence of BPPV may occur in as many as 36% of patients within a 48 month time frame.</div>
