Self-treatment with either a modified Epley or Semont maneuver has not been well studied in. Background: In a previous study we demonstrated that the SM+ is superior to the regular SM. 3% of patients recovering within 2 hours. Thirty seven patients (74 %) were treated successfully in one session. Roll onto your right side with your nose pointed down at a 45 degree angle toward the floor. In addition it regulates alertness via cerebral H1 receptors. They detect motion and send. Phys Ther 2010;90(5):663-78. [ 1] The Epley maneuver with various modifications can be used to move these otoliths out of the posterior or anterior semicircular canals and place them in the utricle where they belong. The first maneuver was carried out immediately after neurotologic assessment. . The manoeuvre will most likely cause dizziness and so should be performed in a safe environment. Guidelines from the American Academy of Neurology recommend a series of specific head and body movements for BPPV. Home Epley manoeuvre BPPV can usually be cured using the home Epley manoeuvre. Danielle Tolman, PT takes the time to show you how to perform an Epley Maneuver at home to treat Benign Paroxysmal Positional Vertigo (or displaced cryst. 6-7. One of the most common ways to manage vertigo is a technique called the Epley. Debería poder estar activo después de hacer la maniobra de Epley en casa. 50 In support of this theory, Guneri and Kustatun (2012) found that 48 mg of Betahistine daily, in addition to Epley maneuver, gave more effective results than Epley. It can be done in a health care provider's office. As mentioned, do the Dix Hallpike to determine which side is Effected. 2. Balance problems. John Epley ini dapat dilakukan oleh tenaga medis terlatih maupun secara mandiri di rumah. They can usually do this during the same appointment. When I got Vertigo attack, the location was obvious for me because it kicks in when I turn my head to right. Home Epley maneuver. Animation showing what is going on withi. If you get a positive result, your healthcare provider can perform the Epley maneuver to shift the calcium carbonate crystals out of your semicircular canals. The original Epley maneuver was designed to be done with a healthcare provider. John McNaughton Epley (1930-2019) was an American otolaryngologist. The patient is then rolled over (in stages, pausing for about half a minute in each position. 4327 F: 813. The best practice in treating BPPV is the Canalith Repositioning Procedure (CRP), and depending on the affected canals, different maneuvers have been described. Neurology. 0. 50 In support of this theory, Guneri and Kustatun (2012) found that 48 mg of Betahistine daily, in addition to Epley maneuver, gave more effective results than Epley. Much like the Epley Maneuver is a continuation of the Dix-Hallpike Test, this therapeutic maneuver is a continuation of the Sidelying Test. Consider using a “chin tuck”,. . Maneuvers will be performed to both the groups. Several maneuvers based on cupulolithiasis and canalolithiasis theories have been proposed for BPPV treatment by Brandt, Daroff, Norre, Beckers, and McCabe. . Contact us If you have any questions or concerns, please contact us. The home Epley maneuver can help you treat your vertigo caused by benign paroxysmal positional. Document ID: Home Epley Maneuver (Rev. 9. . . Carol has written a book to answer the many questions about this. Epley Maneuver. 47 In the event of refractory disease, surgical. Benign paroxysmal positional vertigo may go away on its own within a few weeks or months. If so, the Epley maneuver might help. They also usually take less time. The efficacy of MEP is comparable with the Epley procedure and the Semont maneuver, with success rates ranging from 70% after single application to nearly 100% after repeated application. Epley manuver. , Epley maneuver, Semont maneuver) ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: 1. The procedure is usually effective. Fifteen minutes after completion of the Epley maneuver, repeat Dix–Hallpike testing of the patient’s left ear found no vertigo or nystagmus. , believed Epley’s claim to have developed a cure for the most common. Dr. Your head should be about midway between looking straight ahead and looking out to your side. This vertigo sensation can range from mild to severe and may last seconds, or up to 1 minute. (For more information on BPPVplease see our separate leaflet). Foster maneuver . Tunggu 30-120 detik sampai gejalanya mereda. Sit upright for 15 minutes after performing the Epley maneuver. Experience the relief you need from vertigo with these simple exercises and the Epley Maneuver! Benign Paroxysmal Positional Vertigo (BPPV) can disrupt your. 7% recovered within 1 hour after one modified Epley’s maneuver, and an additional 8. Abstract. The Epley maneuver was equivalent to the Semont (two studies, 117 participants) and Gans maneuvers (one study, 58 participants) when a normal Dix-Hallpike test result was the outcome measure. Dix-Hallpike maneuver positive. Cuando se le mueve la cabeza firmemente en diferentes posiciones, los que causan el. What is the Epley maneuver. 