Danielle Tate,PT, associated with Vestibular Today, a physical therapist, demonstrates the right home Epley maneuver. Babac S, Arsović N. This treats the symptoms of vertigo. A recent paper by Obrist et al (2016) suggests that the head should actually best be extended beyond the horizontal by about 10 degrees, on both sides. The Epley maneuver is primarily used to treat a specific form of positional vertigo. The canalith repositioning procedure can treat benign paroxysmal positional vertigo (BPPV), which causes dizziness when you move your head. The Epley Maneuver. Once the 30 seconds is up, sit up. For some, the Empley Maneuver stops symptoms of vertigo. Try standing with your feet together, arms down, and slowly moving your head from side to side. Video. It helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). After determining the ear affected by BPPV, the home Epley maneuver (also known as Canalith repositioning procedure) is a controlled set of head movements that can be used to shift the otoconia back into their original home in the otolith organs. 436) and the decrease of mSPV and DHI. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. Then turn head to right for 1 minute 3. . The difference was quite remarkable: 95% for the Epley vs. The maneuver works by allowing free-floating particles, displaced otoconia, from the affected. In another study conducted by Amor-Dorado JC et al. In the Epley maneuver, the person’s body and head are moved into different positions, one after the other. Place your forehead of the floor, tucking your chin toward your knees. . Your head should beDizziness: A sensation of an impaired or distorted sense of motion relative to spatial orientation. The canalith repositioning maneuver (CRP) was coined by Dr. They reported that the home-Semont was not as effective as the home-Epley, because it was too difficult to learn. Participants in the Epley maneuver group experienced short-term resolution of vertigo 56% of the time vs. Vertigo is the feeling that you are spinning or that everything is spinning around you. Background and objectives BPPV (benign paroxysmal positional vertigo) is a syndrome marked by brief bouts of vertigo accompanied by rapid changes in head position. Benign Paroxysmal Positional Vertigo Solomon 421 Figure 2. Note that this maneuver is done faster in the animation than in the clinic. Wait 30 seconds. 2. HOME SEMONT MANEUVER (middle efficacy) Radke et al (2004) also studied the home Semont maneuver, using a similar procedure as the home-Epley. They detect motion and send this information to your brain. [2] The maneuver works by allowing free-floating particles, displaced otoconia, from the affected. Recurrences can occur, and repeat repositioning treatments are often necessary. There are currently over 3,300 videos available on YouTube related to performing the Epley maneuver. They simply help your brain adjust properly to vertigo and spinning sensations you have been. Doug Brown, a physical therapist and the manager of the Richard C. How is BPPV treated? Home Epley manoeuvre BPPV can usually be cured using the home Epley manoeuvre. The natural history of BPPV is unclear. Vertigo & Dizziness, Home Treatments. Click "show more" to contact us. People with vertigo experience a feeling. Danielle Gross, PT, DPT demonstrates the eye movements associated with Right Posterior Canal BPPV, canalithiasis-type using a Dix-Hallpike Test. Hold the position for 60 seconds. , believed Epley’s claim to have developed a cure for the most common. 21% of the time among those in the sham maneuver or control groups (odds ratio [OR] = 4. The home Epley maneuver can help you treat your vertigo caused by benign paroxysmal positional vertigo (BPPV). The Epley maneuver can successfully eliminate or reduce symptoms of BPPV in approximately 90% of patients. The Brandt-Daroff Exercise is a positioning method for treating BPPV usually performed in the home; the exercises involve sitting up and lying down on a bed with the head in various positions to reposition. In the Epley maneuver group, 20 of 22 patients (91%) had long-term success (defined as a negative Dix-Hallpike result and a Dizziness Handicap Inventory score of 0) compared with 10 of 22 patients. Enter search terms to find related medical topics, multimedia and more. Keeping your head in this position, lie down quickly onto your back. There are many other causes of vertigo, as well as many different types of treatment. See the video in Training below. Hold this position for 30 seconds. Orthopedics Physical Therapy The Home Epley Maneuver to Treat BPPV By Brett Sears, PT Updated on October 18, 2021 Medically reviewed by Laura Campedelli,. 