The Journal of International
Advanced Otology
Original Article

Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV


Department of Otolaryngology-Head and Neck Surgery, University of Health Sciences, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey


Department of Neurology, Dokuz Eylül University School of Medicine, İzmir, Turkey


Department Otolaryngology-Head and Neck Surgery, Manisa Celal Bayar University School of Medicine, Manisa, Turkey

J Int Adv Otol 2019; 15: 420-424
DOI: 10.5152/iao.2019.6483
Read: 5671 Downloads: 1750 Published: 17 December 2019

OBJECTIVES: This study aimed to evaluate the efficacy of the repositioning maneuver on quality of life in elderly patients with dizziness and/or vertigo.

MATERIALS and METHODS: This controlled, prospective randomized clinical trial was conducted in elderly patients aged 65 years and above with a positive history of benign paroxysmal positional vertigo (BPPV), presence of vertigo, and no observable nystagmus during the Dix-Hallpike test, so-called Subjective BPPV (S-BPPV). Individuals were evaluated by visual analog scale (VAS) and dizziness handicap inventory (DHI). Groups were defined as treatment (treated with Epley maneuver bilaterally) or no treatment control (no treatment modality or canalith repositioning maneuver). Ten days after the first assessment, all patients were reassessed using VAS and DHI.

RESULTS: A total of 50 patients were randomized into two groups: 25 to the treatment group, and 25 to the control group. No significant differences were observed for baseline VAS and total DHI scores between the groups (p=0.636, p=0.846, respectively). On the other hand, after the reassessment, VAS and total DHI scores were both significantly reduced in the treatment group (p<0.001, p<0.001, respectively), but no reduction in either score was found in the control group (p=0.216, p=0.731, respectively).

CONCLUSION: This study showed that elderly patients with S-BPPV benefit from the Epley maneuver, in particular global and disease-specific quality of life.

Cite this article as: Uz U, Uz D, Akdal G, Çelik O. Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV. J Int Adv Otol 2019; 15(3): 420-4.

EISSN 2148-3817