with a recent evidence-based research review suggesting that it. The home Epley maneuver is similar. Related. Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, a false sensation of spinning. , 2015). 64-2. Standing Sway Exercise. Your therapist will tell you if your affected ear is on the right or the left side. The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal. This is first done in your provider’s office, then you can do it at home. In a previous study, three SM per day with self-treatment were performed and after 1 week 58% of patients were cured . , CCC-A, Vestibu. What is the Epley maneuver. Use this video to guide you through the epley maneuver at home! This is a great technique to use for benign paroxysmal positional vertigo. BPPV is caused by a problem in your inner ear. Jan 28, 2022. “This is a simple. Epley maneuver or the modified liberatory maneuver, CRP involves sequential movement of the head into four positions, with positional shifts spaced roughly 30 seconds apart (Figure 2a and 2b). John Epley designed a series of movements to dislodge the crystals from the semicircular canals. . BPPV (Benign Paroxysmal Positional Vertigo) occurs as a result of displaced otoconia, which are small crystals of calcium carbonate (also referred to as “otoliths” or “canaliths”) that are normally attached to the otolithic membrane in the utricle of the. The exercise helps to reposition the crystals in the semi-circular canals of your inner ear to relieve the spinning sensations of vertigo. For more. Audiologist Dr. 2), whereas the Semont liberatory maneuver utilizes both inertial and gravitational forces as the patient is briskly moved down on the. The success rate of the Epley maneuver is approximately 70% on the first attempt, and nearly 100% on successive maneuvers 2. Epley maneuver. The method (for the left side) is. This video is of a modified Epley maneuver that is simple and can be performed at home for vertigo, or benign paroxysmal positional vertigo. Danielle Tolman, PT takes the time to show you how to perform an Epley Maneuver at home to treat Benign Paroxysmal Positional Vertigo (or displaced. You can do this exercise at home. Watch physical therapists Bob. This video is of a modified Epley maneuver that is simple and can be performed at home for vertigo, or benign paroxysmal positional vertigo. The Epley maneuver is a series of head movements to relieve symptoms of benign positional vertigo. Turn the head about 45 degrees to the right. Demonstration of the Right Epley Maneuver for managing positional vertigo (BPPV) in 2/6 semi-circular canals: the Right Posterior and Left Anterior Canal. The Epley maneuver is a low-cost, safe, and relatively benign treatment option for benign paroxysmal positional vertigo. BPPV is characterised by brief episodes of vertigo related to rapid changes in head position. Extend the neck just enough so that the downward ear is below the shoulder. 1. If you are doing the correct side (affected ear. An Epley maneuver is a series of movements used to relieve symptoms of BPPV. The organ responsible for balance is located inside your ear. . Prior to the development of the procedure, doctors typically treated BPPV with surgery. Sending them to a PT who knows how to do the Epley is perfect. If you're living with vertigo, particularly Benign Paroxysmal Positional Vertigo (BPPV), you can actually treat it at home with no doctors, no expensive equi. The home Epley maneuver is a type of exercise. The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) [1] [needs update] of the posterior or anterior canals of the ear. Epley maneuver involves a series of head movements done to relieve the symptoms of benign paroxysmal positional vertigo. Phys Ther 2010;90(5):663-78. found that the patients who also performed the BDEs had better symptom resolution and independence after one month. They also reviewed the comments posted regarding the videos to see how the videos were used. HOME Left EPLEY MANEUVERBenign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo arising from peripheral vestibular disorders. Wait 30 seconds. Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear (1:13) as well as left ear (3:17). Check with your physician prior to performing. Vertigo is the feeling that you are spinning or that everything is spinning around you. Subscribe for more health tips & tricks videos: your free vertigo checklis. After the Epley or Semont. Doug Brown, a physical therapist and the manager of the Richard C. D, Ph. Further lodging the calcium deposits in the semicircular canals and making the problem worse. audiological scientist, physiotherapist) and involves a series of four movements of the head and body from sitting to lying, rolling over and back to sitting. What does stop it, an estimated 90 percent of the time, is canalith repositioning, also known as the Epley maneuver, after the Oregon ear surgeon who devised it in 1980. . The Epley maneuver is a canalith repositioning procedure. BPPV (benign paroxysmal. Again, wait for any vertigo to end before moving to the next step, at least 30 seconds. Epley MD, long time resident of the Portland-Vancouver area, passed away at the age of 89, July 30, 2019. ; The doctor then lowers you quickly to the side that causes the worst vertigo. . The Epley maneuver is often recommended by chiropractors or physical therapists as a way of treating vertigo at home. Marching in Place. It is a common way doctors treat the vertigo symptoms of benign paroxysmal positional vertigo (BPPV). Manuver Epley adalah prosedur sederhana yang dapat membantu dalam mengatasi gejala benign paroxysmal positional vertigo (BPPV). g. It is not too hard to do these movements at home. Previous studies showed repeated cycles of maneuver at home had increased efficacy [11]. Your head should still be at a 45-degree turn. Video. This disorder is caused by problems in the inner ear. This is usually accomplished with the Epley maneuver for posterior canal BPPV, although occasionally other maneuvers (Semont, Brant-Daroff, Log Roll, Gufoni, etc. (A) Instructions for the modified Epley procedure (MEP)Lastly kick your feet out to the front and use your right hand to push yourself up to the seated position. These are head movements that correct the inner ear problem that causes BPPV. [23–27] In a study comparing the effectiveness of treatment with the Epley maneuver alone or combined with at-home BDEs in between sessions, Desai et al. What. Danielle Tate, PT, DPT uses this short video to walk you through how to safely and accurately perform a Left Epley Maneuver at home to resolve positional. . Essentially, the head is tilted back as close. . Note: Each maneuver does not need to be performed rapidly. Carol Foster is the author of "Overcoming Positional Vertigo" which is dizziness caused by loose crystals in the inner ear. Hold for 30 seconds. The Epley maneuver is a series of movements, normally carried out on a person by a doctor, to relieve the symptoms of BPPV. Performing the maneuver incorrectly can lead to: Neck injuries. Sit up slowly, head tilted forward for 1 minute If above does not work to relieve nausea and dizziness, try: 1. Your head should still be at a 45-degree turn. Your doctor also may have asked you to do these. However, although incorrect performance had no effect on treatment outcome in the MEP group (p 0. These maneuvers should be performed only after an evaluation by a medical provider who will determine the involved side (right or left), involved canal (posterior or horizontal canal), and the maneuver most. For several days after treatment, do not sleep on the side that triggers symptoms. Study an online video or set. Step 2: Turn your head 45 degrees toward the ear that is causing your symptoms and hold the position for 1 full minute:Benign paroxysmal positional vertigo (BPPV) is caused by calcium carbonate debris (otoconia) which becomes dislodged from a small organ in your inner ear cal. When your head is firmly moved into different positions, the calcium crystal (canalith) debris that causes. Each position is maintained for about 30 seconds to allow the particles to move by gravity into a different part of the canal. In a Cochrane review that compared the Epley maneuver to a control or sham maneuver, the Epley. If you’re suffering from vertigo, watch this video!Claim your free v. Brandt-Daroff exercises are used to help accommodate your brain to the changes that occurred when your BPPV first started. All patients were randomized into the Epley maneuver group (n = 77) and modified Epley maneuver. Handout. . D. An additional small RCT (80 people with posterior BPPV: n = 40 Epley manoeuver and n = 40 Semont manoeuvre) found no statistically significant difference between the efficacy of these treatments as assessed by the Dix-Hallpike test (p = 0. After Epley maneuver treatment, the patient may begin walking with caution. med. Epley maneuver. This treats the symptoms of vertigo. [Efficacy of Epley maneuver in treatment of benign paroxysmal positional vertigo of the posterior semicircular canal]. The canalith repositioning maneuver (CRP) was coined by Dr. 7M views 9 years ago. The Epley maneuver. First, a Dix–Hallpike test is performed. This treats the symptoms of vertigo. 