49 These actions can facilitate the recovery ameliorating the quality of life of patients suffering from BPPV. Availability Patients and practitioners can learn to administer the Epley manoeuvre themselves (see Training below). Danielle Tate, PT, DPT uses this short video to walk you through how to safely and accurately perform a Left Epley Maneuver at home to resolve positional. The Epley maneuver increased the likelihood of symptom resolution in benign paroxysmal positional vertigo (BPPV) by 35% compared to control or sham maneuver (OR 4. The Epley maneuver [1] or the Semont maneuver [2] is a safe and effective treatment for posterior semicircular canal-benign paroxysmal positional vertigo-canalolithiasis (P-BPPV-Can) [3]. Place a pillow or folded blanket on the bed. After treatment with the Epley maneuver, only four patients had nystagmus. Continuing from the Dix-Hallpike Test, keep the patient supine and turn the head to the neutral position, still hanging over the end of the bed. Introduction Vertigo is a spinning or whirling sensation when you move your head. When your head is firmly moved into different positions, the crystal debris (canaliths) causing vertigo will move freely and no longer cause symptoms. These maneuvers, if started with nose down to the side that makes the AC vertical, are logical, and are similar to many other successful maneuvers, but their biomechanics are not as good as ones. Patient education: Vertigo (Beyond the Basics) 4. The Epley maneuver is an effective treatment for a condition called benign paroxysmal positional vertigo (BPPV), an inner ear disorder that causes severe vertigo (dizziness). Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. Next, turn the head to the contralateral side, approximately 30 o past the midline. Dr. The Epley maneuver, also known as the canalith repositioning maneuver or particle repositioning maneuver, is a series of exercises used to treat benign paroxysmal positional vertigo (BPPV). A follow-up telephone interview 2 weeks after the patient presented. S. No. The maneuver begins with placement of the head into the Dix-Hallpike position, to evoke vertigo. These are head movements that correct the inner ear problem that causes BPPV. 315. Epley maneuver: Step 1. . John Epley. If at first it doesn’t help, below are some tips to improve the odds of success. Semont Maneuver; Epley Maneuver; Brandt-Daroff exercises; Using the Dix-Hallpike Test to Identify the Main Cause of Dizziness and Vertigo. Here’s how to perform the Epley maneuver on yourself: How to Do the Epley Maneuver on Yourself for BPPV Relief. Dix-Hallpike maneuver negative(Otolith Repositioning; Epley Maneuver; Semont Maneuver, Lateral canal repositioning maneuvers) Indications 1. 2), whereas the Semont liberatory maneuver utilizes both inertial and gravitational forces as the patient is briskly moved down on the. Semont Maneuver for Vertigo. This factsheet explains what benign paroxysmal positional vertigo (BPPV) is, what the Epley manoeuvre treatment method is and how to perform it safely at home. For two, the duration was shorter and dizziness was less severe, according to VAS scores, than before treatment. Step 3. John Epley, and is illustrated below. The Epley maneuver is designed to treat the most common variant, posterior canal BPPV. Una sola sesión de 10 a 15 minutos suele ser todo lo que se necesita. - 4:30 p. On completion of pre-treatment evaluation Epley and Semont maneuvers were administered using standard protocol. Ini merupakan. Developed by the American Academy of Neurology, the guideline "Therapies for benign paroxysmal positional vertigo (an evidence-based review)" was published M. BPPV is a clinical diagnosis that is supported by a combination of characteristic features as well as the presence of nystagmus and vertigo elicited by provoking maneuvers (e. Crystal debris (canaliths) cause the vertigo. Epley Maneuver Epley Maneuver. The Gans manoeuvre has been shown to have similar outcomes as the Epley. (For more information on BPPVplease see our separate leaflet). Clinicians perform the classical Epley maneuver while patient self-treatment is the modified Epley maneuver. Your doctor may have moved you in different positions to help your vertigo get better faster. The success rate of Epley Manoeuvre was more than Semont Manoeuvre but statistical difference was not significant. BPPV is a physical disorder caused by displacement of otoconial debris, the mainstay of treatment involves a repositioni. Reverse Epley Maneuver. After you go home: For the rest of the day, do not bend over. BPPV is characterised by brief episodes of vertigo related to rapid changes in head position. It may be accompanied by other benign paroxysmal positional vertigo symptoms, including: Dizziness. The Epley manoeuvre is designed to be performed by a professional - usually a specially-trained physiotherapist, but some ENT doctors know how to do it too. If you’re suffering from vertigo, watch this video!Claim your free v. Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, a false sensation of spinning. The patient's head should be at 45° and hanging off the edge of the bed. Learn more about the causes, risks, and steps of this treatment. Teggi R, Giordano L, Bondi S, et al. Maniobra de Epley en casa. Medical therapy or vestibular exercise is not an. Anderson is coauthor of the award-winning book, “Stay Young: 10 Proven Steps to Ultimate Health,” and host of the nationally syndicated Staying Young Show which goes to podcast as Staying Young Show 2. The technique for left-sided posterior canalithiasis involves having a seated patient turn their head 45° to the left. While symptoms can be troublesome, the disorder usually responds to. Li JC. This manoeuvre is done with the assistance of a doctor or physiotherapist. The Semont maneuver is used to reposition the calcium crystals in your vestibular system. For several days after treatment, do not sleep on the side that triggers symptoms. The indirect causation. The Epley maneuver is a simple sequence of positions that helps manage dizziness associated with benign paroxysmal positional vertigo or BPPV. Dr. A veces, estos cristales se desprenden del utrículo y terminan dentro de los canales semicirculares. The doctor will turn your head so that it is halfway between looking straight ahead and looking directly to the side that causes the worst vertigo. Hilton MP, Pinder DK. 1 One small trial reported that 36. A veces, estos cristales se desprenden del utrículo y terminan dentro de los canales semicirculares. As the ipsilateral anterior and contralateral posterior canals are co-planar, repositioning maneuvers used for pc-BPPV treatment have been advocated for ac-BPPV treatment as well. The Epley maneuver may be performed to reposition the crystals. There are procedures for horizontal canal BPPV, but with lower success rates. Your provider may have treated your vertigo with the Epley maneuver. In this cross-sectional analytical comparative study, 47 patients (35 women and 12 men) aged 18–80 years with posterior canal BPPV were randomly assigned to one of two following groups: the control group, who received the modified Epley procedure only, and the VRT group, who received the modified Epley procedure plus. The Clinical Response Time of Epley Maneuvers for Treatment of BPPV: A Hospital Based Study. . Epley maneuver. John Epley, is both intended to move debris or "ear rocks" out of the sensitive part of the ear (posterior canal) to a less sensitive location. What happens: The Epley maneuver treats a form of vertigo (386. In the Epley maneuver, the patient was seated on examination table and head was rotated 45° toward affected side and quickly moved patient in supine position with head extended 30° causing movement of debris, inducing. Services and Specialities Family Medicine. Kristen Janky, Au. Training in the following treatment maneuvers will be included: modified Epley maneuver, liberatory (Semont) maneuver, Gufoni maneuver, and cupulolith repositioning maneuver. At 1 week after the Epley maneuver, three patients still showed positive Dix‐Hallpike test. Epley’s maneuver was used, without the mastoid vibrator or patient sedation. Vertigo & Dizziness, Home Treatments. 이 기사의 내용: 1. They are done with the help of a doctor or physical therapist. 1002/14651858. Often times yo. The vertex of the head is kept tilted downward throughout the rotation. Epley Maneuver for the Left Ear . Of the patients, 67. Additional instructions: Always wait at least 15 minutes between maneuvers to a llow particles to settle. outlook discussing how to perform Eplay maneuver for vertigo means how to treat vertigo or benign paroxysmal positional vertigoEpley, a specific maneuver for posterior semicircular canal BPPV with a high rate of success (85-90%), is one of these maneuvers which has no sever complications except nausea and vomiting [8-11]. Tampa Location. The Epley maneuver is usually conducted at the bedside with the cooperation of the patient. Hold position for 30 seconds, or until nystagmus and dizziness subside; Rotate head 90 degrees to opposite side. A single 10- to 15-minute session usually is all that is needed. . The Epley’s maneuver will be performed only