title: The 360-degree maneuver for treatment of benign positional vertigo.
abstract: OBJECTIVE
  The purpose of this study was to determine whether rotating a patient 360 degrees in the plane of the posterior semicircular canal is effective in treating classic benign paroxysmal positional vertigo. The study also compares the features of the Epley maneuver and the Semont maneuver and correlates them to the 360-degree maneuver.
  
  
  METHODS
  A prospective analysis of 31 patients presenting with benign paroxysmal positional vertigo who were treated using the multiaxial positioning device. A questionnaire was administered immediately after each treatment.
  
  
  METHODS
  The study was carried out in a private practice referral clinic for benign paroxysmal positional vertigo.
  
  
  METHODS
  Subjects consisted of 31 adults who ranged in age from 44 to 95 years.
  
  
  METHODS
  Thirty-one patients were treated using the 360-degree maneuver. A multiaxial positioning device was used to rotate patients completely upside down and back into the starting position in the proper plane.
  
  
  METHODS
  Subjective improvement scores, tolerability, objective nystagmus observations, and complications were recorded.
  
  
  RESULTS
  Subjective improvement rates were 90% after one treatment; 97% were symptom-free and nystagmus-free after a maximum of three treatment sessions. Eighty-seven percent found the procedure quite tolerable from an ergonomic standpoint.
  
  
  CONCLUSIONS
  The 360-degree maneuver can be effective in treating benign paroxysmal positional vertigo. Its rate of success is comparable to the rate of success of the standard Epley maneuver. On analysis, it is strikingly similar to the Epley and Semont maneuvers.
authors.affiliation: Department of Otolaryngology, Palm Beach Gardens Medical Center, Palm Beach Gardens, Florida 33469, USA. inventmd@aol.com
authors.forename: John C
authors.initials: JC
authors.lastname: Li
authors.forename: John
authors.initials: J
authors.lastname: Epley
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011187:Posture; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014717:Vertigo / Q000628:therapy*