You stand in your bare feet on a platform and try to keep your balance under various conditions. This test tells your doctor which parts of the balance system you rely on the most and which parts may be giving you problems. If your doctor suspects your vertigo is caused by benign paroxysmal positional vertigo, he or she may do a simple head movement test called the Dix-Hallpike maneuver to verify the diagnosis. And you may be given an eye motion test in which water or air is placed in your ear canal. Your doctor may watch the path of your eyes when you track a moving object. You may also need a hearing test and balance tests, including: Efficacy of particle repositioning maneuver in BPPV: A prospective study. Simhadri, S., Panda, N., & Ranghunathan, M., (2003, November).Canadian Medical Association Journal, 169(7), 681-693 Diagnosis and management of benign paroxysmal positional vertigo (BPPV). Western Journal of Emergency Medicine, 10(4), 273-277 The clinical differentiation of cerebellar infarction from common vertigo syndromes. Cochrane Database of Systematic Reviews, 12 The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo (BPPV). You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. They should now roll onto their side in the direction their head is facing, holding this position until the dizziness stops.Again, the person should hold this position for 30 seconds to 2 minutes, until their dizziness stops. They should then turn their head 90 degrees in the other direction and stop when it is 30 degrees from the bed on the other side.They should stay in this position for 30 seconds to 2 minutes, until their dizziness stops. Lie down, keeping their head turned to the side and lifted at a 30-degree angle away from the bed.Sit up in bed with the legs extended in front of them and turn their head 45 degrees to the side that they are experiencing the most dizziness.Once a person has had the Epley maneuver performed by a doctor, they may want to repeat the process at home if they have further symptoms.Ī person experiencing BPPV symptoms can follow these steps to gain relief at home: It is best for a doctor to carry out the Epley maneuver if the person experiencing BPPV has not used this method before. Steps of the Epley maneuver carried out at home The whole process is repeated up to three times, until the person’s symptoms are relieved.Finally, the doctor brings the person back up to a sitting position.The doctor holds the person in this position for between 30 seconds and 2 minutes, until their dizziness stops. The side that they experience the worst vertigo on will be facing upwards. Next, they roll the person in the same direction that they are facing, onto their side.Again, the doctor holds the person in this position for between 30 seconds and 2 minutes, until their dizziness stops. Rotate the person’s head 90 degrees in the opposite direction, stopping when the opposite ear is 30 degrees away from the table.The person’s head is kept facing the side worst affected by vertigo but now at a 30-degree angle, so that it is lifted slightly off the table. Quickly push the person back, so that they are lying down with their shoulders touching the table.Rotate the person’s head at a 45-degree angle towards the side they are experiencing the worst vertigo.Ask the person to sit upright on an examination table, fully extending their legs out in front of them.When a doctor carries out the Epley maneuver, they will perform the following steps: Steps of the Epley maneuver carried out by a doctor The steps for both versions are detailed below. It can also be done at home by the person experiencing the BPPV symptoms. A doctor doing the Epley maneuver will manually move a person into a series of positions.
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