To conduct this exercise, a person can follow these steps: Sit upright on the edge of a bed. . . Surgery. The Epley maneuver involves sequential movement of the head into four positions, staying in each position for roughly 30 seconds. If they remain, your PT may choose to have you perform a different exercise called the Epley maneuver. Gerakan atau manuver Epley sering menjadi. I tried epley manuever beginning from my right side. , a. The Epley and Semont maneuvers are exercises used to treat benign paroxysmal positional vertigo (BPPV). Document ID: Home Epley Maneuver (Rev. In our study with nine SM maneuvers per day, 57% were cured after only 2 days; after 1 week of. The popular Epley maneuver is designed to move the canalith debris out of your semicircular canal and into the inner ear, where it won’t trigger vertigo symptoms. The Semont maneuver is used to reposition the calcium crystals in your vestibular system. The Semont maneuver is not currently favored in the United States, perhaps because the high velocity can be anxiety provoking, but it is just as effective as the favored "Epley", being 90% effective after 4 treatment sessions. Illustration of a modified Epley maneuver for self-treatment of posterior canal benign paroxysmal positional vertigo. Epley JM. If they remain, your PT may choose to have you perform a different exercise called the Epley maneuver. Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. The maneuver is also called the particle (canalith) repositionin. If you have vertigo, stay in this position until it stops. BPPV is a physical disorder caused by displacement of otoconial debris, the mainstay of treatment involves a repositioni. Pediatrics 35 years experience. In general, Brandt-Daroff exercises are less effective than particle repositioning maneuvers. In addition it regulates alertness via cerebral H1 receptors. . BPPV is often treated with the Epley maneuver, head movements that can shift fragments out of the ear canals. BPPV can be confirmed by the Dix-Hallpike positional test. There are procedures for horizontal canal BPPV, but with lower success rates. m. Famous Physical Therapists Bob Schrupp and Brad Heineck bring in a patient who is suffering from Vertigo and perform the Epley Maneuver on her. In order to better define the role of CRP in relieving vertigo, we studied the. Introduction. Wait 30 seconds. HOME EPLEY MANEUVER (the best home treatment maneuver) Home Epley Maneuver for the left ear These are the positions for the left Home Epley. This manoeuvre is done with the assistance of a doctor or physiotherapist. 에플리 법(Epley maneuver)는 의사가 할 수 있고 혹은 집에서 증상을 완화하기 위해서 BBPV(양성자세현훈)이 있는 사람이 할 수 있습니다. [ Read More ] coding question. Background: The Epley maneuver is generally considered to be the preferred initial treatment for canalithiasis of the posterior semicircular canal. . Practically, it is often tried when the Epley maneuver fails. 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. 32 to 35. Description 1. The Epley Maneuver for BPPV Particle Repositioning. They are done with the help of a doctor or physiotherapist. Dr. . Semont maneuver. 4327 F: 813. Epleys manøvre består af 4 simple steps og gentages om nødvendigt flere gange indtil svimmelheden er borte. The technique for left-sided posterior canalithiasis involves having a seated patient turn their head 45° to the left. Brandt-Daroff exercise. Lo acostará rápidamente de espaldas con la cabeza en la misma posición un poco más allá de la. Canalith repositioning. 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. This maneuver is done with the assistance of a doctor or physical therapist. Lightheadedness. 38, 95% CI 4. g. Place a pillow or folded blanket on the bed. Guidelines from the American Academy of Neurology recommend a series of specific head and body movements for BPPV. The Semont maneuver is not currently favored in the United States, perhaps because the high velocity can be anxiety provoking, but it is just as effective as the favored "Epley", being 90% effective after 4 treatment sessions. . If the person prefers treatment: Offer a particle repositioning manoeuvre, such as the Epley manoeuvre. Epley previously described nystagmus characteristics and his clinical experience of diagnostic posture (). The Epley manoeuvre has been shown to improve the symptoms of BPPV. Traumatic cases are prone to develop more recurrences than idiopathic cases and have lower rate of symptom resolution. The exercise helps to reposition the crystals