title: Clinical inquiries. What is the best approach to benign paroxysmal positional vertigo in the elderly?
abstract: A canalith repositioning maneuver (CRM), such as the Epley or Semont maneuver, should be the first-line treatment for benign paroxysmal positional vertigo (BPPV) in the elderly. Following the Epley maneuver with self-treatment at home using a modified Epley procedure improves outcomes. Postural restrictions are not necessary after CRM treatment. Medications do not work as well as a CRM, but studies comparing treatments are limited.
authors.affiliation: Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
authors.forename: C Randall
authors.initials: CR
authors.lastname: Clinch
authors.forename: Ailisa
authors.initials: A
authors.lastname: Kahill
authors.forename: Laura A
authors.initials: LA
authors.lastname: Klatt
authors.forename: David
authors.initials: D
authors.lastname: Stewart
mesh_terms: D000368:Aged; D000932:Antiemetics / Q000627:therapeutic use; D019416:Head Movements; D006801:Humans; D026201:Musculoskeletal Manipulations / Q000379:methods; D011187:Posture; D016032:Randomized Controlled Trials as Topic; D014717:Vertigo / Q000628:therapy*
chemical_list: D000932:Antiemetics