A randomized clinical trial to assess the efficacy of the Epley maneuver in the treatment of acute benign positional vertigo

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Andrew K ChangMaryAnn Hill

Abstract

To compare the efficacy of the Epley maneuver with that of a placebo maneuver in patients presenting to the emergency department (ED) with benign positional vertigo (BPV). This was a prospective, randomized, single-blind placebo-controlled trial. Consecutive adult ED patients presenting to a university teaching hospital with BPV were randomized to treatment with either the Epley or placebo maneuver. The severity of vertigo was evaluated on a 0 to 10-point scale before and after the maneuvers. Eleven patients were randomized to the Epley group and 11 to the placebo group before the trial was terminated, based on a planned interim analysis. The median decreases in vertigo severity were 6 (95% confidence interval [95% CI] = 4 to 9) for the Epley group and 1 (95% CI = 0 to 3) for the placebo group (p = 0.001). The Epley maneuver is a simple bedside maneuver that appears to be more efficacious than a placebo maneuver in the treatment of acute BPV among ED patients.

Citations

Dec 29, 2012·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Titus S Ibekwe, C Rogers
Feb 21, 2016·The Journal of Emergency Medicine·Jonathan A Edlow, David Newman-Toker
Jan 28, 2014·The Journal of Emergency Medicine·Regina R SaccoMarna Rayl Greenberg
Nov 28, 2012·Clinics in Geriatric Medicine·Alexander X Lo, Caroline N Harada
Apr 22, 2006·Clinics in Geriatric Medicine·Brittany A Matsumura, Anne F Ambrose
Apr 6, 2006·Emergency Medicine Clinics of North America·Lara K Kulchycki, Jonathan A Edlow
Oct 6, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·David E Newman-TokerJonathan A Edlow
Mar 12, 2015·Annals of the New York Academy of Sciences·Kevin A Kerber
Feb 24, 2015·The Laryngoscope·Elliott D KozinDaniel J Lee
Aug 16, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·William J MeurerKevin A Kerber
Aug 16, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ying ChenHui Zhou
Dec 12, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Junghee YoonSeong Jun Choi

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