in the semi-circular canals of your inner ear to relieve the spinning sensations of vertigo. Hydration. Epley maneuver. However, there are actually twelve different presentations of BPPV with ten different patterns of nystagmus and a minimum of ten different treatment maneuvers required to manage all. Body restrictions following successful repositioning maneuver has no impact on recurrence. Una sola sesión de 10 a 15 minutos suele ser todo lo que es necesario. Canalith repositioning maneuvers (most commonly the Epley maneuver Epley maneuver: A simple treatment for a common cause of vertigo or, less commonly, the Semont, maneuver or Brandt-Daroff exercises) involve moving the head through a series of specific positions intended to return the errant canalith to the utricle. You can learn more about these exercises in our “Home Remedies for BPPV” post here. This is called vertigo. The manoeuvre usually provokes brief vertigo. For two, the duration was shorter and dizziness was less severe, according to VAS scores, than before treatment. He suggested that half Hallpike maneuver can provoke persistent up and. The manoeuvre will most likely cause dizziness and so should be performed in a safe environment. The Epley maneuver is a simple sequence of positions that helps manage dizziness associated with benign paroxysmal positional vertigo or BPPV. 4329 Hours: M-F 8:00 a. The home Epley maneuver is similar. Overall, the Foster maneuver is a logical maneuver from the biomechanics, and should be as good as the Epley or Semont. His audience of ear surgeons muttered skeptically and shook their heads. 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). 36%, p=0. Epley maneuver has greater success rate than Semont maneuver in patients with PC BPPV. Patient Portal. Benign paroxysmal positional vertigo (BPPV) is caused by a problem in the inner. When medicine and other therapies are unable to control your symptoms, you may need surgery. In these. Roll onto your left side with your nose pointed down at a 45 degree angle toward the floor. The movements are specifically designed to use gravity to dislodge the crystals from the semi-circular canals and return them to where they belong, treating the symptoms of vertigo. Methods: We conducted a systematic review of systematic reviews to summarize the evidence of. Stay in this position until your dizziness passes, and. Epley maneuver. Dix-Hallpike maneuver positive. If you have developed dizziness due to vertigo, then you understand how devastating this problem. Dr. Kristen Janky, Au. Vertigo is the feeling that you are spinning or that everything is spinning around you. Similarly, a "reverse Semont" maneuver has been suggested. The Epley manoeuvre (canalith repositioning) can be used to treat posterior canal benign paroxysmal positional vertigo (BPPV). Referrals. Learn how to perform the Epley Maneuver, a simple and effective treatment for benign positional vertigo, a common cause of nausea and dizziness. 2), whereas the Semont liberatory maneuver utilizes both inertial and gravitational forces as the patient is briskly moved down on the. The Epley maneuver is designed to treat the most common variant, posterior canal BPPV. Maintaining the position of the head, ask the patient to roll. They detect motion and send. Learn more about the causes, risks, and steps of this treatment. After Epley maneuver treatment, the patient may begin walking with caution. Epley's maneuver will be repeated until symptomatic relief. Roll onto your right side with your nose pointed down at a 45 degree angle toward the floor. A recent meta‐analysis identified seven randomised, controlled trials on Epley's manoeuvre in clearly defined cases of PC‐BPPV that required the absence of nystagmus during positioning tests for a positive outcome. We often recommend the home-Epley to our patients who have a clear diagnosis. It won't do you any real harm but it can make you feel a lot worse. 2 and 3), raising questions about the effectiveness of the treatment as a repositioning maneuver. The Epley Maneuver is a particle repositioning maneuver that involves sequential movement of the head into four positions, staying in each position for approximately 30 seconds. Here are the steps for the exercises. The Epley maneuver is one of the most effective canalith repositioning procedures for treatment of posterior canal benign paroxysmal positional vertigo. She is currently on anti-nausea and anti-motion-sickness medication, but. Fifteen minutes after completion of the Epley maneuver, repeat Dix–Hallpike testing of the patient’s left ear found no vertigo or nystagmus. 