Chiropractic management of benign paroxysmal positional vertigo using the Epley maneuver: a case series

Abstract

Objective: The purpose of this case series is to describe the management of benign paroxysmal positional vertigo in a chiropractic clinical setting.

Clinical features: Eight patients (4 women, 4 men) with symptoms of persistent benign paroxysmal positional vertigo presented for chiropractic care. The outcome measures included self-reported resolution of vertigo, a Short Form 12 Health Survey, Measure Yourself Medical Outcome Profile, and the Dix-Hallpike maneuver. Outcome measures were assessed at initial assessment, 6 days, 30 days, and 3 months postintervention.

Intervention and outcome: The patients underwent one or more canalith repositioning procedures (Epley maneuver). Scores in each of the categories decreased from the initial to 6-day assessment and then again at the 30-day assessment. The effects of the treatment on the Short Form 12 scores showed changes between the initial assessment and 30 days posttreatment.

Conclusion: The patients in this case series demonstrated reduction in symptoms with chiropractic management.