Epley Maneuver for the Right Ear - Vestibular Rehabilitation

BPPV or Benign Paroxysmal Positional Vertigo is one of the most common disorders of the inner ear that results in vertigo. It is due to particles that have 

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Physical Medicine and Rehabilitation
PT/OT

Vestibular Rehabilitation
Epley Maneuver for the Right Ear


Place a folded blanket on the bed so it is at the level of your shoulder blades when you lay down.
This will allow your head to tip back slightly, but remain supported by the bed.
Date: __ / __ / 20__

Begin by sitting on your bed with your legs stretched out in
front of you. Turn your head halfway (45 degrees) to the
RIGHT.
Keep your head turned halfway to the right
and lie down quickly. Your head should
stay turned halfway (45 degrees) to the
RIGHT and should be tipped slightly back.
Wait until your dizziness passes, plus 30
seconds.

Keep the back of your head in contact with the bed and
slowly turn your head halfway (45 degrees) to the LEFT.
Wait 30 seconds.

If this position
does not
provoke
dizziness, sit
back up! AE

Physical Medicine and Rehabilitation
Vestibular RehabilitationEpley maneuver for the right ear
- 2 -
Disclaimer: This document contains instructions for occupational and/or physical therapy exercises
developed by the University of Michigan Health System (UMHS). Your health care provider has determined
that these exercises are beneficial to you based on your condition at this time. Talk to your health care
provider if you have any questions about this document, your condition or your treatment plan, including
whether it is appropriate to continue doing these exercises should your condition change.
CC BY-NC-SA Last Revised: 1/2014


For the next few hours, avoid bending over at the waist or tipping your head up or down.
You should also avoid laying down flat to rest or to take a nap. However, you can sleep
in your normal position when you go to bed at night. Resume all of your normal
activities the next day.
Important: Never perform the Epley Maneuver for the RIGHT and LEFT ear within the
same 24-hour period.


Roll onto your LEFT side with your nose pointed
diagonally (45 degrees) downward towards the floor.
Important: Your forehead should not be resting on the
bed. Your head should be in line with your spine.
Stay in this position until your dizziness passes, plus
30 seconds.

Slowly return to sitting at the edge of the bed.
Sit with your head level for 15 minutes.

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