in the first visit since a single procedure has been shown to improve the condition in 76% of patients . Go to:Many Doctors are familiar with the Epley Maneuver, which is one Canalith Repositioning Maneuver used to treat the most common presentation of BPPV. You can feel better when the. , Figs. The habitual sleep side was associated with the side affected by BPPV. Conclusion Neither the Epley maneuver nor BD exercise has an immediate therapeutic effect in treating PC-BPPV-cu. If successful, your vertigo symptoms should be clear rapidly within a day or two. Overall, the Foster maneuver is a logical maneuver from the biomechanics, and should be as good as the Epley or Semont. Each one. Practically, it is often tried when the Epley maneuver fails. The Epley Maneuver for BPPV Particle Repositioning. HOME EPLEY MANEUVER The Epley and/or Semont maneuvers as described above can be done at home (Radke et al, 1999; Furman and Hain, 2004). In a previous study, three SM per day with self-treatment were performed and after 1 week 58% of patients were cured . Fifty consecutive adult patients with pc-BPPV, based on a positive Dix–Hallpike test (DHT), were treated with the Epley maneuver and retested. . 38, 95% CI 4. Since other studies showed. Tilt yourself backward until you are lying on your back. Invented by John Epley, MD, developer of the Epley Maneuver for treating benign paroxysmal positional vertigo (BPPV), the Omniax System is the first device to offer caregivers the ability to detect, differentiate, treat, and manage balance and dizziness disorders, Werner says. The Epley maneuver is one of the most effective canalith repositioning procedures for treatment of posterior canal benign paroxysmal positional vertigo. A single 10- to 15-minute session usually is all that is needed. Perform Dix-Hallpike maneuver first to determine which side and what maneuver to use to treat BPPV: demonstrates how the E. 1-5 In a com-parative study, the Epley procedure and the Semont maneuver were found to be equally effective with response rates of 90 to 95% after one or two. The procedure relieves vertigo in about 80% of people after one or two treatments. Practically, it is often tried when the Epley maneuver fails. Benign paroxysmal positional vertigo (BPPV) is caused by calcium carbonate debris (otoconia) which becomes dislodged from a small organ in your inner ear cal. 36%, p=0. This video demonstrated the. 1-, Benign paroxysmal vertigo in ICD-10) that is caused by small calcium carbonate stones that have moved from the vestibule of the inner ear. The Home Epley Manoeuvre is a method of treating BPPV. The procedure uses several simple head movements. The patients sleeping on their affected side had a higher recurrence rate than those sleeping in other positions in first week after the repositioning maneuver. Fifty consecutive adult patients with pc-BPPV, based on a positive Dix-Hallpike test (DHT), were treated with the Epley maneuver and retested after 2 days. Dr. Residual dizziness after successful repositioning maneuvers for idiopathic benign paroxysmal positional vertigo in the elderly. In these. Practically, it is often tried when the Epley maneuver fails. The Epley manoeuvre is easily performed in the. Home Epley Manoeuvre Information for patients What is the Home Epley Manoeuvre? The Home Epley Manoeuvre is a method of treating BPPV. Read More. . Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). Yes, it is normal to feel sick after performing the Epley maneuver. The manoeuvre will most likely cause dizziness and so should be performed in a safe environment. Epley maneuver is an exercise that can treat the symptoms of benign paroxysmal positional vertigo (BPPV). Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear ( 0:23 ). Individuals in the Semont-plus maneuver treatment group reported an average of 2 days (95% CI, 1. than the Epley. For several days after treatment, do not sleep on the side that triggers symptoms. The procedure is usually effective. The patient is then guided to lie downCONCLUSIONS: Based on the current studies, modified Epley maneuver is superior to modified Semont maneuver in quicking relief posterior canal benign paroxysmal positional vertigo symptoms, but the long-term efficacy, recurrence rate and incidence of adverse reactions had no significant difference. Introduction. The total number of Epley manoeuvres required ranged from one to five. The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. The Epley manoeuvre was introduced in 1980 by John Epley as a less invasive method to treat the symptoms of BPPV. You can learn more about these exercises in our “Home Remedies for BPPV” post here. Therapeutic: Epley Maneuver. If the person prefers treatment: Offer a particle repositioning manoeuvre, such as the