Short-term efficacy of Epley's manoeuvre: a double-blind randomised trial

J Neurol Neurosurg Psychiatry. 2006 Aug;77(8):980-2. doi: 10.1136/jnnp.2005.085894. Epub 2006 Mar 20.


Background: Benign paroxysmal positional vertigo of the posterior canal (PC-BPPV) is a common vestibular disorder and can be easily treated with Epley's manoeuvre. Thus far, the short-term efficacy of Epley's manoeuvre for treatment of PC-BPPV is unknown.

Objectives: To evaluate the efficacy of Epley's manoeuvre for treatment of PC-BPPV 24 h after applying the manoeuvre.

Methods: The short-term efficacy of Epley's manoeuvre was compared with a sham procedure in 66 patients with PC-BPPV by using a double-blind randomised study design.

Results: 24 h after treatment, 28 of 35 (80%) patients in the Epley's manoeuvre group had neither vertigo nor nystagmus on positional testing compared with 3 of 31 (10%) patients in the sham group (p<0.001).

Conclusion: Epley's manoeuvre is shown to resolve PC-BPPV both effectively and rapidly.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Double-Blind Method
  • Female
  • Head Movements*
  • Humans
  • Male
  • Middle Aged
  • Otolithic Membrane / pathology
  • Posture*
  • Semicircular Canals / pathology
  • Treatment Outcome
  • Vertigo / therapy*
  • Vestibular Diseases / complications*
  • Vestibular Diseases / therapy*