1). John McNaughton Epley (1930-2019) was an American otolaryngologist. . Raub Rehabilitation Center at Martin Health, demonstrates how he uses the Epley Maneuver. Turn the head 45 degrees, or as far as if comfortable, to the right. The maneuver is painless and only takes a few moments to complete. DizzyFIX allows you to do the same exercise at home. 8, 9 The mechanism of freely floating otoconial debris inside the semicircular canal provoking head movement related symptoms has been well understood, and Semont and Epley maneuvers have been the first line treatment for years. The. If at first it doesn’t help, below are some tips to improve the odds of success. This video is of a modified Epley maneuver that is simple and can be performed at home for vertigo, or benign paroxysmal positional vertigo. Step 3. Wait 30 seconds in the last position, lying on your right side with your head facing down so your nose touches the bed. Carol Foster is the author of "Overcoming Positional Vertigo" which is dizziness caused by loose crystals in the inner ear. First, a Dix–Hallpike test is performed. outlook discussing how to perform Eplay maneuver for vertigo means how to treat vertigo or benign paroxysmal positional vertigoThe most common treatments are the Epley Maneuver and the Semont Maneuver. Stay in this position for 30 seconds. Performed in your doctor's office, the canalith. Dr Gregg goes over how to do the Epley maneuver at home. It involves a series of head movements that aim to relieve vertigo symptoms. The Epley maneuver involves a series of head movements specifically to relieve symptoms of benign paroxysmal positional vertigo or BPPV. The semicircular canal of the inner ear detects motion and sends the information to the brain. . At the end of the. The Epley maneuver is a low-cost, safe, and relatively benign treatment option for benign paroxysmal positional vertigo. It is not too hard to do these movements at home. D. Quickly lay you down on your back with your head in the same position just off the edge of the table. Refinements of the Semont maneuver. Turn your head 45 degrees to the left. You can find a vestibular therapist close to you by visiting and using their Provider Directory. 8% resolution after one treatment, 93. Repeat this daily until free from positional vertigo for 24 hours. . The main purpose of this exercise is to move the crystals from the semicircular canals back to the utricle where they actually belong. The original Epley maneuver was designed to be done with a healthcare provider. Tilt your head up and back. 6. The Dix-Hallpike maneuver is a test that doctors use to diagnose a particular kind of vertigo called benign paroxysmal positional vertigo (BPPV). Research has found it to be an easy, safe, and effective treatment for. VAS has already been used to evaluate balance disorders [3, 4]. Follow any other specific instructions your. In most persons, complete relief from symptoms is obtained after 30 sets, or about 10 days. New research published in the journal Neurology shows that the video sharing website could also help people who have one of the most common kinds of vertigo, called benign paroxysmal positional vertigo, by being a vehicle for videos that demonstrate. . In a previous study, three SM per day with self-treatment were performed and after 1 week 58% of patients were cured . After the maneuver, the patient should remain seated for at least 5 minutes. Interestingly, between 1993 and 2020. "BPPV can be treated successfully in one to two sessions about 90. Alternatives to the Brandt Daroff exercises involving the patient performing the modified Epley or modified Semont maneuvers at home have been developed and studied for their effectiveness. Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). (For more information on BPPVplease see our separate leaflet). The method (for the left side) is. Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear (0:23). An additional small RCT (80 people with posterior BPPV: n = 40 Epley manoeuver and n = 40 Semont manoeuvre) found no statistically significant difference between the efficacy of these treatments as assessed by the Dix-Hallpike test (p = 0. 1. The entire maneuver takes about five minutes and involves moving the head in four different positions. It does so by moving the canaliths out of the canals, so they stop causing. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. Vertigo is a symptom characterized by a perceived sensation of motion, either of the self or the surroundings, in the absence of true motion. #vertigotreatment #epleymaneuver #BPPVDo you have BPPV (Benign Paroxysmal Positional Vertigo) and haven't found relief yet? The key to effective treatment an. General statements that are. A, Turn the head 45 degrees toward the affected ear. Video. . Wait for any vertigo to stop (about 30 seconds). The medical term for these deposits is otoconia. Hold for 30 seconds. Your semicircular canals are found inside your ear. . Step 1: Sit up straight in the middle of your bed. The Epley maneuver can be done at home to help move the particles out of the semicircular canal and back where they belong. Research has found it to be an easy, safe, and effective treatment for. It is a form of vertigo that is thought to be caused by calcium deposits within the inner ear. The procedure includes head positions that move the canalith particles (otoconia) in the inner ear that cause the dizziness to a part of the ear where they won't (the utricle). Vertigo is the feeling that you are spinning or that everything is spinning around you. Jan 28, 2022. This treats the symptoms of vertigo. Your head should be about midway between looking straight ahead and looking out to your side. You can do this exercise at home. Animation showing what is going on within the inner ear is also shown in. The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. In this video, we teach you how to perform a home Epley maneuver to cure your vertigo. The Canalith Repositioning Procedure is also known as the “Epley maneuver. Or read a brochure with pictures. You may find it helpful to watch a video of the home Epley maneuver first. It helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). For several days after treatment, do not sleep on the side that triggers symptoms. Du starter med at sidde oprejst på lejet med hovedet drejet 45° mod højre, hvis det er højresidig BPPV. After Epley maneuver treatment, the patient may begin walking with caution. It does so by moving the canaliths out of the canals, so they stop causing. A single 10- to 15-minute session usually is all that's needed. This is a simple treatment that involves you turning your head in a series of movements. Maniobra de Epley en casa. These exercises are not used to return crystals to their proper place in your inner ear (that’s what the Epley maneuver is for). The treatment involves health care professionals moving a seated person's head in different positions for about 10 to 15 minutes. This may help you keep your balance and improve symptoms of vertigo. 8% after two treatments, and 98. Dr. Dr. Use this video to guide you through the epley maneuver at home! This is a great technique to use for benign paroxysmal positional vertigo. Tilt yourself backward until you are lying on your back. BPPV is caused by a problem in your inner ear. g. Check with your ph. Lie down on your back, turn head to left for 1 minute 2. It helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). To check if the maneuver worked, the person moves the head in the same way that previously caused vertigo. Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). [1] While it is a common complaint, evaluating a patient with vertigo can be challenging. The Epley Maneuver is the quickest and most effective way to fix positional Vertigo also known as BPPV (Benign Paroxysmal Positional Vertigo). For left sided BPPV you are going to turn your head over your left shoulder and lay flat on your back. ”. Often times yo. This video demonstrates how to administer the Epley Maneuver Canalith Repositioning technique. . We often recommend the home-Epley to our patients who have a clear diagnosis. . The most popular video, with more than 1 million hits, was produced by the American Academy of Neurology (AAN) but was uploaded to YouTube by a patient. The home Epley maneuver is a type of exercise. Wait for 10 minutes after the maneuver is performed before going home. A maneuver which can be used to suc. Keep the back of your head in contact with the bed and slowly turn your head halfway (45 degrees) to the right. BPPV = Benign Paroxysmal Positional VertigoEpley Maneuver can be performed at home to treat BPPV. In this randomized single-blind study, we compare the efficacy of our exercise to self-administered Epley maneuvers in patients. It is a common way doctors treat the vertigo symptoms of benign paroxysmal positional vertigo (BPPV). For several days after treatment, do not sleep on the side that triggers symptoms. Then turn head to right for 1 minute 3. Effectiveness of Particle Repositioning Maneuvers in the Treatment of Benign Paroxysmal Positional Vertigo: A Systematic Review. Tapping firmly on the skull with your fingertips just behind the right ear can help move the particles along. It’s also hard for patients to understand how to reach the 45. Jon Saunders | Newmarket ChiropractorIn this video, I will show you. Step 3. BPPV is caused by a problem in your inner ear. Return to your original seated position. Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. In a previous study, three SM per day with self-treatment were performed and after 1 week 58% of patients were cured . The differential diagnosis for vertigo is broad, encompassing central and peripheral vestibular causes, cardiovascular. This procedure seems to be even more effective than the in-office procedure, perhaps because it is repeated every night for a week. You can do this exercise at home. Please note that this maneuver only treats posterior canal variant. This disorder is caused by problems in the inner ear. At least for the Epley maneuver, the efficacy of the self-maneuver was shown to be higher than that of the Epley maneuver alone . A 77 year old female presented for outpatient evaluation of vertigo at a tertiary otolaryngology clinic. The Epley maneuver consists of four different head positions that are held for 30 seconds each. You will likely feel more intense vertigo symptoms at this point. Further lodging the calcium deposits in the semicircular canals and making the problem worse. Otolaryngol Head Neck Surg 1992;107(3):399-404. Video. This is to avoid "quick spins," or brief bursts of vertigo as debris repositions itself immediately after the maneuver. They detect motion and send this information to your brain. Handout. After a single treatment with one of the maneuvers by a physician, patients performed at home (Epley in one group and Semont in the other group) three self-treatments, thrice daily, every day until they were vertigo-free for 3 days. Most studies say that Semont manoeuvre is not superior to Epley manoeuvre [ 10, 11, 12 ]. The healing rate was 87% in the Epley group, 75% in the Semont group, and 56% in the Brandt-Daroff group. Benign paroxysmal positional vertigo ( BPPV) is a disorder arising from a problem in the inner ear. Animation showing what is. . It is also sometimes called the "canalith repositioning maneuver" or CRP. After the Semont maneuver is performed, you should try to remain upright for a few hours. However, although incorrect performance had no effect on treatment outcome in the MEP group (p 0. The Epley manoeuvre was introduced in 1980 by John Epley as a less invasive method to treat the symptoms of BPPV. Use this video to guide you through the epley maneuver at home! This is a great technique to use for benign paroxysmal positional vertigo. In this article, we’re going to cover 4 vertigo maneuvers that can help with your vertigo and provide relief. Hold the last position and then sit up. The results showed no active BPPV, so it confirmed my sense that my original symptoms were resolved, as a result he did not want to perform the. Two small RCTs found that modified Epley maneuvers (3 times daily until symptoms resolved. Your doctor may have moved you in different positions to help your vertigo get better faster. This is called the particle repositioning maneuver or the Epley Maneuver and the DizzyFIX works like a visual set of instructions for the maneuver. The Epley Maneuver is THE go-to maneuver from what I understand and have researched. C. This is a simple treatment that involves you turning your head in a. The doctor will turn your head so that it is halfway between looking straight ahead and looking directly to the side that causes the worst vertigo. No. This disorder is caused by problems in the inner ear. Roll onto your left side, then sit up. This video demonstrated the technique for right. Remain still for 60 seconds. Quickly lay you down on your back with your head in the same position just off the edge of the table. The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) [needs update] of the posterior or anterior canals of the ear. A single 10- to 15-minute session usually is all that's needed. When your head is firmly moved into different positions, the calcium crystal (canalith). HOME EPLEY MANEUVER The Epley and/or Semont maneuvers as described above can be done at home (Radke et al, 1999; Furman and Hain, 2004). You can do this exercise at home. You need to have a pillow in place so that when you lie back it will be under your shoulders. The medical term for these deposits is otoconia. How to perform epley maneuver at home?A little intro about me, Good day, I am Delphi. . if you feel dizzy on your left side, turn to face your left elbow). The meaning of EPLEY MANEUVER is a procedure to treat benign paroxysmal positional vertigo that involves manipulating the head in a series of distinct movements in order to reposition calcium carbonate crystals of the inner ear that have become dislodged from the utricle and entered the semicircular canals. We would like to show you a description here but the site won’t allow us. Wait in this position for 30 seconds. The Dr suggested I do the Epley Maneuver at home. Steele demonstrate the Epley Maneuver-- an evaluation you can use on your patients today. Use this video to guide you through the epley maneuver at home! This is a great technique to use for benign paroxysmal positional vertigo. Particle repositioning maneuvers include, but are not limited to, the Brandt-Daroff exercises, the Epley maneuver and the Semont maneuver. Epley developed the ‘canalith theory’ of vestibular disease. Once the 30 seconds is up, sit up. Lack of symptom relief. A video demonstrating the maneuver can be watched here. Top Picks. If the patient remains. This content (the blog, video, description, links, and. The Epley Maneuver. Epley Maneuver. 