ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025
The effect of the Epley maneuver on balance and falls in patients with benign paroxysmal positional vertigo.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe objective of this study was to examine the impact of the Epley maneuver on balance values and fall risk in patients with posterior canal Benign Paroxysmal Positional Vertigo (BPPV), as assessed by computerized dynamic posturography (CDP).
methodsThe study encompassed a total of 18 patients who were diagnosed with posterior canal BPPV. Sensory Organization Test (SOT) and Fall Test were administered using CDP both before and after the Epley maneuver.
resultsThe antero-posterior and medio-lateral somatosensory, visual, and vestibular SOT values of the participants exhibited a significant increase following the application of the Epley maneuver in comparison to the values recorded prior to the intervention (p = 0.003, p < 0.001, p = 0.001, respectively; p = 0.022, p = 0.001, p < 0.001, respectively). Statistically significant differences were identified between the fall test results of the participants before and after Epley maneuver application (p < 0.05).
conclusionAccording to our results, the efficacy of the Epley maneuver in individuals with posterior canal BPPV was demonstrated with CDP, an objective testing method. Given the high risk of falls in this patient population, prompt treatment is strongly recommended.
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