The Epley maneuver for canalith repositioning is a strategy used for benign paroxysmal positional vertigo (BPPV). It is often used for vertigo sufferers with a diagnosis of BPPV (using the Dix-Hallpike) . A version of the maneuver called the "modified" Epley is more popular recently. The Epley maneuver is named after Dr. John Epley who first described this canalith repositioning maneuver in 1980.
The sequence of positions of the Epley maneuver are:
The patient starts out in an upright sitting position, and the head turned 45 degrees towards the affected side.
The patient then quickly lies down backwards with the head held approximately in a 30 degree neck extension (Dix-Hallpike position) where the affected ear faces the ground.
Stay in this position for approx. 30 seconds.
The head is then turned 90 degrees to the opposite direction so that the unaffected ear faces the ground, all while maintaining the 30 degree neck extension.
Hold this position for approximately 30 seconds.
Keeping the head and neck in a fixed position, the individual rolls onto their shoulder, in the direction that they are facing.
Retain in this position for approx. 30 seconds.
To finish, the personl is slowly brought up to an upright sitting position, while keeping the 45 degree rotation of the head.
Stay in the sitting position for up to 30 seconds.
The entire sequence should be repeated two more times, for a total of three times.
You many experience temporary dizziness during this procedure.
Dizziness is usually described as feeling unsteady, light headed, or the feeling that the room is spinning. Normally this sensation usually quickly goes away with no lingering effects
Vertigo sufferers experience this kind of sensation on a regular basis to varying degrees.
Subjective vertigo is when you feel that you are the moving object. If on the other hand you experience that objects around you are in motion then this is called objective vertigo. Vertigo can cause issues with walking or standing ans impact ones daily activities and lifestyle.
Drug therapy is one approach to alleviation of vertigo symptoms. Some sufferers have even undergone surgery.
Disorders of the the inner ear are often associated with vertigo.
BPPV is a common type of vertigo. Benign paroxysmal positional vertigo can result from ear infection or a head injury. The inner ear canal contains fluid in which small particles are floating, your body's balance system detects the moving particles and could interprets this as movement even when you are not moving.
This kind of Vertigo can usually be improved and there are exercises you can learn to alleviate the symptoms.
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