Epley manoeuvre. Procedure Code: 95992 Canalith repositioning procedure(s) (e. Explain that treatment may help the person's symptoms resolve more quickly. Epley's maneuver will be repeated until symptomatic relief. Risks. The patient should be kept in the final, facedown position for about 10 to 15 seconds. Helpful information for better health for Canadian. The canalith repositioning procedure can treat benign paroxysmal positional vertigo (BPPV), which causes dizziness when you move your head. In general, Brandt-Daroff exercises are less effective than particle repositioning maneuvers. Jeff Walter, PT, DPT, NCS demonstrates how to a Modified Epley Maneuver, as well as alternatives for patient positions. Now available – Overcoming Positional VertigoDr. It has a cure rate of roughly an. For those that do not resolve spontaneously a variety of canalith repositioning maneuvers, of which the Epley maneuver is most common, are highly efficacious. Method. Epley begins after the last step of the Dix Hallpike; Patient remains in the position with exacerbated nystagmus for approximately 1–2 minutes. You can do this exercise at home. Otolaryngol Head Neck Surg 2014; 151:399. For the right, start on the right rather than left. While CRP has been advocated by some as a "single treatment" for BPPV, others have had less uniform results for this self-limited disorder. The Epley maneuver is a simple, noninvasive approach to treating benign paroxysmal positional vertigo (BPPV), a specific type of vertigo. This is a simple treatment that involves you turning your head in a series of movements. 5 Almost 85% to 95% of cases of BPPV arise in the posterior semicircular canal (PC-BPPV). Thirty-three patients (47 per cent) were asymptomatic following one Epley manoeuvre. Dix-Hallpike maneuver positive. The course will include a BPPV treatment-related question-and-answer. Manuver yang diperkenalkan pertama kali oleh Dr. . Epley maneuver. Given his clinical presentation and his favourable response to the Epley maneuver, we discharged the patient home with no medication. You should start the epley manuever with your head tilted 45 degrees toward the worse side. This video is of a modified Epley maneuver that is simple and can be performed at home for vertigo, or benign paroxysmal positional vertigo. The Epley maneuver is an exercise you can do at home to dislodge calcium crystals in the inner ear that cause dizziness. These are just some personal observations from someone who has done somewhere between 10 to 20,000 Canalith Repositioning Procedures. Without changing your head position, the doctor will guide you back quickly so. Vestibular Rehabilitation: Epley Maneuver for the Left Ear - 2 - 3. Go to: Continuing Education Activity Patients with benign paroxysmal positional. The Epley maneuver and other bedside physical therapy maneuvers and exercise programs can help reposition the crystals from the semicircular canals. Licensed under Creative Commons BY-SA 4. Patients were subdivided in two groups. e. 93. Prof. Vertigo is the feeling that you are spinning or that everything is spinning around you. The Epley maneuver can be used by anyone to treat benign paroxysmal positional vertigo (BPPV), which causes dizziness when you move your head. Danielle Tate, PT, DPT uses this short video to walk you through how to safely and accurately perform a Right Epley Maneuver at home to resolve position. This type of vertigo often arises from the inner ear, which is part of the body's balance mechanism. 6% recovered after a second modified Epley’s maneuver 2 hours after the first modified Epley’s maneuver, making a total of 74. Take the full BMJ Learning module on vertigo: Epley manoeuvre can also be diagnostically helpful because repeated treatment failures. Collectively called the Epley maneuver, they move the ear crystals back into place, and are easy to do on a bed or the floor. My name is Victor and I reside in Singapore. While symptoms can be troublesome, the disorder usually responds to. Examination performed by Professor Henry Pau. Here is a step-by-step description of the Epley maneuver to treat right-sided posterior canal involvement (for the left side, the same steps should be followed with the head turned to the opposite direction): Seat the patient on a table or couch. You can do this exercise at home. The Epley maneuver is a series of movements, normally carried out on a person by a doctor, to relieve the symptoms of BPPV. Head position maneuvers. Sometimes the maneuver can move the debris from one inner ear canal to another. Canalith repositioning maneuvers. They are done with the help of a doctor or physiotherapist. Body restrictions following successful repositioning maneuver has no impact on recurrence. La maniobra de Epley y la maniobra de Semont