Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV

J Int Adv Otol. 2019 Dec;15(3):420-424. doi: 10.5152/iao.2019.6483.


Objectives: This study aimed to evaluate the efficacy of the repositioning maneuver on quality of life in elderly patients with dizziness and/or vertigo.

Materials and methods: This controlled, prospective randomized clinical trial was conducted in elderly patients aged 65 years and above with a positive history of benign paroxysmal positional vertigo (BPPV), presence of vertigo, and no observable nystagmus during the Dix-Hallpike test, so-called Subjective BPPV (S-BPPV). Individuals were evaluated by visual analog scale (VAS) and dizziness handicap inventory (DHI). Groups were defined as treatment (treated with Epley maneuver bilaterally) or no treatment control (no treatment modality or canalith repositioning maneuver). Ten days after the first assessment, all patients were reassessed using VAS and DHI.

Results: A total of 50 patients were randomized into two groups: 25 to the treatment group, and 25 to the control group. No significant differences were observed for baseline VAS and total DHI scores between the groups (p=0.636, p=0.846, respectively). On the other hand, after the reassessment, VAS and total DHI scores were both significantly reduced in the treatment group (p<0.001, p<0.001, respectively), but no reduction in either score was found in the control group (p=0.216, p=0.731, respectively).

Conclusion: This study showed that elderly patients with S-BPPV benefit from the Epley maneuver, in particular global and disease-specific quality of life.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Benign Paroxysmal Positional Vertigo / complications
  • Benign Paroxysmal Positional Vertigo / psychology
  • Benign Paroxysmal Positional Vertigo / therapy*
  • Dizziness / diagnosis
  • Dizziness / etiology
  • Female
  • Geriatric Assessment
  • Humans
  • Male
  • Patient Positioning / methods*
  • Physical Therapy Modalities / psychology*
  • Prospective Studies
  • Quality of Life*
  • Severity of Illness Index
  • Time Factors
  • Treatment Outcome
  • Visual Analog Scale