Skip to main content
. Author manuscript; available in PMC: 2013 Oct 1.
Published in final edited form as: Otolaryngol Clin North Am. 2012 Oct;45(5):925–940. doi: 10.1016/j.otc.2012.06.001

Figure 3.

Figure 3

The Epley maneuver for treatment of posterior canal BPPV [COMP, USE FULL PAGE WIDTH OR NEARLY FULL PAGE WIDTH FOR FIGURE 3]

Steps (1) and (2) of the Epley maneuver are the steps of a positive Dix-Hallpike test. After holding for 20 sec in position (2) the head is turned 90 degrees toward the unaffected side (3). After holding for 20 sec in position (3) the head is turned again 90 degrees in the same direction to a nearly face-down position with the body also turned to accommodate the head movement (4). After holding for 20 sec in position (4) the patient is brought to a sitting up position. The movement of the otolith material within the labyrinth is depicted with each step, showing how otoliths are moved from the semicircular canal to the vestibule. (Adapted from Fife et al. 2008 (25), used with permission)