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OBJECTIVE: To evaluate the total number of Epley manoeuvres required to provide symptomatic relief to patients newly diagnosed with benign paroxysmal positional vertigo. METHODS: This retrospective audit assessed every patient referred to the audiology department for investigations of their symptoms over a period of one year. Only patients diagnosed with benign paroxysmal positional vertigo confirmed via a positive Dix-Hallpike test result, with no suggestion of dual pathology, were included. RESULTS: Seventy patients with a positive Dix-Hallpike test result were identified. The total number of Epley manoeuvres required ranged from one to five. Thirty-three patients (47 per cent) were asymptomatic following one Epley manoeuvre. Eleven patients (16 per cent) needed 2 manoeuvres and 15 patients (21 per cent) required 3 manoeuvres for symptomatic control. CONCLUSION: Symptomatic control of benign paroxysmal positional vertigo was obtained following a single Epley manoeuvre for 47 per cent of patients. The majority of patients (84 per cent) experienced symptomatic improvement following three Epley manoeuvres.

Original publication

DOI

10.1017/S0022215115000481

Type

Journal article

Journal

J Laryngol Otol

Publication Date

05/2015

Volume

129

Pages

421 - 424

Keywords

Benign Paroxysmal Positional Vertigo, Adult, Aged, Aged, 80 and over, Benign Paroxysmal Positional Vertigo, Female, Humans, Male, Middle Aged, Musculoskeletal Manipulations, Retrospective Studies, Semicircular Canals, Treatment Outcome, Young Adult