How many Epley manoeuvres are required to treat benign paroxysmal positional vertigo?

J Laryngol Otol. 2015 May;129(5):421-4. doi: 10.1017/S0022215115000481. Epub 2015 Mar 30.


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.

Keywords: Benign Paroxysmal Positional Vertigo.

MeSH terms

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