Extracts from the Cochrane Library: modifications of the Epley (canalith repositioning) maneuver for posterior canal benign paroxysmal positional vertigo

Martin J Burton, Thomas L Eby, Richard M Rosenfeld
Otolaryngology—Head and Neck Surgery 2012, 147 (3): 407-11
The "Cochrane Corner" is a quarterly section in the Journal that highlights systematic reviews relevant to otolaryngology-head and neck surgery, with invited commentary to aid clinical decision making. This installment features a Cochrane review "Modifications of the Epley (Canalith Repositioning) Manoeuvre for Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)" that finds no evidence of benefit for mastoid oscillation applied during the Epley maneuver nor any clinically important benefit for post-Epley postural restrictions in comparison with the Epley maneuver alone.

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