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Vol. 2, No. 1, 2012
Issue release date: January – December

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Audiol Neurotol Extra 2012;2:16–23

A Comparison of Two Home Exercises for Benign Positional Vertigo: Half Somersault versus Epley Maneuver

Foster C.A. · Ponnapan A. · Zaccaro K. · Strong D.
Departments of aOtolaryngology and Audiology, bOtolaryngology, and cAudiology, School of Medicine, University of Colorado Denver, Aurora, Colo., USA

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Benign paroxysmal positional vertigo (BPPV) frequently recurs after treatment, so a home exercise would be desirable. We designed a self-administered exercise, the half somersault, for home use. In this randomized single-blind study, we compare the efficacy of our exercise to self-administered Epley maneuvers in patients with BPPV. Subjects performed exercises twice while observed, were re-tested with the Dix Hallpike, and then reported on exercise use for 6 months. Outcome measures were the reduction of nystagmus intensity, tolerability of induced dizziness, and long-term efficacy. Both exercises resulted in a significant reduction in nystagmus after two self-applications. The Epley maneuver was significantly more efficacious in reducing nystagmus initially, but caused significantly more dizziness during application than the half somersault. During the 6-month follow-up, the Epley group had significantly more treatment failures than the half somersault group. We believe that both exercises can be self-applied to control symptoms, but the half somersault is tolerated better and has fewer side effects as a home exercise.

 goto top of outline Author Contacts

Carol A. Foster, MD
12631 E 17th Ave., Mailstop B205
Aurora, CO 80045 (USA)
Tel. +1 303 724 1967, E-Mail

 goto top of outline Article Information

Published online: April 20, 2012
Number of Print Pages : 8
Number of Figures : 2, Number of Tables : 0, Number of References : 15

 goto top of outline Publication Details

Audiology and Neurotology Extra

Vol. 2, No. 1, Year 2012 (Cover Date: January - April)

Journal Editor: Harris J.P. (San Diego, Calif.)
ISSN: 1664-5537 (Print), eISSN: 1664-5537 (Online)

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Open Access License / Drug Dosage

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (, applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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