Rapid Systematic Review of the Epley Maneuver for Treating Posterior Canal Benign Paroxysmal Positional Vertigo

Abstract

All data of the selected studies show a benefit in favor of the Epley maneuver at 1-week follow-up in the management of p-BPPV. The Epley maneuver should be considered in all patients with p-BPPV.

Repositioning chairs in benign paroxysmal positional vertigo: implications and clinical outcome

“…One study reported cases of nausea and sweating associated with TRV treatment [22]. This is analogous with the complications caused by the manual Epley manoeuvre [1,38]. Among our cohort, there were two cases of anxiety conditions (claustrophobia) that prevented further management in the repositioning chairs.…”

“…Even specialists have difficulties in diagnosing and managing BPPV, which is unfortunate as the condition should be detected and treated as early as possible to eliminate the risk of persistent symptoms, mistakes in drug administration and comorbidities [26,36,37]. The high medical and society costs associated with insufficient or incorrect management of BPPV constitute another reason for putting effort in new promising approaches [1,38]. Only 55 % of our confirmed BPPV patients had BPPV as referral diagnosis indicating that manual manoeuvres performed by physicians and even otorhinolaryngologists are highly inadequate in ensuring correct diagnosis.…”

Efficacy of computer-controlled repositioning procedure for benign paroxysmal positional vertigo

“…EM is a highly effective treatment for PC‐BPPV, which is supported by evidence‐based clinical practice guidelines, systematic reviews, and meta‐analyses . However, some patients are difficult to treat with classic manual EM.…”

“…Although BPPV is a self‐limiting disease with a favorable prognosis, persistent untreated BPPV may impact function, health, and the quality of life of patients, and also may leave patients, especially the elderly, with a high risk of falls . Therefore, patients can benefit from prompt treatment of BPPV …”

Effects of balance Vestibular Rehabilitation Therapy in elderly with Benign Paroxysmal Positional Vertigo: a randomized controlled trial

“…[8,45] Dizziness has a strong negative influence on quality of life of the patients who suffer from BPPV. [46] No differences were found on DHI domains between groups which reiterates that Epley maneuver effectively ameliorates vertiginous symptoms, [13,18,47] the major cause for decline in quality of life of BPPV patients. [10] In this study, physical subscale (e.g., to look up and to turn over in bed) was most affected by vertigo, followed by functional (e.g., to travel for business or recreation and to go for a walk without help) and emotional (e.g., to feel frustrated or embarrassed in front of others and to be afraid people might think someone is intoxicated) subscales, which corroborated findings from clinical trials with middle-aged subjects [6,10,16] adjusted by number of question in each one.…”