7 In resistant cases and/or cases with suspicion of. eBooks. My name is Victor and I reside in Singapore. This c The home Epley maneuver is a type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). I følgende eksempel drejer det sig om ørestenssvimmelhed i højre balanceorgan. The Epley manoeuvre is easily performed in the clinic,Epley maneuver. Dr. Watch Dr. Fifty consecutive adult patients with pc-BPPV, based on a positive Dix–Hallpike test (DHT), were treated with the Epley maneuver and retested. Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Adequate amount of sleep. The recurrence rate for BPPV after these maneuvers is. Epley Maneuver Chi-Tam Nguyen; Mark Basso. . . 1. After you go home: For the rest of the day, do not bend over. 9% for Epley, 78. Epley maneuver. A veces, estos cristales se desprenden del utrículo y terminan dentro de los canales semicirculares. Licensed under Creative Commons BY-SA 4. From Physical therapists Bob Schrupp and Brad Heineck demonstrate how to perform the Epley Maneuver. 0. 4. 4) for a NNT of 3. . John Epley designed a series of movements to dislodge the crystals from the semicircular canals. The Epley maneuver is a series of movements, normally carried out on a person by a doctor, to relieve the symptoms of BPPV. Few at the October 1980 meeting in Anaheim, Calif. Epley maneuver or the modified liberatory maneuver, CRP involves sequential movement of the head into four positions, with positional shifts spaced roughly 30 seconds apart (Figure 2a and 2b). The maneuver is done by following the clockwise order of the red arrows below. [Efficacy of Epley maneuver in treatment of benign paroxysmal positional vertigo of the posterior semicircular canal]. lily65668 mwils. Since other studies showed. Maneuvers will be repeated until the nystagmus and vertigo becomes absent on Dix-Hallpike test or side-lying test. Introduction. Few at the October 1980 meeting in Anaheim, Calif. BPPV is caused by a problem in the inner ear. , Epley maneuver, Semont maneuver) ICD-10-CM CODES THAT SUPPORT MEDICAL NECESSITY: 1. Dix-Hallpike maneuver negative(Otolith Repositioning; Epley Maneuver; Semont Maneuver, Lateral canal repositioning maneuvers) Indications 1. You can do this exercise at home. Discuss the option of watchful waiting to see whether symptoms settle without treatment. Tampa Bay Hearing & Balance Center 5 Tampa General Cir STE 610 Harbourside Medical Tower Tampa, FL 33606-3659 P: 813. Tampa Bay Hearing & Balance Center 5 Tampa General Cir STE 610 Harbourside Medical Tower Tampa, FL 33606-3659 P: 813. Perform Dix-Hallpike maneuver first to determine which side and what maneuver to use to treat BPPV: demonstrates how the E. There are alternative manoeuvres that can be used to treat BPPV, such as the Epley manoeuvre. For several days after treatment, do not sleep on the side that triggers symptoms. Research has found it to be an easy, safe, and effective treatment for. This vertigo sensation can range from mild to severe and may last seconds, or up to 1 minute. 2011-02-22) Home Epley Maneuver n y s 713-486-5000. Medicare is denying claim because 95992 is to be bundled is there any. Some people may find it difficult to get intosome of the positions advised and if this is causing pain please do not proceed. Semont Maneuver for Vertigo. The Epley Maneuver for Vertigo can be very effective at relieving vertigo symptoms, but it’s a procedure that should be performed by a physical therapist or. Epley maneuver has greater success rate than Semont maneuver in patients with PC BPPV. The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. Repeat once a day until you don’t experience symptoms for 24 hours. This maneuver involves a series of head movements that help. Reverse Epley Maneuver. The patient is then rolled over (in stages, pausing for about half a minute in each position. La maniobra de Epley y la maniobra de Semont son ejercicios que se usan para tratar el . The Brandt-Daroff. After treatment with the Epley maneuver, only four patients had nystagmus. The crystals can then be repositioned to get rid of the vertigo. 64-2. Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear (1:13) as well as left ear (3:17). History (one or more required) Description of paroxysmal vertigo or unsteadiness Vertigo, typically lasting less than a minute, usually associated with lying down, sitting up, turning side to side in bed, or any significant movement of the head and. The procedure relieves vertigo in about 80% of people after one or two treatments. . These manoeuvres are commonly used to aid. The Epley maneuver. The authors compared the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in 70 patients with posterior canal benign paroxysmal positional vertigo. 1 One small trial reported that 36. The recurrence rate for BPPV after these manoeuvres isReinink H, Wegner I, Stegeman I, Grolman W. . Background: Canalith repositioning maneuvers (such as the Epley maneuver) are recommended by specialty guidelines for management of benign paroxysmal positional vertigo (BPPV) yet are frequently underutilized in the emergency department (ED). 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 Epley maneuver is often recommended by chiropractors or physical therapists as a way of treating vertigo at home. Read More. Experience the relief you need from vertigo with these simple exercises and the Epley Maneuver! Benign Paroxysmal Positional Vertigo (BPPV) can disrupt your. 2 Outcome assessment, however,. Epley Maneuver for Vertigo To perform the epley maneuver, you should sit on the edge of your bed and turn your head 45 degrees to the side of the ear your vertigo stems from (either the right or. There are also slightly different versions that you can do on your. Animation showing what is. Of the patients, 67. Li JC. The home Epley maneuver is a type of exercise. Semont-Toupet maneuver. The Epley manoeuvre is easily performed in the. When your head is firmly moved into different positions, the crystal debris (canaliths) causing vertigo will move freely and no longer cause symptoms. La maniobra de Epley en casa solamente funciona para tratar el vértigo de VPPB. At 1 week after the Epley maneuver, three patients still showed positive Dix‐Hallpike test. Conclusion Neither the Epley maneuver nor BD exercise has an immediate therapeutic effect in treating PC-BPPV-cu. Nausea and vomiting. Your specialist may perform the Epley manoeuvre with you in clinic and then recommend Brandt-Daroff exercises for you to use at home, as these are easier to perform unsupervised. 0. . If at first it doesn’t help, below are some tips to improve the odds of success. The home Epley maneuver is a type of exercise help that helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV), a problem in your inner ear. BPPV is caused by a problem in your inner ear. The Epley maneuver is positional, not positioning. Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Performed in your doctor's office, the canalith. Stay in this position until your dizziness passes. There may be other. Your head should still be at a 45-degree turn. Clinicians perform the classical Epley maneuver while patient self-treatment is the modified Epley maneuver. To investigate whether reported vertigo during the Epley maneuver predicts therapeutic success in patients with benign paroxysmal positioning vertigo of the posterior semicircular canal (pc-BPPV). For BPPV, the most common type is unilateral posterior semicircular canalithiasis—free floating otoliths in the posterior semicircular canal in one ear. 436) and the decrease of mSPV and DHI. g. 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. BPPV patients had a poor compliance to postural instructions. Your head should be about midway between looking straight ahead and looking out to your side. Su médico o fisioterapeuta le guiará a través de los movimientos. Semont manoeuver (also called the liberatory maneuver) (2)DizzyFIX allows you to do the same exercise at home. 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 . Results: The simulation showed that the supine head-hanging test is a good test for diagnosis of ac-BPPV affecting both labyrinths and demonstrated why there. Medical therapy or vestibular exercise is not an. Tilt yourself backward until you are lying on your back. Since then, many. Perform Dix-Hallpike maneuver first to determine which side and what maneuver to use to treat BPPV: demonstrates how the E. These movements bring the crystals back to the utricle, where they belong. The mean success rate was high in all three categories: 75. This is a canalith repositioning exercise that may help treat BPPV. Maniobra de Epley en casa. Draws´ Buch über Lagerungsschwindel: Vorführung des Epley-Manövers für die linke Seite. Epley maneuver. Canalith repositioning, also known as the Epley maneuver, is a technique that involves a series of special head and body movements. 