8% after two treatments, and 98. HOME EPLEY MANEUVER The Epley and/or Semont maneuvers as described above can be done at home. Note that this maneuver is done faster in the animation than in the clinic. . The meaning of EPLEY MANEUVER is a procedure to treat benign paroxysmal positional vertigo that involves manipulating the head in a series of distinct movements in order to reposition calcium carbonate crystals of the inner ear that have become dislodged from the utricle and entered the semicircular canals. Have the patient roll onto their left side. Art. This is called the particle repositioning maneuver or the Epley Maneuver and the DizzyFIX works like a visual set of instructions for the maneuver. We would like to show you a description here but the site won’t allow us. 36%, p = 0. Benign Paroxysmal Positioning Vertigo is caused by loose inner ear crystals in the inner ear that migrate while sleeping to the back-bottom inner ear balance canal, the so-called “posterior semi-circular canal. The organ responsible for balance is located inside your ear. Don't drive yourself home. As a reference, I'd do the Epley with my therapist weekly. Give Patient Home Epley Maneuver to perform three times a day. For left sided BPPV you are going to turn your head over your left shoulder and lay flat on your back. There is also a device you can purchase to ensure you are doing the Epley maneuver correctly at home called the DizzyFIX, available on Amazon. Turn your head toward the side that causes vertigo. Complications such as conversion to another canal can occur during the Epley maneuver, which are much better handled in a provider's office than at home. If you experience dizziness associated with BPPV, consider these tips: Be aware of the possibility of losing your balance, which can lead to falling and serious injury. It does so by moving the canaliths out of the canals, so they stop causing. It requires few resources and is a simple bedside solution to BPPV, whether in the clinic or emergency department. Wait 30 seconds in the last position, lying on your right side with your head facing down so your nose touches the bed. Benign paroxysmal positional vertigo ( BPPV) is a disorder arising from a problem in the inner ear. . Once the 30 seconds is up, sit up. : CD003162. In the Epley maneuver group, 20 of 22 patients (91%) had long-term success (defined as a negative Dix-Hallpike result and a Dizziness Handicap Inventory score of 0) compared with 10 of 22 patients. 28 days) for BPPV symptom resolution, whereas those in the Epley maneuver treatment group. This may help you keep your balance and improve symptoms of vertigo. Epley Maneuver Semont Maneuver Half-Somersault or Foster Maneuver Brandt-Daroff Exercise 5 min read The spinning sensation and dizziness you get from vertigo can limit. “It was good to see that the video with the most hits was the one developed by the American Academy of Neurology when it published its guideline recommending the use of the Epley maneuver in 2008 and then posted on YouTube by. This is another maneuver to relieve dizziness. Dr. Edward Cho of House Clinic demonstrates the Epley Maneuver for benign paroxysmal positional vertigo. A veces, estos cristales se desprenden del utrículo y terminan dentro de los canales semicirculares. . During the Epley maneuver, your doctor will use movements to reposition crystals in your ear that may be causing dizziness and nausea. You can do the home Epley maneuver on a bed. You will learn head movements that will move particles from the fluid-filled semicircular canals of your inner ear into a tiny bag-like open area that houses one of the otolith organs in. for affected left ear, reverse directions. In this article, we’re going to cover 4 vertigo maneuvers that can help with your vertigo and provide relief. If you have been specifically told by a qualified medical. HOME SEMONT MANEUVER (middle efficacy) Radke et al (2004) also studied the home Semont maneuver, using a similar procedure as the home-Epley. Dr. They detect motion and send this information to your brain. The success rate of the Epley maneuver is approximately 70% on the first attempt, and nearly 100% on successive maneuvers 2). Turn whole body to right, head facing towards floor for 1 minute 4. The DizzyFIX guides individuals with BPPV through a series of special head and body positions that ultimately guide loose, vertigo causing particles out of the inner ear and into non-reactive areas. DizzyFIX allows you to do the same exercise at home. First, a Dix–Hallpike test is performed. 