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  1. Offer a particle repositioning manoeuvre, such as the Epley manoeuvre. Ideally, this should be done at the first presentation in primary care if the expertise and time are available. Symptoms may improve shortly after treatment, but full recovery can take days to a couple of weeks.

    • Introduction
    • Dix-Hallpike Test
    • Epley Manoeuvre
    • To Complete The Examination…
    • References

    Wash your hands and don PPEif appropriate. Introduce yourself to the patient including your name and role. Confirm the patient’s name and date of birth. Ask if the patient has noticed whether turning to one particular side seems to triggerthe symptoms, which may provide an indication of the affected side. Briefly explain what the examination will i...

    When performing the Dix-Hallpike test, make sure to warn the patient in advance of each step, so that they know what to expect: 1. Ask the patient to sit upright on the examination couch. 2. Adjust the patient’s position so that when supine, their head will hang over the edge of the bed, allowing for head extension below the horizontal plane. 3. Po...

    When performing the Epley manoeuvre, each position should be maintained until full resolution of symptoms and nystagmus has been achieved for at least 30 seconds: 1. The Epley manoeuvre typically follows on from a positive Dix-Hallpike test, so we will assume the patient is still positioned lying flat, with the head hanging over the end of the bed,...

    Explain to the patient that the examination is now finished. Thank the patientfor their time. Dispose of PPE appropriately and wash your hands. Summariseyour findings.

    Jonathan D. Talmud; Peter F. Edemekong. Dix-Hallpike Maneuver. Published on April 10th 2019. Available from: [LINK].
    British Society of Audiology. Recommended Procedure for Hallpike Manoeuvre. Published in 2014. Available from: [LINK].
    • Dr Lewis Potter
  2. The Home Epley Manoeuvre is a method of treating BPPV. (For more information on BPPV please see our separate leaflet). The manoeuvre will most likely cause dizziness and so should be performed in a safe environment.

  3. Home Epley manoeuvre to treat BPPV (right ear) We have written this factsheet to give you more information about benign paroxysmal positional vertigo (BPPV). It explains what BPPV is, what the Epley manoeuvre treatment method is and how to perform it safely at home.

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  4. What is the purpose of this procedure? The Dix-Hallpike manoeuvre is designed to assess for one of the most common causes of dizziness arising from the ear – called Benign Paroxysmal Positional Vertigo (BPPV).

  5. Jan 31, 2024 · Benign paroxysmal positional vertigo or BPPV causes sensation of spinning which lasts for seconds to a couple of minutes. BPPV is caused by trapped calcium crystals in the balance organs of the inner ears. The home Epley manoeuvre is a safe treatment for symptoms of BPPV.

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  7. dchft.nhs.uk › 10 › Epley-Manoeuvre-August-2020The Epley Manoeuvre - DCHFT

    The Epley Manoeuvre. This leaflet is for patients who have had balance tests performed and have been diagnosed with the most common type of Benign Paroxysmal Positional Vertigo (BPPV) which involves the posterior semi-circular canal. This type of BPPV makes up 85% of cases. How is Posterior Canal BPPV diagnosed?

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