3% of patients recovering within 2 hours. maneuver and observation of classic BPPV findings. BPPV is characterised by brief episodes of vertigo related to rapid changes in head position. Dr. Ini merupakan. The most common treatments are the Epley Maneuver and the Semont Maneuver. The movements are specifically designed to use gravity to dislodge the crystals from the semi-circular canals and return them to where they belong, treating the symptoms of vertigo. (A) The patient's head was turned 45° to the affected side in the sitting position. A single 10- to 15-minute session usually is all that is needed. In BPPV, calcium crystals can be dislodged from elsewhere and enter the semi. Shift your whole body (including your head) to the left. Now available – Overcoming Positional VertigoDr. When. The Semont maneuver involves moving the patient rapidly from lying on one side to lying on the other. Epley maneuver. The original Epley maneuver was designed to be done with a healthcare provider. John Epley. The American Academy of Neurology and American Academy of Otolaryngology has given this technique a Level A Recommendation and clinical benefit demonstrated in a systematic review [6]. Canalith repositioning maneuvers. Much like the Epley Maneuver is a continuation of the Dix-Hallpike Test, this therapeutic maneuver is a continuation of the Sidelying Test. This is less common in the U. This video demonstrated the technique for right side. Use this video to guide you through the epley maneuver at home! This is a great technique to use for benign paroxysmal positional vertigo. All ICD-10-CM codes listed below may be viewed as medically necessary. Canalith Repositioning (CRP), more commonly referred to as the Epley maneuver, has become the “go to” treatment for the complaint of positional vertigo. Developed by the American Academy of Neurology, the guideline "Therapies for benign paroxysmal positional vertigo (an evidence-based review)" was published M. Epley Maneuver. The Epley maneuver is used to reposition BPPV crystals. John Epley created the procedure in 1979, and published his first report on its effectiveness in 1992. 5 Almost 85% to 95% of cases of BPPV arise in the posterior semicircular canal (PC-BPPV). There are physical positions -- collectively known as the Epley Maneuver -- that can be done to help alleviate the vertigo symptoms almost immediately, accor. These are head movements that correct the inner ear problem that causes BPPV. 4327 F: 813. The Epley maneuver works because it involves moving your head into different positions firmly, so that the crystal debris that causes vertigo moves to an area of the inner ear. Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear (0:23). Both back and. The canalith repositioning procedure can move these particles to a part of the ear where they won't cause dizziness. The Epley manoeuvre is used to treat the commonest type of BPPV, where the chalk crystals are free-floating in the posterior ear canal. The Epley manoeuvre (canalith repositioning) can be used to treat posterior canal benign paroxysmal positional vertigo (BPPV). BPPV stands for Benign Paroxysmal Positional Vertigo and essentially with BPPV, crystals from the ear get dislodged and displaced into a different part of the inner ear. The canalith repositioning maneuver (CRP) was coined by Dr. The home Epley maneuver is similar. It has a cure rate of roughly an 80%. The Epley maneuver is a series of movements your doctor may use to treat your vertigo. Explain that treatment may help the person's symptoms resolve more quickly. Individuals in the Semont-plus maneuver treatment group reported an average of 2 days (95% CI, 1. The Epley maneuver is also called the particle repositioning or canalith repositioning procedure – it was invented by Dr. anytime. Invented by Otolaryngologist, Matthew Bromwich MD, the DizzyFIX is a wearable, visual guidance tool that has been clinically proven to teach anyone how to perform the Particle Repositioning Maneuver, at home, with the same results as having it done in the office or clinic by a. Modified from: Radtke A, Neuhauser H, von Brevern M, Lempert T. Epley maneuver: Step 1. Neurology. Stay in this position for 30 seconds again. The first maneuver was carried out immediately after neurotologic assessment. Additional instructions: Always wait at least 15 minutes between maneuvers to a llow particles to settle. Helpful information for better health for Canadian. Given his clinical presentation and his favourable response to the Epley maneuver, we discharged the patient home with no medication. Records Review Request. 