Vestibular suppressants and surgery are reserved for patients with intractable or severely-disabling BPPV. Background This is the first case to our knowledge of a serious adverse event following the Epley maneuver, which is the treatment of choice for benign paroxysmal positional vertigo (BPPV), the most common vestibular disorder in adults. Among 25 case patients, 18 (72) recovered from vertigo immediately after the Epley maneuver and 23 (92) patients recovered from vertigo at first week of followup. Vestibular rehabilitation may be used as an adjunct to ( CRM). Canalith repositioning maneuvers ( CRM), such as the Epley maneuver, are the preferred treatment of BPPV. 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.g., Dix-Hallpike test). Subjects performed exercises twice while observed. 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. The primary symptom of BPPV is episodic vertigo that lasts < 1 minute, triggered by sudden changes in head posture in relation to gravity (e.g., bending forwards, rapidly standing up). Benign paroxysmal positional vertigo (BPPV) frequently recurs after treatment, so a home exercise would be desirable. BPPV is the most common cause of peripheral vertigo. There was a variability of 39-65° in head orientation measured without the guidance system. Benign paroxysmal positional vertigo (BPPV) is a common disorder of the inner ear thought to be caused primarily by otoconia (canaliths) dislodging and migrating into one of the semicircular canals, most commonly the posterior semicircular canal, where it disrupts the endolymph dynamics. The trained examiners demonstrated a large variability in head orientation during the Epley maneuver, which was reduced by using the benign paroxysmal positional vertigo guidance system.
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