Chiropractic Management of Benign Paroxysmal Positional Vertigo Using the Epley Maneuver: A Case Series

ObjectiveThe purpose of this case series is to describe the management of benign paroxysmal positional vertigo in a chiropractic clinical setting.Clinical FeaturesEight patients (4 women, 4 men) with symptoms of persistent benign paroxysmal positional vertigo presented for chiropractic care. The outcome measures included self-reported resolution of vertigo, a Short Form 12 Health Survey, Measure Yourself Medical Outcome Profile, and the Dix-Hallpike maneuver. Outcome measures were assessed at initial assessment, 6 days, 30 days, and 3 months postintervention.Intervention and OutcomeThe patients underwent one or more canalith repositioning procedures (Epley maneuver). Scores in each of the categories decreased from the initial to 6-day assessment and then again at the 30-day assessment. The effects of the treatment on the Short Form 12 scores showed changes between the initial assessment and 30 days posttreatment.ConclusionThe patients in this case series demonstrated reduction in symptoms with chiropractic management.