title: Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure.
abstract: 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. The response rate after 1 week, defined as absence of positional vertigo and torsional/upbeating nystagmus on positional testing, was 95% in the MEP group (n = 37) vs 58% in the MSM group (n = 33; p < 0.001). Treatment failure was related to incorrect performance of the maneuver in the MSM group, whereas treatment-related side effects did not differ significantly between the groups.
authors.affiliation: Neurologische Klinik der Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany. andrea.radtke@charite.de
authors.forename: A
authors.initials: A
authors.lastname: Radtke
authors.forename: M
authors.initials: M
authors.lastname: von Brevern
authors.forename: K
authors.initials: K
authors.lastname: Tiel-Wilck
authors.forename: A
authors.initials: A
authors.lastname: Mainz-Perchalla
authors.forename: H
authors.initials: H
authors.lastname: Neuhauser
authors.forename: T
authors.initials: T
authors.lastname: Lempert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D026241:Exercise Movement Techniques; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009759:Nystagmus, Pathologic / Q000209:etiology / Q000628:therapy; D010037:Otolithic Membrane; D026741:Physical Therapy Modalities; D011187:Posture; D012648:Self Care; D012665:Semicircular Canals / Q000503:physiopathology / Q000648:ultrastructure; D016896:Treatment Outcome; D014717:Vertigo / Q000150:complications / Q000628:therapy*