son ejercicios que se usan para tratar el . The exercise helps to reposition the crystals in the semi-circular canals of your inner ear to relieve the spinning sensations of vertigo. The Epley Maneuver is simple to perform with the help of a doctor of physical therapy. This type of vertigo often arises from the inner ear, which is part of the body's balance mechanism. Extend the neck just enough so that the downward ear is below the shoulder. Background: The Epley maneuver is generally considered to be the preferred initial treatment for canalithiasis of the posterior semicircular canal. It is most commonly attributed to calcium debris within the posterior semicircular canal, known as canalithiasis. , a. This case, in which a patient experienced a hemorrhagic stroke after undergoing the Epley maneuver, is the first and sole case in the medical literature of an Epley-associated serious adverse event. Some people are using Internet videos to self-treat the condition at home using a maneuver called the Epley maneuver. 93. HOME EPLEY MANEUVER (the best home treatment maneuver) Home Epley Maneuver for the left ear These are the positions for the left Home Epley. Brandt Daroff exercises can also be done to help decrease the dizziness and vertigo caused by BPPV. The Epley manoeuvre is used to treat BPPV (usually of the posterior canal) once it has been diagnosed by the previously mentioned Dix-Hallpike test. The Epley maneuver consists of a series of slow. . Your semicircular canals are found inside your ear. g. The exercises involve sitting on your bed and moving into a. The Epley manoeuvre was introduced in 1980 by John Epley as a less invasive method to treat the symptoms of BPPV. A common procedure used by physical therapists and some doctors is what’s called the Epley maneuver. The treatment for that is to put the head in different positions to move those crystals back into the part of the ear that they belong. Appointment Request. The goal is to move particles from the fluid-filled semicircular canals of your inner ear into a tiny baglike open area (vestibule) that houses one of the otolith organs in your ear, where these. . Other treatments include the Half-Somersault or Foster Maneuver or the Brandt-Daroff Exercise. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. Epley Maneuver to treat positional vertigo of the posterior canal. The Epley maneuver utilizes gravity to displace the otoconial debris from the posterior semicircular canal back into the vestibule as the patient is moved successively through a series of head positions (Table 1. Danielle Tolman, PT takes the time to show you how to perform an Epley Maneuver at home to treat Benign Paroxysmal Positional Vertigo (or displaced cryst. The head and body positions are changed in the. 5. Requirements: a bed or table that can be accessed. Setelah selesai melakukan langkah-langkah dari manuver Epley tersebut, ubah posisi terakhir Anda dengan amat sangat perlahan ke posisi duduk atau posisi rebahan yang nyaman. Nausea and vomiting. The Epley maneuver, or canalith repositioning procedure (CRP), was invented by John Epley. The Epley manoeuvre (canalith repositioning) can be used to treat posterior canal benign paroxysmal positional vertigo (BPPV). The organ responsible for balance is located inside your ear. Use this video to guide you through the epley maneuver at home! This is a great technique to use for benign paroxysmal positional vertigo. Du bliver herefter hurtigt ført. 4, 95% CI 2. Animation showing what is. The. Epley maneuver adalah prosedur yang diperkenalkan oleh dr. 11, Benign paroxysmal positional vertigo) caused by small calcium carbonate stones that have moved from the vestibule of the inner ear into the semicircular canals, where your sense of balance rests. 4. Experts believe that BPPV occurs when the calcium deposits which normally reside in surrounding structures make their way into the semicircular canals of the inner ear. 8 percent required only one treatmentWhile you are lying down, quickly turn your head 90 degrees to the opposite side (in this case the left). . Answer: The Epley maneuver is a simple but time-consuming treatment for a certain form of vertigo (386. 7 In resistant cases and/or cases with suspicion of. Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). These positions are held for at least 30 seconds or longer till the patient experiences the symptoms; following the episode of having symptoms, the patient will have to stay in the same position for an extra 30 seconds more till the symptom subsides. The Epley maneuver is an exercise performed to treat a type of vertigo called benign paroxysmal positional vertigo. It has a cure rate of roughly an 80%. These are head movements that correct the inner ear problem that causes BPPV.