S T E P 4S T E P 3S T E P 2

Self-Treatment of Benign Paroxismal Positional Vertigo (BPPV)THE EPLEY MANEUVER

S T E P 5

*LEFT side procedure shown below - do the opposite if right side affected*

S T E P 1

Turn your head 45degrees to affectedside while sitting. Place a pillow atedge of your bed.

Lie back quickly andcarefully on your backwith your head resting

slightly extended 30degrees off bed.

Turn your head 90degrees without lifting

your head up.

Turn your body andhead together another90 degrees so you are

looking towardfloor/bed.

Sit up slowly, rotatehead back to neutral

and don't move for 60seconds.

H o l d e a c h p o s i t i o n f o r

3 0 - 6 0 s e c o n d s ( o r u n t i l

s y m p t o m s s u b s i d e )

p e r f o r m 3 t i m e s / d a y

k e e p e y e s o p e n d u r i n g

e a c h m o v e m e n t

s l e e p i n u p r i g h t p o s i t i o n

( c h a i r ) f o r 4 8 h o u r s a f t e r

s u c c e s s

t o h e l p p r e v e n t r e l a p s e ,

s l e e p o n u n a f f e c t e d s i d e

T IPS :

Rotate your head 45 degrees while maintaining

your eyes fixed on your thumb (or playing card).

Rotate your head 45 degrees the opposite way

while maintaining your eyes fixed on your thumb.

increase your speed (controlled) and remove the pause at the centre position (continuous movement)add a busy 'background' behind your thumb (or playing card), e.g. wallpaper or painting behind your thumb.walk slowly while doing the exercisewalk down a hallway while doing the exercisegently bounce up and down while seated on an exercise ball while doing the exercise

Progression:

S T E P 1

Gaze Stabilization ExerciseVESTIBULAR-OCULAR REHABILITATION (VOR)

S T E P 3

*Exercise(s) should be done daily/multiple times per day | You should work into a range that reproduces your symptoms, but notcause nausea or stomach upset | Progress to your tolerance level by setting new goals each day/week | Be patient, healing takestime*

Stare straight ahead focusing on your thumb

or playing card.

S T E P 4

Stop at centre and maintainfocus on your thumb.

S T E P 2