The Epley and Semont manoeuvres are exercises used to treat benign paroxysmal positional vertigo (BPPV). They are done with the assistance of a doctor or physiotherapist. A single 10- to 15-minute session usually is all that is needed.
When your head is firmly moved into different positions, the calcium crystal (canalith) debris causing vertigo will slip out of the semicircular canal into an area of the inner ear where it will no longer cause symptoms. Two manoeuvres have been used successfully: the Epley manoeuvre and the Semont manoeuvre.
The Epley manoeuvre is performed as follows:
The Semont manoeuvre is performed as follows:
In some cases, your doctor or physiotherapist may have you do a modified Epley procedure at home. If your doctor has shown you how and you feel confident, you can try this at home to get rid of your vertigo.
The Epley and Semont manoeuvres may improve or cure benign paroxysmal positional vertigo (BPPV) with only one treatment. Some people need multiple treatments.
Epley and Semont manoeuvres are used to treat BPPV.
The Epley procedure is safe and works well to treat benign paroxysmal positional vertigo (BPPV).footnote 1
The Semont manoeuvre may work to stop symptoms of BPPV. But the evidence is not as good as it is for the Epley procedure.footnote 1
These manoeuvres should not be done on people with back or spine injuries or problems.
Sometimes the manoeuvre can move the debris from one inner ear canal to another. This can cause a different kind of vertigo.
The Epley and Semont manoeuvres are more effective than other treatments for BPPV, such as exercises (for example, the Brandt-Daroff exercise).footnote 1 Exercises do not treat the cause of BPPV. They help speed up compensation by the brain. When the Epley and Semont manoeuvres work, they can relieve symptoms of vertigo quickly.
If the Epley and Semont manoeuvres don't work to relieve your symptoms of vertigo, you may not have the most common type of BPPV. Or you may not have BPPV at all.
Fife TD, et al. (2008). Practice parameter: Therapies for benign paroxysmal positional vertigo (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 70(22): 2067–2074.
ByHealthwise StaffPrimary Medical ReviewerAnne C. Poinier, MD - Internal MedicineBrian O'Brien, MD, FRCPC - Internal MedicineKathleen Romito, MD - Family MedicineE. Gregory Thompson, MD - Internal Medicine
Current as ofMarch 28, 2018
Current as of: March 28, 2018
Anne C. Poinier, MD - Internal Medicine
& Brian O'Brien, MD, FRCPC - Internal Medicine & Kathleen Romito, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine
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