7M views 9 years ago. Wait until any dizziness passes. This video demonstrated the technique for right sided BPPV. Your semicircular canals are found inside your ear. Vertigo is the feeling that you are spinning or that everything is spinning around you. Please Subscribe. The Dr suggested I do the Epley Maneuver at home. Sources. Helminski JO. It helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). The Epley maneuver utilizes gravity to displace the otoconial debris from the posterior semicircular canal back into the vestibule as the patient is moved successively through a series of head positions (Table 1. Supplemental material : Animation of Epley Maneuver. . ENTEar, Nose & Throat Journal. Luckily, experts have created a technique, called the Epley Maneuver, which consists of carefully administered movements that are designed to move the out of place crystals back into the inner ear. Dr. 05), there were significantly more treatment failures in the MSM group among patients who performed the maneuver incorrectly compared with those Figure 1. Telephone: 01205 446478. When you are finished, wait for a couple of minutes until all symptoms go away. the maneuver incorrectly (p 0. 64-2. Usually one allows 30 seconds between positions. The original Epley maneuver was designed to be done with a healthcare provider. Dr. Performing the maneuver incorrectly can lead to: Neck injuries. Your semicircular canals are found inside your ear. To perform the Epley maneuver if vertigo results from an issue with the right ear, for example: Sit on the edge of a bed. A veces, estos cristales se desprenden del utrículo y terminan dentro de los canales semicirculares. Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear ( 0:23 ). VAS has already been used to evaluate balance disorders [3, 4]. Tampa Location. The Clinical Response Time of Epley Maneuvers for Treatment of BPPV: A Hospital Based Study. The Epley Maneuver demonstrated, is the way to reposition loose crystals in the ear, also known as Benign Paroxysmal Positioning Vertigo, so that the symptoms caused by the loose crystals go away. S. John Epley, is both intended to move debris or "ear rocks" out of the sensitive part of the ear (posterior canal) to a less sensitive location. A 77 year old female presented for outpatient evaluation of vertigo at a tertiary otolaryngology clinic. Keeping your head in this position, lie down quickly onto your back. Unfortunately, it didn't work for me (at home). The Epley maneuver and BD exercise had an equivalent effect at 1 week in treating PC-BPPV-cu in terms of resolving positional nystagmus (48 vs. Turn your head to the other side at a 90° angle. Remain still for 60 seconds. net. The Epley maneuver can be carried out by a doctor or at home by the individual experiencing BPPV to relieve symptoms. The Epley maneuver is the most common at-home treatment for BPPV and is seen as being the most effective of the at-home maneuvers. Fortunately, in recent years, it has become recognized that the otoconia can actually be guided out of the affected canal via Canalith Repositioning Maneuvers. In our study with nine SM maneuvers per day, 57% were cured after only 2 days; after 1. If you have developed dizziness due to vertigo, then you understand how devastating this problem. They are done with the help of a doctor or physical therapist. The medical term for these deposits is otoconia. We like to star. John Epley designed a series of movements to dislodge the crystals from the semicircular canals. How to do the Epley Manoeuvre (Right) If you have any questions or queries, please do not hesitate to contact us: ENT suite, Outpatients Pilgrim Hospital, Boston PE21 9QS. Wait for 10 minutes after the maneuver is performed before going home. They are done with the help of a doctor or physiotherapist. Born in 1930 in Eugene, Ore. 2012 Aug; 69(8):669-74. . You can do this exercise at home. The home Epley maneuver is a type of exercise. Video demonstrates how the Epley maneuver is performed to treat POSTERIOR canal BPPV affecting the right ear (0:23). It helps to treat the symptoms of benign paroxysmal positional vertigo (BPPV). Sources. umich. Kristen Janky, Au. This procedure seems to be even more effective than the in-office procedure,. . Diagnosing and treating it are simple to do in the medical office. Blame it on crystals. You will learn head movements that will move particles from the fluid-filled semicircular canals of your inner ear into a tiny bag-like open area that houses one of the otolith organs in. "Famous" Physical Therapists Bob Schrupp and Brad Heineck present: How to Safely Perform Epley Maneuver @ Home for BPPV (Canalith Repositioning Procedure CRP. . We designed a self-administered exercise, the half somersault, for home use. Benign paroxysmal positional vertigo (BPPV) frequently recurs after treatment, so a home exercise would be desirable. A recent paper by Obrist et al (2016) suggests that the head should actually best be extended beyond the horizontal by about 10 degrees, on both sides. BPPV = Benign Paroxysmal Positional VertigoEpley Maneuver can be performed at home to treat BPPV. It’s important to know that horizontal canal BPPV is rare, and therefore if you have been told that you have BPPV, without any other information, you have posterior canal BPPV, and the information about that