Modifications of the Epley (Canalith Repositioning) Manoeuvre for Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
Cochrane Database of Systematic Reviews
Hunt, W. T., Zimmermann, E. F., et al. (2012).
Cochrane Database of Systematic Reviews, 4, CD008675.
This systematic review compares the effects of modified Epley maneuvers (e.g., mastoid region oscillation, vestibular rehabilitation exercises, modified Epley maneuver, post-treatment instructions) to the standard Epley maneuver on vertigo symptoms in adults, 16 years and older, with benign paroxysmal positional vertigo (BPPV).
The Cochrane Collaboration
Through December 15, 2011
Randomized controlled trials
11
Nine studies demonstrated a small effect size that postural restrictions post-Epley maneuver are more effective than the Epley maneuver alone as revealed by improved Dix-Hallpike responses in adults with benign paroxysmal positioning vertigo (BPPV). Two studies reported insufficient evidence to support the use of mastoid oscillation during the Epley maneuver and one study provided insufficient evidence that additional steps in a modified Epley maneuver are effective for adults with BPPV.
