Modified epley manoeuvre —A domiciliary therapy

Can GPs diagnose benign paroxysmal positional vertigo and does the Epley manoeuvre work in primary care?

British Journal of General Practice, September 2010 moved quickly ‘from a sitting position to lying with the head tipped 45 ̊ below the horizontal, 45 ̊ to the side, and with the side of the affected ear (and semicircular canal) downwards.’ The Dix-Hallpike test is positive when torsional (rotatory) nystagmus occurs when the head is turned to the affected ear. In a prospective study of diagnosis ...

Adult domiciliary oxygen therapy: a patient's perspective.

Evaluating the Epley maneuver.

Evidence Six systematic reviews of RCTs consistently supported Epley maneuvers (as classically described) despite considerable heterogeneity among trials.1-6 • Most recent review (11 RCTs, N = 745)1: -Results were statistically significant for the Epley maneuver versus control at 24 hours and 4 weeks. —Resolution of symptoms (5 RCTs, n = 273): 56% versus 21% with control (NNT = 3). —Positive to...

Semont maneuver vs Epley procedure

The authors compared the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in 70 patients with posterior canal benign paroxysmal positional vertigo. The response rate after 1 week, defined as absence of positional vertigo and torsional/upbeating nystagmus on positional testing, was 95% in the MEP group (n 37) vs 58% in the MSM gr...

Long term continuous domiciliary oxygen therapy by transtracheal catheter.

Long term continuous oxygen therapy improves prognosis in patients with hypoxaemic chronic airflow limitation. Transtracheal delivery of oxygen permits adequate oxygenation of such patients at lower flow rates than are required for delivery by nasal cannulas, thus increasing the time for which portable oxygen cylinders can be used and improving the efficacy of domiciliary oxygen concentrators i...