is contained above. She then. [1] While the overall incidence of BPPV in the general population is around 2. Dr. 5% of patients experienced recurrence of symptoms within 48 months. Wait in this position for 30 seconds. Dr. After a single treatment with one of the maneuvers by a physician, patients performed at home (Epley in one group and Semont in the other group) three self-treatments, thrice daily, every day until they were vertigo-free for 3 days. 58% for the. If you have the wrong diagnosis, or do it incorrectly, then the cure rate is zero. These are head movements that correct the inner ear problem that causes BPPV. 2 However, the procedure may not be tolerated by elderly patients or those. Then turn head to right for 1 minute 3. Vestibular Rehabilitation: Epley Maneuver for the Left Ear - 2 - 3. The Epley maneuver is a series of movements, normally carried out on a person by a doctor, to relieve the symptoms of BPPV. Jon Saunders | Newmarket ChiropractorIn this video, I will show you. Benign paroxysmal positional vertigo is the most common cause of vertigo. Danielle Tate,PT, associated with Vestibular Today, a physical therapist, demonstrates the right home Epley maneuver. "BPPV can be treated successfully in one to two sessions about 90. . Title: KM_454e-20200326090505 Created Date: 3/26/2020 9:05:05 AMBenign paroxysmal positional vertigo (BPPV) is a common form of vertigo, accounting for nearly one-half of patients with peripheral vestibular dysfunction. Epleys manøvre består af 4 simple steps og gentages om nødvendigt flere gange indtil svimmelheden er borte. What is the home Epley maneuver? The home Epley maneuver is a type of exercise. These movements bring the crystals back to the utricle, where they belong. This is to avoid "quick spins," or brief bursts of vertigo as debris repositions itself immediately after the maneuver. In this video, we teach you how to perform a home Epley maneuver to cure your vertigo. It was designed by Dr. B, Deliberately move the patient into the supine position, maintaining the head turn. Stay in this position until your dizziness passes, and. Gans repositioning. She also demonstrates the left home Epley on another. The original Epley maneuver was designed to be done with a healthcare provider. This article reviews the differential diagnosis for. The Epley Maneuver. The most popular video, with more than 1 million hits, was produced by the American Academy of Neurology (AAN) but was uploaded to YouTube by a patient. Invented by Otolaryngologist, Matthew Bromwich MD, the DizzyFIX is a wearable, visual guidance tool that has been clinically proven to teach anyone how to perform the Particle Repositioning Maneuver, at home, with the same results as having it done in the office or clinic by a. Epley maneuver is an exercise that can treat the symptoms of benign paroxysmal positional vertigo (BPPV). The canalith repositioning procedure can move these particles to a part of the ear where they won't cause dizziness. Balance exercises for vertigo may help. 273 adult patients with clinical diagnosis of benign paroxysmal positional vertigo diagnosed by positive Dix-Hallpike positional test with clear and classical. Repeat this daily until you are free from positional vertigo for 24 hours. Epley is an appropriate intervention for BPPV with particles in the posterior canal. The efficacy of this approach is outstanding with 74. Epley maneuver. Tilt yourself backward until you are lying on your back. Turn your head 45 degrees to the left. . Keep your head turned halfway (45 degrees) to the right. The Epley maneuver consists of four different head positions that are held for 30 seconds each. To help you learn how, here is a link to a recent video in which a PT demonstrates the moves. Video. . The differential diagnosis for vertigo is broad, encompassing central and peripheral vestibular causes, cardiovascular. From Physical therapists Bob Schrupp and Brad Heineck demonstrate how to perform the Epley Maneuver. Danielle Tate,PT, associated with Vestibular Today, a physical therapist, demonstrates the right home Epley maneuver. Tilt your head up and back. A maneuver which can be used to suc. See full list on hopkinsmedicine. Or read a brochure with pictures. The Semont maneuver is performed as follows. The Epley maneuver is positional, not positioning. Benign positional vertigo is also called benign paroxysmal positional vertigo (BPPV). Its symptoms are repeated episodes of positional vertigo, that is, of a spinning sensation caused by changes in the position of the head. In the Epley maneuver, the person’s body and head are moved into different positions, one after the other. Maniobra de Epley en casa. D. Step 3. 