(Aust Prescr 2005;28:94-7)
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Fig 1 Epley manoeuvre |
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For the treatment of right-sided disease (reverse head position for left-sided disease):
A. Position patient on bed with head slightly extended and turned 45 degrees to right. B. Position patient with head over a pillow placed at shoulder level (as for a normal Hallpike manoeuvre) and wait 1 minute. C. Turn head through 90 degrees and wait another minute. D. Turn head through a further 90 degrees, while patient rolls on to left side and wait another minute. E. Sit patient up slowly. No post-treatment instructions are necessary. Reprinted with permission from: Therapeutic Guidelines: Neurology. Version 2. Melbourne: Therapeutic Guidelines Limited; 2002. |