One review was of higher methodological quality, included only RCTs, and was the most current and comprehensive. Results: From 2228 titles, seven SRs were selected for quality assessment. Meta-analysis of individual studies was conducted with random and fixed effects.
![epley maneuver for vertigo mayo clinic epley maneuver for vertigo mayo clinic](https://i.ytimg.com/vi/2L-wjO7Njio/maxresdefault.jpg)
Odds ratios (ORs) and 95% confidence intervals (CIs) are reported. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) assessment was used to rate certainty of evidence. Titles, abstracts, and full texts were screened in duplicate. We included SRs of randomized controlled trials (RCTs) that compared Epley to control in adult patients with pc-BPPV. Methods: We conducted a systematic review (SR) of SRs to summarize the evidence of Epley maneuver for the treatment of posterior canal (pc) BPPV in any setting. Further studies on ED implementation and clinician education of Epley are needed.Ībstract = "Background: Canalith repositioning maneuvers (such as the Epley maneuver) are recommended by specialty guidelines for management of benign paroxysmal positional vertigo (BPPV) yet are frequently underutilized in the emergency department (ED). Emergency clinicians should become familiar with performing the Epley for BPPV. Conclusions: Symptoms of pc-BPPV improve with the Epley maneuver. No serious adverse effects were reported. Meta-analysis of the outcomes at 1 month, and when observational studies were included, showed similar results. Meta-analysis of three RCTs (195 patients) showed the use of Epley was associated with higher conversion to negative Dix–Hallpike at 1 week (OR 6.67, 95% CI 1.52–33.98, moderate certainty). Meta-analysis of four RCTs (251 patients) showed the use of Epley (compared to control) was associated with higher complete resolution of vertigo at 1 week (OR 7.19, 95% CI 1.52–33.98, moderate certainty). Five of the 11 RCTs of the review, including 312 patients with pc-BPPV diagnosed by Dix–Hallpike, were relevant to our question.
![epley maneuver for vertigo mayo clinic epley maneuver for vertigo mayo clinic](http://chirofirst.ca/wp-content/uploads/2015/10/BPPV-Epley-1024x791.png)
![epley maneuver for vertigo mayo clinic epley maneuver for vertigo mayo clinic](https://www.degruyter.com/document/doi/10.7556/jaoa.2010.110.10.602/asset/graphic/j_jaoa.2010.110.10.602_fig_001.jpg)
Background: Canalith repositioning maneuvers (such as the Epley maneuver) are recommended by specialty guidelines for management of benign paroxysmal positional vertigo (BPPV) yet are frequently underutilized in the emergency department (ED).