

The "Foster" or half somersault maneuver. While we occasionally suggest it to patients, this is not one to learn from a web-page. As the positions of the head are almost identical to the home-Epley, it should be equivalent. The difference was quite remarkable: 95% for the Epley vs. They reported that the home-Semont was not as effective as the home-Epley, because it was too difficult to learn. Radke et al (2004) also studied the home Semont maneuver, using a similar procedure as the home-Epley. Some of them are a little sketchy but the "vestibular today" video is pretty good. We comment on youtube videos of this maneuver here. Still if the maneuver makes you unable to drive, then best do it at night. It is best to do them in the morning rather than in the morning or midday, as if the debris is successfully moved, then it has all day to dissolve. Typically 3 cycles are performed just after waking up in the morning. One stays in each of the supine (lying down) positions for 30 seconds, and in the sitting upright position (top) for 1 minute. The maneuver for the right side is just the mirror image. The home Epley method (for the left side) is performed as shown on the figure to the right.

The Epley maneuver is the best established. As there is only one way to move things around in a circle, they all boil down to the same head positions -just different ways of getting there. This procedure seems to be even more effective than the in-office procedure, perhaps because it is repeated every night for a week. The Epley and/or Semont maneuvers can be done at home (Radke et al, 1999 Radke et al, 2004 Furman and Hain, 2004). For the right, start on the right rather than left. These are the positions for the left Home Epley. HOME EPLEY MANEUVER (the best home treatment maneuver) That being said, here is the list of home maneuvers, ordered by our opinion as to which one is the best: Performed in a doctors office where appropriate action can be taken in this In our opinion, it is safer to have the first Epley Which are better handled in a doctor's office than at home.ĭuring the Epley maneuver neurological symptoms are provoked due to compression

Such as conversion to another canal, or severe vomiting can occur during the Epley maneuver, Sometimes this can be tricky to establish.
