Representation of the repositioning maneuver during a presence of otoliths in inner ear

This maneuver, also called Epley maneuver, is used during a presence of otoliths in the area of the inner ear of the vestibular system. This disorder causes vertigo, which is connected to the changed position of the head. Therefore we call it positional vertigo (BPPV). BPPV is usually caused by presence of otoliths in the inner ear. This exercise should be exercised only after previous consultation with your doctor or physiotherapist.

Goal of the exercise:

  • The goal is to return the otoliths back to the utricle
Default position
  • Sit down, turn your head by 45° to the affected side
  • Prepare a rolled up blanket or towel behind yourself, so that when you lay down it would be in below your shoulders
Phase 1
  • Lay down on your back, keep your head in 45° angle and slightly bent backwards
  • Remain in this position 40 seconds or up to 1 minute (this position should evoke vertigo, which should gradually retreat
Phase 2
  • Turn your head to the other side to 90°, the head stays bent backwards
  • Remain in this position 40 seconds or up to 1 minute (this position can again evoke vertigo)
Phase 3
  • Turn your body to the side, and turn your head for another 90°
  • Remain in the position 40 seconds or up to 1 minute
Phase 4
  • Sit back up, keeping your head straight
  • Stay in this position at least for 5 minutes

Common mistakes

  • Not staying in the position long enough
  • Wrong angle or tilt or rotation of the head

How often to exercise

  • Do the maneuver max. 2 times
  • You can repeat the maneuver the next day if problems return

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