title: How many Epley manoeuvres are required to treat benign paroxysmal positional vertigo?
abstract: OBJECTIVE
  To evaluate the total number of Epley manoeuvres required to provide symptomatic relief to patients newly diagnosed with benign paroxysmal positional vertigo.
  
  
  METHODS
  This retrospective audit assessed every patient referred to the audiology department for investigations of their symptoms over a period of one year. Only patients diagnosed with benign paroxysmal positional vertigo confirmed via a positive Dix-Hallpike test result, with no suggestion of dual pathology, were included.
  
  
  RESULTS
  Seventy patients with a positive Dix-Hallpike test result were identified. The total number of Epley manoeuvres required ranged from one to five. Thirty-three patients (47 per cent) were asymptomatic following one Epley manoeuvre. Eleven patients (16 per cent) needed 2 manoeuvres and 15 patients (21 per cent) required 3 manoeuvres for symptomatic control.
  
  
  CONCLUSIONS
  Symptomatic control of benign paroxysmal positional vertigo was obtained following a single Epley manoeuvre for 47 per cent of patients. The majority of patients (84 per cent) experienced symptomatic improvement following three Epley manoeuvres.
authors: Department of Otolaryngology,Wrexham Maelor Hospital,Wales,UK.
authors: D
authors: D
authors: Hughes
authors: Department of Otolaryngology,Wrexham Maelor Hospital,Wales,UK.
authors: A
authors: A
authors: Shakir
authors: Department of Audiology,Wrexham Maelor Hospital,Wales,UK.
authors: S
authors: S
authors: Goggins
authors: Department of Otolaryngology,Wrexham Maelor Hospital,Wales,UK.
authors: D
authors: D
authors: Snow
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D065635:Benign Paroxysmal Positional Vertigo / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations / Q000379:methods*; D012189:Retrospective Studies; D012665:Semicircular Canals; D016896:Treatment Outcome; D055815:Young Adult
keywords: Benign Paroxysmal Positional Vertigo