Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure.
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.
Radtke
A
A
Neurologische Klinik der Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany. andrea.radtke@charite.de
von Brevern
M
M
Tiel-Wilck
K
K
Mainz-Perchalla
A
A
Neuhauser
H
H
Lempert
T
T
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*