273 adult patients with clinical diagnosis of benign paroxysmal positional vertigo diagnosed by positive Dix-Hallpike positional test with clear and classical. video‐oculography. Your semicircular canals are found inside your ear. 1. Study an online video or set. This is usually accomplished with the Epley maneuver for posterior canal BPPV, although occasionally other maneuvers (Semont, Brant-Daroff, Log Roll, Gufoni, etc. Art. Tampa Location. Your head should still be at a 45-degree turn. Diagnosing and treating it are simple to do in the medical office. Epley Maneuver for Benign Positional Vertigo 1. The Epley manoeuvre was introduced in 1980 by John Epley as a less invasive method to treat the symptoms of BPPV. net. You can do this exercise at home. The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. Telephone: 01522 573254 Email: ulht. A single 10- to 15-minute session usually is all that's needed. Once the vertigo and nystagmus provoked by the Dix–Hallpike test cease, the patient’s head is rotated about the rostral–caudal body axis until the left ear is down (Panel B). First, a Dix–Hallpike test is performed. : CD003162. 251), but did find that the Epley manoeuvre was superior for the reduction of dizziness intensity (p = 0. These movements bring the crystals back to the utricle, where they belong. 4% if three treatments are required (Macias et al 2000); and it. Other thoughts: There are many Youtube. "Famous" Physical Therapists Bob Schrupp and Brad Heineck present: How to Safely Perform Epley Maneuver @ Home for BPPV (Canalith Repositioning Procedure CRP. Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, a false sensation of spinning. Li JC. You can find a vestibular therapist close to you by visiting and using their Provider Directory. Use this video to guide you through the epley maneuver at home! This is a great technique to use for benign paroxysmal positional vertigo. This treats the symptoms of vertigo. The home Epley maneuver is similar. Benign paroxysmal positional vertigo ( BPPV) is a specific type of vertigo that is brought on by a change in position of the head with respect to gravity. Title: KM_454e-20200326090505 Created Date: 3/26/2020 9:05:05 AMBenign paroxysmal positional vertigo (BPPV) is a common form of vertigo, accounting for nearly one-half of patients with peripheral vestibular dysfunction. Don't drive yourself home. Epley Maneuver -- this is the main maneuver for home treatment of PC BPPV. The Epley maneuver may be similarly effective to the Semont maneuver for curing posterior canal BPPV, a significant cause of vertigo. Exterior of labyrinth of the inner ear. The authors noted that the videos generally do not discuss distinctions between BPPV and other. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. Benign paroxysmal positional vertigo ( BPPV) is a specific type of vertigo that is brought on by a change in position of the head with respect to gravity. The Epley maneuver is used to treat benign paroxysmal positional vertigo (BPPV) by repositions the canalith from the semicircular canal into the vestibule 1. ChARM addresses multiple issues of highly overloaded medical centers that delay its due and. Epley maneuver. Helpful information for better health for Canadian. Dr. . In the self-Epley maneuver group, the patient received illustrated instructions and a video demonstrating the self-Epley maneuver (Fig. Your PT may ask that you sleep with your head propped up on a few pillows to help you remain slightly upright. 28 days) for BPPV symptom resolution, whereas those in the Epley maneuver treatment group. But, the good point of the Semont maneuver is that it is easy to do by themself at home. Related. A PDF copy of this handout is available at . Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. The original Epley maneuver was designed to be done with a healthcare provider. John Epley. From "Famous" Physical Therapists, Bob Schrupp and Brad Heineck, demonstrate how to perform the Epley Maneuver if you are experiencing d. Purpose To assess the effectiveness of a variation of the Epley maneuver, which we have titled “Chair-based Abbreviated Repositioning maneuver (ChARM)”, in solving cases of benign positional paroxysmal vertigo (BPPV) of the posterior canal. Certain exercises, such as the Epley maneuver or Cawthorne head exercises, are common home remedies for vertigo and its symptoms. Some people are using Internet videos to self-treat the condition at home using a maneuver called the Epley maneuver. Turn your head in the direction of your affected ear (i. The home Epley maneuver is similar. . . The Epley Maneuver for BPPV Particle Repositioning. This is called the Epley maneuver. Give Patient Home Epley Maneuver to perform three times a day. Often times yo. Wait 30 seconds. Turn your head 45 degrees to face your left elbow. Your physical therapist will then guide you back up into the seated position. reported an effectiveness of 95 % with the modified Epley maneuver and 58 % with the modified Semont maneuver, with both having. BPPV is. The Epley maneuver utilizes gravity to displace the otoconial debris from the posterior semicircular canal back into the vestibule as the patient is moved successively through a series of head positions (Table 1. Prior to the development of the procedure, doctors typically treated BPPV with surgery. The original Epley maneuver was designed to be done with a healthcare provider. It requires few resources and is a simple bedside solution to BPPV, whether in the clinic or emergency department. The Epley maneuver is used to reposition BPPV crystals. The Epley maneuver, named after Dr. She also demonstrates the left home Epley on another. Right Demi-Semont Maneuver for treatment of the Right (Apogeotropic) Posterior. What is Epley maneuver ? Know all about this treatment. Recent ongoing therapeutic approaches used are vestibular rehabilitation exercises and physical maneuvers like the Epley maneuver, Semont maneuver. The correct technique for this maneuver is described and shown on multiple . 2 However, the procedure may not be tolerated by elderly patients or those. When Carol Foster, MD, first publicized her home-remedy vertigo maneuver in 2013 — an online story and YouTube video both posted — the response was nothing short of phenomenal. Video. All together, the videos had almost 2. . The Epley Maneuver for BPPV. When your head is firmly moved into different positions, the calcium crystal (canalith) debris that causes vertigo. Without changing your head position, the doctor will guide you back quickly so. Video Resources; VeDA Patient Resource; Store; Blog; Podcast; About Us; Contact;. Once on your back your head should be below the level of. La maniobra de Epley en casa es un tipo de ejercicio que ayuda para tratar los síntomas de vértigo posicional paroxístico benigno (VPPB). The procedure uses several simple head movements. We like to star. The original Epley maneuver was designed to be done with a healthcare provider. Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). What is Epley maneuver ? Know all about this treatment. Wait 30 seconds. This is a simple treatment that involves you turning your head in a series of movements. This video is of a modified Epley maneuver that is simple and can be performed at home for vertigo, or benign paroxysmal positional vertigo. Canalith repositioning, also known as the Epley maneuver, is a technique that involves a series of special head and body movements. Standing Sway Exercise. Request an Appointment Find a Doctor. Epley Maneuver for Vertigo at Home! If you are experiencing vertigo/ BPPV then this might be the treatment for you! Its easy to do at home. The manoeuvre will most likely cause dizziness and so should be performed in a safe Do you have dizziness caused by BPPV- benign paroxysmal positional vertigo? If so, the Epley maneuver might help. Introduction. Once you're sure which ear it's in, then you may just have to do Epley for that side several times per day until it goes away. Each position is maintained for about 30 seconds to allow the particles to move by gravity into a different part of the canal. Extend the neck just enough so that the downward ear is below the shoulder. No equipment is required, and it can be performed at home or in an office by a healthcare provider like a physical therapist or an otolaryngologist (ear-nose-throat specialist). The Epley maneuver is used to treat benign paroxysmal positional vertigo (BPPV) by repositions the canalith from the semicircular canal into the vestibule 1. , CCC-A, Vestibu. Residency & Fellowship Center for Community Health & Prevention Monroe County Community Health Improvement Plan Search Encyclopedia Home Epley Maneuver. Dr. Both back and. This is another maneuver to relieve dizziness. Dr. The authors compared the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in 70 patients with posterior canal benign paroxysmal positional vertigo. ChiroUp is an online resource for Chiropractors.