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. John Epley and first described in A version of the maneuver called the "modified" Epley does not include vibrations of the mastoid process originally indicated by Epley, as they have since been shown not to improve the efficacy of the treatment. The Epley maneuver is a safe and effective treatment for BPPV, though the condition recurs in around one third of cases. During every step of this procedure, the patient may experience some dizziness. Following the treatment, the clinician may provide the patient with a soft collar, often worn for the remainder of the day, as a cue to avoid any head positions that may once again displace the otoconia.

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Canalith reposition procedure for the treatment of benign paroxysmal positional vertigo. Background : Paroxysmal positional vertigo is a frequent and handicapping disease. Aim : To assess the effectiveness of physical therapies using particle reposition procedures in the treatment of paroxysmal positional vertigo. Patients and methods : Fifty nine patients 13 male with paroxysmal positional vertigo were studied. Clinical data was gathered, the affected channel was identified.

In the same session, the corresponding canalith reposition procedure was performed Epley maneuver for posterior channel and Lempert maneuver for lateral channel and the immediate response was recorded.

One patient had a combined lesion of posterior and lateral channels and two patients had isolated lateral channel lesions. Seventy percent of patients recovered after two sessions of canalith reposition procedure. Conclusions : Canalith reposition maneuvers were highly effective for the treatment of paroxysmal positional vertigo. Key-words : Paroxysmal positional vertigo; Vertigo; Vestibular diseases. Recibido el 1 de diciembre, Los cuadros vertiginosos se presentan con una incidencia de alrededor de 64 por Otte y Mc Clure describieron el compromiso de otros canales 7 , 8.

Herdman et al trataron 2 grupos de 30 personas seleccionadas aleatoriamente, uno con la maniobra de Semont y el otro con la de Epley, ambos grupos tuvieron un resultado similar PD: Canal semicircular posterior derecho. PI: Canal semicircular posterior izquierdo. SD: Canal semicircular superior derecho.

SI: Canal semicircular superior izquierdo. Depende del canal afectado. Correspondencia a : Viviana Valenzuela P. Santos Dumont , Santiago. Fax E-mail: otorrino ns. Nuestro agradecimiento al Dr. Benign positional vertigo: recognition and treatment. BMJ , ; P athology of the Ear. The mechanics of benign paroxysmal vertigo. J Otolaryngol ; 8: New dimensions of benign paroxysmal positional vertigo.

Otolaryngol Head Neck Surg ; Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope ; Particulate mater in the posterior semicircular canal. OTTE J. Rev Otorrinolaringol Cir Cabeza Cuello ; Horizontal canal BPV. Am J Otolaryngol ; 4: The pathology, symptomathology and diagnosis of certain common disorders of the vestibular system. Ann Otol Rhinol Laryngol ; The physiologic basis for head exercises. J Chart Soc Physioter ; Eye movements from semicircular canal nerve stimulation in the cat.

Vestibular habituation training and posturography in benign paroxysmal positional vertigo. J Otorhinolaryngol Relat Spec ; Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol ; Vestibular training for benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg ; Curing the BPPV with a liberatory maneuver.

Adv Otorhinolaryngol ; Ann Otol Rhinol Laryngol 1 ; The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head and Neck Surg ; Complications of the canalith repositioning procedure. A positional maneuver for treatment of horizontal canal benign positional vertigo. Persistent direction-changing positional nystagmus: Another variant of benign positional nystagmus? Neurology , Posterior semicircular canal occlusion for benign paroxysmal positional vertigo -CO2 laser- assisted technique: preliminary results.

Transection of the posterior ampullary nerve for the relief of benign paroxysmal nystagmus. Partitioning of the labyrinth: application in benign paroxysmal positional vertigo.

Am J Otol ; Hypertensive vascular disease. Diabetes Mellitus. Paroxysmal positional vertigo syndrome. The minimal ice water caloric test.

Space motions sickness and the vestibular experiments in Skylab. Twelfth Intersociety Conference on Environmental Systems. The Vestibular System. Rev Hosp Clin U Chile ; 9: Acute vestibular syndrome. N Engl J Med ; Benign paroxysmal positional vertigo. Servicios Personalizados Revista. Ejemplo para canal semicircular posterior izquierdo.

Ejemplo para canal semicircular posterior derecho. Tabla 1. Tabla 2. Tabla 3. Tabla 4. Tabla 5. Tabla 6. Tabla 7. Tabla 8. HD: Hombro derecho. IC: Intervalo de Confianza.


Maniobras de Epley y de Semont para el vértigo



Maniobra de Epley



Epley maneuver




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