The Epley Manipulation, a manual therapy for treating vertigo
I would like to introduce a study on something called the Eppley Manipulation, which is a method that I did not know about because I have never done any specialized treatment for vertigo.
In this study.
The experiment was conducted on benign paroxysmal positional vertigo.
The most common causes of benign paroxysmal positional vertigo are head trauma or ear infection.
The paper reviews 11 studies with 745 subjects.
Epley manipulation and sham manipulation
Other particle repositioning manipulations (Semont, Brandt-Daroff and Gans) and control group (no treatment, medication only, postural restriction)
The age of the subjects was 18~90 years old, and the male to female ratio was 1:1.5.
The results were as follows
Eppley manipulation and sham manipulation
(Odds ratio (OR) 4.42, 95% confidence interval (CI) 2.62-7.44; 5 studies, 273 participants) The percentage of patients with symptom improvement increased from 21% to 56%. The percentage of patients with symptom improvement increased from 21% to 56%. Significant improvement was seen with the Eppley procedure.
No other particle repositioning manipulations were reported to relieve dizziness.
And for the control group, they evaluated it with the Dix-Hallpike test. This is a test in which the patient's head position is turned in a specific direction to check for nystagmus.
When comparing the control group with the Eppley maneuver, the results were significant in favor of the Eppley maneuver.
(OR 9.62, 95% CI 6.0-15.42; 8 studies, 507 participants) There were no serious reports of adverse effects, but some patients were unable to tolerate the procedure, so caution should be exercised.
Hilton MP, Pinder DK. Epley (canalith repositioning) technique for benign paroxysmal positional vertigo Cochrane Database of Systematic Reviews 2014, No. 12. Number: CD003162. doi: 10.1002 / 14651858.CD003162.pub3.
I found a video of it, so I watched it.
I was surprised to see that it was operated with a lot of force, but I was surprised to see that it could be reduced.I was surprised to see how quickly they did it, but I was surprised to see how much they reduced it.
