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Self treatment after Epley procedure was effective for benign paroxysmal positional vertigo of the posterior semicircular canal

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 Q In patients with unilateral benign paroxysmal positional vertigo of the posterior semicircular canal (BPPV-PSC), does self treatment after the Epley procedure (EP) improve clinical outcomes more than EP alone?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Neurology ★★★★★☆☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:


Embedded ImageFollow up period:

1 week.

Embedded ImageSetting:

Kobe, Japan.

Embedded ImagePatients:

80 patients 24–85 years of age (median 64 y, 69% women) with unilateral BPPV-PSC (54% patients with the right side affected).

Embedded ImageIntervention:

self treatment at home with modified EP after 1 cycle of EP at the outpatient clinic (n = 40) or 1 cycle of EP alone (n = 40). Self treatment included illustrated instructions for the specific manoeuvre on …

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  • For correspondence: Dr H Tanimoto, Kobe University Graduate School of Medicine, Kobe, Japan. hitoshi{at}

  • Source of funding: not stated.

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