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. Manuver Epley adalah prosedur sederhana yang dapat membantu dalam mengatasi gejala benign paroxysmal positional vertigo (BPPV). They detect motion and send this information to your brain. If you were diagnosed with BPPV it is very possible that you have had this maneuver done either by a physical therapist, doctor or yourself. The Epley maneuver takes about 15 minutes to complete. Take the full BMJ Learning module on vertigo: Epley manoeuvre can also be diagnostically helpful because repeated treatment failures. For the quality restrictions and possible. Head position maneuvers. Candidates for the Epley maneuverGuneri and Kustutan14 found that 48 mg of betahistine daily, in addition to Epley maneuver, gave more effective results than Epley maneuver alone or combined with placebo in improving symptoms. A physical therapist or an audiologist also can do the maneuver, or you can even do it at home yourself. Epley maneuver: A Simple Treatment for a Common Cause of Vertigo. These are just some personal observations from someone who has done somewhere between 10 to 20,000 Canalith Repositioning Procedures. Steele demonstrate the Epley Maneuver-- an evaluation you can use on your patients today. Your doctor or physical therapist will guide you through the movements. Welche der Lagerungsschwindel Übungen. Our goal is to simplify BPPV for you. 315. 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. Two small RCTs found that modified Epley maneuvers (3 times daily until symptoms resolved. Home Epley manoeuvre BPPV can usually be cured using the home Epley manoeuvre. When your head is firmly moved into different positions, the crystal debris (canaliths) causing vertigo will move freely and no longer cause symptoms. Traumatic cases are prone to develop more recurrences than idiopathic cases and have lower rate of symptom resolution. They are done with the help of a doctor or physiotherapist. Dr. The home Epley maneuver can help you treat your vertigo caused by benign paroxysmal positional vertigo (BPPV). With the Dix-Hallpike maneuver, the eyes appear to jump (nystagmus) towards the affected ear, which is the ear closest to the ground. I suffer from BPPV and have been amazed how effective the Epley Maneuver has been in curing this problem. . Appointment Request. Answer: The Epley maneuver is a simple but time-consuming treatment for a certain form of vertigo (386. Your doctor may have moved you in different positions to help your vertigo get better faster. The Epley maneuver and the Semont maneuver are two very simple and effective repositioning procedures for the treatment of BPPV that is caused by crystals in the posterior semicircular canal. 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 Epley maneuver is a simple sequence of positions that help manage dizziness associated with benign paroxysmal positional vertigo or BPPV. 93. The Epley maneuver is an exercise performed to treat a type of vertigo called benign paroxysmal positional vertigo. It may be accompanied by other benign paroxysmal positional vertigo symptoms, including: Dizziness. Your provider may have treated your vertigo with the Epley maneuver. It consists of semi-circular canals which act like a gyro to detect motion. Animation showing what is going on withi. The exercises are usually repeated several times under the supervision of a doctor. Epley’s maneuver was used, without the mastoid vibrator or patient sedation. Epley manuver. Some people are using Internet videos to self-treat the condition at home using a maneuver called the Epley maneuver. Try Dix-Hallpike test to re-check the ear. I also started doing the Epley myself mid week. 64-2. The goal of the Epley maneuver is to try to reposition the crystals in a person’s ear that are causing symptoms such as dizziness and nausea. This maneuver can also be used with similar results to the Semont and Epley. Tampa Location. Crystal debris (canaliths) cause the vertigo. When I got Vertigo attack, the location was obvious for me because it kicks in when I turn my head to right. This maneuver is done with the assistance of a doctor or physical therapist. 2. Vestibular Rehabilitation: Epley Maneuver for the Right Ear - 2 - 3. 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. A follow-up telephone interview 2 weeks after the patient presented.