20, the efficacy of the Epley maneuver and Brandt-Daroff exercises for posterior semicircular canal BPPV treatment and recurrence rate after 48 months were evaluated. This treats the symptoms of vertigo. Du bliver herefter hurtigt ført. Research has found it to be an easy, safe, and effective treatment for. The Deep Head Hanging maneuver is performed as follows (Gualtieri, et al. Quickly lay you down on your back with your head in the same position just off the edge of the table. We often recommend the home-Epley to our patients who have a clear diagnosis. Twelve videos depicted one or more aspects of the Epley maneuver inaccurately. Click "show more" to contact us. Help the person sit back up. This video demonstrated the technique for right sided BPPV. It does so by moving the canaliths out of the canals, so they stop causing. Check with your ph. I følgende eksempel drejer det sig om ørestenssvimmelhed i højre balanceorgan. Danielle Gross, PT, DPT demonstrates the eye movements associated with Right Posterior Canal BPPV, canalithiasis-type using a Dix-Hallpike Test. With both hands holding the patient's head, gently lay the patient down in the supine position with the head hanging over the edge of the bed. If you have vertigo, stay in this position until it stops. Have the patient roll onto their left side. They are done with the help of a doctor or physiotherapist. People with vertigo experience a feeling. Try standing with your feet together, arms down, and slowly moving your head from side to side. Differing opinions exist about the benefits of using mastoid vibration during CRP, 10. John Epley. Vertigo & Dizziness, Home Treatments. Home Epley manoeuvre BPPV can usually be cured using the home Epley manoeuvre. Steps should be taken to individualize the treatment to a pati. Your physical therapist will then guide you back up into the seated position. BPPV (benign paroxysmal. Step 1: Sit up straight in the middle of your bed. If the patient remains. The correct technique for this maneuver is described and shown on multiple . These are head movements that correct the inner ear problem that causes BPPV. "Famous" Physical Therapists Bob Schrupp and Brad Heineck (Bob and Brad) first demonstrate how to determine which Epley Maneuver needs to be done- right vers. Dr. Dr Gregg goes over how to do the Epley maneuver at home. Wait 30 seconds in the last position, lying on your right side with your head facing down so your nose touches the bed. A high percentage of patients will report resolution of positional vertigo after undergoing a repositioning treatment, but more than one in three will continue to describe more vague symptoms of imbalance and movement related visual disorientation and instability in the. You may be doing the at-home treatments incorrectly or another treatment plan might be needed. Introduction. Prior to the use of CRP, BPPV was often treated surgically. The home Epley maneuver is similar. Now, turn your head 45 degrees towards your affected ear ( turn your head to face your right elbow). This treats the symptoms of vertigo. The procedure uses several simple head movements. 1 One small trial reported that 36. It is also sometimes called the "canalith repositioning maneuver" or CRP. Epley manoeuvre The Epley manoeuvre typically follows on from a positive Dix-Hallpike test, so we will assume the patient is still positioned lying flat, with the head hanging over the end of the bed, turned 45º away from the midline. . It has a cure rate of roughly an 80%. . Video Resources; VeDA Patient Resource; Store; Blog; Podcast; About Us; Contact;. In 2012, Dr. Roll onto your right side with your nose pointed down at a 45 degree angle toward the floor. Orthopedics Physical Therapy The Home Epley Maneuver to Treat BPPV By Brett Sears, PT Updated on October 18, 2021 Medically reviewed by Laura Campedelli,. You can do this exercise at home. The Epley maneuver involves a series of head movements specifically to relieve symptoms of benign paroxysmal positional vertigo or BPPV. Stay in this position until your dizziness passes. Dr. In the self-Epley maneuver group, the patient received illustrated instructions and a video demonstrating the self-Epley maneuver (Fig. Dr. including important warnings about when it is safe to do any of the treatment maneuvers described in the other videos at home, and when it is not safe or advised to. . (Otolith Repositioning; Epley Maneuver; Semont Maneuver, Lateral canal repositioning maneuvers) Indications 1. Follow any other specific instructions your provider. Your semicircular canals are found inside your ear. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. Use good lighting if you get up at night. The goal of the Epley maneuver is to try to reposition the crystals in a person’s ear that are causing symptoms such as dizziness and nausea. I'm definitely going to a therapist tho.