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BPPV Treatment for Vertigo: Half Somersault

For those of you who experience vertigo you may be familiar with the Epley maneuver but there is another maneuver which might be  more successful, easier to do and easier to tolerate.  This new maneuver is called the Half Somersault

A Comparison of Two Home Exercises for Benign Positional Vertigo: Half Somersault versus Epley ManeuverDr Notley BPPV half somersault

Benign paroxysmal positional vertigo (BPPV) frequently recurs after treatment, so a home exercise would be desirable. We designed a self-administered exercise, the half somersault, for home use. In this randomized single-blind study, we compare the efficacy of our exercise to self-administered Epley maneuvers in patients with BPPV. Subjects performed exercises twice while observed, were re-tested with the Dix Hallpike, and then reported on exercise use for 6 months. Outcome measures were the reduction of nystagmus intensity, tolerability of induced dizziness, and long-term efficacy. Both exercises resulted in a significant reduction in nystagmus after two self-applications. The Epley maneuver was significantly more efficacious in reducing nystagmus initially, but caused significantly more dizziness during application than the half somersault. During the 6-month follow-up, the Epley group had significantly more treatment failures than the half somersault group. We believe that both exercises can be self-applied to control symptoms, but the half somersault is tolerated better and has fewer side effects as a home exercise.

You can read the full version here: http://www.karger.com/Article/Fulltext/337947

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Originally posted on May 17, 2022 @ 4:38 pm