Effects of Epley procedure on BPPV patients: a systematic review of randomized controlled trails

M.A. AlMohiza

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. mmohiza@ksu.edu.sa

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• Otorhinolaryngology
• Physical Therapy

OBJECTIVE: The purpose of the study is to assess the effects of the Epley maneuver on patients with BPPV.

MATERIALS AND METHODS: International libraries such as MEDLINE, Cochrane, Web of Science, and PubMed, among others, were used to evaluate evidence on the effectiveness of Epley’s procedure on BPPV published between January 2000 and December 2022. For accessing the articles, several search phrases, such as “Epley Maneuver”, “BPPV”, “Vertigo”, “Vestibular Rehabilitation”, and “Physical Therapy” were utilized. A total of 69 papers were retrieved and assessed for inclusion and exclusion criteria based on the article title, abstract, and inclusion and exclusion criteria. Following that, the quality of the chosen studies was assessed using the PEDro scale.

RESULTS: Only seven studies fulfilled the eligibility criterion and were evaluated out of a potential 69 records found. A total of 413 BPPV-screened individuals were examined. The findings of the studies chosen for review revealed that Epley’s technique had a considerable, significantly positive influence on the alleviation of symptoms for BPPV patients, including nystagmus, dizziness, and quality of life. The patients described feeling better after performing the Epley maneuver for a prolonged time.

CONCLUSIONS: The research ended with data confirming the benefit of the Epley maneuver in relieving symptoms in BPPV patients.

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