epley maneuver benign positional vertigo video

Epley maneuver benign positional vertigo video trial#
Epley maneuver benign positional vertigo video Pc#

Based on his theory, Barany's society formulated the diagnostic criteria of PC-BPPV-cu on 2015 ( 2).

Epley maneuver benign positional vertigo video Pc#

He suggested that half Hallpike maneuver can provoke persistent up and ipsitorsional nystagmus because the cupula of PC may be oriented along earth-horizontal axis, and thus the weighted cupula has maximal propensity to be deflected earthward ( 1). Epley previously described nystagmus characteristics and his clinical experience of diagnostic posture ( 1). Clear classification of PC-BPPV should be required at the time of different pathology and different treatment response.Ĭupulolithiasis of benign paroxysmal positional vertigo involving the posterior semicircular canal (PC-BPPV-cu) is a rare form of BPPV. 36%, p = 0.436) and the decrease of mSPV and DHI.Ĭonclusion: Neither the Epley maneuver nor BD exercise has an immediate therapeutic effect in treating PC-BPPV-cu. The Epley maneuver and BD exercise had an equivalent effect at 1 week in treating PC-BPPV-cu in terms of resolving positional nystagmus (48 vs. Results: Immediate resolution occurred in none of 29 patients in the Epley maneuver group and only 1 of 33 patients in the BD exercise group. Secondary outcomes included the resolution of positional nystagmus at 1 week, the change of maximal slow phase velocity (mSPV) of positional nystagmus, and dizziness handicap inventory (DHI) immediately and at 1 week. The primary outcome was an immediate resolution of positional nystagmus within 1 h after a single treatment of each maneuver on the visit day. Patients were randomly assigned to undergo the Epley maneuver ( n = 29) or BD exercise ( n = 33).

Epley maneuver benign positional vertigo video trial#

Methods: We conducted a randomized clinical trial to evaluate the therapeutic effect of the Epley maneuver and BD exercise in patients with PC-BPPV-cu. Objective: To investigate the therapeutic efficacies of the Epley maneuver and Brandt-Daroff (BD) exercise in patients with benign paroxysmal positional vertigo involving the posterior semicircular canal cupulolithiasis (PC-BPPV-cu). 2Department of Neurology, Pusan National University School of Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea.1Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, South Korea.Seo-Young Choi 1 Jae Wook Cho 2 Jae-Hwan Choi 2 Eun Hye Oh 2 Kwang-Dong Choi 1 *