![]() ![]() In the 1980’s, two treatments for the posterior canal variant, the Epley and Semont maneuvers, were independently devised, and both have been found to be similar in efficacy, which exceeds 90%. This is usually performed by a clinician or therapist. These can be cleared from the semicircular canals by canalith repositioning (CRP), resolving the dizziness. We believe that both exercises can be self-applied to control symptoms, but the half somersault is tolerated better and has fewer side effects as a home exercise.īenign paroxysmal positional vertigo (BPPV) is a common vertigo disorder in which otoconia normally adherent to the utricle become displaced into the semicircular canals. During the 6-month follow-up, the Epley group had significantly more treatment failures than the half somersault group. ![]() The Epley maneuver was significantly more efficacious in reducing nystagmus initially, but caused significantly more dizziness during application than the half somersault. Both exercises resulted in a significant reduction in nystagmus after two self-applications. Outcome measures were the reduction of nystagmus intensity, tolerability of induced dizziness, and long-term efficacy. Subjects performed exercises twice while observed, were re-tested with the Dix Hallpike, and then reported on exercise use for 6 months. In this randomized single-blind study, we compare the efficacy of our exercise to self-administered Epley maneuvers in patients with BPPV. We designed a self-administered exercise, the half somersault, for home use. Benign paroxysmal positional vertigo (BPPV) frequently recurs after treatment, so a home exercise would be desirable.
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