Article Text

Download PDFPDF
Short-term efficacy of Epley’s manoeuvre: a double-blind randomised trial
  1. M von Brevern1,
  2. T Seelig1,
  3. A Radtke1,
  4. K Tiel-Wilck2,
  5. H Neuhauser3,
  6. T Lempert4
  1. 1Department of Neurology, Charité, Campus Virchow-Klinkum, Berlin
  2. 2Neurologisches Facharztzentrum, Berlin
  3. 3Robert Koch Institut, Berlin
  4. 4Department of Neurology, Schlosspark-Klinik, Berlin
  1. Correspondence to:
 Dr Michael von Brevern
 Neurologische Klinik, Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany; michael.von_brevern{at}


Background: Benign paroxysmal positional vertigo of the posterior canal (PC-BPPV) is a common vestibular disorder and can be easily treated with Epley’s manoeuvre. Thus far, the short-term efficacy of Epley’s manoeuvre for treatment of PC-BPPV is unknown.

Objectives: To evaluate the efficacy of Epley’s manoeuvre for treatment of PC-BPPV 24 h after applying the manoeuvre.

Methods: The short-term efficacy of Epley’s manoeuvre was compared with a sham procedure in 66 patients with PC-BPPV by using a double-blind randomised study design.

Results: 24 h after treatment, 28 of 35 (80%) patients in the Epley’s manoeuvre group had neither vertigo nor nystagmus on positional testing compared with 3 of 31 (10%) patients in the sham group (p<0.001).

Conclusion: Epley’s manoeuvre is shown to resolve PC-BPPV both effectively and rapidly.

  • PC-BPPV, benign paroxysmal positional vertigo of the posterior canal

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests: None.

  • Published Online First 10 March 2006